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Home My WebLink About94-4421 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788-6611 _ 4421-B Date ItJ "'-0)~-7Lj BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ::::::,~,:"~~7~ Parcell.D. # Water M~jer: T.I.F.'s: Zoning: ~e: a ;z Description of Work~ ~ -< . Radon Gas: NO OCCUPANCY BEFORE C.O. y?t' , I 10' FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordarce with City Codes and Ordinances.. DATE Inspector Permit Fee Sigtlature Company Address Tetephone# l <-:' I "?,') 'I 4. ~- I. l ~ So ~:~ ~- \.L' () .. ,-al. L- Valuation or Contract Price t[Ycn; ~ o-v City License Registration # IL...S .:::J... State Certified License# ELECTRICAL PLUMBING 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 ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICAnON FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER. , S NAME . J 0 l ,,-\ \11 t-.1 c.. e t--\\ PHONE ., RJ.. - .s- -S' q 3 OWBER'S ADDRESS ~ -J.3 ~ JOB ADDRESS .$ I '-\ \ G-Ck L L '~L\l D. G-o..LL ~Lvo LEGAL DESCRIPTION: toTeS) PARCEL I.D.# BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: VNew Construction ~ddition --lUteration -ltepair _Install _Sign --...-Move _Deaolish pmPOSEDWE: _S~eF_i~ ---1f./F _, of Units ---1f./H _ec-ercial _Indust. _Swia. Pool _Other ---..Restaurant &: Health Departllent Approval , , DESCRIPl'ION OF WORK: I ~\ & '\. u. ~ ~ to' D (~ , .~ c..- '\ <2.. l. l. ~ "\ Q.. b l & " BUILDING SIZE: X Square Feet, Height RESIDERTIAL: COHHERCIAL : ATTACH (2) PLOT PLARS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET EHERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UlLDING -tilJkc:nuCAL J:1L~CBAlllCAL tililPL1DIB~G $ - 0 \800"" Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. $ 1'\ \ ~ 1'-\ \~ Valuation of Mecbanical Installation k.\ \ \0,; ROOFING 1-\. , ~ SPECIALTY _ \)i 5, h. Sc0 e. k ~ cr- /L Other TYPE OF COIlSTRUCTION: _Block _Fr_e _Steel FIllISBED FLOOR ELEVAnOIlS:~. IS PROJEct IR FLOOD ZORE AREA? YES NO ****************************************** Birr' .DER CONTRActOR SEctION" COMPANY 0 b ~ r-r I'":J . fJ (\"'" State Cert. or Regist. # ' "" c.rt' ~ \ ~ . ~,~ City License Registration . ****************************************** Signature IU.RCTRICIAII 1'\ \ (~ COMPANY State Cert. or Regist. . City License Registration . ****************************************** Sioollture PLUtlBER. COMPANY ~ \0( State Cert. or Regist. . , , City License Registration i ****************************************** Signature Signature t-\ COMPANY State Cert. or Regist. # City License Registration . ****************************************** \ fC\ tlECBANICAL cq,t, c' ,K"r,,,,,:,, t';;' COMPANY State Cer . City Lie I ****************************************** .:' ~ . ~ . -'i) S '... APPLICAnOB APPROVED BY PEmrrT OFFICER. ../' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rbe undersigned understands that this perlit JaY be subject to -deed restrictionsH wbich lilY be lOre restrictive than City regulations. !be undersigned asSUle& responsibility for cmpliance with any applicable deed restrictioos. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lilY 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 lar be cited for a .isd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!leDts laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. Furtberlore, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the -Contractor Sections- of this application for wbich they will be responsible. If you, as the owner slgn as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to perIltting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of HFlorida's Coostruction Lien Law - lkIIeoImer's Protection GuideH prepared by the Florida Departlent of Agriculture and ConsUlleI' Affairs. If the applicant is SOIeOIle other than the HownerH, I certify that I have obtained a copy of the above described docUllellt and prOlise in good faith to deliver it to the HownerH prior to COlleDCelleDt. E. CONTRACTOR'S/OWER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating coostruction, loning, and land developlleDt. Application is bereby Jade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas ~ced prior to iss1Wlce of a perlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other gOYerDlental agencies lilY apply to the intended work, and that it is Ii responsibility to identify wbat actions I lUSt take to be in ampliance. Such agencies include but are not laited to: t DepartEnt of BnvirOllleDtal Regulation - Cypress Baybeacls, Wetland Areas and BnviroDlentally Sensitive Lands, Water /Wastewater TreatEnt t Southwest Florida Water ManageleDt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses t AIIY Corps of Ingineers - Seawalls, Docks, Navigable Waterways t Departlent of Health i Rehabilitative Services, BnvirOlllelltal Health Unit - Wells, Wastewater TreatEnt, Septic Tanks t US BnviIODlental Protection Agency - Asbestos abatuent I also certify that, if fill Iilterial is to be used in Flood Zone HAH or HA,etc.H, it is understood that a drainage plan addressing a -COIpeDSating vol.H will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued sball 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 iss1Wlce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, coostruction, or violations of any code. Ivery perIlt issued shall becOIe invalid unless the IIOrk authoriled by such perlit is c~ced within sillOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sil IODtbs after the tile the work is ~ced. One 90 day Bltension of tile, laY be allowed for the perlit with fee charge of $15.00. rbe eltension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned. WARJfIIG fO omR: YOUR FAILURE TO RlCORD A NOTICE OF C(IIMDCIIIBIl! MAY RlSOL! II YOUR PAYlIG !VICE FOR DIPROVIIIIftS fO YOUR PROPERn. IF YOU Imrm fO OftAIlf FIIWICING, COlfSULT Wlft YOUR LBIDER OR AN AnoRIIBY BEFORI RICORDIlfG YOUR IIOIICE OF C(JOIBlfCEMm'. JOBS UlmER $2,500 II VALUE 00 110I liED fO RECORD AND POST A HIOTICE OF C<IIIIEIfClllBll!.. ~f~ SIGlfA!URI. OR AGED' . (Name Typed, Pr NOTARY PUBLIC 3 c~~ pJ c~ SIGNA'fOIIE: CON!RAC'fOR (Name Typed, Prin NOTARY PUBLIC ~,