The URL can be used to link to this page

Home My WebLink About92-2657 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2657/'1] 7'- old-- -/':1. Date B~~ ~ Pmp,rty Own., ~~ ~ -% ~ J..4AJ- Job Address: C / 3'~ - CJ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel I. D. # Zoning: Description of Work ~92- DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, FINAL C.O. NO OCCUPANCY BEFORE C.O. Inspector {L Valuation or Contract Price ~ 7j i7t2 ~ 07) City License Registration # ~ rl State Certified License# permitFee~ ~ Signature ;t. ,~ Company - - Address /20 f ;{), G;""'(, ~ 77171?~1f Telephone# (et/3) g74-34f13 ~~R~~ . ~H~ Breakers Ducts Insl. Compressor Final BUILDING ELECTRICAL PLUMBING 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 PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS lPoB~ L.. fhlhRD 12~ I N. b Lc.7J /tV c OWNER kEN + 51tND~i' JOB LOCATION G 1'35 Jo tit 5T '33 'T>>m~fi / Ft.. . NE:7-St>,J -'3 ~~HONE(g 1]) <g-J+-51~ 5 APPLICANT LEGAL DESCRIPTION: LOT(S) BLOCK '2. LOT SIZE~ AREA SUBDIVISION 'TY~()1lJ SQ. FT. PARCEL I.D.# (logo -6C>'2t>o - 0330 WORK PROPOSED:_New Construction _AdditioL _Alteration _Repair _InstaLL _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family ____M/F _IF of Uni ts ~ Approval _____N / H ____Commercial ____Indust. S71..,!p~ Other , ____Restaurant & Health Department BUfLDING SIZE: x Square Feet, He igl It RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S. '''' ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ 2}400 Valuation of Total Construction _ELECTRICAL ,~ ____MEt:HANICAL AMP Service Florida Power Corp. _\\l.R.E.C. $ Valuation of Mechanical Installation ____PLlmBING GAS ROOFING SPECIALTY _Frame _Steel. ~ ~ TYPE OF CONSTRUCTION: ____Block FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ElECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** Si!!nature PLUMBER Signature Company State Cert. or Regist. # City License Registration # **********************t-******************* MECHANICAL Signature Company State Cert. or Regist, # City License Registration 1 ****************************************** OTHER 5()l.J9F< EJI~Y IN~Lp/dN Signature ~.;(~ Company lit/VI VIPCI/I L State Cert. or Regist. # City License Registration ~x c>oS;-cr2 ~ 7 iF .s- S? I ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay 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 may be required to be licensed in accordance ,jth 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 licensino requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions (if the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contracto" you are indicating that you, rather than the contractor, are responsible for the work. If the contractor lIishes you to 51gn as contractor that .ay 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 FEE2. 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 LaN - HOleowner's Protection Guide" prepared by the Florida Depart.ent 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 Ie, the "owner" prior to cOlaenceaent. '(, .t. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cotpliance with all a~plicable laws regulating construction, zoning, and land develop.ent. I Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a pertit and that all work will be perforted to teet standards of all lo.s regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies .ay apply to the intended work, and that it is 'Y responsibility to identify what actions I aust take to be in co.pliance. Such agencies include but are not limited to: I Departaent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways I De artlent of Health ~ Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I Environ.ental Protection AQency - Asbestos abatetent 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 "co.pensating volute" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel altE!, or set aside any provisions of the technical codes, nor shall issuance of a ~er.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code.. Every pertit issued shall becole in<alid unless the work authorized by such per.it is cO'lenced within six lonths of issuance, or if work authorized by the permlt is suspended or abandoned for a period of six tonths after the tite the work is commenced. One 90 day extension of tile, ~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 tonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO "MEN CEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO fOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR 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". ~ -K ~ /<ir';/. ~Lj SIGNATURE: OIlNER OR AGENT Kenneth t. Nelson SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument was acknowledged before me this Sept. 21--~ 19~ by Kenneth t. Nelson (Signatul-e) Dawn E. Woorlward r.r.#070092 (Name Typed, Printed Dr Stamped) NOTARY PUBLIs"OTARY PUBLIC, STATE OF FLORIDA. MY COMMISSION EXPIRES: Jan, 25, 1995. BONDED THRU NOTARY PUBLIC UNDERWRITERS. STATE OF FLORIDAf7 COUNTY OF r 'Jf G cO The foregoing instrument was acknowledged befcq-e me this 'j / 22-/ ~ 19~ by ( ( /(OBEJff' L. J-I~wrJt1?D ~'iho h3:::. not ame Typed, F'r jnted OJ" NOTARY PUflLIC J /j hJ e5 Ii, r;e l)pes Notary Public t Large S tamp e d My Commlsslon Expires: December 14,1994 (' C I' (,S<6 9 pr