HomeMy WebLinkAbout92-2547
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
2547 J?
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Date
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Pcope"V Owne, '7{~ 1t:f ~rj;?~~
Job Address: t:__ "_ -- - ~
Parcell.D. #
Sewer Conn
Water Conn:
Water Meter:
T,LF:s:
Zoning: Energy Code:
Description of Work ~~>e1__ ""A"./Y1A1~-",':"
.--p.A:, -4 ~ 7:
Radon Gas:
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NO OCCUPANCY BEFORE C.O.
FINAL Jl"
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 Fea~';rlJ r o~
s;g.a,",~W h tftn...
Company
Address
Telephone#
Valuation or #
Contract Price e & 6J. tTl::J ~~
City License Registration # /.:L. <i'-
State Certified License#
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ELECTR~ _____ PLUMBING _ _ ~EC IC~
SLB Breakers
Tub Set Ducts Insl.
Water Compressor
Sewer !Final
Final
BtnrnINC
-----.,..
Tp. Serv,
Rough In
Meter Can
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Const. Pole
Pool
Pre-Meter
Final
Driveway
(0~ bl< q-j..qLe~J
/ C~Vl
REINSPECTION FEES: When extra inspection trips are nece~ry 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.
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APPLICAT.iOl!il J}10R l'RRlIfi.T
CI'IY OF ZEPBYRBILLS
BOILDIliG DEPARI'i?IEWr
OWNER'S HAHE ~I/\ e C f (' ~ I- #~ t, h...
OWNER'S ADDRESS C(, 5- SO/-I G~(-j~
JOB ~DRESS &~33 ~,/IJ /;tJl (
,1<~ @Vlmoe
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~(.x...
LEGAL DESCRIPTIOl!i: UJI'(S)
~SUBDIVISIOl!i
PARCEL I. D. f
WORK PROPOSED:_l1ew Construction ~itiOh _Alteration _Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE:
Single Faaily
_KIF
_, of llInits
_K/H
_ec-ercial
_Indust.
_S..n.-. Pool
Other
_Restaurant &: Health Dcpart:aent Approval
BUILDING SIZE:
x
Square Feet,
Height
_ RESIDEHTIAL:
cottKERCIAL :
ATTACH (2) PI.OI' PLAJ!iS &: (2) SILTS G~ BUILDING PLUS &: (1) SET ENERGY FORKS. **
ATTACH (3) SILTS OF BUII.DDiG PLAJ!i~S &:. (1.) . SET mrnR: GY. FORIfS. **
**COPY OF CONTRA~(H:RED. 1 j ~
c:?o V( (~ . -~ ID 4
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
Fl;')rida Power Corp.
W.R.E.C.
_HEGllAHICAL
$
Valuation of Kechanical Installation
~PLUKBING GAS ROOFDlG
TYPE OF CONSTRUCTIOl!il: _Block _FraIIe ___Steel
SPECIALn"
Other
FIIiISHED FLOOR ELEVATIONS:
FT.
IS PRO.JlJ:CT IN FLOOD ZONE AREA?
YES NO
******************************************
ClWI'RACIOR SECTION
BUILDER
Signature
COl!IPAlNlY
State Cert. or Regist. ,
City License Registration ,
******************************************
ELECTRICIAN
COl!IPMY
State Cert. or Regist. ,
City License Registration t
******************************************
SiPl1::1ture
PumBER 2
Signature ' .~
IXIIIPAIIY G [" ((~ -"' r
State Cert. or Reg1s . #/:
City License Registration t
******************************************
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KECllABICAL
Signature
COl!IPANY
State Cert. or Regist. I
City License Registration I
************************~v****************
0T1JF.R
Signature
COl!IPANY
State Cert. or Regist. I;
City License Registration ,
************************~*****************
APPLICAnOfl API'KOVIID BY 11.~~ ,!f ,v)",D-U"
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait 'aay be subject to 'deec restrictions' Nhich lay be aore restrictive than City
regulations. The undersigned assuaes 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 workj '12Y may be required to be licensed in accordance Nith
state and local regulations. Iftbe"ciitlt\-actor ilinoblicensej as required by law, both the owner and contractor lay be
cited for a aisdeaeanor violatio,n under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (8131
788-6611.
Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
.Contractor Sections., of tbis applicati~n 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 aay 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 - HOleoNner's Protection
Guide. prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is soteone 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 cOI.enceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work Nill be done in cotpliance Nith all
applicable laws regulating construction, zoning, and land developaent.
Application is hereby tade to obtain a perait to do work and installation as indicated. I certify that no work or
installation has coaaenced prior to issuance of a pertit and that ail work Nill be perforled to teet standards of all laMs
regulating construction, City codes, zoning regulations, and land developtent regulatIons in the jurisdiction. I also
certify that I understand that the regulati~ns of uther governaental agencies aay apply to the intended work, and that it is
IY responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not liMited to:
f Departtent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departaent of Health ~ Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environtental 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 voluae. Mill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A perlit issued shall be construed to be a license to proceed ,lith the work and not as authority to violate, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or v~ulations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perait is cot.enced within six tonths of issuance, ,or if work authurized by the pertit is
suspended or abandoned for a period of six tonths after the tiae the work is cOllenced. One 90 day extension of tile, lay be
allowed for the perait 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 tonth period, or the project will ~e considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEHENT..
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument W~5 acknowledged
before me this , 19____ by
STATE OF FLORIDA
COUNTY OF
The foregGing instrument was acknowledged
before me this 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.
(SignatUl-e)
(SignatLrre)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC