The URL can be used to link to this page

Home My WebLink About95-5169 Property Owner: Job Address: Parcell.D. # BUILDING PERMITN!- CITY OF ZEPHYRHILLS Permit (813) 788-6!11- 6J.V ~~ ~ ~ ~ ~~ ' ~ .~~~,~ . -;-516~# ,~ AD G,~ -- ~D Date f?-1-96-- ~~erconn Water Conn: - Water Meter: T,LF.'s: Zoning: ry' FINAL C.O. . -30.... 9 DATE NO OCC Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # .If t( (; State Certified License# DATE VI' ~ ()~ a uatlon or ' , ~ Contract Price ~ 1(00 t3,;b {!~Ly ~4tt1A . PL~t'I$5 SLB v~-'I' ~ i'ILL Breakers Tub Set ~ - J 4- 9:)91 L6 Ducts Insl. Water Compressor Sewer d>./ /4- 9 S ffj LL Final Final (1 .:.; b.V-- Tp. Servo Rough In 1') -~. ,/.:;- Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. $ .,'0 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 ($15.001 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 PERKIT CITY OF ZEPllYRllILLS BUILDING DEPARTHENT OWNER I S NAME /Vt'J ~ 6 ~ rf- J vI; ct.,1 rz... Ly n .6 reJ(J k /) r -z~ Ay I" l; ;'//.~ /~ ~ -jf zy;A<jr 7,//1"5/ .cIVi PHONE OWNER I S ADDRESS V 0 (] /3 <'730 ",c/.eft- JQB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction _Addition ~teration _Repair _Install _Sign PROPOSED USE: ~ing1e Faaily ----..Kove _Deaolish ----..KIF _' of Units _K/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant &: Hea1th Departaent Approval DJl:iMfl~"'~t::f:!, '5:~n.n/7d IJ.d1 ~ ,&7t? rOOd!.l: d~,e.;G BUILDING SIZE: ~iI.. Square Feet'/II'JO Height RESIDERTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~ING ~Cl'RICAL PERMI~S REOUESTED $ ,,;;;L j .L/ t? cJ Valuation of Total Construction AKP Service Florida Power Corp. W.R.E.C. --lIECII&lIICAL ~~G $ Valuation of Kechanical Installation GAS ROOFING SPECIALTY j' TYPE OF CORSTRUCTION: _Block _Fraae _Steel Other FIlfISHED FlOOR ELEVAnONS: FT. IS PROJECI' IN FLOOD ZONE AREA '1 YES NO ......................................**.* PLmtBER CONTRACTOR SECTION COKPANY7:: ~lJd~ 1/ t- /feb6~r 1J1~.':JtJ/7 r 1 State Cert. or Regist. . R~ 00 II "5 '2... City License Registration' 41/ to ******..****************..*.*.************ COMPANY D.p,A0 /.s ! If' -:::L tlJa j B/! oj ~ e State Cert. or Regist. . City License Registration' t7~7 **.**.*.************.********* I '1 {'~!L} BIJTI.DO Signature Signature ItECllANICAL COMPANY State Cert. or Regist. . Signature City License Registration . .*.....*.......*.***.**........****.*****. OTRRR COMPANY State Cert. or Regist. . Signature City License Registration t ****.***.********************************* APPLlCAnON APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this perait JaY be subject to "deed restrictions" wbich lay be lOre restrictive than City regulations. !be undersigned assUJeS 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 work, they JaY 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!lents JaY apply for the intended work, they are advised to contact the City of Zephyrhil1s Building DepartJent, (813) . 788-6611. Furtheraore, if the OIner 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 laY be an indication that be is not properly licensed and is not entitled to peraitting 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 - HOIeOIfner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUleI' Affairs. If the applicant is sOIeone other tban the "owner", I certify that I bave obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the uowner" prior to cOll8llcl!lent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby Jade to obtain a perait