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Home My WebLink About94-4275 .... BUILDING PERMIT Permit N~ _ 427 5f1L.. 9- /-7/ CITY 0 F ZEPHYRHILLS (813) 788-6611 Date E~AL P~ G:~:-~-~-,-c~0 Propertv Owne, 7:;?;2~Y:~ Job Address: () Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D, # Zoning: Description of Work , .--/lA?eJS NO OCCUPANCY BEFORE C.O. /9S ~~. vl FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordar('e with City Codes and Ordinances. DATE Inspector C;ty Ucense Reg;strat;on . ~~ ~p~ State Certified License# / / ~ P~rmit Fee,~- Signature ~ ~ _ ~ Company dress Telephone# Valuation or Contract Price PLU c-.. MECHANICAL Breakers Ducts Ins!. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. 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 ($15.001 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 FG~. P2!~lIT CITY OF ZEPHYLhLLS BUILDING DEPART~'ENT APPLICANT AdLiC ~S' ~ ,t),-VU. / SugS G OWNER iF LZ,/ 141/3~ I 2.fiPtd1/<.1t:h~3 -Pc PHONE I 7?2.-' 73 rr- ADDRESS JOB LOCATION .0--"110 6 A-L,(.. i3L LI d LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _IF of Units ._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 FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _\\T.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING v 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 Si~nature Company State Cert. or Regist. # City License Registration # ****************************************** ELFCTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature GAS Company ~8~1~ ~J15 State Cert. or Regist. # City License Registration e..c.., . .:? Co, "2. if IF 3' l..S- Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS qE, P~.RMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance 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 lay be cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, l813l 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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.eowner's Protection Guide. prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone 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.mencetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all applicable laws 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 work or installation has cOltenced prior to issuance of a pertit and that all work will be perforMed to leet 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 ale not limited to: I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensiti\'e l~nds, Water/Wastewater Treatlent I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatment, Septic Tanks I US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood tllat a drainage plan addressing a .co.pensating volume" will be sub.itted which is prepared by a professional engineer feqist~jed in the State of Florida prior to per.it issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to vioi~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Officidl fro~ ther~aft~r r~quiring a correction of ~rrors in plans, construction, or violations of any code. Every periit issll~d ;hall becDle invalid unless the work authoriz~d by such per.it is co..enced within six lonths of issuance, or if work authof lzed by the pertit is suspend~d or abaTtd{tn~d felr a peri[,d [If sill lonths after the tile the work is cOllimenced. One 90 day edei,SI[\1I [If tile, may be allowed for the perait with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six tonth period, or the prDject 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 ---------------------- ," .. ~'J. 'f 0 GALL BlVJ). z. '- N..t."'1O :s ~ 0>5: :t ~~c:n - rn :P :t: C ~~0 (JJ~ 3 -j r{j) - :t:>(j) -, Cl-l c('":x> (j) ~ool.ll (f)- U\ . Z ~ (> - r () ct> :]:> 11<0 tAl l~J r- 0 . V) . w ~~C1 ~ r - 06) !!!::s> ,CIl f.-cJ !\- " - c;t~ ~~ 070 ~~ (). "O~ 1'3 - f a~ . 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