HomeMy WebLinkAbout93-3005
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~ 30058
Date d-7-R3
~DI~ E~ PLU~. MEC~t
::~:::,~s:~d1{-r-~ ~:i:
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D, #
~::~~~Pt;on of wo,./( e E~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL 2;~ Z-
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
DATE
Inspector
Permit Fee
Signature
Company
Address
Telephone#
3~
.!6u ~
Valuation or
Contract Price
~96'7,nJ
Y~L
City License Registration #
State Certified License#
tfrt;JI
BUILOI~~
ELE~L
PL~
~NICAL
----
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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 ($15.00) 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.
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ACCEPTANCE OF PROPOSA~
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APPLIGATION FOR PERMIT
GITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
ADDRESS
PHONE
'7 38- /~ 79;
OWNER
JOB LOCATION 1th Ilve '11fpb~l ~ SlZ,"---"---- AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL 1. D. iF
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
____Nove
____Demolish
PROPOSED USE: ____Single Family
____M/F
____IF of Units
.____1'1/ H
____Commercial
_Indust.
____Swim. Pool
Other
J
____Restaurant & Health Department Approval
BuiLDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.**
AT TAGH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR}lS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
____BUILDING
$
Valuation of Total Construction
_ELECTRICAL
~
_MECHANICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
CONTRACTOR
BUILDER Company
State Cert. or egist. IF
Signature Gity License Registration
******************************************
ELECTRICIAN Company
State Cert. or Regist. #
Signature City License Registration #
******************************************
PLUMBER Company
State Gert. or Regist. ~
Signature City License Registration #
**r*******************~*******************
MECHANIGAI Company
State Cert, or Regist, #
Signature City License Registration ;F
******************************************
OTHER Company
State Cert. or Regist. #
Signature City License Registration #
APPLICATION APPROVED BY PERMIT' OFFICER.
,.oS}
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 lay be required to be licenged in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the'owner and contractor lay be
cited for a tisdeteanor violation under state law. 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 Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ sign portions ~f the
'Contractor Sections" of this application for which they will be responsible. ,If you, as the owner sign as the contractDr,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to 51gn
as contractor that lay 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 Law - HOleowner's Protectlon
Guide" prepared by the Florida Departtent of Agriculture and Consuler Affairs. If the applicant is sOleone other than tee
'owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it te, the
"owner" prior to cOllencelent.
,}
E. CONTRACTOR'S/OWNER'S AFFIDAVIL
I certify that all the inforlation in this application is accurate and that all Hork will be done in co.pliance with all
applicable laws regulating construction, zoning, and land developlent.
,
Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or
installation has cOltenced prior to issuance of a pertit and that all work will be perforled to leet standards of all la,s
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies tay apply to the intended work, and that it is
IY responsibility to identify what actions I tust take to be in co.pliance. Such agencies include but are not liaited tl':
f Departlent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treataent
f Southwest Florida Water l1anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f De artlent of Health ~ Rehabilitative Services Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f Environlental Protection AQency - Asbestos abatetent
I also certify that, if fill laterial is to bp used in Flood 7nne "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volule" Mill be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A pertit issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, Dr violations of any code. Every perl it issued shall beCOIiE i"'ialid
unless the Mork authorized by such pertit is cottenced within six lonths of issuance, or if work authorized by the permlt is
suspended or abandoned for a period of six lonths after the tile the Mork is comDenced. One 90 day extension of ti&e, ,,;y be
allowed fDr 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 COHI1ENCEHENT I1AY SUU IN YOUR PAYING THICE FOR IMPROVEMENTS TOrC:UR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER AN ATTO B ORE RECORDING YOUR NOTICE OF
COHI1ENCEI1ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND PO A N E OF I1ENCEI1ENT".
~:, 11....",,1-.
SIGN RE: OWNER OR AGENT
was acknowledged
, 19~ by
STATC OF FLORIDA
COUNTY OF
The foregoing instrument
befcol-e me th i s FIE.i5 9
STATE OF FLORIDA
COUNTY OF {hc:.('O
The foregoing in~lment
befc.re me this
"la,s ackno"Jledged
, 19.ti- by
~\~q\e ~~
who is personally known to me Dr who has
produced O~,() rk,-..Io-<s' \ i('~-
as identification and who did/did not
(\ke an oat~
1~~ ~
(Signature) ~
(\X\\\<;;>PC'I S\to
(Name Typed, Printed or Stamped)
NOTARY PU~~.~. OFFICIAL SEAL
{ ~..\ COLLEEN STROTT
. My Commission Expires
\ V' ,4'l Jan. 20, 1996
....~Of~... Comm, No. CC 174750
.........
-PAUL- S<LHe\'PER.
who is personally known to me Dr who has
pl-oduced
as identification and who did/did not
take e..o!Ltl\-6Q. . . i2
(Signature) Notary~State ot FlOrida
Robert Charles Ehrman, Jr.
( N T M\t C;(1rrllTlIS~~Explre~~w.1I .2Wd~"~
ame yped', r-rd~H~m"Nol?cc 19~
NOTARY PUBLIC