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Home My WebLink About95-5272 BUILDING PERMII-- CITY OF ZEPHYRHILLS Permit N! (813) 788-6611 -; 5272.E' Date /0 .--~ - 9,)- 30.oV BUILDING c2t!J. crV ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: JProbPAertddY owne'~ '1-11-'" i:/J o ress: --..;) - _ _ ~ ~~ Water Meter: T.I.F.'s: Parcell.D. # Zoning: ~ner~y .-7ode: Description of Work ~~f ~ V' Radon Gas: L;~~ -/~ -~g~~~ NO OCCUPANCY BEFORE C.O. FINAL C.O. .c; ') DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector :;::;:e ~ L~,L Company _- Address Telephone# Valuation or Contract Price <B. f> (;)-v, cJ-D City License Registration # I....!:>... Y K" State Certified License# r-x1J;/~ ~~ lh~ ;1A1%~ is -'17 PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Ih~~c-ftOl1S' 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 ZEPBYRBILLS BUILDING DEPARTMENT OWNER'S NAKE .6 1.J (3A1V~ OWNER'S ADDRESS & J.j .3 S (9.A I \ ~\, '" 0 JOB ADDRESS S J-../-3S- GA \ \ f3 \.. V P , PHONE S)3 - 7<1;0 -1"/1.:< 1 !^~ ~ ~()~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair -llInstall _Sign ~ove _Deaolish PROPOSED USE: _Single Faaily ../eo..ercial _M/F _' of Units _M/H _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval --- DESCRIPTION OF WORK: :...J t-J::>,A \..\.. Yo 1 e y... .. 0 . f=' o{l. S t: c... \..vL ,\ I BUILDING SIZE: x Square Feet. Height 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. PERKITS REOUESTED JBUILDING ../ ELECTRICAL $ .;2.,'5>00'0-0 / Valuation of Total Construction AKP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Va1uation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CORSTRUCTIOR: _Block _Fraae _Steel Other FItUSHED FLOOR ELEVATIONS: Fr. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** Signature CONTRACTOR SECTION COMPANY -:YO e G7 0) ~ Sf\" \-th C\'"i'-l ";)11L , State Cert. or Regist. . C (" Ln..;l.() (a?;Z City License Registration' \ ~ '1 <? ****************************************** BUILDER ELECTRICIAR COMPANY W A-'T\<'-'(V ~ b. l..'t. <? :=~ ~./ L-- State Cert. or Regist. t ""~ 't.--? .. /11 City License Registration t ****************************************** o ()~-\- Ii A L.\".....< S t?Ob I rD6' l~~f PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration , ****************************************** OTRF.R COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pelllit lay be subject to Rdeed restrictionsR wbicb Jay be lOre restrictive than City regulations. rbe undersigned assotes responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner has hired a contractor or contractors to undertake work, tbey 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 lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!lents lay apply for tbe intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (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 "Contractor SectionsR of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that Jay be an indication that be is not properly licensed and is not entitled to peraitting privileges in the City of Zephyrbills. 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 .Plorida's Construction Lien Law - HOJeOIDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and Consuter Affairs. If the applicant is sOJeone other than 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 Rowner" prior to cOJJenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all the inforlation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, zoning, and land developlent. Application is bereby Jade to obtain a pertit to do work and installation as indicated. I certify that no work or installation bas COJJenced prior to issuance of a pelllit and that all work will be perfoIied to leet standards of all laws regulating construction, City codes, zoning requlations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDJelltal agencies JaY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not liJited to: t DepartJent of Environtental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, WaterfVastewater TreatJent t Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArJy Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic ranks t US Environtental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone .AR or RA,etc.", it is understood that a drainage plan addressing a .cQlpeDsating voluteN will be subtitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued sball 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 per.it prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pelllit issued shall becOle invalid unless tbe work authorized by such pertit is cOlleDced within six IOnths of issuance, or if work authorized by the pelllit is suspended or abandoned for a period of six IODtbs after the tile the work is c~ced. One 90 day extension of tite, Jay be allowed for the pelllit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWIER: YOUR PAl LURE 10 RECORD A 10000ICE OF COIIMEIICBMENt' MAY RESULI III YOUR PAYlIIG DICE FOR IMPROVIIlEIft'S TO YOUR PROPERTY.. IF YOU INt'BIfD 10 OBIAIII FIIfAlfCIlfG, COIISULT wlm YOUR LBlfDER OR D AnomY BEFORE RECORDIIfG YOUR 1I0000ICE OP COMMEIfCEMEIfT. JOBS UlfDER $2,500 II VALUE DO If 0'1' NEED TO RECORD AIfD POST A 'IfO'1'ICE OF COIOlEIfCEMEIft'". SIGNAtURE: OWIfER OR AGED SIGIfATURE: CODRACTOR STATE OF FLORIDA COUl'lY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUIfTY 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. 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