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Home My WebLink About93-2948 BUILDING PERMIT Q CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 294S,S 1-;;20~'l3 Date E~.... PL~- M _sD~'A1~rr~AL--~:wer Conn Property Owner: Job Address: Parcell.D. # ',") I A ,,:,ater conn. : ~iri?s!-qe;d~ ~ ~e'Me... Zoning: 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. Inspector Valuation or Contract Price S?/.j9 ' oc.> - Pe,m;' Feed!:!' t LJ Signature --1 I /.<k ~ Company Address Telephone# City License Registration # State Certified License# / /'" /' ME~-. Ftr. Tp. Servo SLB Pre SLB Rough In Tub Set lintel Meter Can Water FRM. Const. Pole Sewer 'nsul. Cl Pool Final Wl Pre-Meter Final Driveway Breakers Ducts Insl. Compressor Final 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 PERI-lIT CITY OF ZEPHYRHILLS "~ILDING DEPARTMENT APPLICANT .\IJDRESS PHONE O\-{NER JOR LOCATION LOT SIZE_X AREA SQ,FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. n. II WORK PROPOSED:_New Construction ____Addition ____Alteration _Repair _Install ____Sign/Temp. _Sign _Move ____Demoli~h PROPOSED USE: _Single Family _M/F _# of Units __M/H _Commercial _Indust. _Swim. Pool Other ____Restaurant & Health Department Approval BUJ:LDING SIZE: X_. Square Feet. Height !\ES IDENTIAL: COM!'IERCIAL : A IT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR..'1S. ,,,': ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. "'* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _Bl!ILDING $ Valuation of Total Construction ELECTRICAL AMP Service Florida Power Corp. _I\,R,E.C. ,." _~IECII:\N I CAL '5 Valuation of Mechanical InstaJlation _l'Ll'~1BI~G GAS ROOFING SPECIALTY 111'1:: OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR El.EVATIONS: FT. ****************************************** CONTRACTOR S Company State Cert. or Regist. lj City License Registration # **.*************************************** ~,.1) EIFCTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** .s.il::nature PLCMRF.R Signature Company State Cert. or Regist. # City License Registration ~ ****************************************** t1ECIlANICAI Signature Company State Cert. or Regist. # City License Registration ~ ****************************************** OTIIER Signature Company State Cert. or Regist. # City License Registration # ****************************************** APPLICATION APPROVED BY PERNIT OFFICER. ,~.,....-.- ,'.," ,. \1'. '. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to .deed restricti~ns' which may be lore restrictive than Cl~. 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 Dr contractors to undertake work, they may be required to b~--licensed in accordance _;~h state and local regul~tions. If the contractor is not licensed as required by law, both the owner and contractor eay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensl'i~ requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 12!J) 7B8-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions ~r the 'Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contract:, , you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you \0 ,:g~ as contractor that aay be an inditation that he is not properly licensed and is not entitled to perlitting privileges ir 'he City of Zephyrhills. C. TRANSPORT A T I ON I MPACT FEES AND UT I L I TV CONN_ECT lQJ::LEEEi2. 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 Construction Lien Law - HOleowner's Protect:"n Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than t~., 'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it I:, the .owner. prior to cOlmencelent. ~ 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 compliance with all f applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation 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 leet standards of all !c"" regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended Hark, and that: \ 1S IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited . Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . De artlent of Health L Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tan~s . Environlental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood lone .A. or .A,etc.'! it is understood that a drainage plaG addressing a 'coapensating volute. will be sublitted which is prepared by a professional engineer registered in the Sla\e l,f Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel alte" or set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official froa thel'cofter requiring a correction of errors in plans, construction, Dr violations of any code. Every perli t issued shall beco~e 1 ",,;\ ld unless the work authorized by such perlit is cOI.enced within six lonths of issuance, or if work authorized by the perro:t is suspended or abandoned for a period of six lonths after the tile the work is cOlienced. One 90 day e~tension of ti~e, ,'", 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 considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMENT HAY RESULT IN YOUR PAYING TUICE FOR IMPROVEMENTS TO ~~R PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUP. LENDER OR AN ATTORNEY BEFORE RECORDING YOUR IIOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE no NOT NEED TO RECORD AND POST A 'NOTICE OF COMMEllCEMENT.. SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19_ by - STATE OF FLORIDA J1 A \ COUNTY OF I V (..1J1l /~ The foregoing i%tnlment \o'Jas ackno\.lled(jt,< befcl\-e me th i sJ,(hI, /~ , 1 q~ by- b~ STATE OF FLORIDA COUNTY OF The foregoing instrument before me this who is personally known to me or who has produced as identification and who did/did not take an oath. who is known to me or who ha' produced as identification take an oath. (Si gna tLll-e) (Signature) ,t-,nted. o~ (h'~ ,~..~~~ .;X/:.:. \ ST.A.TE OF FLORIDA .. .' '.". 1/28/95 .. ;t: D (Name Typed, Printed or Stamped) NOT ARY PUBLI C