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Home My WebLink About93-3116 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _ 311~ ,3 -' :2.1{ - 93 Date (~UI~ ___ E~L PL~' M~. Sewer Conn Property Owner: Job Address: Parcell.D. # Lf i2t.i ~~_~~,. :::::::,~, . {! .. . ';;$r, r9~~' Zoning: Description of Work FINAL NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE City License Registration # State Certified License# /J" -=r::: I !5 {] r>n -f'fr- . /: -- ~''-~ Permit Fee Signature Company Address Telephone# Valuation o~ 0/1. ~ r- 9/. f5L Contract Price ,:J- BUILDING ELEORtCAL ...-/ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PL~ -- M~- -- Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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. APPLICATIO~ FOR PERMIT CIlY OF ZEPllYRHILLS BmLDlliG DEPARnIEIn' OWNER'S NAME r f( H )/ k (3 E A/ SOP OWER'S ADDRESS hI 2 b C HR.! 57tJ# 5T JOB ADDRESS -5 i? /YI "E mONE 'lJo.-- /,tJor LEGAL DESCRIPTION: LOT(S) BLOC:K SUJBDIVISIO~ PARCEL I. D. # KORK PROPOSED:_IIew Construction _Addition _Alteration _Repair _Install _Sign _Hove _Deaolish CJv'EJ(~oOF PROPOSED USE: ~ing1e Faaily _H/F _' af Units _K/H _~rcial _Indust. _Swia. Pool Other _Restaurant &: Bea.1t:h Depan:.ent Appraval BUILDING SIZE: /0 x -.SO , Square Feet, SOD Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOY PLANS &: (2) SEIS OF BUILDING PLAJNlS &: (1) SET ENERGY FORMS. ** ATTACH (3) SEI'S OF BUIIJ)lliIG PLANS &: (1) SET E1'mR.GY FORKS."""" **COPY OF CONTRACT REQm:RED. PERKITS REQUESTED _BUILDING $ /~9~ 00 Val.uatian af Tatal Constructian _ELECTRICAL AHP Service Flarida Power COrp. W.R.E.C. _MECHANICAL $ Val.uation lOf Mechanical. InstallatilOn _PLUKBTNG GAS ROOFTIiG SPECIALTY TYPE OF CONSTRUCTION: _BllOck _Fr~ _Steel Other FllUSHED FLOOR ELEVATIONS: FI' . IS PRO..JECT IN FLOOD ZONE AREA? YES NO ****************************************** COfiRACTOR SECTION BUILDER r COMPANY ;:1 J..5 C'lJ ,n/S/ o ---/ ~/ / /' State Cert. lOr Regist. 4# CI< Co '3392 I ~ ~ City License Registratian!lt /SS- ****************************************** Signature ELECTRICIAN COIIPANY State Cert. lOr Regist. 4# Si2fiature City License RegistratilOn I ****************************************** PLDtBER CD1IPAIn State Cert. lOr Regist. !It Signature City License Registration I **********************:****~~***~~~~~*x:*~ MECHANICAL COltPANY State Cert. lOr Regist. I Signature City License RegistratilOn I ****************************************** OTHER COMPANY State Cert. lOr Regist. I Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitaay be subject to 'deed restrictions" which lay be lore restrictive than Ci1y regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS A~D CONTRACTOR RESPONSIBILITIES 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 regulations. If the contractor is not. licensed as required by law, both the owner and contractor lay be cited for a lisdeaeanor violation under state IaN. If the owner Dr intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (B131 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the "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 for the work. If the contractor wishes you to siQn 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 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 LaN - HOleoNner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner' prior to cOI.encelent. 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 laws regulating construction, zoning, and land developlent. 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 perforled to leet standards of all laws 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 work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to: f Depart.ent of Environlental ReQulation - Cypress Bayheadsf Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatment t Southwest Florida Water ManaQelent District - Wells, Cypress Bayheadsf Wetland Areas, Altering Watercourses t Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways . t Departlent of Health & Rehabilitative Services, E;lvironlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environlental Protection AQencv - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A' Dr "A,etc.", it is understood that a drainage plan addressing a 'colpensating volule' will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perait 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 technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six aonths after the tile the work is comienced. One 90 day extension of tile, lay be allowed f~r 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: Y~UR FAILURE TO RECORD A NOTICE OF COHMENCEHENT HAY 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 UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT'. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ViiP-. HI1;/G ~o HOJl'lC ~ D /1 () 6 /1-L.= / I) ) 2/1 S T J/RFi )=:o~1'-1 1.A'l . 0 2.? 1\ DoF IJi?-/)/Y , f\ 0 '//1).. 25 y~ f{ t?oF '