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Home My WebLink About93-3192 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ _ 3192 L1 Date ~ -.23 - 73 ~~~~~L p,"p,rty Own" J1.uJ: <.~ ~!::6 a....e... Job Address:J _SP /- __ J Sewer Conn Water Conn: Water Met~r: T.I.F.'s: Parcell.D. # Zoning: Description of Work Energy Code: ~ ()~ 2;(1~( . fl ;~ FINAL 6...- 3..... 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 Inspector Perm;' F~ . un Le'Y Signatur ~ _-;;1f ~ Company Address Telephone# Valuation or Contract Price 4/ R1?I ro c3--- '7 ::> City License Registration # /' --.) State Certified License# (J~L~~'L Rrr~ k~ ~) ELE~ Ftr. Tp. Servo Pre SLB Rough In Lintel Meter Can FRM. Con st. Pole Insul. CL Pool WL Pre-Meter Final -----.. PL U MBtN.G... ME~ICAL ------- Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ALum.4 - TILE: 'Kmffies.. 1,..Jl-. ~ 'jJ6/~ ADDRESS 533 Fitf-KeJl3ve.& RO 1+-1'30 Itl11tPIl.Ft. PHONE , D V I e I -e <; M I i--'~ JOB LOCATION 3~ t, 38' APPLICANT ;?r3 .'6rs- ~ c)..t.lt :)/ OWNER (JIED/YItIlT A-/l. u;f;f/A,/{ ljfr~zE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# 3S - ;25 - .;;l / - OOS-C)- 00000 - CJ?~50 WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install ____Sign/Temp, ____Sign ____Move ____Demolish PROPOSED USE: -x'-Single Family ____M/F __# of Units .____M/H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x 1'10{) . Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ ?/d~' 110 Valuation of Total Construction ____ELECTRICAL ____M~-CHANI CAL AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation ____PLUMBING GAS x . ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature Sll;>:nature Company State Cert. or Regist. # City License Registration # ****************************************** ET.F.CTRICIAN Company State Cert, or Regist. 4fr City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Signature l'~ ~ Company f}U,/h14 -"f;U: ~&,Cc;e-s /,1\...1 c . State Cert. or Regist, # C(!cO l/??70 City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT ~. 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 co.pliance 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 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 lisdeleanor viDlation under state law. If the owner or intended contractor are uncertain as to Khat licensing requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Depart.ent, 18131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 sign 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 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 law - HOleowner'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 prolise in good faith to deliver it to the "owner" prior to cOllencelent. 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 Dr installation has cOllenced prior tD 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 governlental 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 lilited to: I Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection Aqency - Asbestos abatelent 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 "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 perlit prevent the Building Official frol thereafter requiring a correctiDn of errors in plans, construction, or violations of any code. Every per_it issued shall becole invalid unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorized by the per_it is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay 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 COKKENCE"ENT "AY 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 ~:;':T~~J~~~~:;;: y~~ 00 WT ~D TO RE~D :;20T;;~ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTO~ STATE OF FLORIDA COUNTY OF (/ (I The foregoing instrument w befclre me this ~dv--e( J~ \ 1)\.) \ ~'\e- S ~'\,~h- who is personally known to produced as identification take h. acknowledged 9~ by STATE OF FLORIDA COUNTY OF . The fOi-egc.ing instrumer~~"lV ckno\fJ1edged befcq-e me th i s ()). -c\ Up, 19 ~ by /'--. not L ell n n <<v I T who is personally known to me or who has produced as identification take an CJ.~th If me or who has (Signat / , Ke\ \~ (Name Typed, Print d NOTARY PUBLIC Notary Public, State of Florida at Large My Commission Expires Oct, 29, 1995 Bonded thrl: '-1,;;:1.:0';1""." ,\ .1':,... ',"J.,tea