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Home My WebLink About92-2084 BUILDING PERMIT Permit 20B4C- /-c:L 9 - 7;;" CITY OF ZEPHYRHILLS (813) 788-6611 No , . Date MEC~ Sewer Conn Water Conn: Job Address: Parcell.D, # , Water Meter: T,I.F.'s: Zoning: Description of Work Energy Code: m<<~ -:.., A- Z; Radon Gas: -<t~ffQ, ~~L FINAL /- 31- 9c:2- DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE Inspector City License Registration # -...5- Y State Certified License# P~rmit Fee~_ . ~ Slgnature.~ ~ Company, ~ Address Telephone# Valuation or Contract Price /(/,1/- -- ~V~Li M~ 0rEcTRIC~ PlDMswG Tp. SeN. SLB Rough In Tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter Final -----,. M E{5.I;;jp.N ICAL ------ /'-suILDING ~ Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT " APPLICANT PH~NE ?J> 2. -' :5 3/ 7' ADDRESS OWNER LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4F WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _# of Units ,_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. ~ECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BUILDER Company State Cert. or Regist. # Signature City License Registration # - ****************************~******** ET.ECTRTCIAN ~f~~ Company #.J!I:u-E~ ..----:- ~ State Cert. or Regist. 4F Siomatyre /f,/ City License Registration ,/ .5[L r ****************************************** 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 # OTHER Signature APPLICATION APPROVED BY ~********~************************ 1'1.M..A' (f' 6~ PERMIT OFFICER. ~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 1913} 789-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s} sign portions of the 'Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor 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 Construction Lien Law - HOleowner's Protection Suide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and prolis! 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 cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, 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. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water KanaQelent 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, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a "colpensating 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 construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY 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 ~~IS UNDfR 1l~:ALUE DO NOT NEE>> TO RECORD ~A .NO~'::" CDKNENCEftENT'. ----- ATUi!-:- iiER~------~--------- ---t1ii~~i~---------------------------- ~~~~YO~FF~~~~DA__~_~~_________________ The foregoing instrument was acknowledged before me this ~~.~, 19_~ by _____~~_aL~_~Z:tC_~LL~-S____________ who is personally known to me or who has produced __"Z).,c--U:'.:f_c.s...._..b-'..&_~- as identification and who did aid not ~:~:_::_~~-~~--------- (Signature) ____~~~f1L~--~~-LLC~~-------------- (Name Typed, Printed or Stamped) NOTARY PUBLI C ,/:::.....xp ;'/~~ ~ - 6' -,;) -9~--" STATE OF FLORIDA ~ COUNTY OF ____________~~__________________ The foregoing instrument was acknowledged before me this~aXL_~_~_' 19_2.?~ by ~h~-i~-p;~;T~-k~~~~~~-~h~-h~~ produced _______________________________ as identification and who did/did not ~:~:_:=-~~--~~~------- ~~~~::~~=:~qy~~~_~__~/~~sC------- (Name Typed, Printed or Stamped? NOTARY PUBLIC j::-Xf,l./' S b -.2 -;95--