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Home My WebLink About95-5299 BUILDING PERMIT- aTY OF ZEPHYRHILlS Pe,m" ~ (813) 788-6611 -~529Q b- Date _Ju-//-Y~- BUILDING ~:;-RI~ PLUMBING :~::,~:~:S-Ol~-!/? -1t7f MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F~'S: Parcell.D. # Zoning: Ener~v Code: -;t;;adon Gas: Description of Work _vt--1 AH1' J2 ~~A ~.I L.' FINAL 0 -1'2- -c; ~ DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # State Certified License# r-2/,9 , Permit Fee Signature Company Address Telephone# . ~ -' J__ ~L _ I ..1 L I I HI I t I 11 V' , Valuation or Contract Price ~:/' A- BUILDING ~V"A~ ?~,~ ELECTRICAL PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor Final Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final /0- /Z~Cf ~ SLB Tub Set Water Sewer 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 PERMIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT OWNER'S NAIII\ t'lGUA OWNER t S ADDRESS S'"? 0 L JOB ADDRESS Si?J-11l F WjNJVf .11 i14 5" r PHONE 7r2- 2'162 LEGAL DESCRIPTION: LOT(S) PARCEL LD.' I" Z' ,.. Z /-Obl lJ BLOCK SUBDIVISION I r 2 otJ ~ 0 l't () (OBTAIN FROK PROPERTY TAX. NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign -"ove _Deaolish PROPOSED USE: 'Z-Single Faaily _KIF _' of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: ~V<: UPCI/Jt<< I001/V TCf 200 ~Atr 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Va1uation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other Fr. IS PROJECT IN FLOOD ZONE AREA? FINISHED FLOOR ELEVATIONS: YES NO ****************************************** CONTRACTOR SECTION ELECTRlCIAR COMPANY State Cert. or Regist. . City License Registration . ****************************************** COMPANY 1?oC[Mf etrc:. State Cert. or Regist. t ~I'{ (}o Oil?? 1 City License Registration t 2.{". 1 ****************************************** RITTI.DER Signature Signature COMPANY State Cert. or Regist. t City License Registration t ****************************************** PLUMBER COMPANY State Cert. or Regist. # City License Registration , ****************************************** MECHANICAL Signature Signature COMPANY State Cert. or Regist. t City License Registration # ****************************************** OTHER APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS \'be undersigoed understands that this penit lar be subject to 'dad restrictilHlB' ""icIJ lar be lOre restrictive than Citr regulations. rhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with st.te and local regoJ.tllHlB. If the contractor is not licensed as reguired by I.., both the ..... and contractor laY be cited for · sioleoeaoor ,iolatloo ander state I... If the ..... or lotended contractor are oocertala as to rbat liceosing regair....t. lar apply for the intended worl, ther are advised to cootact the City of Zepbyrhills Bulldiog Departaent, (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 'Cootr.ctor Sectioos' of this applicatloo for whicIJ tber alii be respoosihle. If roo, as the ..... sigo as the coolractor, you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting 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 _ HOIeOWner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the .owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to COllencetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all wort will be done in cOlpliance with all applicable laws regulating construction, Joning, and land developteDt. Application is hereby lade to obtain a peIlit to do wort and installation as indicated. I certify that no wort or installation has cOllenced prior to issuance of a peIlit and that all work will be perfOIJed to leet 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 goveIlllental agencies lay apply to the intended work, and that it is Iy responSibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: * DepartJent of EnviroDJental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater rreatJent * Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways * De artJent of Health & Rehabilitative Services EnvirDnlental Health Unit - Wells, Wastewater freatJent, Septic fanks * US BnviroDlental Protection Agenct - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "AU or HA,etc. H, it is understood that a drainaqe plan addressing a .cQlpensating volDle. will be sw.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid unless the wort authorized by such peIlit is cOlleDced within sil IOnths of issuance, or if wort authorized by the peIlit is suspended or abandoned for a period of sillOntbs after the tille the wort is co.enced. One 90 day I!Itension of tille, lilY be allowed for the peIlit with fee charge of $15.00. fhe I!Itension shall be requested in writing to the Building Official. An approved inspection lUst be logged during each sil IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE fO RECORD A NOTICE OF COHHDCEHBlft' HAY RESULf IN YOUR PAYING ntICE FOR IHPROVIHBI1'S 'fO YOUR PROPERTY. IF YOU Ilft'END fO OBfAIN FINANCING, CONSULT WUH YOUR LENDIR OR AN AnORDY BEFORE RECORDING YOUR NOTICE OF COHHENCEHBNT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED 'fO RECORD AND POSf A "NOTICE OF COHHDCEHBlft'". SIGNAtURB: ONIIER OR AGBlft' SIGNAfURB: COlft'RACfOR StATE OF FLORIDA COIJlf1'Y OF The foregOing instrument before me this was acknowledged , 19_ by STArE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC