The URL can be used to link to this page

Home My WebLink About94-4538 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit m 45381( BUILDING :J-6 . {.Ji:) ~ ~ ~ Property Owner:- 1l\, ~~ Job Address: -..5-: -~ "-.... h.-a. dv-e #/-1 D Parcell.D, # .6 b - Or:) Date /;1 - /.;;1 - r y PLUMBING ~HAN~ Sewer Conn Water Conn: Water Mejer: T.IF's: Zoning: Description of Work Energy COde:2 7/~~- 2 Radon Gas: . . 'AA.H~ P Afd/'J.{_--r~:'- NO OCCUPANCY BEFORE C.O. FINAl~-6> 95 DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector P.,m;t F~. ~CJ'dD / Sigl'lature . ~ J. h _- Company - ( Address Valuation or :J L / f'7 Contract Price 0<. '7 /~-: t:J-v City License Registration # 7 J State Certified License# BUILDING /Jrd~ /S~y ELECTRICAL '- PLUMBING 76-;) - t;.n, I ,J?~1)(7 ~J MECHANICAL Telephone# Driveway Tp. Serv. Rough In Meter Can I:;. -I $1-9'1 , Canst. Pole Pool Pre-Meter Final ~ 1~.,q-q4~~ Breakers Ducts Insl. Compressor FinaI/2-Z,,)-9(j ~ SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 PERMIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT OWNER'S NAHE L1~;;PJLn-4:_0N ~ 5 ~ I a ,,. t/ / 5~~ PHONE 788 -6 Bs--V b 17 Av.R ,de?/' L OWNER'S ADDItBSS JOB ADDRESS LEGAL DESCRI.PrlON: LOT(S) BLOCK SUBDIVISION PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-Rew Construction ----..Addition ---...Alteration --.Jlepair ,_Install _Sign --.JIove ----Peaolish pmPOsmmE: ~~eF_ily ---1i/F _' of Units ---1i/H _ec-ercia1 _Indust. _Swia. Pool _Other ---.-.Restaurant Ii: Health Departllent Approval DESCRIPTION OF WORK: BUILDING SIZE: x . Square Feet. Height RESIDENTIAL: COtlHERCIAL : A'l'TACB (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. A'l'TACII (3) SETS OP BUILDING PLANS Ii: (1) SET ENERGY PORKS. PROPERTY SURVEY REQUIRED POR ALL NEW CONSTRUCTION. PERMITS REOUESTm ~UlLDING $ Va1uation of Total Construction RT.ECl'Rl.CAL AIIP Service Florida Power Corp. ./ ........cri) $ ..z I /'.5 # Va1uation of tlecbanica1 Inst:al.lation W.R.E.C. -1IEClWlICAL --...PLUtlBIXG GAS ROOFING SPECIALTY TYPE OP COIlSTRUcnON: ---..Block _Pr_e _Steel Other FIIIISBED FLOOR ELEVAUOIlS: Fl. IS PROJECT IX FLOOD ZONE AREA! .................................*..*.**** YES NO CONTRACTOR SECTION Birr' .Dm COKPANY State Cert. or Regist. . City License Registration . ****************************************** Signature COKPANY State Cer . or Regist. . C!> CJ City License Registration . *********************.*****.********* PLUtlBRR COKPANY State Cert. or Regist. . City License Registration t ************************.*.*..**.********* Signature <."'- COKPANY C"rV ~ State Cert. or Re st. t 4J () City License Registration . f!!P ****************************************** Signature OTRRR COMPANY State Cert. or Regist. . City License Registration t ***.************************.**.********** Signature APPLICATION APPROVED BY PERMIT OPPICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS '!'be undersigned understands that this penit lIy be subject to Ideed restrictions' wbich IIY be lOre restrictive than City regulaticms. !he undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they lIy be required to be licensed in accordance with state and local regulati0D8. If the contractor is not licensed as required by law, both the owner and contractor lIy be cited for a lisdeIeaDor violation under state law. If the owner or intended contractor are uncertain as to what licensing , requiruents JaY apply for the intended work, tbey 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 IContractor Secticms~ of this application for wbich they will be responsible. If you, as tbe owner sign as tbe 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 IIY be an indication that be is not properly licensed and is not entitled to peraitting 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, have