The URL can be used to link to this page

Home My WebLink About93-3352 BUILDING PERMIT ..J.- 6 - JV ~ GC;RICV PLU~ Property Owner: ~.-<1 ~ OA J Job Address: ..3 8- 9' 51 f -- ~/ ~ ~ Parcell.D. # J / -d.-b -- :J.-/ - 0 I!J / () '~ ::Lo a CJ t...J CITY OF ZEPHYRHILLS (813) 788-6611 3352/1 ;?- 6 - 7'-3 Permit N C? Date $0. trD ~H~~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: - O//D Radon Gas: j, ""~ -' C;!" - (to Zoning: Energy Code: Description of Work '-11 ~.AAJ ~/ C"'_ -' FINAL C.O.~ ~1/ Inspector 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. DATE 7fY Permit Fee Signature Company Address Telephone# Z;rl :/~./ Valuation or ----r Contract Price ~.!> d,L...(;1 . (TV City License Registration # State Certified License# DING Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway PL G Breakers Ducts Insl. Compressor Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ::::,~(l....J\l..fi- c.\-""~(~ ,-1-tt3 '~ SLB Tub Set Water Sewer Final 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. APPLICATIOK FOR PERKlT CI1YOFZEPIIYBBILLS BUII.DlJiG DEPAImIEIiT OWIIEK' S IiAtIE PIIOIIIt OWIIER' S ADDRESS JOB ADDRESS L.ECAL DESCRIPl'IOII: IDI'(S) BI..OCK SOBDIVlSIOII PARCEL I.D.' '- WKK PROPOSFJ):_Sev Construction ----.Addition _Alteration _Repair _Install _Sign _Hove _ne.olish PROPOSED USE: Si.Dg1e Faaily ---1I/F _'ofUnits --1f/H _ec-tercia1 _Indust. _Stria. Pool Other .PSt:aorant & Health Depan:.ent Approval BUItDIIIG SIZE: x ~e Feet. Height RESIDEIiTL\L: cottIIERCIAL : AnAaI (2) PlOT PLAII1S & (2) SEI'S OF BUllDDIG PIAJIS & (1) SEt' EllERGY FORMS. ** AnACB (3) SErS OF BUllDIRG PIAIiS & (1) SET EIIERGY ~... ..COPl' OF COIiTRACf RIlQUIRIlD. PERKITS KEOOESTED ---.JIUILDIIIG $ Valuation of Tot:al Calstruction _ELECTnCAL AKPSe:r:vice Florida Power Corp. W.R.E.C. ~CAL $ Valuation of 1lecbani.ca1 Inst:allation ~II1G GAS KOOFDIG SPECIALTY TYPE OF COBSTRDCTIOR: ---Block _rr-e _Steel Other FIIIISBED FLOOR ELEVATIOIIS: PT. IS PKOJECf III FLOOD ZOIIE AREA! YES 110 .......................................... CORJRACI'OR SECI'ION aJ!IPANY State Cert. or Regist. f City License Registnatioo. I .......................................... RIJTT.DF.R S i.goat:ure CDIIPMiY State Cert. or Regist. f City License Registration . ( ~7 .................................... PUllBER aJ!IPAIIY State Cert. or Regist. f Signature City License Registnation I .......................................... MEalAllICAL aJIIPMiY State Cert. or Regist. . Signature City License Registnation . .......................................... 0'T1IF.R aJIIPANY State Cert. or Regist. . SigJJ8.ture City License Registnatioo. . .......................................... APPLICATIOB APl'XUY1f.U BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und~rsigned understa~s that this per.it .ay be subject to 'deed restrictions' which .ay 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 tD be licensed in accordance with state and IDcal regulatiDns. If the contractDr is not licensed as required by law, bDth the owner and cDntractDr lay be cited for a .isdeleanor violation under state IaN. If the ONner Dr intended contractDr are uncertain as tD what licensing requirelents lay apply for the intended Nork, they are advised tD contact the City Df 2ephyrhills Building Departlent, (8131 788-6611. FurtherlDre, if the owner has hired a contract Dr or contractors, he is advised to have the contractor(s) sign portiDns 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 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.eowner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the 'owner', I certify that I have obtained a copy of the above described doculent and prDlise in good faith to deliver it to the 'owner' prior to COllenee.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infDr.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zDning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installatiDn has cDI.enced prior tD issuance of a perlit and that all wDrk will be perf Dried tD leet standards of all laws regulating constructiDn, City codes, zoning regulatiDns, and land develop.ent regulatiDns in the jurisdiction. 1 also certify that I understand that the regulations of Dther gDvern.ental agencies .ay apply tD the intended wDrk, and that it is ,y responsibility to identify what actions I .ust take tD be in co.pliance. Such ageneies include but are not li.ited to: f Depart.ent of Environ.ental Requlation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Ar.y Corps Df Enqineers - Seawalls, Docks, Navigable Waterways t Depart.ent Df Health l Rehabilitative Services. EnvirDn.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks t US Environ.ental PrDtectiDn Aqencv - AsbestDs abate.ent I alsD certify that, if fill .aterial is tD be used in FloDd Zone 'A' Dr 'A,etc.', it is understood that a drainage plan addressing a 'cDlpensating volu.e' Kill be sub.itted which is prepared by a prDfessiDnal engineer registered in the State of Florida prior tD per.it issuance. A perlit issued shall be cDnstrued tD be a license to prDceed with the KDrk and not as authority to violate, caneel alter, tr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errDrs in plans, construction, or viDlatiDns Df any cDde. Every per.it issued shall beCDle invalid unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the perlit is suspended Dr abandoned for a period of six .onths after the ti.e the work is co..eneed. One 90 day extension of tile, lay be allowed fDr the per.it with fee charge Df $15.00. The extension shall be requested in writing to the Building Official. An apprDved inspection lUSt be logged during each six .onth period, or the project will be considered abandDned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CoM"ENCEMENT KAY 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 CoM~ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COKKENCEHENT'. SIGNATURE: CONTRACTOR SI6HATURE: OWNER OR AGENT 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