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Home My WebLink About93-3151 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _ 3151C Date 1- ~- 9--3 Pcoperty Owne' ~ 0 (~ -n:1 ~ I Job Address: ( 51 ~ (r'-( ve... PLUMBING MECHANICAL Sewer Conn BUILDING Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work FINAL J...j - ~ - q 3 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. DATE City license Registration # State Certified License# /0 Inspector :;~~~::.:~. - CQQ3D Company Address Telephone# Valuation or Contract Price ~A I .-BU1b.[)IPJC J~ ~/J' ~ECTRICAL , ~LUMOIr~ Ml=rl-l^l\~ -- ,..",,-- -." -"- Breakers Ducts Insl. Compressor Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. "" APPLICATION FOR PErnnT CI'lY OF ZEPJlYRlII.I.I..s BUILDING DEPAR'It'fE',itl1T ~. ~ O\o!,"NER'S NAME\. "-:.:C) '-'- \ ~ ,.~\: ''{c","u t-.i. ";' .; OWNER'S ADDRESS .~ ~ \l ~ ~~'(L"'- ~~\v8 JOB ADDRESS S' 'f?\ \J-'\..~ MIONlE LEGAL DESCRIPTION: wr(S) RLOCK StmDIVISIONl PARCEL L D. # lo.'URK PROPOSED:_!!irew Construction _Addition _Alteration _Repair _Install _Sign _Hove _Demolish _Cowmercial _Indust. _Swim. rool _M/H ~"'-'V_ \\.~ Other PROPOSED USE: Single F3Ilily _"IF _, of Units _Restaurant & Health Departaent Approval BUILDING SIZE: x Square Fee t. Height RESIDENTIAL: COHHERCIAL : ATTACH (2) PLOT PLANS. & (2) SETS OF BUJLDING PLAOOS & (1) SET ENERGY FO~~.** ATTACTI (3) SETS OF BUTI.DDlG PLANS & (1) SET ENERGY FOR~IS. ~~ **COrY OF CONTRACT RE',QrrnmD. PERKlTS REOIW$TED _BUILDING $ Valuation of-Total Constnlction _ELECTRICAL AMP Service Florida Prn~r Corp. W.R.E.C. _MECHANICAL s Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECL\LTY TYPE OF CONSTRUCTION: _Block _FraDe _Steel Other PINISTIED FLOOR EL.EVATIm~S: FT. IS PROJECT IN FLOOD ZONE :\RF~-\? YES NO ***************************************~~~ COJ!tUTRACTOR SRCT'IONl Signature COl!fPAHY State Cert. or Rccist. , City License Registration # ***********************************'1:****** n UIT,Dm P.T,RCTRICIAN @@ c:mIrANY7-~\...\\I~~'> ~ L~C\" ~\ ~ ( ) \ State Cert. or Recist. #= t)ClC:) Si~atllre '~ City License Regist.ration 4 t ****************************************** ~l(..r o PT.TJlKRY.R COHPANY State Cert. or Regist. # Signature City License Registration i ************************************~*~**~ PofEClT.!\JofI CAL COMPANY State Cert. or Regist. # Signature City License Registration ~ *****************************************~ 0Tlll':R. COm> ANY State Cert. or Regist. # Sien,ature City License Registration 11* ****************************************** APPLICATION APPROVED BY rERKIT OFPICER. II ~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it 'lay be subject to "deed restrictions' which ~ay be aore 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 contracto\s to undertake' work, they may be r~quired ~icensed in accordance with state and local regulations. If the' cbnhactor is not"licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor 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 Departeent, (813) 788-66 I!. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s} 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 tontractor, are responsible for the work. If the contractor wishes YDU to sign as contractor that Day be an indication that he is not properly licensed and is not entitled to per~itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECT)ON FEE~ 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 Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOlleone other than the 'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the 'owner' prior to co.aencelent~ E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all Hork Hill be done in cOlpliance with all applicable laws regulating construction, zoning, 'and land development. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOlllenced prior to issuance of. a perlit and that all HorK will be performed to ~eet 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 may apply to the intended work, and that it is ay responsibility to identify what actions I must take to be in coapliance. Such agencies include but are not li.ited to: I Departlent of Environmental ReQuIation - Cypress Bayheads, Wetland Areas and Environ~enta]ly Sensitive Lands, 'Hater/Wastewater Treatment f Southwest Florida Water NanaQement District - Wells, Cypress Bayheads, Hetland ~reas, ~ltering Hatercc'urses f ArlY Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways . f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - ~ells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone 'A" or 'A,etc,", it is understood that a drainage plan addressing a 'co.llpensating volulle' will be subli tted whic~)s pr~p_ared by a professional engineer registered in the state of Florida prior to perDit issuance. A perlit 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 permit prevent the Building Official fro I thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per~it issued shall becote invalid unless the work authorized by such perlit is cOI.enced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the tIme the work is com~enced, One 90 day extension of tiDe, lay be allowed f?r the perlit Hith fee charge of $15.00: The extension shall be requested in writing t[, the Building Official. An approved inspection must be logged during each six month period, Dr the project Hill be considered abandoned. HARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING THICE 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 MMENCEKENT'. SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUllTY OF The foregoing instrument was acknowledged befc,)-e me th is, 19 by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by who is personally known to me Dr who has produced as identification and who did/did not take an oath. who is personally known to me or who has pl-oduced as identification and who did/did not take an oath. (SignatUl-e) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) t~OTARY PlJr,!l~lh