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Home My WebLink About92-2105 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit N<! 210511 B U iLDrN 11 dlo ~ tTb ~ p~ ::~:::,~,:~':3~&~'J; a~ Parcell.D. # ~ / ~ l..../ - A"7"'1 Date ;L - ..y - , Q... C'VV MECHANI~l~wer Conn Water Conn: Water Meter: ~~~~J )(.i)ij2 Zoning: Description of Work 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,Q. DATE Inspector Permit Fee Signature Company Address Telephone# Valuation or J ~- /-/1. ..._) Contract Price $I- ~ ~ v v v City License Registration # c....3 State Certified License# LA- G. 0 ::l. f 2.D- (~-;(/~~ ~. '~ MECHANICAL. Breakers Ducts Insl. Compressor F:inal BDI-LuH4G ~~7 ~ EL CAL. Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ~'NG ~. Ftr. Pre SLB Lintel FRM, Insul. CL WL SLB Tub Set Water Sewer 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 PERI-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 4 c e A e-P)-/ ~J . :;C.tO C. ADDRESS 9;tJ C<J;r(7J2l1iJdN',1G IJ/Vd ')fJj(ei~1I/J OWNER 7" r (1-N l.l ;i tv ;U.J2 S- JOB LOCATION L;T / J- 'I - :J 8.J'Y S- /-J9p'f/~ /Jy-€ /-::L PHONE 0?ft -:l2J? BLOCK LOT SIZE_X AREA SQ,FT. SUBDIVIS ION .;31- --e el' )< !Io /10 '" /'"1 H~ , LEGAL DESCRIPTION: LOT(S) PARCEL 1. D. j~ WORK PROPOSED:____New Construction ____Addition ~lteration ____Repair ____Install ____Sign/Temp. ____Sign ____Hove ____Demolish ____Commercial ____Indust. ____Swim. Pool , .____1'1/ H Ill- clll-tfI'Y- 0" ~ther PROPOSED USE: ____Single Family _M/F ____j~ of Units ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, 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 ~ELECTRICAL VMECHANICAL $ !b-S() G e- valuation of Total Construction AMP Service $ ~, 5':J--cJ . 0 0 Florida Power Corp, _W.R.E.C. 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. !~ City License Registration a ****************************************** BUILDER ELEr~~JCT AN Si~C~ 4~~ Company /Jc e ,1 Q +f.;" , ;;::;.."" , State Cert. or Reg(st. i~ E.5 00600<"/ City License Registration iF <f,/I} ****************************************** Signature Company State Cert, or Regist. a City License Registration a ****************************************** PLUMBER /JO f' '-al(' Company c.t2. rr <l rr' 'J .-I-N . State Cert. or Regist. iF Cf}co J 9?~-j- City License Registration iF #' r.o J ********************************* OTHER Signature Company State Cert. or Regist. a City License Registration a APPLICATION APPROVED BY ~. ********~************************* .MA'd -- o/}.A\...J, PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . Th~ und~rsign~d und~rstands that this p~r.it lay be subject to "deed restrictions' which may be Dor~ restr.ictive 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 or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor il not licensed as required by law, both the owner and contractor ~ay b~ cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing r~quire.~nts lay apply for th~ int~nded work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611, Furtherlore, if the own~r has hir~d a contractor or contractors, he is advised to hav~ the contractorts) sign portions of the 'Contractor S~ctions' of this application for which they will b~ responsible. If you, as th~ 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 permitting 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 - Ho.eowner's Protection Guid~" pr~pared 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 ctipy of the above described docu.ent and promise in good faith to deliver it to the "owner' prior to co..encetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land developlent. '. Application is hereby aade to obtain a perlit to' do work and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction, 1 also certify that I understand that the regulations of other governlental agencies may apply'to the intended Nork, and that it is IY responsibility to identify what actions I lust take to be in cOlllpliance, Such agencies include bill ~l e m,t lillited to: .r I also certify that, if fill laterial is to be used in Hc,od Zone 'A" or 'A,etc,', it is understood tl,~t a drainage plan addressinq a 'colpensatinq volute' will be sublitted which is prepared by a professional engineer reqist2ied 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 yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici~l frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit iss\l~d :hall becOle invalid unless the work authorized by such perlit is co.tenced within six months of issuance, or if wOl'k authDI lzed by the perlit is suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e=tE~sioll of tile, lay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An approved inspectic,n !!lust be lC1gged during each six tonth period, c,r the prcoject wi 11 be cc.nsidered ~b,;lldoned, 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". SIGNATa~,,('-~- CONTRA~ ;:~ DATE~~~__~~_~~t~------~~------- . ,/) NOTARY AS TtJ::;t' / " J (--~/ i CONTRACTOR ~UL.<..~~;;:- _~ ~__2.)J2~~?:::-~f;-Z:Y( ,,' Rotary "'bile. Statt o' Florlel. MY CoMM I S S I ON EX P IF.f3{O!l!"_is.!i.!1!. ~jI!~ .}!P!.J.Jt.l994 Ionded Thru Troy Mlln ' Inlurancelll50 SIGNATURE__~~~_~~:(~~----- OWNER OR AGENT DA TE___:t-tk-.:.f'.;--l.2..i2---------.------- ~~~~:Y o~S A~~N;L~0-~.:~J~~~~:&--L~:'. Notary Public. Stat. o' Florlcler MY CoMM I SS ION EX P I RES JlrJ:ammiccift" ~"pirAS.Slpt..la..JJM londed Thru Troy Mlin -Inluranee InCo