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Home My WebLink About93-3353 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N f! 335311 B~~ PLU~ PcoP"'Y Ow,"" ~-"-' ~ Job Address: 66 -, ? .A , . Parcell.D. # / d.--J.-b - d-./ - n o~ A - t)j 7' 00 - 0 CJ d-.O J-o ' {Jl7 ~~;~ d(j. C7J G~~:~~~ Date ;7 - ? --7...$ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work ~ J? 1A r A- / (' > / Radon Gas: FINAL 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 permitFee~~ Signature > I3JLii~ Company Address Telephone# Valuation or Contract Price :l;!:J- 7r; Cl<...J City License Registration # * 7" 7 State Certified License# g#~ ~EC~ICAl 63 Tp. Servo SLB Rough In Tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter Final ~. MEC;'~ Breakers Ducts Insl. Compressor Final ~ING ...... ~ING ~ Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway t)~Jlu.- tJ>~1V 7-9-?,'3 ~ 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 PEmlIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER /)J-t-j,UJ- S/oC<Je~/( 'S reS I 2 'J ;..J 5/l/J\ CL s.r 2-h,lls PHONE 7'~ J -, ~ 3>08 APPLICANT ADDRESS " JOB LOCATION S'~)" ( '2 3 i'.J oS-7 LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL 1. D. i~ J ~ -J.. ~ -?J0 O~ fJ - 0 / /t!1 0 SUBDIVISION C)O~O WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ____Single Family _M/F _t~ of llnits ._M/H _commercial _Indust. _Swim. , Pool Other _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 FOR}lS.~'* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING ~LECTRICAL ~MECHANICAL Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation, _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. 0 City License Registration 0 ****************************************** JHnLDER :T;::::::'~,;r~/__ Company ;fc e fJ eFH ~ State Cert. or Regist. i~' Soo 000 (; ( City License Registration i~ '-/ '/7 ****************************************** Signature Compa.ny State Cert. or Regist. a City License Registration 6 ****************************************** PLUMBER OTHER Company 1)<:. -c a (!.pl- 't ~ - State Cert. or Regist. i~ elf-co JCI?J S- City License Registration # ~ 3 ********************************* Signature. Signature Compa.ny State Cert. or Regist. 0 City License Registration # APPLICATION APPROVED BY ~*************************************** /1OU'A0,~ "^'''-' , PERt-lIT OFFICER. . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ,undersigned understands that this perlit lay be subject to "deed restrictions" which may be Dore restr,ictive than City regulations, The undersigned assules relponsibillty;for cOlpllance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a c~ntract~r or contractors to undertake work, they lay 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 lisde.eanor violation under state law, If the owner or 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 Departlent, (813) 788-6611. Further.ore, 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 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 pertitting 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 - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle~ne other than the "owner", I certify that I have [.btained a, copy of the above described de,culDent and pr(,rr,ise in good fai th to deliver it to the "owner" prior to coalencelent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land developeent. Application is hereby lade to obtain a perait to do work and install~tion as indicated, I certify that no work or installation has cOllenced prior to issuance of a perlit 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. 1 also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include b\l~ ile not lilited to: I Departle~t of Envir~nmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~p.n~. Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flc.od Zone "A" e.r "A,etc,', it is underste.(.d lliit ,a drainage plan addressing a .coapensating volule" will be sublitted which is prepared by a professional engineer regist~,ed in the State of Florida prior to permit 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 from thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit iSSllvd :hall becole invalid unless the Nork authori2ed by such permit is co.menced within six sonths of issuance, or if work authDI l~ed by the perlit is suspended or abandoned for a period of six lonths after the tiae the work is commenced. One 90 day e:tE~sioll of tile, aay be allowed for the permit with fee charge of $15.00, The extension shall be requested in writing to the Building Official, An approved inspectic.n f1ust be lc.gged during each six lonth period, or the pre.ject liill be c(.nsidered Clbal,de.ned. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE_~~~~J9C~~----------- OWNER OR AGENT DATE__4-.L;--t.Lf.3.------------------- NOTAt AJlTO --1;/, () J ' / OWNER OR AGENT~~~---?i~h~-:- -,-,' Rotary PUblic. State of FlorWcl '~ MY COl"It1ISSION EXPIRES_JlrJJlmmIWmlJ>'pll'... ~11,-U9" Ionded Thru Troy Fain .lnsur"nCIIIInI. .-.. SIGNATURE__<=~~_-~~~~~----- CONTRACTOR DATn--~-df..2---..------------ NOTARY AS ToJ" ~ n ' /1 / CONTRACTOR_~C~_~2:.-~{d;:&Y=~' , MY COMM I SS ION EX P I R~ ...., PuYe. State o' FIoricla IIJ-<ommlnhnrfJpft'H"Sip-r. TI;' 994 Ionded Tim. Troy Foin . Insur"nce Inc. :~ Pf:J rO :Aq 11M(] VOIl:fO'" VOIl:fO'" .N03113H ~H' 5'1 ~dJ;)X:l SLN3\11H;)'tOll:J1l2 O. ONU 1 . .I3I'lJ. ONY 3~3'll'\ON~ XII .IO ~S3. 3K.I. OJ. 'Joro JAtL't1l~5INIWO'l YOIllO'U "-HY IE 1I3ldYH~ JO 501lYONYlI WOWINIII 3H.I. SL3JII 11hllQI SIH~ lYH.I. ON'l 'lWYI 3H~ JO IlOIlYlN:15:1114:1W 3lYllO;J;)., ON'I.30a 'I 51 N0311:1. H:JllXI 3H.I. lYH.I. 'N015IhllJ401 ON., NOIL:JlllIQ All lI3CNQ C:11JAlIO. 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