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Home My WebLink About92-2835 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit N<! 2835-PI Jd.- 8-~,2 Date _...."'".._~ BUILDING ELECTRICAL C'-'- PLUMBINV MECHANICAL P,"perty Owne" ~ 0J4 0 Job Address: ~ S. VI JlY1tN~.;. Or.. Parcel 1.0. # U Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: De",,;p.;on of WO'k~ Radon Gas: FINAL .:g- DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # State Certified License# s~ro Permit Fee Signature Company Address Telephone# Valuation or Contract Price )1/ /t / G ~ ~5(fJP PLUMBING SLB Tub Set Water Sewer Final Ftr, Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final 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. APPLICATION FOR PERNIT CITY OF ZEPHYRlULLS BUILDING DEPARTMENT APPUCANT '0 Tc,rl, .~. .1",0.: ~...o.. "",-. -Jt-b .' U ADDRESS ~o.~ ~O '\9,~k \,-",,~..-. Z-\~'\\S OWNER f,. --,-\ - JOB LOCATION1~C)() Ll PHONE ') ~y- C( 5" S b ~. PARCEL 1. D. j~ WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Ins tall ____Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ____Single Family _M/F _j~ of Units ' .____M / H _commercial _Indust. ____Swim. Pool Other BLOCK LOT SIZE X AREA SQ. FT. SUBDIVISION SI \\)~'(L.. C]",l:<:: ~ \.\1.JV'41l V'ol~') ~ _ (>... . '2 ,1-11 l \ <; LEGAL DESCRIPTION: LOT(S) ____Restaurant & Health Department Approval BUILDING SIZE: X Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDINC PLANS & (1) SET ENERGY FORMS.-- ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR}lS.** **COPY OF CONTRACT REQUIRED. ~RMITS REOUESTEU ____BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida power Corp, _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ,'" . GAS ROOFING SPECIALTY . _PLUMBING TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~ONTRACTOR SECTION Company State Cert. or Regist. ~ City License Registration ~ ****************************************** ruJ1LDER Signature Si!:mature Company State Cert. or Regist. a City License Registration a ****************************************** = f,T ,ECTR1 C1 AN Company ~ v \P.) '^" \' \. v- " \. '{ ,... l' \ u ~ State Cert. or Regist. a City License Registration 4F 5'bO ****************************************** = PLUMBER Q",-ry.:-.L , Signature Signature Company State Cert. or Regist, a_ City License Registration a ****************************************** = l'jECHANICAL Signature Company State Cert. or Regist. a City License Registration # QTHER APPLICATION APPROVED BY ****************************************;'* PERMIT OFFICER. ..I CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~.und~rsigned und~r5tands that this per.it .ay b~ subj~ct to "de~d restrictions' which may be aor~ restr.ictive than City regulations. Th~ undersigned assulus responslbl1ltf;fo~.co.pliance with any applicable deed restrictions. 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S 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 r~gulations. If the contractor is not licensed as required by law, both the owner and contractor ~ay be cited for a Disdel~anor violation under state law. If the owner or intended contractc.r are unc~rtain as to what 'licensing require.ents lay apply fc,r the intended wllrk, they are advised to contact the 'City crf 2ep'hyrhills Building Departaent, 18131 788-6611. ' Furtherlore, if the lIwner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of th~ '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 fllr the work. If the contractor wishes you to sign as contractor that say 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 - HOleowner's Protection Guide' prepared by the Flllrida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'owner", I certify that I have c,btained a. copy of the above described dc,cument and prc,rr.ise in gc,od fai th tll del iver it to the 'owner' prior to cOI.encelent. .,: 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, zlIning, and land developlent. Application is hereby lade to obtain a perlit to.do work and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet standards of all laMS regulating cllnstruction, City codes, zoning regulations, and land development regulations in the jurisdictilln. I alsll certify that I understand that the regulations of other governmental agencies ~ay apply' to the intended work, and that it is IY responsibili ty tc, identify what adions I lust take to be in Cl\lIlpliancl!. Such agencies include bllt ~l e m.t I illi ted to: .l- I Departle~t of Envir~nmental ReQulation - Cypress Bayheads, Wetland Areas and Envirunmentally Sensitive L~nds, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses I Ar.y Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways t Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Ilastewater Treat~en~, Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flc,od Zc,ne 'A" or "A,etc,', it is understc,c.d t,,~t a drainage plan addressing a 'coJpensating volu.e" will be sublitted which is prepared by a professional engineer fegist~ied in the State of Flllrida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici.l fro. thereafter requiring a correction c,f errors in plans; cc,nstructicln, clr violatillns of any code. Every permit issllt'd ohall bece,.e invalid unless the work authorized by such permit is coalenced within six IlInths of issuance, or if wOI.k authol lzed by the perlit is suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e=tE~siDli of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectit,n aust be. logged during each six lIonth perilld, cor the projl!ct will be CHlsidered db611doned. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UN DE $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMMENCEME . " SIGNATURE__~_~--__-__----- OWNER OR AGENT SIGNATURE DA TE _________1<)_-:._8.:_g~___________._______ NOTARY AS TO ~ ^ . OWNER OR AGENT___cr-~~-~~~~:~~-~- MY COMMISSION EXPIRES______________________ ~~~~=~C~~R~~~~~------- " MY COMMISSION EXPIRES__________________ Notary Public, State of FI . JA"n BLACI(WELL o'lda M> Comm E 9 Comm N' 'P. .18.96 . o. CC.228545 Notary Public, State of Florida IA,.E r 9lACI(WELl M) Comm. E.p. 9.18.96 Comm. ;..0. CC 228545