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Home My WebLink About94-4355 BUILDING PERMIT Permit ~ CiTY OF ZEPHYRHILLS (813) 788-6611 4355.8 Date 10 --S~-7 'f ~~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: _ ~ul ,...~_ Job Address: ....s-7..2..3 - / ;;--4 ~ Ylr Water Conn: Water M~ter: T,I.F.'s: Parcell.D. # Zoning: Energy Code: ,....- J - - ~ Description of Work 1~~1 'T ~ t? Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL -A?- 7-tl.c..f DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordart:'e with City Codes and Ordinances. DATE Inspector Pe,m;' Fee ~ ~ Signature l.1 ~0 . \ Company Address Telephone# Valuation or Contract Price / t77:J . tTD City License Registration # State Certified License# 4'h./Y1 L/) G ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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 ($15.00) 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. CITY OF ZEPIIYRJIJ.LLS BUI.LDING DEPARTMENT OWNER JOB LOCATION PARCEL 1.0. # SHOW ALL EXISTING II PROPOSED STRUCTURES GIVING DIMENSIONS II SETBACKS. cl J ____~ ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. "- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MA'l'ION. FRONT PROPERTY LINE STREET APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAttE ICLA/ /Y\-AA-.-.- OWNER'S ADDRESS ~~ ? ;).,:S ()/~ / Y -L/- PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BWGK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Alteration ---..Repair _Install _Sign _Move _DeIIOlish PROPOSED USE: _Single Faaily ---.Jtl F _, of Units _M/H _ec-ercial _Indust. _Swia. Pool L-Other \J;Z:~ _Restaurant & Health Depar~ent Approval DESCRIPTION OF WORK: 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 FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~/ _BUILDING PERMITS REOUESTED $ / u cJ. o---v Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECBANI.CAL $ Valuation of Mechanical Installation _PLUttBING GAS ROOFING TYPE OF CONSTRUCTION: _Block _Fralle _Steel SPECIALTY Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION' BUILDER Signature /J7A /Yl.l./l COMPANY State Cert. or Regist. , City License Registration , .......................................... RT,RGTRIClAN COMPANY State Cert. or Regist. , City License Registration , .......................................... SignAture PLUttBER COMPANY State Cert. or Regist. , City License Registration , .......................................... Signature MECHANICAl, COMPANY State Cert. or Regist. t City License Registration , .......................................... Signature omRR COMPANY State Cert. or Regist. , City License Registration , .......................................... Signature APPLICAnON APPllOVEO BY J1 d lI1~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay 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 bas hired a contractor 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 aay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguirelents lay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of tbe "Contractor Sections" of this application for wbicb 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 tbe contractor wishes you to sign as contractor that laY be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zepbyrhills. 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 - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJeI Affairs. If the applicant is SOIeODe other than the "owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to cOllencetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and tbat all work will be done in cOlPliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a perlit and that all work will be perforwed to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand tbat the regulations of other goveIDlental agencies aay apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater rreatlent, Septic rants * US EnviroDleDtal Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan addressing a "cOlpeDsating volute" will be subtitted whicb 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 tbe work and not as authority to violate, cancel alter, or Get aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball beCOJe invalid unless the work authorized by such perlit is cu.enced within six IOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of sil IOnths after the tiJe the work is cOllenced. One 90 day I!Itension of tile, aay be allowed for tbe perait with fee cbarge of $15.00. The extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOfICE OF COIlMBRCBIIBNt' MAY RESULT IN YOUR PAYING filCE FOR IMPROVBJIBIfl'S TO YOUR PROPERTY. IF YOU INTDD TO OBTAIH FIIIAlfCIHG, COHSULT WUB YOUR LENOIR OR Alf ArrOMEY BEFORB RBCORDIHG YOUR 1f000lCE OF COMMENCEHBNT. JOBS UlfDER $2,500 IN VALUE 00 HOT HEED TO RECORD AlfD POST A "HOfICE OF COMMEIfCBllBlfl". SIGNATURE: OWIIIlR OR AGENT SIGlfATURE: CONTRACTOR STATE OF FLORIDA COUlfTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 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) (Nage Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC