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Home My WebLink About95-5035 BUILDING PERMII- NO CITY OF ZEPHYRHILLS Permit" (813) 788-6611 ~~50S~fJL ~- - $0 ._---'''."''_.,_.~---... "1 -.MECHANICAL Date ~- /7. 9S Property Owner: iJ A ~ A Job Address: :? Y ? $I Y Parcell.D. # - Zoning: Energy Code: Description of Work I l'V.s..rJlf // 1/ ~ L/I ~~ 0 4./ ~ r~ /J v. Sewer Conn Water Conn: Water Meter: T_LF.'s: Radon Gas: .L vJ, 'I( f.. NO OCCUPANCY BEFORE C.O. FINAL 1-- 7- 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 Permit Fee Signature Company Address Telephone# ./' t!?/ .f - - Inspector Valuation or ~ u c;,;/ Contract Price- I :-1; 2 S-o . City License Registration # '7,( State Certified License# 79l-S'o/J -(~ZC~~~!1Gdr~t 3L~ . . ECT ._. . - - P NG'. - - - -'.._ MECHA"!!.CAL WE. ----..-. .-.. Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Canst. 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 ($15.00) 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. APPLICAnON FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER · S tWtE LJ ~ - "9 L. -<3 II! It c> tV OWNER' S ADDRESS .:?9 2 Y V 6 r -4 /<l V' J PHONE b - /1 ~ ,r JOB ADDRESS (" III......." t.. LEGAL DESCRIPTION: IDT(S) BLOCIL.-SUBDIVISION PARCEL I.D.# (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ---.Addition ---^lteration _Repair _Install _Sign ---1Iove _Deaolish PROPOSED USE: _Single F_ily --.Jt/F _' of Units --.Jt/H _ec-ercial _Indust. _Swia. Pool _Other --Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: Z,v..r.. // ~ tC/,..:..cC ~/c- BUILDING SIZE: x Square Feet. Height RESIDEITIAL: COMMERCIAL : ATTACH (2) PLOT PLABS &: (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 ~UlLDING $ Valuation of Total Construction _ELECTlUCAL ~CllARlCAL AIIP Service Florida Power Corp. W.R.E.C. $ 2:JStJ. e> 0 Valuation of Kechanical Installation ~tJMBING GAS ROOFING SPECIALTY TYPE OF OONSTRUCTION: _Block _Fraae _Steel Other FI.RISBED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION BITJ:I.Da COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature R1.RCTRICIAI1 COMPANY ~ L ~A-Ie t:1 C>.z A-N ,th<1l-L C LL-C~ C 6JtJT. /J /J /I State Cert. or Regist. . SiDnAtur~~ ~/---/'-""L-t' (/( /,~q-G/ City License Registration' ::2- L/ cJ .......................................... PLUMBER COMPANY State Cert. or Regist. . City License Registration t .......................................... Signature MECIIAllICAL COMPANY & A It e ~ r'~ Q~h _ t: <5 " .s'.~ /f/.c .I N( . /)/ /... / State Cert. or Regist. . C "Co 'Is '7 'I!? Signature /L-- ~~ P --\. City License Registration' 7~ - ~ .......................................... OTRRR APPLICAnON APPROVED BY COMPANY State Cert. or Regist. . City License Registration , ............................... Signature PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this peIlit laY be subject to "deed restrictions" wbieb laY be lOre restrictive than City regulations. !'he undersigned assUJeS responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED. CONTRACTORS AND CONTRACTOR RESPONSIBILITIES,_ If the owner bas bired 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 lay be cited for a lisdeJeaDor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!lents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) 788-6611. ' FurtheIlOre, 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 whieb 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 laY 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 - HOJeOIDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and Consuter Affairs. If the applicant is sOleone other tban the "owner", I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the "owner" prior to COJJellCetellt. E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all the infoIliltion in this application is accurate and that' all work will be done" in co.pliance with all applicable lalls regulating construction, laning, and land developlBDt. Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or installation has CDIl!Dced prior to issuance of a peIlit and that all work will be perfoIJed to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developlBDt regulations in the jurisdiction. I also certify that' I understand that the regulations of other goveruental agencies laY apply to the intended work, and that it is IY responsibility to identify what actions I lUSt take to be in colpliance. Sueb agencies include but are not luited to: t Deparblent of EnvirODJelltal Regulation - Cypress Baybeads, Wetland Areas and KnviroDJentally Sensitive Lands, Water/Wastewater !'reablent t Southwest Florida Water Hanagel8Dt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health i Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater !reattent, Septic ranks t US EnviIODJelltal Protection Agency - Asbestos abatl!lellt - . , I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is und~tood that a drainage plan addressing a "cOJpell8ating vol_" will be saitted whieb is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A peIlit 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 peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball becoIe invalid unless the 1Iork authoriled by sueb peIlit is COII8Jlced within slllOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day l!ltension of tile, laY be allowed for the perlit with fee charge of $15.00. !be l!ltension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandoned. WARIIING !O omR: YOUR FAILURB !O RECORD A Not'lCE OF cmtllBlCEMm HAY RESUL! IN YOUR PAYING filCE FOR IMPROVEMmS TO YOUR PROPKR". IF YOU ImHD !O OB!AIN FIHAIICING, CONSUL! wua YOOR LINDER OR AM AnORlBY BKFORE RECORDING YOUR Not'lCB OF COMMENCBMm. JOBS UNDER .2,500 IN VALUE DO Not' NOD !O RECORD AND POS! A "Not'ICK OF COMMElfCIHBIl!". SIGHA'fURI: COIITRACfOR SIGJlAtURB: OOIR OR AGm StAtK OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STAtK 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