The URL can be used to link to this page

Home My WebLink About92-2138 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit N~ 21388 Date d - I /--7 ;;J... (:!~;v E~L P~G . .0/ ;) Property Owner: 'c-J~~ l.. <~{.l . ~ Job Address: ~ '? 9' / '7":? - I /-7.i... C~tX? "- ME~AL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # Zoning: Energy Code: Description of Wor; i? ,e -;lL.c-rr( Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL ,1.. r 9 Z- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit Fee Signature Company Address Telephone# ~t'~O-V ~ .~~ Valuation or Contract Price LJ'i?C.CL' City License Registration # 7 I State Certified License# ~~~{d . BUILDING. . ~RlCAL PL~G ~ M~ICAL " Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 PERl'IIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT / {'r,J Of)] (I; vli?';S 6;J,!d,G" ADDRESS v; ;\ floe) F (;v GRLeY OWNER L.L- () 1.1 D /uJtL 5 , 1/11t (we -- V, IYl/, 0. c".f '7 7/)) G, 1ft _ If / )' I UL.--- J J [,. PHONE I / - [" JOB LOCATION '5 7 I Y-3 3]S'Y c> LOT SIZE_~ AREA SQ,FT. 3~ b -- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D, iF --1l..Repair :..--,Ins ta 1 i WORK PROPOSED:_New Construction _Addition _Alteration _Sign/Temp. _Sign _Nove _Demolic !, PROPOSED USE: ~Single Family _M/F _IF of Units ,_1'1/H _Commercial _Indust. _Swim, Pool Other '1 ~I "( _Restaurant & Health Department Approval BUJLDING SIZE: t X_I Square Feet, HeiF!': RESIDENTIAL: COMNERCIAL : A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'IS." ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'IS. H **COPY Of CONTRACT REQUIRED. PERMITS REOUESTED V BUILDING it, / J. q /,/""l .">eI $tt!. +- . ,)U Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _\';,R,E.C. ~t _MEOHANICAL _PLUMBING GAS Valuation of Mechanical Installation ~ROOFING SPECIALTY s TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION . J Company fi')r)F Iv 9/( /{;1 State Cert, or Regist. " CCCC'F~_S-~'77 City License Regist.ration ;, 7/ ********************************* Signature ElECTRTCTAN Company State Cert. or RegisI'.. ~ City License Registration " **************************************~*** Si'mature Company State Cert. or Regist. # City License Registration ~ ****************************************** PLl:MBER Signature Company State Cert, or Regist. t City License Regis tration .. ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration. OTHER Signature APPLICATION APPROVED BY 31~ L~~~L****::f1** ***~*~~~**~~~~~~~~~~~~~~~~ - ..-...... ... -.... ......................,......... dA\ 111 ...~.1 L~J)N-' PER~IIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay 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 Dr 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 Department, (8131 788-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl 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 2ephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~ 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 Guide" 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 promise in good faith to deliver it to the "owner" prior to cOllencelent. 1 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 I a~plicable laws regulating construction, zoning, and land devp.loplent. 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 governl~ntal agencies aay 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: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable WaterMays f De artlent of Health l Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I Environaental Protection AQency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage pla~ 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 ~erlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code., tvery perlit issued shall becole i~valid unless the work authorized by such pertit is cOllenced within six lonths of issuance, or if work authorized by the permit is suspended Dr abandoned for a period of six .onths after the tile the work is commenced, One 90 day extension of time, ~ay 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 COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCI~G, 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 SIGNATURE: CONTRACTOR STATE OF FlO~ COUNTY OF ~~ The foregoing instrument before me this'&-6. /6' was a;;knc1wledged , 19~b'l STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by J(c Vi'A..) /J1/tD /JOl..J S frll rrf who is per sc.ria 11 y known to me c.r who has produced .E.I:1b-~~-3 0 -513 -70 -L/Z'L 0 as identification and who did/did not ta" h. IS i IiW )PUBLIC, STATE OF FLORID Mv commission expires Jan. 2~9 I Name;B~M'~U tBfltt~ Btifl"t a~ed } NOTARY PUBLIC who is personally known to me Dr who has produced as identification and who did/did not take an oath. .~ (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC .'.,~..." '-~r. ",:."~C ',:'::, I....} !'i;~ j;,. ~ :t "';;,;"'" -..;r-,.,'.,._ f'. .'.....; l.. I