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Home My WebLink About92-2238 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2238P , Date .3 - :;2.7- Ya ~.... E~ GLUMBIN0 ~L P<ope"" Own" W ~.:' .f'" LJl Job Address: J~_ _ - t.j -=--- I Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # Zoning: ~nergb. Description of Work ~:Ao.... .... d Radon G. as~. ~. /~./. - - NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. FINAL tj ./ 2- DATE Inspector Pe,m;' Fee ~;g 4 SignatureC~ - ~. {~a/&-L Company Address Telephone# Valuation or Contract Price v~A City License Registration # J-7 State Certified License# (rJ~~ 13~ C ~LUM~ SLB Tub Set Water Sewer Final .--.. BUILDING ELE~L -........ M~NICAL ~. Breakers Ducts Insl. Compressor 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 ($15.001 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. APPLl.CATl.ON FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER UolfA)S 5TJ:M+ SFA{lOyk 5f5:~6/ (I( Slf.E- ,4K(~S ?:rA(~5 PHONE .7<3'3-1 b ~> APPLICANT ADDRESS " JOB LOCATION LOT SIZE x AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # WORK PROPOSED:____New Construction _Addition ____Alteration _Repair ____Ins tall ____Sign/Temp. _Sign _l"1ove ____Demolish PROPOSED USE: ~Single Family ~/F ____~~ of Units ,._M/H _Commercial _Indust. ____Swim. Pool 5:RJ:- + iJf:/f 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 FORNS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ 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. a City License Registration 6 ****************************************** J3UILDER PT.1lM8F.R 1!r. Company (' /Iii /s AAN t ~ I}. 1M h;;J 6 /1 ~ --A j) (J III j) State Cert. or Regist. 4! ' . F () /~t;ff Signature L' _-0fY/cI?1 -2). (l)aA---l City License Registration jI .S 7 ****************************************** Company State Cert. or Regist. 6 City License Registration 6 ****************************************** ELECTRTCTAN Shmature Signature Company State Cert. or Regist. 6 City License Registration # ****************************************** MECHANICAl. Signature Company State Cert. or Regist. ff City License Registration # OTHER APPLICATION APPROVED BY **~********~************************** 7L rP0 A)A'd . ~ . PERMIT OFFICER. ..:/ :";~<,:- I '~ .~ .. , ~ ,-' ~~.. J .~ i : ~. l;"," . " ". CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tht,undersigntd undtrstands that this perlit lay bl subject to "deed restrictions" which aay be lore restr,ictive than City regulations. The undersigned assules resPDnsibillt~~~Dr;,co.pliance Nith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner 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 15 not licensed as required by law, both the owner and contractor ftay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6.11. Further_ore, 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 Hill 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 Nishes 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 Const\uction Lien Law - HOleowner'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 1 have obtained I copy of the above described document and promise in good faith to deliver it to the "oNner" prior to cOI~encelent. "j-'f.:' 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 compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby .ade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has COI.enced prior to issuance of a perlit and that all work Hill be performed to meet standards of all laws regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also certify that 1 understand that the regulations of other govern~ental agencies ~ay apply'to the intended work, and that it is .y responsibility te. identify what actions I lust take to be in cOlllpliance. Such agencies include tolll ~le liC.l lilliled 10: ..- . J. I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmenlally Sensitive Ldnds, Water/Wastewater Treatment f SouthNest Florida Water" ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses f ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways f Departsent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~ent. Septic Tanks f US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Hood Zone "A" or "A,etc.", it is underste.e.d t,,~t a drainage plan addressing a "colpensating volute" will be sublitted which is prepared by a professional engineer reqist~ied in the State of Florida prior to per.it issuance. A per.it 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 permit prevent the Building Official frOM thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit isslIed ~hall becole invalid unless the work authorized by such perlit is cOllllenced within six months of issuance, or if HD1"k authol lzed by the pertit is suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e:tensioll 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 inspection must be logged during each six tonth period, or the project Hill be considered abal.doned. 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 ~ RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE____~~-- ____ ___~--------- SIGNATURE~~- '~;C~_~l OWN OR A~T CD~~ DATE_n________3P-F&------------- DATE_____n-_..3-lb-;/~--------- NOTARY AS TO - /J ~- NOTARY AS TO ' d \Y OWNER OR AGENT _________&{~--~-- CONTRACT ~-~--- MY COMMISSIO PIRES______________________ JAMES A. STONE Notary Public. State of Florida My comm. expires May 16. 1995 CC110274 .. ------------------ JAMES A. STONE Notary Public, State of Florida My comm. expires May 16. 1995 CC110274