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Home My WebLink About95-4863 BUILDING ELECTRICAL PLUMBING Peope"Y Ownee .4 Ie ue ;t1 ~ L~r [I ~ Job Address: ~ ("if? (! C2:ru 6rf1)f; Parcel 1.0. # /"c:!) -z.b-2..r -~ ......aG{QO -~ EnerjLCode: 7" ~n Gas: ,7~ l' L ~p~JqeH!- BUILDING PERMIT Permit N~ 4863 ~ O"e '!:!- If' -?.s- ;1!::-rJ:3 MECHA~ICA CITY OF ZEPHYRHILLS (813) 788-6611 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work FINAL .l-{_ DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee,.(" Signature ::> ~~ Company Address Telephone# Valuation or Contract Price /~/o. ,.--- City License Registration # -rri.' State Certified license# __ ~hy- r RIIII DIN~ ....Q-.[ CT A I C'AL PL.J.J.MB.IN G MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER '5a.hr's Pfopa..ne 4441 Allen Rct Ar lwe. M ~ L.a ltt I in JOB LOCATION Sf( d ~ Cran rDO k Gtts " kfC1 ~rhl Jls PHONE 'If;< - GO /3 APPLICANT ADDRESS LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) lO - "h .... ~ I.... 0000 ... OD LO 0 .... QOo() BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:_New Construction ____Addition ____Alteration _Repair ~nstal1 7Sign/Temp. PROPOSED USE: ____Single Family _Sign _Move _Demolish _M/F ____~F of Units ._M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR}lS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ \(oIO.OD Valuation of Total Construction _ELECTRICAL VMECHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel _Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature S hma ture Company State Cert. or Regist. # City License Registration # ****************************************** ET.ECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Signature ~~ Company B~r'6 State Cert. or Regist. # City License Registration ****************************************** Gas. ~ k/~ CAC.04 3tf"'fB 1~ 'TK MECHANICAL Company State Cert. or Regist. # City License Registration # _ OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subj~ct to "deed restrictions"which.uy be lore restrictive than City regulations. The undersigned assules responsibi Ii ty for cotpliance wi th any appl icable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACtO~ RESpdNSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay' be;r~quir~d to be licen!ed in accordance with state and local regulations. If the contractor is not licensed as required by l~w, .both ,the owner and contractor aay be cited for a Ilisdeleanor violation under state law. If the ollner (,r intended contracttlt -are uncertain as to what licensing requirelents tay apply for the intended Ilork, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611. .. .. .. Further.~e, if the owner has hired a contractor or contractors, he is advised to have the c~ntractorlsJ sign portions of the "Contractor Sections" of this application for which 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 the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting 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 with a copy of "Florida's Construction lien law - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the "owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cO'lencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cot.enced prior to issuance of a pertit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bIll ~le not li.ited to: * Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitiv~ L~nds, Water/Wastewater Treatlent * Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways * Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks * US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tb~t a drainage plan addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer registerQd in the State of Florida prior to per.it issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to yioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building ufficial from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issll~d ~haJl becole invalid unless the work authorized by such perlit is cOlaenced within six months of issuance, or if work authDI lIed by the perlit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~t~nsioil of tile, maybe allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six tonth period, or the project will be considered aballdoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIQE.Of COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT ;N~ED' TO.RECORD AND POST A "NOTICE OF COMMENCEMENT". .-. SIGNATURE__________________________________ OWNER OR AGENT SIGNATURE CONTRACTOR DATE_______________________________________ DATE NOTARY AS TO OWNER OR AGENT_____________________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES______________________ MY COMMISSION EXPIRES