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Home My WebLink About92-2673 BUILDING PERMIT -- CITY OF ZEPHYRHILLS (813) 788-6611 !lI2"-_.~ ~\ Permit 267~1 9- .3IJ-7:L N<! Property Owner: Job Address: Parcell.D, # Date ,ftD /~ ~ ~sewerconz Water Conn: , Water Meter' T.J.F.'s: Zoning: Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or ~ ~ Contract Price . f) 81') . Permit Fee Inspector City License Registration # -------- ~.rtified Lic.nse~==----- . ~Ul-. Vi ~. . ~ Ul .~U~DIN~ ~ELECTRIC~~~~#-~. Signature Company Address Telephone# ME~L ~ Breakers Ducts Insl. Compressor Final 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 ($15.001 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. APPI,I.:ilTI05 FOR PHRKIT CUT OF ZEPllYRllILLS BUIl.DUiG DEPARnIE'ln' ~. //# ~;/- Jd~ xI~ LEGAL DESCRIPTION: L01'(S) ) <1 + c2 V BI.OClC::s'f" SUBDIVISION PARCEL LD.t /1- db -d.-I- 00/7) - {) 3 :?f)D -- /9 f) WORK PROPOSED:_IJev Construction _Addition ---x'Alteration _'S _L/ / .r- oZ ~ OWRER t S ADDRESS ~ ~ J 5 JOB ADDRESS 5'.? jig PIIORE 7Fo~,3 7~7 ~<T 7 ~~ LRepair _Install S. -1gD _ftove _Deaolish PROPOSED USE: 'j Single Faaily _KIF _, of Units _K/B _~rcial _Indust. _Swm. Pool Other _Restaurant &: Health Departaent Approval BUILDING SIZE: x 930 ~e Feet. Beight RESIDElfTIAL: COItItERCIAL : '\ AtTACH (2) PI.OI' PIAlIS &: (2) SEIS OF BUll.DDIG PL..US &: (1) SET ENERGY FORKS. ** ATI'ACH (3) SEIS OF BUll.DIIIG PLUS &: (1) SET ENERGY FoRKS. ** **COPr OF CORTRAct :RIlQ1IITIUlD. PIlRIPITTS REOOESTED _BUILDING $ _ELEC'l'RICAL AIIP Service Valuation of Total Construction X Florida Power Corp. W.R.E.C. _HECllAlUCAL $ Valuation of Kechanical Installation _PLUMBING GAS BOOFlliG SPECIALTY TYPE OF CONSTRUCTION: _Block ~Fraae _Steel Other FIliISHED FLOOR ELEVATIONS: FI' . IS PRO.JEC'I' IN FLOOD ZONE AREA? X YES NO ******************~********************** BtJTTJ)ER ;1J/~ mrn'RACIOR SECTION OAAhV/L/ State Cert. or Regist. , City License Registration , **************************** *********** CO!fPMY Signature :::z aMPABY , State Cert. or egist.' Si e ~ ~ City License Registration ~~;;.~..***.........***.. S ignatiire ~~ CO!fPARY - f'YJ~ 'T'~~ - State Cert. or Regist:.' lJ ~ ~ It , Y\1~ _ City License Registration t I '3 Co ** ************************************** PLDtBER KEmANICAL CO!fPARY State Cert:. or Regist:. I City License Registration t ****************************************** Signature onrF.R CO!fPARY State Cert. or Regist:. I; City License Registrat.ion , ****************************************** . Signature APPLICATION APPROVED BY . PERKIT OFFICER. CONDITIONS OF F'E~::',iT ("FFID{.'j'.)IT A . NOT I CE OF DEED RESTR I CT I Ol'~f~ The undersigned understands that this perlit.ay be 5~bject to "dJed restrictions' which lay be lore restrictive than City regulations. The undersigned assules responsibility f3r cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESF~(JNSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If thp contractor i~ not licensed as required by law, both the owner and contractor tay be cited for a .isde.eanor violation under stlte l~w. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended K, h, they are advised to contact the City of Zephyrhills Building Departlent, (813) 78B-6611. Furthertore, if the owner has hired a con "Contractor Sections" of this application you are indicating that you, rather than as contractor that aay be an indication t City of Zephyrhills. actor or contractor~, he is advised to have the contractor(s) sign portions of the 'or which they lIill be responsible. If you, as the ollner sign as the contractor, ,~ contractor, are responsible for the work. If the contractor lIishes you to sign t he is not properly licensed and is not entitled to perlitting privileges in'the C. TRANSPORTATION IMPAcr FEES AND UTILITY CONNECTION FEE~ D. CONSTRUCTION LIEN LA;; (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I tertify that I, the applicant, have bee : provide~ lIith a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuaer Affairs. if the applicant is sOleone other than the "ollner" , I certify that I have obtained copy of the above described doculent and proli'se in good faith to deliver it to the "owner" prior to cotlencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in thi i application is acclrate and that all work lIill be done in co.pliance lIith all applicable laws regulating construction, ioning, and Idnd developlent. Application is hereby aade to obtain a pL,'tit to do work and installation 'as indicated. I certify that no work or installation has coalenced prior to issuc,iee of a perlit and that all work will be perforted to teet standards of all laws regulating construction, City codes, zoni"g regulations, and l~nd developlent regulations in the jurisdiction. I also certify that I understand that the regul, 'ions of other governDental agencies lay apply to the intended work, and that it is ay responsibility to identify what actic, i I lust take to be in cOlpliance. Such agencies include but are not litited to: f Departtent of Environ.ental ReQulatioo . Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water ManaQe.ent Dis' ,ict - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Any Corps of EnQineers - Seawalls, Dcq,s, Navigable WateTltays f Departaent Df Health L Rehabilitative: ",vices. Environaenh? Health Unit - Wells, Wastewater Treahent, Septic Tanks f US Environlental Protection AQency - A,nestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it,is understood that a drainage plan addressing a "colpensating voluae" will i 2 subtitted 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 technicai codes, nor shall issuance of a perlit prev~nt the Building Official frol thereafter requiring a correction of errors in plan,~ construction, or violatiGns of any code. Every perlit issued shall becole invalid unless the work authorized by such perli' is coalenced within six lonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of 5 , aonths after the tile the Nork is com.enced. One 90 day extension of tile, lay be allowed for the pertit with fee charge ( $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged duril. each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECOL ' A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINA: ,'lNG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALl DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , F___ by STATE OF FLORIDA COUNTY OF The foregc,ing i,nstrument befo\-e me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged 19_ by who is personally known to me, Dr who has produced as identification and whD did/did nc.t take an oath. whD is personally known tD me Dr who has prDduced as identification and whD did/did not t.Olke an (lath. . (Signature) (Signatw-e) (Name Typed, Printed NOTARY PUBLIC Dr Stamped) (Name Typed, Pr i nted Dr Starrli ied) NOTARY PUBLIC