The URL can be used to link to this page

Home My WebLink About95-4708 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788-6611 _ 47088 Date d -cJo .- ?~ 0~1~ ELECTRICAL PLUMBING MECHANICAL Property Owner: .....~' ~..e.l d..~ :~~ ' Job Address: 0 y-- ~ A- P,,,.II.D. # I:;' - __ -::U - oi) _ - 'If ~= O/;J.. 0 Sewer Conn Water Conn: Water MJlJer: T,I.F.'s: Zoning: Energy Code: Description of Work \ 'fi o~ b' Radon Gas: 2J ~~~ / 4.> _\ 3./ I lO FINAL NO OCCUPANCY BEFORE C.O. 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 Permit F~~ oL O. cr-u Signature ~~ 5\. \ D ~ 1(..,: ______ Company Address Telephone# Valuation or Contract Price ....3 / ~ LT7) City License Registration # State Certified License# ~ BUILDING 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 ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER' S NAKE ;"',), ~ ';. 0.. \"to,. 0\ s..~ '~ ( ~. ~\ \\~ (AM-~ PHONE-.J '3 ').. " b..~ q ,-S 7 ~ f h) ,~\-- ~ \ \ ~ ~ \. OWNER I S ADD~S \O\":Jf1~ ; --..L '0~ JOB ADDRESS 'S~~L ~ '"'3, LEGAL DESCRIPTION. LOT(S) \;:>. '>l::J<:)' NIQ' 0 'BLOCK Y SUBDIVISION 2." '(i''''r- \\... ~In. \S ~~~'" PARCEL I.D.' \'d- .::J.\o -.:::1\ - t>'t)\.$)-D()'-\$D-()\~ 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---^lteration -...Repair _Install _Sign _Move _DeIIOlish PROPOSED USE: ~Single Faaily _M/F _' of Units _M/H _ec-ercial _Indust. _Swt.. Pool ___Other _Restaurant & Health Depart.ent Approval DESCRIPTION OF WORK: \=Q of',. c:.p \ U't-~~ l/J l ~+ \, '\ 5 \-., BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ,,-~~c.-e.. ~BY:Il.BIN& PERMITS REOUESTED $ ''3 \\.\ .~~ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Gorp. W.R.E.C. _MEGllAlfIGAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FrOle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? **********************************.**..**. YES NO '0 \..0 f"'\~\ BUllBBR CONTRACTOR SECTION' COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature RI.~GTRIGIAR COMPANY State Cert. or Regist. # City License Registration , ******************..*..*.*******....**..*. SiRnlllture PLUMBER COMPANY State Cert. or Regist. , City License Registration , **********..****.***..********.*.**....**. Signature HEGBANI~ COMPANY State Cert. or Regist. , City License Registration , *************************.***.************ Signature omRR COMPANY State Cert. or Regist. , City License Registration , ***************.********.*********.**..*** Signature ~rTCATION APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peClit lay be subject to "deed restrictions" which tay be lOre restrictive than City regulations. The undersigned assDles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has 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 lilY be cited for a lisdeteanor violati9n under state law. If the owner or intended contractor are uncertain as to wbat licensing requiretents lay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the "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 tbe work. If the contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting 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, bave been provided with a copy of "Florida's Construction Lien Law - HoIeowner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the "owner", I certify that I bave obtained a copy of the above described docutent and prOlise in goocJ faith to deliver it to the "owner" prior to cOllBncetent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the infortation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby tade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOJJenced prior to issuance of a perlit and that all work will be perfoIJed to teet standards of all laws regulating construction, City codes, loning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies tay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not liJited to: * DepartJent of BnvironteDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health' Rebabilitative Services, BnvirODlental Healtb Unit - Wells, Wastewater TreatJent, Septic Tanks I US BnviroDlental Protection Agency - Asbestos abatetent I also certify that, if fill taterial is to be used in Flood ZOne "A" or "A,etc.", it is understood that a drainage plan addressing a "cOlpensating VOlUleR will be subtitted whicb 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 tbe work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued sball becOle invalid unless the work authoriled by such perlit is cOllenced within Sil IOntbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of slllOntbs after the tile the work is c~ced. One 90 day extension of tite, tay be allowed for the peClit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during eacb Sil IOnth period, or the project will be considered abandoned. WARMING TO OIIIBR: YOUR FAILURE TO RECORD A 10llCE OF COMMBICBMBHT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVBMmS TO YOUR PROPERTY. IF YOU IIITIHD '1'0 OB'I'AIII FIIWfCING, CONSUL'I' WITH YOUR LENDER OR AN AT'I'ORMEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMBNT. JOBS UIDBR $2,500 IN VALUB DO NO'l' NEED TO RECORD AND POS'I' A "NOTICB OF COHHBNCEKEHT". SIGNATURE: COIITRACTOR SIGNATURB: OIfNIR OR AGEIIT STATE OF FLORIDA COUNn OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUH!Y OF The foregoing instrument was acknowledged be~ore me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me Dr who has produced as identification and who did/did not take an oij.th. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Bame Typed, Printed or Stamped) NOTARY PUBLIC C.lTY OF ZEPIIYRH.lLLS BU.lLIUNG DBPARTHBNT OWNER q G$'(\.e~(A ( ;- '---~'.\ \ \ lA~-S JOB LOCATION~3o \0." _"'l ~ 'C- , "' "-- $ R 2...,~h '{ h.\ \ ~ F-I . PARCEL I.D. # \~ -:2.\0 -;}\ -\J()~D -. tlrl'4-\:JD -.... O\:;;~..:r) SHOW ALL EXISTING & PROPOSED STRUCTURES G.lVING DIMENSIONS & SETBACKS. , -'------'CAJOOd.. - 'F~<:.e- {;C,~+~~~~--! " I ! ALLEYWAY ACCESS FOR GARAGE OR CARPORT _ 15 FOOT SETBACK REQUIRED. ~v\( '\. '\ C'-,\ _ \ ~ \ i \ ( ~--~ I \ \ \ \ n UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MA'l'ION. FRONT PROPERTY LINE STREET