been provided with a copy of 'Florida's construction Lien Law - lDeoImer's Protection Guide' prepared by the Plorida Departlent of Agriculture and ConsUJer Affairs. If the applicant is 8OI8OI1e other than the IOWDerl, I certify that I bave obtained a copy of the above described dOCUleDt and prcmse in good faith to deliver it to the "owner' prior to COIIeDC8l8Dt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in COIPliance with all applicable laws regulating construction, Joning, and land developlent. Application is bereby Jade to obtain a perlit to do work and installation as indicated. I certify that no wort or installation bas ~cec1 prior to issuance of a penit and that all wort will be perfOIJed to leet stanc1arda of all laws regulating construction, City codes, loning regulations, and land developll!llt regulations in the jurisdiction. I also certify that I understand that the regulations of other 9OYBIJIIIl!Dtal agencies Jay apply to the intended work, and that it is If responsibility to identify wbat actions I lust take to be in COIpliance. Such agencies include but are not lilited to: · Departlent of Envirollll!lltal Regulation - Cypress Bayheads, Wetland Ireas and EnvilOllleDtally Sensitive Lands, Water/Wastewater 'I'reatlent · Southwest Plorida Water Hanagl!l8Dt District - Wells, Cypress Bayhea4s, Wetland Areas, Altering Watercourses . Any Corps of Engineers - Seawalls, Docks, lavigable Watenays . Departlent of Bealtb i Rehabilitative Services, EnvirOJ1l8Dta1 Health Unit - Wells, Wastewater Ireatlent, Septic Iws t US EnvirOllleDtal Protection Agency - Asbestos abatl!lellt I also certify that, if fill IIterial is to be used in Flood Zone IAI or 'A,etc.', it is understood that a drainage plan addressing a lCOIpen8ating volUJeI will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to peClit issuance. A perlU issued shall 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 issuance of a penit prevent the Building Official flOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becoIe invalid unless the work authoriJed by such penU is COIIeDCed within sillOnths of issuance, or if wort autboriled by the penit is suspended or abandoned for a period of sil IODths after the tile the wort is C08l!I1cec1. One 90 day atension of tile, .y be allowed for tbe penit witb fee charge of $15.00. '!'be atension shall be requested in writing to the Building Official. An approved inspectiOn.lUSt be logged during eacb SillODtb period, or tbe project will be considered abancloned. WARRING TO OIIIIR: YOUR PIILURB TO RECORD A IOIICI OP C(IIIIDCIIIIK'l MAY RESUL! II YOUR PIYlIG !IIICI FOR DIPROVIIIIIIS !O YOUR PROPERTY. IF YOU IIIIIfD TO 0Bt'11lf FIIlAlfCIIG, COIISUL'I' WIIB YOUR LIIfDIR OR 1II1nORDY BIPOHI RICORDIIfG YOUR DICI OF aJlHDCIHIIfl'. JOBS OlDER $2,500 II VALUE DO 110'1' IfEED TO RECOJID AHD POS! A 'HOlICK OF CCIIIIDCIIIIIf'I. SIGDIURI: COIIIRICIOR SIGDIURB: OOIR OR AGIII'I' S'I'A'I'E OF FLORIDA COUIf'I'Y OF The foregoing instrument was acknowledged before me this , 19____ by S'I'A'I'E 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 Sta.ped) NOTARY PUBLIC (Signature) (NUt!. Typed, Printed or Stamped) NOTARY PUBLIC ~ '. "''IIF''IIIl''P''"',~'r7''- 1I(.lo'" "'~...-- __ #' -..r...,1 Kinsey Central Heat & AIr-Conditioning ~L: J 7718 Fort King Highway . P .a. BaIt 2209 ~ Zep,pyrhiDs.'Aorida 3353~ ~. ;(813) 782-2300 //I~ 7 ~ 'J'- ~ ~ ~TE o CASH o CHARGE PRICE AMOUNT - NATURE OF ...-I\. SERVICE ........, REQUEST , . i': i~MED $7 ~ c ;;, c/:J. 5'i~;;:ry ( IM~ LJ - / .;:::: / ;Yd-t7 /r. c!/ ~ Y- =:. I ;jJ r JA-? 1 d-J '- (0 / ' :/' (..,t't? 6~p elJ y' 5:r //./ ~Nc:/v/ I ~ y to.-Hd"'~ 045, P://",-.J;'/c 7'-'''' I MlICOIIPlEIBI CASH ::-0-.. mAL -.._roM ~~j OUAN. PART NO. ,..-;- (vAl TECHNICIAN" " , " " TAl , , !