The URL can be used to link to this page

Home My WebLink About92-2074 BUILDING PERMIT PLUMBING N'! 20741'1 Date /-J3 -7';t.. -:5:5-' o-D ~E'H'ANIC~ Sewer Conn Water Conn: Permit CITY OF ZEPHYRHILLS (813) 788-6611 BUILDING .1"0 Pmp"tyOwne, ~~~ Job Address: 39 - Parcell.D. # I~-;;)....b - ;)../ - ~ 0/ tJ ~ C'J 0100 .... 0.3/ l> Water Meter: T,I,F.'s: Zoning: Energy Code: Description of Work 7~ ~/ c.. Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL..;!)-. -~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector . ~- ...-..... ~? Permit Fee -....::>... . CI 0 ' / Signature (-::- ;;t; ~ .r~' Company Address Telephone# Valuation or ~ Contract Price i.... ol. c/z). cJ() City License Registration # / r State Certified License# PC Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ......... "\;; _'_ i -,' APPLICATION FOR PE~IIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT r18rAnr.e Olson ADDRESS 39042- 6th Ave. Zephyrhills. Fl 33540 PHONE (8'13) 783-1922 OWNER rl;:1rpnrp nle;nn " JOB LOCATION 39042- 6th Ave. Zephvrhills, Fl LOT SIZE_X LEGAL DESCRIPTION: LOT(S) AREA SQ. FT. BLOCK SUBDIVISION PARCEL I.D.t~ 1?_?h_?1_0010-00100-0310 WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install ____Sign/Temp. ____Sign ____l'love ____Demolish PROPOSED USE: ~Single Family ____M/F ____t~ of Uni ts ,._M/H ____Commercial ____Indust. ____Swim., Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. -LMECHANICAL $ "3?nn nn Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. ff City License Registration # ****************************************** BUILDER ::::::;::.N '\<-. ~ " ~ <,-, <Z.L .-, Company -z,...~ 'L<- '> . [ L~" "'" "-'" · ~ State Cert. or Reg1st. II Vc.'><.>2--l!,.\< . City License Registration 1~ lO ****************************************** Signature Company State Cert. or Regist. # City License Registration # ****************************************** ,PLUMBER MECHANICAL Clayton Craddock Company rr::Hirlnr.k's Air rnnrlitioning ~ ..-(.~ State Certo or Regist. II RM0019937 Signature . ~ ' City License Registration 1F 18 ********* ******************************** OTHER Signature Company State Cert. or Regist. # City License Registration # f'~~'~,..'.' .f)~;~ .., ~j~'to~ .~.A'~J~~ .."':!~t"q.o! PERMIT OFFICER. 'AP?r,l,t:AI'f.t'ON.'!tPPROVED BY :'... f'; ......,.. . .'. l . ,-:".". ~...' ~-r-!',~" :t) t'~/.~)j;~""""". ~> y.t . .';', ;'. r {'. ~},.~ CONDITIONS OF ,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . Tht,undersigned understands that this perlit lay be subject to "deed restricti~ns" which &ay be m~re restr.ictive than City regulations. The undersigned assutes responslbllity:for cOlpliance with any applicable deed restrictions. , , " \ B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor'or contractors to undertake work, they .ay be required t~ be licensed in accordance with state and local regulations. If the contractor il not licensed as required by law, b~th the owner and contractor lay be cited for a lisde.eanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing requirelents lay apply f~r the intended work, they are advised to c~ntact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contract~r(s} sign portions of the 'Contractor Sections' of this application for which they will be responsible. If y~u, as the owner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the w~rk. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is n~t entitled to per&itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provi~edwith a copy of "Florida's Construction Lien Law - Ho.eowner's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOle{.ne other than the 'owner", I certify that I have obtained a, copy of the above described document and promise in g~od faith to deliver it to the 'oNner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will he done in compliance with all applicable laws regulating construction, 20ning, and land development. ' Application is herehy lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has cOlmenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, 20ning regulations, and land development regulati~ns in the jurisdicti~n. 1 also certify that I understand that the regulations of other govern~ental agencies ~ay apply 't~ the intended work, and that it is IY responsibility to identify what actions I lust tilke to be in cOlllpliance. Such agencies include hill ~le not limited to: ... . J. . Department of Environmental ReQulation - C~press Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatment . Southwest Florida Hater ManaQelent District - Wells; Cypress Bayheads, Hetland Areas, Altering Watercourses . ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks . US Environmental Pr~tEction AQencI - Asbestos abatement I also certify that, if filllaterial is to be used in Flc.od Z[,ne "A" or "A,etc.', it is understc,cld 11.3t a drainage plan addressing il 'compensating volute' will be sublitted which is prepared by a pr~fessional engineer regist2red in the State of Florida prior to permit issuance. A perlit issued shall be construed to he a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical 'codes, nor shall issuance of a perlllit prevent the Building Official fr~1 thereafter requiring a c[,rrection [If ernrs in plans; c[,nstruction, [,r violations of any c~dl'. Every penit issued :hall bece,.e invalid unless the work authorized by such permit is cOllenced within six months of issuance, ~r if w~rk authollzed by the perlit is suspended or abandoned for a period of six lonths after the ti,e the work is commenced. One 90 day l':lensioll of tile, lay be alloNed for the perlllit with fee charge of ~15.00. The extension shall be requested in writing to the Building Official. An approved inspecti[.n l!Iust be logged during each six lonth period, or the pre,jed liill be crlnsidered ~b.;llde,ned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE~~~~---------- OWNER OR AGENT DA TE_____0?J/i~-------------'------,------- NOTARY ('is TO ~' J~~ iL OWNER OR AGENT ___~t!'!::.C21.:..: ~;..---(:-..;.-- notary Public. 19 At Large. FlOrida. MY COMMISSION EXPIRES MycommIs8lonExpiresJUly30.1995 ---------ee~g------ SIGNATURE2~~.../L~ ON RACTOR DATE___~~~~---------------------- , /l NOTARY AS TO 7 '~J L CONTRACTOR~~~ - ~' -~~~- , ry . I'\l ~ge. Florida, MY COMMISS~ON EXPIRE~ mission Expires July 30. 1995 _______GG~&~&----