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Home My WebLink About94-4463 CiTY OF ZEPHYRHILLS (813) 788-6611 ,.,- ,/ ~ j) 0 _______ ~~ ~- Gr.H~~I(=-~ CEj1~4"F~;tl~/ ..;z - /2 ~- ~/- ..,-- 0 BUILDING PERMIT Permit N.' 44631/1 II -}O -9L/ Date Sewer Conn Water Conn: Property Owner: Water Meter: Job Address: T.I.F.'s: Parcell.D. # Zoning: E(frgy Code: Description of Workr---- 4"7 ff; ~ II t2 Radon Gas: ~ /J I~_ U'JjC / NO OCCUPANCY BEFORE C,O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C,O. All work shall be performed in accordarce with City Codes and Ordinances. Valuation or Contract Price ~ VJ- . ~ S-?O' Inspector City License Registration # 'i P ) State Certified License# tZ /1 eo~; 91/f'" Telephone# G ~ ?p;;;;"~ ~;i.L~ ELECTRICA~ ~~tA;~ Ftr. Pre SLB Lintel FRM, Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 1/-;::;- t.it-{ fJDh SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final j l-/"3- ti1 -tbb 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. APPLICAnON FOR PERMIT CITY OF ZEPllYRllILLS BUILDING DEPARTMENT OWNER'S NAME ~'c.h.(J~J') /l1c!'~/'L L OWNER'S ADDRESS ~ J 2 9 JOB ADDRESS ~,,/?? t LAP,e .s; r LEGAL DESCRIPTION: LOT(S) BI.OClL--SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction -Addition -Alteration --.Jlepair _Install _Sign ---.J(ove _Deaolish PROPOSED USE: _Single F_ily ----l!tIF _' of Units ----l!tIH _ec:-ercial _Indust. _Swia. Pool _Other --.Jlestaurant Ii Health Departllent Approval DESCRIPTION OF WORK: IIV'; r 111 / / lIc: W, /t./~';( T BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COKKERCIAL : An'ACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. An'ACB (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Is-eo. 00 Valuation of Total Construction _ELEcrRICAL AtIP Service Florida Power Corp. W.R.E.C. ~CllABICAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY . TYPE OF CONSTRUCl'ION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVAnONS: FT. IS PROJEC'l IN FLOOD ZONE AREA? YES NO .......................................... COHTRACTOR SECTION RmlllER cOtIPANY State Cert. or Regist. . City License Registration . .......................................... Signature RT.RCTRICIAR / ~ COMPANY;{f c;; If I <.tJ C/~'#trJ<.,j"fi L ~/E"( 7~ t'" L ('O-t.;'~ :::: L';. j) /" ,. 0- State Cert. or Regist.'_ A 8i- '_ ei~"'-<_ Cc.~xtZ{f' City License Registration . <<-Va . .......................................... PLUMBER COMPANY State Cert. or Regist. . City License Registration , .......................................... Signature IlECllARICAL COMPANY tS'4H~!s ~"'A^,~ b'''''s e. IJIt r/fJC, ~/ ./ ~ State Cert. or Regist. , C.AC.o~7Cf ';'8 Signature . p. City License Registration f 78 .......................................... OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... APPLICATION APPROVED BY PERMIT OFFICER. ... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit tay be subject to 'deed restrictions" wbieb lilY be lOre restrictive than City regulations. !be undersigned assUJes responsibility for COIIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the (MIer bas bired a contractor or contractors to undertake work, they tay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the O1IIler and contractor lay be cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for wbieb 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 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 perlitting 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 'Florida's Construction Lien Law - lIoJeotmer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOIeon! other than the 'owner', I certify that I bave obtained a copy of the above described dOCUJellt and prOJise in good faith to deliver it to the "owner' prior to COll8llCeJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infOIliltion in this application is accurate and that all wort will be done in COJpliance with all applicable laws regulating construction, zoning, and land developent. Application is bereby Iilde to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas CDIeIlCed prior to issuance of a perli t and that all IOrk will be perfoIJeCl to leet stanc1ards of all laws regulating construction, City codes, zoning regulations, and land developJellt regulations in the jurisdiction. I also certify that I understand that the regulations of other governJel1tal agencies lilY apply to the intended IOrt, and that it is If responsibility to identify wbat actions I lUSt take to be in COJpliance. Sueb agencies include but are not lilited to: * Departlent of EnvirOl1l8lltal Regulation - Cypress Bayheads, Wetland Areas and Bnvirolllelltally Sensitive Lands, Water /Wastewater TreatJent * Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health i Rebabilitative Services, BnvirODJeRtal Health Onit - Wells, Wastewater treatJent, Septic tanks * US BnvirODJental Protection Agency - Asbestos abateJent I also certify that, if fill Iilterial is to be used in Flood ZOne "A' or "A,etc.', it is understood that a drainage plan addressing a 'cOlpBDsating volUJe' will be sublitted wbieb 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 sball issuance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle invalid unless the work authorized by sucb perlit is COIIIlIlCed within sil aonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IOnths after the tile the IOrk is co.enced. One 90 day l!Itension of tile, lilY be allowed for the perlit with fee ebarge of $15.00. 'l'be l!Itension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillOllth period, or the project will be considered abandoned. WARRING 'l'O 0IflfIR: YOUR FAILURI 'l'O RlCORD A NO'l'ICI OF aIIMBRCIIIIH'l' MAY RlSUL'I' IN YOUR PAYING 'l'WICI FOR IMPROVIIIII!S TO YOUR PROPER'fY. IF YOU InBMD TO OB'l'AIH -tIIlUCIRG, COIISULt IlItH YOOR LIIIDER OR All AftORDY BBFORI RiCORDIHG YOUR HO'l'ICI OF COMMENCEMlM!. JOBS UlDER $2,500 IN VALUE 00 1I0'l' IlBED '1'0 RECORD AIID POS! A 'NO'l'ICI OF COMMBIfCBMBH'l". SIGIIA'l'URE: COM'l'RAC'l'OR SIGHA'IURI: OOER OR AGEIl'l' S'I'A!E OF FLORIDA COUN'l'Y OF The foregoing instrument was acknowledged before me this , 19____ by S'I'A'I'E OF FLORIDA COUN'l'Y 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