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Home My WebLink About95-5083 BUILDING PERMIT 0- CITY OF ZEPHYRHILLS Permit N · (813) 788.6611 -;-5083 - - Date 7-~-95 ~ ELECTRICAL c- PI 1.fY<g/)'lU.. .M[e1IA''1.c:AL ~O~~OWM" ~~ 11 ~{;J Job Address: ...3 _ --.0 ~L~- Parcell.D. # Zoning: _Ererg~ode: ='== Radon G~: l''f DescriPtionofWork(lr)W\K.;JrT 10 Z- Meiers --' ~ /'tQ~/l#.p _G:::-<-U"ld.--e..... -Sewer Conn Water Conn: Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. Service-change FFC (Renitta) 07/11/95 11 :40 A.M. Permit Fee Signatur Company Address Telephone# Valuation or Contract Price City License Registration # State Certified License# ~ILLlII'II~- . -Q ~f:A{($7 PI '.T'R3'Hffl. -: ..M[8~L - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. Rough In Meter C Const. 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. APPLlCAnON FOR PERKIT CITY OF ZEPIIYRIIILLS BUlLDIRG DEPARTHERT OWRER'S IWtE (),/3 II Ice ;A ( OWRER'S ADDUSS r S.:?: 0 JOB ADDRESS 31::;-0(0 We f(;t1if- y/FF/--v At/' ~LL+~ ~uC2- PHONE(901.)07~ - /c0.:3 / srr/~~ ~LL Fe ~r60? LEGAL DESCRIP'I'ION: LOT(S) BI.OCX...--SUBDIVISION PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) . ~teration WORK PROPOSED:~ew Construction ---..Addition -.Jlepair _Install _Sign ----IIove _Deaolish PROPOSED USE: _Single Faaily --.Jt/F _' of Units _M/H keo-ercial _Indust. _Swia. Pool _Other -Restaurant It Health Depart:aent Approval DESCRIPTION OF WORK: c. C',..-vvrrT( yO v-u-v A4~Y--c-r5 ~/ce. .lJc.fot I ~ fioh J' BUILDING SIZE: /'5 X 30. Square Feet. / r Height RESIDERTIAL: ATTACH (2) PLOT PLARS It (2) SETS OF BUILDING PLANS It (1) SET ENERGY FORMS. COMMERCIAL: ATtACH (3) SETS OF BUlLDIRG PLANS It (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REQUESTED ~UlLDIRG Va1uation of Total Construction AIIP Service ~Jlorida Power Corp. W.R.E.C. _ELECTRICAL --1IECIIAlIICAL $. Va1uation of Mecbanica1 Installation _PLutlBIRG GAS ROOFING SPECIALTY TYPE OF CORSTRUcnOR: _Block _Fraae _Steel Other FlRISBED FI.OOR ELEVAnOIfS: Fl. IS PROJEC'l IN FLOOD ZORE AREA? YES NO .......................................... CORTRAC'lOR SEC'lION BIJTIDRR Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... COMPANY r=;:?f C{a.SS State Cert. or Regist. . City License Registration . ............................... l={ecT- /~ r __ PLUMBER COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature tlECBARICAL COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature OTRRR ~ (r~CJr~ ~~"-,,.,~r COMPANY 2-ef)/-I t/fl- }/ct-L S ~ ~ State Cert. or Regist. . Signature "' d ~ City License Registration' ~ ......................~................... A/'frt/ Y APPLICAnOR APPROVED (BY PERMIT OFFICER. '. .. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'he undersigned understands that this pemit lilY be subject to Ideed restrictions I wbich laY be lOre restrictive than City regulations. tbe undersigned asSUles 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 IfOrk, they lilY 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 lisdeJeanor violation under state law. If the mmer or intended contractor are uncertain as to wbat licensing requireJeDts laY apply for the intended IfOrk, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the nContractor Sections I 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 IfOrk. If tbe contractor wishes you to sign as contractor that lilY be an indication that he is not properly licensed and is not entitled to pemitting 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, have been provided with a copy of IFlorida's Construction Lien Law - HOJeOWner's Protection GuideN prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne otber tban the lowner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the R01IIIerll prior to co.aenCeJellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developent. Application is hereby lade to obtain a pemit to do work and installation as indicated. I certify that no IfOrt or installation bas ~ced prior to issuance of a perlit and that all IfOrt will be perfoI'led to teet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other governJeDtal agenCies laY apply to the intended IfOrk, and that it is Iy responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of EnvirODleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water /Nastewater treatlent t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health' Rebabilitative Services, BnviIODleDtal Health Unit - Wells, Wastewater 'l'reatlent, Septic 'l'ants t US EnvirODJental Protection Agency - Asbestos abateJeJlt I also certify that, if fill Iaterial is to be used in Flood Zone IIAI or "A,etc.l, it is understood tbat a drainage plan addressing a lCOIpeIlSating wllllel will be suitted which is prepared by a professional engineer registered in the State of Florida prior to pemit issuance. A pemit issued shall be construed to be a license to proceed with the IfOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pemit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall heCOle invalid unless the wort authoriled by such pemit is CDIIeDced within sil IOnths of issuance, or if wort authoriled by the pemit is suspended or abandoned for a period of sil JOntbs after the tile the IOrl is ~ced. One 90 day l!Itension of tile, laY be allowed for the perlit with fee charge of '15.00. !he l!Itension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each silJOnth period, or the project will be considered abandoned. WARlIlfG to OIINIR: YOORFAILURE '1'0 RECORD A NOTICE OF C(JIfDCEIIIIf MAY RESUL'I' IN YOUR PAYING TWICE FOR IMPROVEIfEIft'S '1'0 YOUR PROPER'I'Y. IF YOU II!E1fD to OBtAIJi FIKAJiCING, COKSUL'I' III'I'H YOUR LBliDBR OR D A'I'fORIEY BEFORE RECORDIJiG YOUR KOTICE OF COMMENCEMENT. JOBS UKDBR $2,500 IN VALUE 00 NOT NEED fO RECORD AKD POS'I' A -NOfICK OF COMMDCIDIEK!". ~~~~~~ ~'I'URE: OIlIER OR AGm ---- SIGKA'I'UHE: 'COIf'l'RACfOR STA'I'E OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S'I'AtE OF FLORIDA COUN'I'Y 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 o~th. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC