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Home My WebLink About93-3239 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N C? _3239.8 Date ~--/.3- Y--.=S ~ E~ :~::::,~:~:? ~ 3J-~ Parcell.D. # PL~_ MEc~~wer Conn Water Conn: ~ Water Meter: T_I.F.'s: Zoning: Description of Work ,fJ:;-;E.nergy Code: _ A J-P A /I "t-t:-(j Radon Gas: FINAL ..5--1;:--- ~ 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 Inspector Pe,mit Fee rjt--- ~ Signature fl.).;.. ~~ Company Address Telephone# Valuation or Contract Price J;). 0tJ .... cJl.) City License Registration # ~ State Certified License# ~-- MECHA~ Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Driveway 6'--lcrr~ ta5 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. APPLICATIOH FOR PERHIT CI'IY OF ZEPlIYRIIIll..S BUILDIXG DEPARI'KE'.NT 0WIfER' S IWIE Jo (-- R.' n; OWNER'S ADDRESS 1,5"/0 IJ /1 /9 5;""M JOB ADDRESS <... ~~S-:-;:'j- . PlI0~ 93?-/r?b LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIOINl PARCEL LD.# lroRK PROPOSED :_!II1ew Cons truction ~dd~ _Sign --.JIove ~l teration _Repair _Install _D~ C.oiJO<- je-iJ?; ~II- vJ,A 'f PROPOSED USE: Single Fanily _KIF _* ot: Units _M/H _Coaaercial _Indust. _Swim . Pool Other _Rest:aurant & nealt:h Deparblent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOT Pl.J\.NS & (2) SETS OF BUIIJUINlG PlANS & (1) SET ENERGY FORMS. ** ATTACH (3) SETS OF BUILDDilG PL.ANS & (1) SET ENERGY FORHS.H ~~COPY OF COlNlTRAcr Rll'Qm:RED. PERKITS REOIW~<;TRD v-BUILDING $ /;;;"'utJ. / Valuation ot: Total Construction _ELECTRICAL AKP Service Florida Power COrp. __W.R.E.C. _MECHANICAL $ Valuation ot: Mechanical Installation _PLUMBING GAS ROOFDiG SPECIALTY TYPE OF CONSTRUCTION: _Block _Preme _Steel Other FINISHED FLOOR EI..EVATIOIllS: Fr. IS PROJECT IN FLOOD ZOINlE ARE."'-? \'l:S NO ~~~~~*~~~*~~**~**~~**~~~~~~~~**~**~******~ BUILDER j I J /l SignaturePU,U. COllilTRACTOR SEctION COHPAOOY uJ. fj .N f'J.''YI4 u.-../ G~t/-'. i::'. State Cert. or Regist.!# aD ;: ~c.. ~ City License Registration # ~/ / **************************~~~~***~******** SiroIature CUlfPANY State Cert. or Regist. # City License Registration f ************************************~*~**~ El.ECTRICIAN COllfPANY State Cert. or Regist. !# City L,icense Registration lj ~~~~***~************~*****~~****~~***~**~* PLtmBER Signature CO'!IPANY State Cert. or Regist. f: City License Registration i ****************************************** KECHANICA.L Signa ture CO'!IPANY State Cert. or Regist. !# City License Registration , ***********************~****************** OTHER Signature APPLICATION APPROVED BY PEIU...-rT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it ~ay be subject to "deed restrictions" which lay be ~ore restrictive lhan City regulations. The undersigned assules respDnsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ollner has hired a contractor or contractDrs to undertake work, they lay be r~Quired to be licensed in accordance with state and local regulatiDns. If toe'confractor iSnot,ilicensed 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 requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the OMner has_ hired a_contractor or contractors, he is advised to have the cDntractDrls) sign portiDns of the "Contractor Sections" of this application for which they will be responsible. If YDU, as the owner sign as the cDntractDr, you are indicating that you, rather than the contractor, are responsible fDr the Mork. If the cDntractor Mishes YDU to sign as contractor that lay be an indication that he is not properly licensed and is not entitled tD 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 CDPy of "Florida's ConstructiDn Lien law - HDleowner's PrDtectiDn Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "ollner", I certify that I have Dbtained a copy of the above described document and prDmise in good faith to deliver it tD the "ollner" prior to cDllencelent. E. CONTRACTOR'SIOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be dDne in co.pliance with all applicable laws regulating construction, zoning,and land develDplent. Application is hereby lade to obtain a perlit to do work and insial.lation as indicated. I certify that nD Ilork Dr installation has cOllenced prior to issuance of a perlit and that all Mork Ilill be perfDr.ed tD leet standards of all laws regulating construction, City codes, zoning regulat.ions, and land developlent regulatiDns in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply tD the intended wDrk, and that it is .y responsibility to identify what actions I lUSt take to be in co.pliance. Such agencies include but are not lilited to: , Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and EnvirDnaentally Sensitive Lands, Water/WasteMater Treat.ent f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses , ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' , Departlent of Health ~ Rehabilitative Services, Environ_ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks , US Environ.ental Protection AQency - Asbestos abatement _ I also certify that, if fill laterial is to be used in FIDod ZDne "A" Dr "A,etc.", it is understoDd that a drainage plan addressing a "colpensating volule" Mill be sublitted which is prepared by a professiDnal engineer registered in th.e State of Florida prior tD perlit issuance. A perlit issued shall be construed to be a license to prDceed with the work and not as authDrity tD violate, cancel alter, or set aside any prDvisions Df the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter requiring a correctiDn of errors in plans, construction, Dr violations of any code. Every perlit issued shall becDle invalid unless the work authDrized by such perlit is co..enced within six tonths of issuance, or if wDrk authorized by the per.it is suspended or abandoned for a period of six lonths after the tile the work is cO&6enced. One 90 day extensiDn Df time, lay be alloMed f~r the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An apprDved inspectiDn lust be logged during each six month periDd, Dr the project will be considered abandoned. WARNING TO -OWNER: YuUR 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCEftENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". . tkf O{R;'d. III o~ SplNATURE:OWNER OR AGENT SIGNATURE: CON ACTOR STATE OF flORIDA COUNTY OF The foregoing instrument befclJ-e me th i s was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befol-e me th i 5 "Jas ac knc'''J 1 edged 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 Dr who has prc,duced as identification and who did/did not take an oath. (Signature) (SignatLn-e) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed Dr Stamped) NOTARY PUBLIC $", ('>"' ~ I ~ I I CA o - ~ ~<; o ~\t~ ,. -- 't.. ~ ~ ~ ~ c. . ;. " ~ \ '~I Q() A(~.-6 y vr--- It) t' \P 0. ~ () ~ r; '8 ~ J' (\) (\\ '0 ~ ~ <J \f\ ,1 , (" -- t/ ~ ~ \ (';'. 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