HomeMy WebLinkAbout92-2451
BUILDING PERMIT
Permit
2451A
7-/-9'cJ..
CITY OF ZEPHYRHILLS
(813) 788-6611
N~
Date
C;~L~ ~ ~
Pmp'rty Own', ~1? h ;~- ~
Job Address: .s- ~ _ ~ IJ ~
Parcell.D. #
~AL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
(
Description of Work
Energy Code:
Ke~r
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL ~ /. 1
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
pe'mitF~XL
SIQnatu _~_
Company
Address
Telephone#
Valuation or
Contract Price
i.'>~ SJO... cJ7)
...
City License Registration # \. ,3
State Certified License#
~~~~J
BUILDING - - _
E~ICAL
-----------
~BING
~
M~ANICAL
-........
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Serv.
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 }?ERNIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
JOB LOCATION
~ /)~ j//l&-L4:~Ce_
f?-3 cr. lIJ d/
~tI~
~ PI-<;, ~~J-,,-
PHONE
'7fJ?-/~/~
APPLICANT
ADDRESS
OWNER
LOT SIZE_X
AREA SQ,FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D,#
((- ?-.(p - 1-1 - Dore) - o LIOcJ -00(0
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp,
____Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
____M/F
____# of Units
.____1'1/ H
____Commercial
____Indust.
____Swim, Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
~L(m ~
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
____BUILDING
$
~~ St1.r9"
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp,
_\~.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
L...-/ 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
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
ELECTRICIAN
Company
State Cert. or Regist. H
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
OTHER ~~v &~'t
Signature
Company ~/V~/1 \. Ro::xl/,x( (!o.
State Cert. or Regist. IF CJc)~/(;.(V
City Licens~ Registration IF S-.3
APPLICATION APPROVED BY
**************************
,.( ~ />.--,,.....
PERMIT OFFICER.
CONDITIONS OF PER~IT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which say 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 misdeleanor 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 Depart~ent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or 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 entltled 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 - Homeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
"owner" prior to co.mencement.
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 development.
Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or
installation has cOI.enced prior to issuance of a perlit and that all work will be perfor~ed to meet standards of all laws
regulating construction, City codes, zoning regulations, and land development 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 bllt ~le not limited to:
* Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L~nds,
Water/Wastewater Treatlent
* Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
* Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks
* US Environlental Protection AQency - Asbestos abatement
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a dlainage plan
addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to permit issuance.
A permit issued shall be construed to be a license to proceed with the work and not as authority to vioi~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every permit isslled zhall becole invalid
unless the work authori2ed by such permit is co.menced within si~ sonths of issuance, or if HOlk authpflzed by the perlit is
suspended or abandoned for a period of si~ lonths after the tile the work is commenced. One 90 day e~tfosioll of tile, may be
allowed for the permit with fee charge of $15.00. The e~tension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each si~ month period, or the project will be considered abaiJdoned.
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 A1TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NE~ POST A "NOTICE OF CoMMENCEMENr". ~
SIGNATUR~ ~_______ SIGNATUR~ _________~____
W R OR ~.. ACTOR
::::~~-:~:it--L'1~__--- ::::~~-?s-;D -~j?:~-/A~--- - -----
OWNER OR AGEN CONTRACTO~~~~ __
.S:V1 ~ f..-.
MY COMMISSION EXPIRES
MY COMMISSION
r ~-".' "" ~':~'.j ,......,~,-, -j ~~'-..;G1
j liS
~\:.i~,~' ~u IlliiJ 11 L.-l' ,-'uin - Ll_i...'; cn.:e lnc:~
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[jOl<-J:ieA 5 R lJ6? f~ c!<
C~SE:Y & DC>-B. S ROOFING
\\,
Casey Bowden
Robert E'ldridge
ROOFING CONTRACT
788-9474 Lic.#006409..
782-:-1237
Dear Sir:
We proPOSe to furnish all labor to complete the
roofinq job. All labor & material on bad WOOd not included
in the estimate.
All material will be paid for, upon the sionin9 of con-
tract. Casey & Bob' s wi 11 except check. and pay for the
material, this is so YOU will be able to recieve contractors
pri ce . r ~ i l J L hI. -' '! .
Job Location
S73r JZ# 6//
Cost of material_$ c9-s-:)/:) ,9-1/'
Cost of labor
_$ c:;.g~~ , ~c:J
> s:-s 5Q1~l
Any bad wood indicated V~6)
,
Not included!
All labor must be paid
unless, otherwise. stated
for uPOn completion
on 1 ine below. .
/t~
t
of services,
"YOU. "mE BUYER. HAVE mE RIGIrI' TO CANCEL THIS TRANSACTION
AT ANY TIME PRIOR TO MIDNIGHT OF nm THIRD WORKING DAY AFTER
mE DATE OF THIS TRANSACTION.
You. are hereby authorized to all work necessary to lIlY
roof. I undrestand that all bad WOOd is not included. and
balance will be paid UPOn COIDPletion of services.
HClMEOWNERX 1L~. ~(A..A.~ Date 4u~ L ~.f{~.
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