The URL can be used to link to this page

Home My WebLink About92-2719 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 271913 Date / tJ .-;J,.;l - 7 ;;L ~ -tJ. rJ7J ~61~ EL~ MECHA~ Pmperty Own.. (g'/.-<< <-1If~ Job Address: d~_ - '----- - - ' Parcel 1.0. # ~/) - d-b-J-I- CJt:) 10- I b 3 ()o- otJY 0 Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Q Ener~ode: Description of Work i tJAvr ~ ",," "'l. I .,/ u-r Radon Gas: /) tJ~'----- ~~~~=T Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINALa... 2.-- - C.O. NO OCCUPANCY BEFORE C.O. Inspector Permit Fee ~d%2 Signature dZ/ ..:.. d~-'\. Company 1J-,/ ~~'---~~ Address Telephone# S-~ ?..../7~ I Veluation or ~ Contract Price . City License Registration # h cJ..~ State Certified License# ~~A PLU~G ------- MEC~ ---- Breakers Ducts Insl. Compressor 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATXOR FOR pERKI.T CI'IY OF ZI\;PltYIUlII.I_c; ntrrLDDiG DEPARI'HENT "\ OWNER'S NAME ..$ # /'F LA- f..J. c.' F r ~ A' OWNER'S ADDRESS 5"";2~ ~ - II:!' d -:./~~....Ji. JOB ADDRESS ?'~/-? ~ L/~ s-CL t'v'.t?./_T-- ,/. . LEGAL DESCRIPTION: wr(S) ;?- 9;- /0 B.LDCIC/?" ~ SUBDIVISIO~ ~~ /y,.,6 r/ PARCEL I.D.~,/~ if._zL~4 /L) - /1"< G ;2 / cJ 0 /0 Ie ? L9 0 ,,() ~ 0 mONE ')t, 1- c:;-/ '/ / c-rr~~~ 7h- ~.<~/ 'L' ---~. .::' ~ S c~. - /.~/~; -/ r:;. " / ~--v I ~- _Sign _Kove _Alt.enltion ~liSh ~Repair _Install troRK PROPOSE.D:_!N1ew Construction .----J\ddition PROPOSED USE: Single Faraily _KIF _, of Units _"-/H _eo..ercial _Indust. _Swi.. Pool O~er _Rest:aurant &: Bea tth Depar-=-ent Approval BUILDING SIZE: j q . x .:;-.:~, ~007 . G Height I t1,Y RESIDENTIAL: COHKERCIAL : Square Feet, ~~CJ/7 ATTACH (2) PLOT PI..M.:. &: (2) SKIS OF BUII.DING I}I..Ir\~S &: (1) SET Th"ERGY FORMS. ** ATTAC.lI (3) SETS OF BlITLDDlG PLMilS &: (1) SET ENERGY FORKS.H **COPY' OF COJ!n'RACTR~.QUlTIUID. PERKI'IS RROlW_<iTED ~UILDING $ valuation of Total Constniction _ELECTRICAL AKP Service Florida power Corp. W.R.E.C. _KECIIAlfiCAL s valuation of Mechanical Installation ~UKBING GAS ROOFIHG SPECIALTY TYPE OF CONSTRUCTION: ~lock. _Fra8e _St:eel other Fl. . IS PROJECT IN FLOOD ZONE ARF_~? FIIiISBED FLOOR ELEVATIONS: YES NO *****-f:-f:*~~**********-f:**-f:-f:-f:-f:-I:***-f:-f:-f:-f:-f:**-f:**-f: CONTRACTOR SECTION Signature 11 COKPANY State Cert. or Regist. ~ . : i--y? ~ /1 ~ City License Registration !# ****-f:*-I:-I:~-f:-I:***********-I:-I:-f:-I:*-f:-I:*-f:-I:-I:*-f:-f:****** BUII.DER 6 &3 Sismature CQ'!IPAl!iY State Cert.. or Regisl:. 1# City License Registration f *-l:-f:****-f:-Ii,-.!c-l:******************************* El.ECTRIClAN Signature cmtPANY State Cert. or Regist. #. City License Registration I ******-1:* ~_ ,.I:-f:-I:*-f:-I:******-f:***-f:it...*****......-iI::-iI::-iI::-=--f:iI;--f: PLIJKBER Signature COKPANY State Cert. or Regist. J City License Registration ~ ******-I:*~*****************~*****-f:*****-f:*** MECHANICAL . Signa t:ure CO'!fPANY State Cert.. or Regist.. i City License Regisl:ral:ion ~ ***-f:***.~******-f:-f:****************-f:******** OTHER . APPLICATION APPROVEO BY 'J! ~ _ ~ iVI-1),-" PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT ~. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit ~ay be suLject to 'G~Ed restrict:ons' "hieh may be ~ore restrictive than City regulations. The undersigned assules responsibility for co.