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Home My WebLink About95-4955 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 495511 ~---/ 7- 9-.5.- Date BUILDING ELECTRICAL PLUMBING ~~~5J Sewer Conn Water Conn: i!fh Property Owner: - Job Address: <.3 '- b R ...k' ~ ~ Parcell.D. # Water Meter: T.I.F's: Zoning: Ene~ Description of Work -4/ r: q;,J:2 (j Radon Gas: FINAL .s-- - / 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. Inspector Permit Fee ~S......" c/O ~ Signature '-/J?c );[2 .f~:e;1 (j LYTYl Company Address Telephone# Valuation or Contract Price /t ~O. o-v ./ City License Registration # ~ V 7 State Certified License# BUILDING ELECTRICAL PLUMBING tl~#7?~a MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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. APPLICAnOR FOR PERKIT CITY OF ZEPIIYRIIILLS BUILDING DEPARTMENT OWNER'S RAKE <fa1) t W- OWNER'S ADDRESS ~<65Ll ~ KexYLO(o... JOB ADDRESS ~ ?i"-y.-\'lo ~efY'tC)'ro.- LEGAL DESCRIP'l'IOR: LOT(S) BLOCIL-SUBDIVISION~\pe fX./ No.UolO (UHf? / PARCEL I. D. 1 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:__ew Construction ~ition bteration ~pair _Install PHONE }~d-. - ~;:Yb _Sign -.JIove ->>eaolish PROPOSED ~E: _S~e F_i~ / ----3t/F _' of Units --6/H _ec:-ercial _Indust. _Swia. Pool _Other __estaurant &: Health Departaent Approval DESCRIP'l'IOR OF WORK: ~bn J(")hLU {fIe c.ho.{)~ -GU1- BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLARS &: (2) SETS OF BUILDING PLARS &: (1) SET ENERGY FORKS. COMKERCIAL: ATTACH (3) SETS OF BUILDING PLARS &: (1) SET ERERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION. PERMITS REQUESTED ~UILDING $ Valuation of Total Construction RT.R.crRICAL hawnCAL AHP Service Florida Power Corp. $ J (QQC:) . c.t:::) Valuation of lIecbanica1 Installation W.R.E.C. --.-..J'LUMBIaG GAS ROOFIRG TYPE 9F mBSTRUCTIOR: .-Block _Fraae _Steel SPECIALTY Other FDI.SIIED FlOOR ELEVAfiOBS: FT. IS PROJECT IR FLOOD ZORE AREA? YES NO ****************************************** CONTRACTOR SECTION BIITl.DRR cotIPANY State Cert. or Regist. 1 City License Registration . ****************************************** Signature RT.R.CTlUCIAII COMPANY State Cert. or Regist. 1 City License Registration 1 ****************************************** Signature PLUKBER. COMPANY State Cert. or Regist. 1 City License Registration 1 ****************************************** Signature MECHANICAL COMPANY / p/ >h :It ~,hJ State Cert. or Regis . · Signature (, ~ Of'. 0'Yl City License Registration' ***************************************** OTHRR COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** APPLICAnOB APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit JaY be subject to .deed restrictions. wbieb JaY be lOre restrictive than City regulations. fbe undersigned assUle& responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake wort, they .ay 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 JaY be cited for a .isd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!llents lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Deparblent, (813) 788-6611. FurtheI'lOre, 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 wbich 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 wisbes you to sign as contractor that Jay 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 - HOJeOIIDer's Protection GuideD prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOJeOI18 other than the Downer", I certify that I bave obtained a copy of the above described dOCUJent and proJise in good faith to deliver it to the "owner" prior to COlll!DCl!Ient. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlition in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developftJlt. Application is berehy .ade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas COMenced prior to issuance of a perlit and that all wort will be perfoI'led to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land developent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI1llental agenCies JaY apply to the intended wort, and that it is .y responsibility to identify wbat actions I lUst tate to be in COIpliance. Such agencies include but are not liJited to: t Departlent of BnvirOllJeJltal Regulation - Cypress Bayheads, Wetland Areas and KnviroDleDtally Sensitive Lands, Water /Vastewater Treablent t Soutbwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Xatigable Waterways t DepartJent of Health & Rehabilitative Services, BnvirODleDtal Health Unit - Wells, Wastewater !reatlent, Septic fants t US BnvironJental Protection Agency - Asbestos abateJeDt I also certify that, if fill Jaterial is to be used in Flood Zone DAD or DA,etc.D, it is understood that a drainage plan addressing a DCOIpeJlSating volUlll!D will be subJitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A lK!.IIit issued &ball 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 becc.e invalid unless the work authorized by such perlit is COIIeIlced within sillOl1ths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IOnths after the tile the wort is co.enced. One 90 day eltension of tile, JaY be allowed for the perlit with fee charge of $15.00. !be eltension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IOI1th period, or the project will be considered abandoned. WAJUlIlfG ro omR: YOUR FAILURlIO RECORD A IOIICE OF C<IIMBICBIIIIf MAY RESUL! IX YOUR PAYIXG DICE FOR DIPROVIIIBIIS TO YOUR PROPERft. IF YOO ImID TO OBlAIH FIIIAICIIG, COIISUL! WI'fB YOUR LlJlDER OR D AnomY BEFORE RECORDIIIG YOUR IOIICE OF momXCEMBlft'. JOBS OlDER '2,500 III VALUE DO xor IIDD 10 RECORD DD POS! A .XorICE OF ClJIIfDCBIIIIfD. SIGlfArURI: 0IfIIER OR AGEII1' SIGlfAfURI: comACIOR S'lA!K OF FLORIDA CDUm OF The foregoing instrument was acknowledged before me this , 19____ by S!AfE 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