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Home My WebLink About95-5294 BUILDING PERMIT .. CITY OF ZEPHYRHILLS Permit ]I! (813) 788-6611 :-.529411 - - Date /0 "'-10 -7 ~ BUILDING ELECTRICAL PLUMBING ~CH~NI~ Pmperty Owne' if ~ ~~LI dA~ Job Address: d _ sS~ _ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel I. D. # Zoning: Description of Work Energy Code: a~/< \f.-~ 11 Radon Gas: ./~P-'l./<-~ v.l.J \ / \ lQ.I\ ~~ 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. DATE Inspector Pe'm;t Fee :fi;.'- t7"i) Signature A_1 tf:.- \1- ~ Company Address Telephone# Valuation or Contract Price i I -.5--0. ChJ - I {'-l/;\ City License Registration # L~ ~ State Certified License# BUILDING ELECTRICAL PLUMBING Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp, Serv, Rough In Meter Can Const. Pole 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. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT -.!:J"/~/O ~~ i5t i( J ,1.- OWNER · S NAKE i (,. Iv L i-tz. D OWNER' S ADDRESS "3;.? 6 :5 5-- 3 'i 6 ~ s s.r-IJI/c ttr\ ~'-rLo (~ t ST C (urJ[ it '!J-7h./h-Jr;: Z - /-I-t //5" PHONE /- C. JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' (OBTAIN FROK pROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---J\1teration _Repair _Install _Sign -"ove _Deaolish PROPOSED USE: _Single Faaily -"/F _' of Units _K/H _C~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: ! fJ s-/-4-{! MJ5.U L r~t4 S"l,L1/4ess1oIV 5 y S k/L1 BUILDING SIZE: x Square Feet, Height RESIDENTIAL: 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. PERKITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL LKECHANICAL AMP Service Florida Power Corp. W.R.E.C. $ //~V.{)O Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCl'ION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECl' IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACl'OR SECTION BUILDER Signature COMPANY State Cert. or Reglst. . City License Registration t ****************************************** ELECTRICIAN COMPANY State Cert. or Regist. t City License Registration f ****************************************** Sillflature PLUMBER COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** KEGBANICAL~//) ~ COKPANYJe~b/:Jv JA vfi;-n0~6<(~"+-;.v(>.. ~ ~ State Cert. or Regist. , ij17S t;-'?,,:>-vt:X?lifi' Signature _ City License Registration . / S-4tO . **************************************** OTHER COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pel1lit aay be subject to Ddeed restrictions" wbicb aay be lOre restrictive than City regulations. tbe undersigned assOles responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the orner bas hired 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 orner and contractor aay be cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furthenore, if the orner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the DContractor Sections. of this application for which they will be responsible. If you, as the orner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed and is not entitled to pel1Iitting priVileges in the City of Zephyrhills. 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 'Florida's Construction Lien Law - HOIIl!owner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsOler Affairs. If the applicant is SOftOne other than the "owner", I certify that I have obtained a copy of the above described docuaent and proaise in good faith to deliver it to the "owner" prior to coaenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIJation in this application is accurate and that all work will be done in cOllpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby aade to obtain a pel1lit to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a pel1lit and that all work will be perfoIJed to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is If responsibility to identify what actions I aust take to be in coapliance. Such agencies include but are not liaited to: * Departlent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater treatlent * Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * Al1If Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater treatlent, Septic tanks * US Environaental Protection Agency - Asbestos abat8leDt I also certify that, if fill aaterial is to be used in Flood Zone "AI or "A,etc.D, it is understood that a drainage plan addressing a .cQlpeDsating volllleD will be subaitted wbich is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perait 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 tbe technical codes, nor shall issuance of a pel1lit prevent the Building Official ffOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball beCOle invalid unless the work authorized by such perait is cOlleDced within six IOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of six IOntha after the tille the work is co.enced. One 90 day extension of tiae, laY be allowed for the pel1lit with fee charge of $15.00. tbe extension sball be requested in writing to the Building Official. An approved inspection aust be logged during each sil aonth period, or the project will be considered abandoned. WARNING TO OIflflR: YOUR FAILURE TO RECORD A NOrICE OF aJlMEHCEMlNI MAY RESULt IN YOUR PAYING "'ICE FOR IMPROVIIIENIS TO YOUR PROPERTY. IF YOU IlffEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LENDIR OR AN AnomY BEFORE RECORDING YOUR NOflCE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOf NEBD 1'0 RECORD AND POST A .NOfICE OF COMMEHCEMEIff". SIGNAtURE: OWNIR OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY 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. 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TAMPA, rLORIDA 33617-2091 IMPORTANT EGT/\P'-'SHED 1 !'l97 Tt\i~; order rH lft,bul IlltJ:~t r1P~'I~.~'r rJn : 111 Invoic~~..;, IX1C~i '111:-J :':~q~J :-, r.:,qC~,:'I~(:8., r)llb of ldd lnq ~ll u C')I ",.)ponrJ:'r1Cl: Ail 1l131!i!rial subiect to inspection. Phone (813) 985-8870 Fax (813) 985-6080 -:> Cornplete Line - Hotel - Restaurant - In~titulion Equipment and Supplies PleaSe! Acknowledqc R~'cC:ijr\t 0' This Order [mel ArJviS(: Shippit1y Date I SIIIPTO_J.~ u.^~~n.T} /flElbJoOf7fS" .__(~k' 3-~_lL!LL- tf~~., ~.--1h--1L _J ROUTING INSTRUCTIONS: IF WE ARE RESPONSIBLE FOR FREIGHT CHARGES, SHIP ACCORDINC TO ATTACHED LETTER. ".kl 11\ID - TH,RD !,'Ak' 'of I'll! ilJCi T'.J U'.:. COlL.l:; I PRE~Y\IDi AI)D ('foJ UPS PPl.l 't',11) .-/(\Uri C ',{\-O'I 1\1'-:1 WI1 OF ::::r~-"IL2~ r o.~~ rJFSTltJATiDtJ <;::,LIIP TC:' NlIlIV:-I~O LATEr? If-'M,I: ~~~!=~.~Jg'y~_~rrY UNIT- n l'~'- J=. I I I ,(-' =u'~J-==-- --- -.- T~~~- I _~_=t~~.~~ --)- OESCRIPTIOiIJ --- -------......... -_.__......~ "'.......-. --. . 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