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Home My WebLink About95-5200 BUILDING PERMITU CITY OF ZEPHYRHILLS Permit ~ ' (813) 788-6611 j"~5200 I:::- Date 8"-:lc2 -9~- BUILDING ~;TRI~ PLUMBING MECHANICAL Sewer Conn Water Conn: PmpertyOwne, *!Aff:-~~ Job Address: (".1> / ~ ___ Parcell.D. # Zoning: Energy Code: Radon Gas: Desc';pt;onOfWO'k_~~~ - ,().,JI"A1/ -riii:e ~ Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Valuation or Contract Price 'l'1t- rJ3/ Permit Fee Signature Company Address Telephone# City License Registration # State Certified License# BUILDING ~ a-.ffdA-A. ~ ELECTRICAL PLUMBING MECHANICAL - Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Mj;.ter _ Final "1>' 2,,-, '5 Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 6J? 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. APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUlLDIHG DEPARTMENT OWNER'S IfAKE Gebhart Construction Inc. PHONE 782-1743 OWNER'S ADDRESS 38719 Evelyn Lane Zephyrhills. FL 33540 JQB ADDRESS Island LEGAL DESCRIPTION: LOT(S) N/A BLOGK..--SUBDIVISION PARCEL LD.' Landscaoe island OAKCREST ESTATES (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ---..Addition ---..Alteration --.,Repair _Install _Sign --'love _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _~ercial _Indust. _Swill. Pool U-Other Temporary Electril Pole ___..Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: TEMPORARY ELECTRIC POLE BUILDIHG SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUlLDIHG PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUlLDIHG $ Valuation of Total Construction _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. ---1IECllAllICAL $ Valuation of Mechanical Installation _PLUKBIliG GAS ROOFING SPECIALTY TYPE OP mllsTRucnoll: _Block _Pralle _Steel Other FIllISHED FlOOR ELEVAnONS: FT. IS PROJEC'l IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION COKPANY GEBHART CONSTRUCTION INC. --------- State Cert. or Regist. . RB002l583 . ') City License Registration' enD .......................................... COMPANY ~ ~ f/t / L (/ (. State Cert. or Regist.' ~IlQd IZ-Zl..1 City License Registration' Z3> l .......................................... PLUKBER mMPANY State Cert. or Regist. . Signature City License Registration . .......................................... MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . .......................................*.. OTRRR COMPANY State Cert. or Regist. . Signature City License Registration t ...................................*...... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that tbis perait lay be subject to Ideed restrictions" wbich lay be lOre restrictive tban City regulations. !be undersigned assUles responsibility for COIpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas bired a contractor or contractors to undertake work, tbey laY be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lay be cited for a lisdl!leanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing requirelellts laY apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrhills Building Departlent, (813) . 788-6611. FurtbeIlOre, if tbe owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe IContractor Sections" of tbis application for wbich tbey 1Iill be responsible. If you, as tbe owner sign as tbe contractor, you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign as contractor tbat laY be an indication that be is not properly licensed and is not entitled to peraitting privileges in tbe 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, tbe applicant, bave been provided witb a copy of "Florida's Construction Lien Law - HOIeOIDer's Protection Guide" prepared by tbe Florida Departlent of Agriculture and ConsUlel' Affairs. If tbe applicant is sOleOne otber tban tbe Immer", I certify tbat I bave obtained a copy of tbe above described docuJent and prOlise in good faitb to deliver it to tbe "owner" prior to COIII!IlCeleDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all tbe inforaation in tbis application is accurate and that all work will be done in cOlpliance witb all applicable laws regulating construction, loning, and land developlent. Application is bereby lade to obtain a perait to do work and installation as indicated. I certify tbat no work or installation has ~ced prior to issuance of a perlit and that all work will be perfoIled to teet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in tbe jurisdiction. I also certify tbat I understand tbat tbe regulations of otber governJelltal agencies laY apply to tbe intended work, and tbat it is IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not lillited to: t Departlent of EnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllelltally Sensitive Lands, Water /Wastewater !reatlent t Soutbwest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Aray Corps of Enqineers - Seawalls, Docks, Navigable Waterways t Departlent of Healtb i Rebabilitative Services, EnvirODleDtal Healtb Unit - Wells, Wastewater freatlent, Septic fanks t US EnviIOlllental Protection Agency - Asbestos abatuent I also certify that, if fill laterial is to be used in Flood ZOne "AI or "A,etc.", it is understood that a drainage, plan addressing a "COIpeJ1Sating volllle" will be sublitted wbich is prepared by a professional engineer registered in tbe State of Florida prior to perait issuance. A Perlit issued sball be construed to be a license to proceed witb tbe work and not as autbority to violate, cancel alter, or set aside any provisions of tbe tecbnical codes, nor sball issuance of a perait prevent tbe Building Official frOl tbereafter reguiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid unless tbe work autborized by sucb perait is COIIeIlCed witbin sillODtbs of issuance, or if work autboriied by tbe perait is suspended or abandoned for a period of sillOJltbs after tbe tille tbe vork is ~ced. One 90 day eJtension of tille, laY be allowed for tbe perlit witb fee charge of $15.00. !be eJtension sball be requested in writing to tbe Building Official. An approved inspection lUSt be logged during each Si1 IODtb period, or tbe project will be considered abandoned. WARNIIfG fO OVNIR: YOUR FAILURE fO RECORD A NOTICE OF aJIIIDCBHm HAY RESULf IN YOUR PAYING !VICE FOR IHPROVBMBIft'S fO YOUR PROPEIIfi. IF YOU InBND fO OBt'AIN FINANCING, CONSULf "IfH YOOR LENDER OR AN AnomY BEFORE RECORDING YOUR NOTICE OF COHMBNCBHm. JOBS UNDER $2,500 IN VALUE 00 NOT NEED 'f0 RECORD AND POS'f A "NOTICE OF COHMBNCBIIBJft'". SIGNA!URB: (JJIIR OR AGm SIGNAfURB: COJmlAC'fOR SfAfE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this ~ 19____ by SfAfE OF FLORIDA COUIIIY 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