The URL can be used to link to this page

Home My WebLink About94-3931 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 3931/~ Date -3 -c2 ~ -7>$ Permit N 9 BUILDING ELECTRICAL ~M~ :::::,~s:~.,~~ ~1Zj-;;;~ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energ~ C<:de: Description of Wo~ I?g~...n1 ~ (j ._~ Radon Gas: -:z::.. -"-f-t-^At' d~ __4-1- , , FINAL NO OCCUPANCY BEFORE C.O, DATE Complete Plans, Specifications and Fee Must Accompany Application. C,Q. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # State Certified License# /~- Inspector Permit Fee C2--CJ --o-z...) Signature ~~1' ~llu'~ Company Address Telephone# Valuation or Contract Price .~A- BUILDING ELECTRICAL MECHANICAL Ftr. Pre SLB Lintel FRM, Insul. CL WL Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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 PERKIT CITY OF ZEPlIYRIIIU.s lllJllLDIRGDEPARlmmr .. OWNER t S NAME David C. and Betty A. Peck PlIONE ' (813)782-0098 OWNER'S ADDRESS 39034 9th Ave. Zephyrhills. Florida JOB ADDRESS 5903 14th St. Zephvrhills. Florida 33541 LEGAL DESCRIPI'ION: LOT(S) 8. 9 & 10 B~SUBDIVISION PARCEL I.D.' 11-26-21-0010-03900-0100-0080 WRK PROPOSED:_Nlew Construction --.J\ddit.ion _Alteration _Repair _Install I _Sign _lMove _DeJI01ish PROPOSED USE: Single Faaily _KIF _' of Units . _M/H _eo..ercial _Indust. _SwI... Pool . Other _Restaurant & llea1t:h Depart:llent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COKKERCIAL : AlTACH (2) PLOT PI..MiIS & (2) SEIS OF BUllDING PLANS & (1) SF:I' ENERGY FORIfS. ** ATrAClI (3) SETS OF BUllDlllG PLANS & (1) SFJ ENERGY FORtIS. *t< **COPr OF CONTkAcr REQUIRED. PERKlTS REQUESTED _BUILDING $ Valuation of Tota1 ConstqJction RT.F.CTRICAL AMP Service Florida Power Corp. W.R.E.C. --1fEClIAIUCAL s Val.uation of Hechanical. Installation .....!-PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Stee1 Other FIRISHED FLOOR ELEVATIONS: FT. IS PRO.JEcr IN FLOOD ZONE AREA? ****************************************** YES NO CDlIill'RACTOR SECTION BUILDER CDlltPANY State Cert. or Regist. I Ci~ License Registration I ***************-************************** Signature ELECTRICIAN CU!fPANY State Cert. or Regist. I City License Registration f ********~z******************************* SiJmature PLUHBER Ronald Moon Signature ~ COMPANY Challenger Pl umbi ng . State Cert. or Regist~ , ~ City License Registration' 125 ***************************t<************** MEWANICAI. CDlltPAHY State Cert. or Regist. I l City License Registration # . ************************t<***************** Signa ture 01'1IER C02fPANY State Cert. or Regist. t City License Registration . ****************************************** Signature APPLICATION APPROVED BY )1 a A'1~(f ~ .e./'w;'cl:. PERKlT OFFICER. cm'ID I T IONS OF PERI'II T (~FF 1 DP\'y 1 T , A. NOTICE OF DEED REST~ICTION~ The undersigned understands that this per.it 'May be subject to .deed restrictions. which lay be .ore restrictive than City regulations. The undersigned assules re,ponsibility for cD.pliance with any applicable deed restrictions, B. UNLICENSED CONTRACTC~S AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or c:.ntractors to undertake Mork, they lay be required to be licensed in accordance with state and local regulations. If the'tnntr~ctor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended :lorK, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Further.ore, if the ONner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the .Contractor Sections' of this application for which they will be responsible. If you, as the ONner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work, If the contractor Nishes you to sign . as contractor that Day be an indication that he is not pr~perly licensed and is not entitled to per.itting privileges in. the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien LaN - Ho.eoNner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'oNner', I certify that I have obtained a copy of the above described doculent and promise' in good faith to deliver it to the 'oNner' prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work Hill be done in cOlpliance with all applicable laNs 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 Nork or installation has cOllenced prior to issuance of a perlit and that all Nork NiII be perforled to leet standards of all laNs 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 actio:ls 1 lust take to be in co.pliance, Such agencies include but are not Iilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/WasteNater Treatlent f Southwest Florida Water ~anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f 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 .coDpensating volule. will be subaitted Nhich 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 Hork 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 frot thereafter requiring a correction of errors in plans, construction, or violations Df any code, Every perlit issued shall beco.e invalid unless the Nork authorized by such perlit is cOIDenced within six Donths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of SIX Donths after the tile the Nork is co..enced, ' 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 durin] each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIHAIJ::JI1S, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2,500 IN VAlU,: DO HOT HEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT', ~p.-..I K ~.J.~.u.&.P /c;...il-f) S ATURE: OWNER OR AGENT I ~,Tk 0id...~/6-t+f) 'SIGNATURE: CONTRACTOR t , \ STATE OF FLORIDA LJn ^A-~ COUI( TV OF I... V-"oY '-<...) The foregoing instrument was acknowledged before me this 'f'cI/I~ ~lS- , l').2.!:t.. by PCUko Dr whc, has ~ CI-"",. ~ =r l4- C-f<-we I ~ who is<pers on Iy knol'ln t I '1J~::~'or who has produced as identification and I'lhc. did/did not ~at~~ '(Signature) \1lho i persona produce as identification an~. d.ii.d/did ta~th~ee~ (Signatu're) not (Name Typed, Printed or Stamped) NOT ARY FUBL rc . (Name Typed, Printed Coj- Stamped) NOTARY PUBLIC ~!' Notary Public, State of Florida KEVI', ROBERTS My Comm. Exp. 9.17.96 Comm. No. CC 229004 Notary Public, State dt FlorId. KEVIN ROBERTS My Comm. Exp. 9.17.96 Comm, No. CC 229004