The URL can be used to link to this page

Home My WebLink About94-4462 ~ BUILDING PERMIT . CITY OF ZEPHYRHILLS Permit N.. (813) 788-6611 .- cJ5 ~-~ ~~CHANIC9 Sewer Conn _4462/11 ./ C#f)......_..._.._~ -- ''\ ~i Date 11- /fJ- q'l ~ Property Owner: Job Address: 0 Parcel 1.0. # .;:2 - ~ h- ;2/- ~- 1) Zoning: Energy Code: Description of Work ( ~ .A'1~~ Water Conn: Water Meter: T.I.I=.'s: ~Radon Gas: ~ II ,f I ~ J 'I., ~f-;- . I I <is /o/IJ--- FINAL NO OCCUPANCY BEFORE C,O, DATE DATE B~- ..- Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway Tp, Servo Rough In Meter Can 1,-N-9Y Const, Pole Pool Pre-Meter Final SEct-Vi yt ~~"'N6--~~P6~i\.. II-/)..tjl{ i?ft; SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction, c, Repairs or corrections not made when inspection called, d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g, Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. . . APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTKENT OWNER'S MAKE J'v.s.s~ // L 0 (,>J ( OWNER'S ADDRESS bO S- 2 ;DIFASA;V r JOB ADDRESS ..5')1/ ~ E PHONE 79.?- 7621 LEGAL DESCRIP'1'ION: LOT(S) BLOCIt.--SUBDIVISION 6AKS.LLJ~ PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction _Addition -...Alteration -J,lepair _Install _Sign -'love _Deaolish PROPOSED USE: _Single Faaily ----.J4/F _' of Units _K/H _ec-ercial _Indust. _Swia. Pool _Other -J,lestaurant Ii Health Departaent Approval DESCRIPTION OF WORK: I N..$ -r A/I /Iff ?J I flf.A r , ~ BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ PERMITS REOUESTED /.( S-t:J. 00 Valuation of Total Construction _ELECTRICAL .L,mClWllCAL MIP Service Florida Power Corp. W.R.E.C. $ Valuation of Kechanical Installation _PLtllBING GAS ROOFING SPECIALTY . TYPE OF alRSTRUcnON: _Block _Fraae _Steel Other FDfISBED FLOOR ELEVAnONS: F'1' . IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BIJTIJ)ER aiHPANY State Cert. or Regist. . City License Registration , ****************************************** Signature CO~ANY ~ State Cert. or Regist. . City License Registration . ****************************************** PLtJMBER COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature KECIWlICAL. COMPANY .DAIII! I,; h~ ~):I/Vl. 6;4 s e- Ilk r A/c., ~I /?...e./ -- State Cert. or Regisf. , CA ~c v?~ '13' Signature _ P City License Registration, 7$ ****************************************** OTIIRR CO~ANY State Cert. or Regist.' Signature City License Registration . ****************************************** APPLICAnON APPROVED BY PERKIT OFFICER. .' ' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Ibe undersigned understands that this penit laY be subject to 'deed restrictionsD wbieb laY be lOre restrictive than City regulations. Ibe undersigned assUleS responsibility for COIpliance lith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the O'IfIler has hired a contractor or contractors to undertake IOrt, they laY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by lal, both the O1IIler and contractor laY be cited for a lisdl!leaDor violation under state law. If the mmer or intended contractor are uncertain as to what licensing requirelents laY apply for the intendedlOrk, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the .Contractor Sections' of this application for Ihieb they will be responsible. If you, as the O1IIler sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the IOrk. If the contractor lisbes you to sign as contractor that laY be an indication that he is not properly licensed and is not entitled to perlitting 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 lith a copy of 'Florida's Construction Lien Lal - HOIeOIIDer's Protection GuideD prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is IlOIeOne other than the '01IIlerD, I certify that I have obtained a copy of the above described docutent and prOlise in good faith to deliver it to the "OInerD prior to COlll!JlCetent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all IOrk lill be done in cOlpliance lith all applicable lals regulating construction, loning, and land developent. Application is hereby lade to obtain a peIlit to do lork and installation as indicated. I certify that no lork or installation bas ~ced prior to issuance of a penit and that all IOrk lill be perforted to teet standards of all laws regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies laY apply to the intendedlOrk, and that it is IY responsibility to identify wbat actions I lust take to be in COJpliance. Such agencies include but are not lilited to: t Departlent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnvirolllellWly Sensitive Lands, Water /iaste1later Ireatlent t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Any Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Vaste1later Ireatlent, Septic lants t US Hnvirontental Protection Agency - Asbestos abatl!ll!llt I also certify that, if fill laterial is to be used in Flood ZOne 'A' or DA,etc.D, it is understood that a drainage plan addressing a 'cOJpenSating VOlUleR will be sublitted Ibieb 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 lith the IOrt and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball becOle invalid unless the work authorized by sueb peIlit is COIIeJlced lithin six IOnths of issuance, or if lork authorized by the peIlit is suspended or abandoned for a period of sil IOIltbs after the tite the work is coaenced. One 90 day l!Itension of tile, laY be allowed for the perlit lith fee charge of $15.00. Ibe extension shall be requested in lriting to the Building Official. An approved inspection lUSt be logged during eaeb sillOllth period, or the project will be considered abandoned. VARlUNG 10 0WlfER: YOUR FAILURE 10 RECORD A NO'I'ICH OF COMMDCHm'f MAY RESULI IN YOUR PAYING 'NICH FOR lMPROVEMmS 10 YOUR PROPERlY. IF YOU IlI'fHHD 10 OB'l'AIH PUIAHC'IKG, CONSULI VIIH YOOR LBJIDHR OR 11 AnORm BEFORE RECORDING YOUR NOIlCE OF COMMHHCBMHH'f. JOBS UHDER $2,500 1M VALUE 00 10'1' HHHO TO RECORD AHD POSI A t'NO'I'ICE OF COIIIHHCmmlI'f". SIGJlAruRE: COlI'fRA(]()R SIGJlAtURi: OOIBR OR AGBlI'f S'fA'fE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by SIAIB 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC