The URL can be used to link to this page

Home My WebLink About93-3209 BUILDING PERMIT Permit N ~ CITY OF ZEPHYRHILLS (813) 788-6611 _ 3209~ SI-3o -7.3 Date ~E~ P~ :~~:::,~':~3if;7--t~ff~t;!l. ~~ Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D, # Zoning: Description of Work Energy ~ -1/C if-P Radon Gas: FINAL5~3.... :3 NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# 1/1 Pe,m;' Fee ~~-: c7V ~ s;goatu<('. - r ~ ?'" ~ ' Company Address Telephone# Valuation or Contract Price ~.3 7~-; tTU ~,~~~~~ ~CHANI~ Breakers Ducts Insl. Compressor Final ~DING ----- ~CAL --.....", P~G ~ SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.00) shall be made for each trip for each trade: a, Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APR-29-l993 09:55 FROM Bi 11 Nlde Rea1t':j TO . II "~-; :.;./' ./ ENVI RON M ENT ALCONTRACTORS 3843 South Hwy. 301 DADE CITY, FLORIDA 33525 .Phone 567.5515 95577459 P.Ol :,'- "'.; . ,,' ,. ,. ~ , .:. . ','. , . /:;." . .' . ~". . .',M. . ~'~ ~;..'~'.: ' .' "-':',' . , ' I:.' ~. :- I ,,' '"-,II' . .. .;,: ,~:.' " ~ .' ",'..' .~., .' DATE PIIlQMlsaCl' ',:'. DATE OF OllllGINAI.INGTAI.l.ATIQN ',' SII""AI.NO, " " o E$T1MA1l; o WII.~~II.NTV o CONTRACT ~ .Ir.!l""-.~"" ~. II. .n.. . ,~:.."'~.". "0 ... 11,...... ;. ,It ~ , A ,,:,;. .;'" ,..................... .....--... ..,-....... .........Ji1.. , ;,6- -r2.../ ....."..",.. .,. ..__.. __...__/-t:'f}/.V!..... ;;.,q,SrEm. W )/&~,. ,...-...."..... I t!l..~.tl_t!9...,_. ..... ., .,.. ...,....-.-..-. --.....-....'-1..-'.'. ",. I ..,. .......-. ...-,''''--''. . I . ....,.....",.,., -. .._..~-c;o;'- . . -..,....--- . ---, --. .._.,'~&:,:.==-- . I ....- ......- -- -,---....-.......-- '._".."---r ....--- I 1'/1 TOTAL V ~cy$W . ~381e1 I :l'11l/U/E,. :tePH'I~ ~UJS PI- TlleMHIQA!,. Sl!I'lVICl! TIMe o I'ICI( UP ~ DEllVEI'lY TPTALMATERlALS o SHOP 0 HOMIl r\)tERVlC& C~LL ~"o; , ATS(!'5'MPLETED TAX ~(Q)~ SEE !'lEVERS&: SIDE "'OR GUAI'tANTV ,PIOOlftT 6~J l!2.;;ifJJ I",., G_. Mm. olm. 'I. . '" :,' .'....:... , ~ ~ '. ". ..' ", : " "" . " . '.'.: .. .. o CII.S" o QW."G! o Q,O,D. c1:""'.,..,.',.!rt....I!l',.,.~ ,s'.;lh! ~. I I . .. T- .._-- 1 ;-:.-;:: .:'~>,. ,o, ,", (. I -;~(. i " .... .... " I. .. I , ., . I i .. i: \ I.,: .:.: \j: ;. ,. ., . I,", :'~""" . . .:. ':~'~'. , .1, I :, :~ ~ ;:,-: . ~.: '.:':. ". . I,. , '. ~:::'>~.(; . ;':. ~;:rl' , ",,- :.' ,.... .... : ~~ :: ,., .': ,', ~. . . , . . ',", APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ;:~)ljt:t2.. OJ/JM! jfJTl4L f!o,UJJ<J4(~Jb12.S ft!)':<~) .5, Hulf. 3CJ l ~11', try .k""'\1>' )T~ ., ~1LfT7t~S JOB LOCATION 3B<i {) '1 l:l m t+tI ADDRESS PHON' q oJ-I) SCo7- S-S-(~ OWNER LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # blteration _Repair _Install WORK PROPOSED:_New Construction _Addition _Sign/Temp. _Sign _Move _Demolish _Commercial _Indust, _Swim. Pool ,_M/H f}/~ 61MJl.~-&oL{'r PROPOSED USE: _Single Family _M/F _# of Units _Restaurant & Health Department Approval BUILDING SIZE: x 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 RE01!ESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W,R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS 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 SiQIlature Company State Cert. or Regist. # City License Registration # ****************************************** ET .ECTRT CT AN Company State Cert. or Regist. # City License Registration # - ****************************************** PLUMBER Signature Signature Company ~~tr:ftoJJm{..mAJ...... ~tJr. State Cert.. or Regist. l~ C.At'2.Dr~q3Hl;t City License Registration # - ~ ****************************************** Company State Cert, or Regist. # City License Registration # OTHER Signature ****************************************** PERMIT OFFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands ~hat this per.it .ay be subject to .deed restrictions" which may be lore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay 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 may be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611. Furthermore, if the ONner 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 contractor, are responsible for the work. If the contractor wishes you to sign as contractor that .ay be an indication that he is not properly licensed and is not entitled to permitting 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 Law - Ho.eoNner's Protection Guide' prepared by the Florida Depart.ent of, Agriculture and Consuler Affairs. If the applicant is so.eone 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 cO'lence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a per.it and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development 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 my responsibility to identify what actions I must take to be in compliance. Such agencies include bllt ~le not limited to: I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive ldnds, Water/Wastewater Treat.ent I Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~ent. Septic Tanks I US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill .aterial is to be used in Flood Zone 'A" or "A,etc,', it is underst~Dd tli,t a diainage plan addressing a 'co.pensating volume. will be sub.itted which is prepared by a professional engineer reqlster2d in the State of Florida prior to per.it issuance. A permit issued shall be construed to be a license to proceed with the work and n~t as authority t~ yi~i~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficj~l fro~ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perIDit iss\l~d ;hall becole invalid unless the work authc.rized by such per.H is cO.llenced within six months of issuance, (Ir if 1101 r. autt.{q lzed by the per.it is suspended or abandoned for a period of six lonths after the tile the Kork is co~menced, One 90 day e~tfnsl~1I ~f tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to thQ Building Official. An approved inspection lust be logged during each six tonth period, or the project will be considered dbaiJdoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". OWNER OR AGENT SIGNATURE______________________________ CONTRACTOR SIGNATURE DATE DATE NOTARY AS TO OWNER OR AGENT NOTARY AS TO CONTRACTOR MY COMMISSION EXPIRES MY COMMISSION EXPIRES