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Home My WebLink About92-2273 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 d.-O . ffD dlS: trD ~~n~ PLUMBING P,"perty Owne' )?/ 11~ ~~~~ Job Address: 3 i 3// - /Jo~ Parcell.D, # / J - ~ b . J-) - 0 0 / o.~ CJ &, 66 ()- 0/..3 0 Permit N~ 2273/1 DatE! ~- /6 - ;?c:L Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of WOrk~4'f.J A-/ c:- Radon Gas: ...AAH~ <SI'-e/)~~ .r ~/?LfJ2- (j NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee Signature Company Address Telephone# ,/--5. -: t7f.) ~r/.d~-C /' --- Valuation or Contract Price / 7 cr--z; - r-..J-v ,/ City License Registration # 7?' State Certified License# Driveway Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final S~~'(t. ~b-u:.... q../7-1Z f-r6 Breakers Ducts Ins!. Compressor Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 ADDRESS PHONE OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.iF WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install ____Sign/Temp. _Sign ____Move _Demolish PROPOSED USE: ____Single Family _M/F ____4F of Uni ts . __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. i _MECHANICAL $ Valuation 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 Company State Cert. or Regist. # City License Registration # * ************************************** /,:s-9 Company State Cert. or Regist. # City License Registration # *********************~******************** PLUMBER Signature t, Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature "- Company State Cert. or Regist. iF City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'Iay 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 or 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, (913) 788-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor Is) 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 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 proaise 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 ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to: f Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treataent f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departaent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "coapensating volule" will be subaitted 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 issuante of a perlit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violatiDns of any code.. Every perlit issued shall becole invalid unless the work authorized by such perlit is eOlleneed within six months of issuante, Dr if Mork authorized by the permit is suspended Dr abandoned for a period of six lonths after the tiae the work is cOlaenced. One 90 day extension of tile, may be allowed for the permit 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 aonth period, or the projett Nill be tonsidered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING 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 CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COH"ENCEHENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF . The foregoing instrument before me this STATE OF FLORIDA COUNTY OF Th~,foregoing ins~rument before me this was acknowledged , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed Dr Stamped) NOTARY PUBLIC r ~- r;' PROOlJer 81-3 1N.'~'II'i~ lut.. Gtllll)/l, Mus 01411. To Ofder PHON[ TOll fRFE 1+ 800-21S-6380 -.. - - 1.-" , ':. .~.::: 11- 2 ~ - < / ~ 00 /0 - tD~40 0 , 0/..10 BAHR'S PROPANE GAS g,. Ale INC. Sales, Service & Installations 4441 Allen Road ZEPHYRHlllS, FL33541 (813) 782-5013 SOLD BY DATE NAME ~-,...., -" .~. 19? L ADDRESS /;/ ~ /.' ^-'" CITY J <;> 3 / / PHONE "7 (~ /_ - .. 1 .;" 2. /":' 7/ '/)~""': --,. .... ~.. '- - "--' .' ,. I,., i I ~ o CASH o CHARGE o MDSE. RET'D I o C,O,D. o PAID OUT o PD. ON ACCT. QUAN. DESCRIPTION PRICE ~ AMOUNT 1 A:)t - C n,v- 4 , " , 2 .H>...) /'-" v .. 17 r;r-. Q ('" r" , / ....;_! , 3 , 4 ;r~ ,. . - i . \./ (../ , " /',' , 5 t. ",,' / // /' J:.r:s=;~- - ,,> .' .., / 6 --.--....-.-.- - 7 8 9 10 /;/ , 3r') no ,,- f 11 12 13 ,.. 14 C / l':1 -- ,~.,/ .;.;. ,'~ /: l . . 15 I ) ;--~!U -,-:'/V 16 RECEIVED ~ ~ )' ~./ TOTAL- ~ X ,..,. A _..P. ~ ~ yuo~ (..;V v'" 'Z _ ~ 71 v ~cy&tu