The URL can be used to link to this page

Home My WebLink About95-4993 BUILDING PERMIT Permit N:~ CITY OF ZEPHYRHILLS (813) 788-6611 49938 Date ...s- --31- 9-..S--- ~~I~ caECTRICAL~ CPLUM~' ~~ewer Conn Water Conn: P<ap,rty Ow,", ~~~ 1J1.L~ t;~ Wat" MOl" Job Address: 70.s~ ~ ,/{~ T I.F.'s. Parcell.D. # Zoning: Energ~ Description of wo;;- j(~ ~ Radon Gas: /J7;C~~_ 1{1'~ 6o<~/--:-r Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAl~d - C.O. ~ - :) DATE _ /OdD _ -y~ - ~ DATE NO OCCUPANCY BEFORE C.O. Permit Fee ~i!ii Signature. . , Company __ Address Telephone# Valuation or Contract Price ~JJ- &-~. City License Registration # "'-.?s Lf State Certified License# ~-:Y~~ (~ !7f?4 .2/~ AI/~dr /35' PLUMBING ft(~~~~ MECHANICAL / CJ 9' BUILDING ELECTRICAL Breakers Ducts Insl. Compressor Final h-.O.-).&c;?raJS ,q v~ C-l.t4AJI.r '=:>-12- Jj5" /3t.b SLB Tub Set Water Sewer Final JD ~ 2k.'~-3 blLt.--- . 1tOt-11t.. ~Lujl.r e -I2--7~ ~1 Tp. Serv. Rough In .t;-~/-5.) &-~ Meter Can Const. Pole Pool Pre-Meter Final Ib~Zbt;;- ~\~ ,q-/bvtZ... CBLl~A ~/2.4j., /Bb Ftr. Pre SLB Lintel FRM. -S--jl-t1 S- 81l..L.. Insul. CL WL Driveway f/!1J((L ~Li,Jls #/';-5? ."--' bJ h,J;t<- /(),-L-t:.-$':> J40 REINSPECTION FEES: W~n 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'S _ - ~ OWNER t S ADDRESS . JOB ADDRESS LEGAL DESCRIPTION: UlT(S)_~:2.. 1..,5.l'zlBUlCK SUBDIVISION~/: ~1~XJM;v P~CEL 1.D.# ' / ' (OBTA~_ ~_ _'- _ PHONE Ycf.f/~~// ~~ WORK PROPOSED:____New Construction ----Addition ~teration ~epair ____Install _Sign -..Jfove ____Deaolish PROPOSED USE: ____Single Fuily -1LCoIlaercial ---1l/F _, of Units ____M/H _Indust. _Swill. Pool _Other ----Restaurant & Health Department Approval DESCRIPTION OF WORK: P~~V/lW ~ -17?/q.tt 49';/~.(# z., r:.# /,/ ~R" /11/ f'.r /H IJpq 10.5 $4V9~C~ DF ~7e/'/ -' .3~o~<1 X Square Feet, Height --- BUILDING SIZE: RESIDENTIAL : COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~BUILDING ~ELECTRICAL ~CHAlUCAL $ Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation ~PLmmING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frue ____Steel Other FIHlSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? --2L YES NO ****.*******************....********.***** BUILDER . CONUlACTOR SE~ ~ COMPANY ~ ~ State Ce t. 'or Regis".' ~.r~~l';' City License Registration # ~~~ ~ . .......................................... . Signature Signature COMPANY 4?~ &~ State Cert. or Regist~ # City License Registration t ..2/ y ***.**..*******.*****.********.*********** COMPANY ~ :i'f~ Wa State Cert. Regi t. f' :P< D ~;2..,g City License Registr tion # /~~ ..****.*.*.**.*****..***..**..*.*****..*** ELECTRICIAN SianAture PLUMBER Signature MECHANICAL .QIJIER COMPANY State Cert. or Regist. t Signature City License Registration # .***.*..*.**.***************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penit lay be subject to 'deed restrictions. Ihich lay be lOre restrictive than City regulations. the undersigned assUles responsibility for COIpliance lith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors' to undertake work, tIIey lilY be required to be licensed in accordance witll state and local regulations. If tile contractor is not licensed as required by law, both the owner and contractor llay be cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to lhat licensing requiruents lay apply for tile intended work, they are advised to coatact the City of Zephyrbills Building DepartJent, (813) 788-6611. Furtllel'lOre, if tile OlDer has hired a contractor or contractors, he is advised to have tile contractor(s) sign portions of tile 'Contractor Sections I of tIIis application