to do work and installation as indicated. I certify that no work or installation bas cmlenCed prior to issuance of a perait and that all work will be perforaed to leet standards of all laws regulating construction, City codes, loning regulations, and laud developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other gDVeI1III8Jltal agencies tay apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in COIPliance. Such agencies include but are not luited to: * DepartJent of Envirolllelltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllel1tally Sensitive Lands, Water/lfastewater TreatJent * Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArIY Corps of Engineers - Seawalls, Docks, liavigable Waterways * Departlent of Health i Rehabilitative Services, EnvirODl8Dtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US EnvirODl8Dtal Protection Agency - Asbestos abatl!lel1t I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "cOJpellsating volute" will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perlit 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 sball issuance of a perait prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued sball beCOle invalid unless the work authoriled by such perait is ~ced within sillOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IOntha after the tile the 110[11: is co.enced. One 90 day extension of tile, tay be allowed for the perlit with fee charge of $15.00. !be extension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each slllODth period, or the project will be considered abandoned. WARlflliG TO 0IfRIR: YOUR FAILURE TO RECORD A DICE OF CCIIMDCIIIIIft' MAY RESUL! Iii YOUR PAYIIiG TWICH FOR IMPROVIMBITS TO YOUR PROPBRTY. IF YOU IJImD TO OBTAIH FIMAlClIiG, COISULT WITH YOUR LBIIDER OR AIf A'l'fORDY BEFORE RECORDIHG YOUR HOIlCE OF COMMBHCBMBIft'. JOBS UNDER $2,500 Iii VALUE 00 HOI mo 1'0 RECORD AIfD POsr A -IiOlICB OF COHMBNCBMBIft'". SIGlfATURE: COIfTJIACTOR SIGllAfURB: (MIIR OR AGBIIT srATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE 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 ..... -. I \ \ " ~'~ '~ 21' ;~- ~'".---~' . ! ~h I · ;-, ~' ""' ! 'r l ; . ~ :~~ !" 'r''" ~ -I'.... i(:.! ~ .;'-, J" [t~j 1'{ b, i( ,:1 tt~ 1"- r~- b i' ; t- ! ~ I ~ f:3t---b ~it f'; ~ ~ 1 I ~~j K\ (' ': 10 '~: .1',+'0 ~~ !~,J....- }') ~ I '\ ~ r"'- ""~'0 l\' ~ l' t' It)..... 1 }"~ Cs ~~::J-- j" \ c> t r ;~:,' C0.- t It' ;; ~...... " I' .,,~ . i I :!'f ~ ! ~ . ,"\ :~ ~, ;0 ! ~ ~ ~ ~--t: * i '~ +~ ;,; : ; ~ ~ ~;r P-p'- ::, ! (-- ~ I~ '0. t ,~ ! f..> Iii, .~ ' ~ I I' ! rs i ~- ~ i ft~; - I'" -.. ~ i-.i' ~_- -.i.-__~,__--1 o -0('\ ~:lJ I ! r- . - - =1 - --~ ~-~----=Ll"" I', r-tr1li' I \ ' I -=;;, 2-\ ,t \! : ~ ,~ Ji - CQ1] ~~-~'- / ___~,__ __ J ___r ~ f +l ~ ~ <J'\ , ~ .; .,- J " I " -if ,I i_,', ~ ,i , - 'J {r~ ,.... .. L \ (.> ,'" :~ ~',~ I L~ ~.,}'; ~ :'.:l _ ('s-- ~ "" ~-- (.-.. f' .'-' ~ ,~ .._ ::s ~~ I · '," , '\ "'.... r' ~\.\" r:"-' ,t--J ""\ r- . "-.~ K/) t:::: ::.~' I 1"- lA' lC\ ~ ',v) ~l h~!-r ~ ~~:, ~ \- ! .- - ~ \1\1 ";J' -''''\',1 "" ' -'_ __-:I , I ! "- ~) >.t.. ().. ~- .. >< .... ' ~ -- \- T i I / " ~ 1 :, I \ '.!.... ~ lri .. ~ ~-.- I I - - I ! ~ ! i t I I I ~ . ~ "tJ, I I ~. Q:~ Oh~ ;; : -JJ: U I)~~U .. ~ t -- ~- -t:.. 1---. \ l~ I _.~ ,;---L._, " - ~r1. x. q, ~ -- ---. 11 -- ~ - ~ ~ - ~<V @0 I --1_- -,---- -L _.- --..--._....~~-~"_."'".~ )...> D. -- ~ ... ! I , lL- - -::1 _,__u_ ,- -- ,~ ---[--1----- -F----t I I I ..... r_ '" - - 0--. :;. r==-I~ I \ j u- .. l.)-1 .,