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Home My WebLink About92-2075 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<.? 2075 g , I Date /-:1..? -7J... ~ ~TRICY P~ MEC~ :~~:::,~,:~e'~4b~ F-Li::~ P.mel LD,' ~.;>.../ oJ- ~.Pr Sewer Conn Water Conn: Water Meter: T,I.I=.'s: Zoning: 17 Ener9j' Code: Description of Work ~~~ Radon Gas: ~~~., 60 Z /0-1:> NO OCCUPANCY BEFORE C.O. FINAL 2-27-'12- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration #. 2-; State Certified License# P~r~it Fee -JiJf~ Signature --"::L ~__ Company _/ ' Address Telephone# Valuation or Contract Price ,~/ ft B~G ~,--~~~ c-ELECTRI~~ -Fll!JMBING "-.... M~ICAL . - Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. ~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~~A-#~ O'77ft/U/ ~ P-J-=-;; t}~fJ/A _/ YD CEf<.NY JOSEPH /l. 0/ CA-rIiERINE AI JOB LOCATION SSJl. 0 - ~ ~ S T LEGAL DESCRIPTION: LOT (S) :L { ci J.. ~ PHONE 7 g" c1 - ;J. Y'd.- J ADDRESS OWNER LOT SIZE X AREA SQ.FT. g' rl ~ /3'8.z per?t "/-7 BLOCK <J SUBDIVISION PARCEL I.D.# ~teration _Repair _Install WORK PROPOSED:_New Construction ----Addition _Sign/Temp. _Sign _Move ~emolish _Commercial _Indust. _4~ of Uni ts _M/H _Swim. Pool \...Si/h'/,=E. tfA?~~ther PROPOSED USE: _Single Family ~/F _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. ~ECHANICAL $ Valuatiod of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature :::::::::AN Company ~ State Cert. or Regist. 4~ . ~ City License Registration / -- .****************************************** ~Ol5.f'"f-t7/ # ",:1 ~ , Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHF.R Signature APPLICATION APPROVED BY ~***********~*****,'******************* d./1t. ~ ~ _ <.. A~ "r' PERMIT OFFICER. ~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'lay be subjett to "deed restrittions" whith lay be lore restrittive than City regulations. The undersigned assules responsibility for tOlpliante with any applirable deed restrirtions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a rontractor or contrattors to undertake work, they lay be required to be licensed in actordante with state and local regulations. If the contractor is not licensed as required by law, both the owner and rontractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contrartor are unrertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131 788-6611. Furtherlore, if the owner has hired a rontrartor or contrartors, he is advised to have the contrartorlsl sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contrartor, you are indicating that you, rather than the contractor, are responsible for the work. If the rontrartor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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 provided with a copy of "Florida's Construrtion Lien Law - HOleowner's Protertion Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applirant is sOleone other than the "owner", I rertify that I have obtained a copy of the above desrribed doculent and prolise in good faith to deliver it to the "owner" 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 be done in cOlplianre with all applicable laws regulating construrtion, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indirated. I certify that no work or installation has cOllenred prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City rodes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lUst take to be in cOlpliance. Surh agenries inrlude but are not Iilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Ketland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septir Tanks f US Environlental Protection AQency - Asbestos abatement I also rertify that, if fill laterial is to be used in Flood Zone "A" or "A,etr.", it is understood that a drainage plan addressing a "rolpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be ronstrued to be a lirense to proreed with the work and not as authority to violate, ranrel alter, or set aside any provisions of the terhniral codes, nor shall issuanre of a pertit prevent the Building Offiripl frol thereafter requiring a corrertion of errors in plans, construrtion, or violations of any rode. Every perlit issued shall berole invalid unless the work authorized by surh perlit is cOllenced within six lonths of issuanre, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is rOllenred. One 90 day extension of ti.e, lay be allowed for the perlit with fee rharge of $15.00. The extension shall be requested in writing to the Building Offirial. An approved inspertion .ust be logged during each six lonth period, or the projert will be ronsidered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAVING TWICE FOR IHPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COK"EMCE"ENT. JOBS UNDER $2,500 IN YALUE DO NOT NEED TO RECORD AND POST A " OTICE OF COMMENCE"ENT". STATE OF FLORIDA COUNTY OF ________~~~~_~_____________________ The foregoing instrument was acknowledged before me this _~~~~_____, 19_~~_ by ----~~~~~~-~-~~~~---------------------- who is personally known to me or who has produced _!~~~~~~_~~~~~~~_~~~~~~~------- as identification and who did/did not take an oath. ________________s:l~_~__~_QCt__________ (Signature) () (N~~~~~~~}--------- NOTARY PUBLIC a Hf\Q.I..PTiE. ~A,\-\~' ';OTARY PUBLIC. STATE OF FLORIDA. illY COMMISSION EXPIRES; NOV. 16. 1992. .'... -;:' rHRU NOTARY PUBLlC UNDERWRIT&RS. STATE OF FLORIDA COUNTY OF _______p_~~_~Q________________________ The foregoing instrument was acknowledged before me th i s 2J_.J.anuar..Y__, 19.9..2...__ by _II~~~_J~_~~r~~_______________________ who is personally known to me or who has pro duc ed I.1.._.1.J"C_.$J.6J:26.5:26.=.DB1--------- as identification and who did/did not take an oath. _______________]j~_~~t__________________ (Signature) ~'/'\() ~ .J.n.y..c.e...lL.MarJl_eL- ____ - ll~ (Name Typed, Prin St mped) NOTARY PUBLI C NOTARY PUBLIC. STATE OF FLOR'D;(~ -" MY COMMISSION EXPIRES: JAN. 28. 1991. BONDED THRU NOTARY PUBLIC UNDERWRITER. .J