for which tIIey will be responsible. If you, as tile owner sign as tile contractor, you are indicating that you, ratller tIIan tile contractor, are responsible for tile work. If the contractor wisbes you to sign as contractor tIIat lay be an indication that be is not properly licensed and is not entitled to penitting privileges in tile 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, tile applicant, have been prOVided witll a copy of IFlorida's Construction Lien Lal - 80Je0vner's Protection Guide. prepared by tile Florida Departlent of Agriculture and ConsUler Affairs. If tile applicant is sonona otller than tile lowner', I certify tIIat I have obtained a copy of tile above described dOCUlBDt and pIOlise in good faitll to deliver it to tile .ownerl prior to cOlIBDcuent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify tIIat all tile inforaation in tIIis application is accurate and that all work will "be done in cOlpliance lith all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has COIIenced prior to issuance of a peIlit and that all work will be perfoned to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify tIIat I understand tIIat tile regulations of otller goveIDIeDtal agenCies Jay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in colpliance. Such agencies include but are not lillted to: t Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnvirolllBJltally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Hanaguent District - Wells, Cypress Baylleads, Wetland Areas, Altering Watercourses t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Healtll & Rehabilitative Services, EnvirODlental Healtll Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abatuent I also certify that, if fill laterial is to be used in Flood Zone "Alar NA,etc.., it is understood tIIat a drainage plan addressing a IcOlpensating VOlUIBN will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A p~it issued shall be construed to be a license to proceed witll the work and not as authority to violate, cancel alter, or set aside any provisions of tile technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becoIe invalid unless the work authorized by such peIlit is COlJenced within six IOnths of issuance, or if lork authorbed by the penit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day utension of tile, laY be allowed for the peIlit lith fee charge of $15.00. the utension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each six IOntll period, or the project li11 be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOfICE OF COHHEHCEHEHf HAY RESULT 1M YOUR PAYING TWICE FOR IHPROVEMEKfS TO YOUR PROPERTY. IF YOU IJlfEHD TO OBTAIM FIHAHCING, COMSULT WITH YOUR LEHDER OR AN AffORHEY BEFORE RECORDIMG YOUR MOTICE OF COMMEMCEMENT. JOBS UNDER $2,500 1M VALUE 00 NOf NEED TO RECORD AHD POST A uMOfICE OF COHMENCEHmI. ~ ;7-'-- ~LIJ6it SIGNATURE: omR OR AGEJIf ~ COJlfRACTOR STATE OF FLORIDA coum OF Pasco The foregoing instrument was acknowledged before me this 26th _, 19~ by David Hauqen who is personally known to me (){'-wh&~s ~e~--------------~------------ as identification and who eid-jdid not an oath. ~ (Si ature)otary rl'b!'c, St1t(' of Florida JU{\~L i',,1. ~iLiU~OON (Name Typed, r1tr'1b'~~d'!O{t:st.iiiDDEid'9~1 NOTARY PUBLIC ' mrn i~O. 2526')2 Sf ArE OF FLORIDA coum OF Pasco The foregoing instrument was acknowledged before me this 26th , 19~ by Charles D. Poole who is personally known to me ~"'9~ PC~Q~------------------------- as identification and who -dicl/did not \t~~'..~~ M.' e",. .'.' 'r" :.."J I:e!) ] 1 qq7 (Name Typed,' p~inted'for2siamped) NOTARY PUBLIC