~l~anL~ Nith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND,.CONTRACTOR RESPONSIBILITIES If the ollner has hired ~ contractor or contractors ~o undertah work, thI!Y-';~Y-b;~~~~i-;;;d~b;l-i'censed in accordance with state and local regulatIons. If the'tontrdct~r is,~ot. licensed as required by law, bpth the owner and contractor lay be cited for a lisde.eanor violation under stat~ :d~. 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 fephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractor~, ~~ .5 advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they ":11 be les~ollsibIE. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are rl!spJnsible for the work. If the contractor Nishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to persitting privileges in'the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's CDnstru~tion Lien LaH - HOleoHner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. if the applicant is so!eone other than the 'oHner", I certify that I have obtained a copy of the above described document and prof-ise in good faith to deliver it to the "oHner' 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 laNs regulating construction, zoning, and land developlent. Application is hereb~ lade to obtain a perlit to do work and installation ~s indicated. I certify that no Hork or installation has cOllenced prior to issuance of a perlit and that all work will be performed to leet standards of all laNs regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended Hork, and that it is IY responsibility to identify Nhat actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: t Oepart.ent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environr.entally Sensitive Lands, Water/Wastewater TreatMent t Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Nav)gable Waterwzys f Departlent of Health _L Rehabilitative Services, Environlent . Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood 70ne "A" or "A,etc.", it is understood that a drainage plan addressing a 'colpensating volu~e" Mill be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A permit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, 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. ~very per~it issued shall becole invalid unless the Mork authorized by such permit is com.enced within six lonths of issuance, or if Hork authorized by the permit is suspended or abandoned for a period of six sonths after the tile the Hork is cOffi~enced.' One 90 day extension of ti.e, lay 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 lonth period, or the project will be consideced abandoned. WARNING TO OHNER:YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN6 YOUR NOTICE OF COI1I1ENCEIIENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF' COMMEUCEMENT'. d ~;;/~ . SIGNATURE: COUTRACTOR was acknowledged , 19~ Wi STATE OF FL~A COUNTY OF (AI .sco The foregoing In'O'-trurnent t,efe.re mE? this /O/d I STATE OF FLOR~ COUNTY OF ~ The foregoing inst~ment before me this I~, ~ ( H~.s dC kno\'J I edged , 19----2: L. by 511/ et:/!- ~ FrE7C who is personally known-to me Dr who has produced r'C P L as identific~~";,'.~!li'l'~i'frL....,,whcl did/did nClt t ' t~'" ",,1;tY P.... ~ ' . a,(ej In. )a ~~6~>""'Vr}).~A- ,//u-U/;jSL .la'~.......-G (Signatul- _ i. - ~ g - S# / Jt~\? \4) - *PI:Z-;irfc-/-/ (Name Type ",~~..~nteg....~#>tamped) NOTARY PUBLf~t Of"f"t'\)~>~ 1111/11111\\\\\\\\ me or whcl has not --G rSC/T SHIRLEY D. DEUTSCH My Comm. Exp. Feb. 26. 1996 Comm. No. CC 183178 ~c::...1l& O. OEllTsa, ~ Up. Felt.2&..... . ... ct D3118