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Home My WebLink About95-5321 BUILDING PERMII - CITY OF ZEPHYRHILLS Permit ]I! (813) 788-6611 1-5321 Date It - ;tY- 7,.s- ('.'/ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owne' ~~:":l- 6' ~ Job Address: ,? _._ _1-/ -<-L_ _ - Parcell.D. # Zoning: Energy Code: Description of Wor~ R ~ ~~I Water Meter: T.LF.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL }(!)- 3/- qs DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector ~':;' Permit Fe. << Sig"'atur~ '" ~ ~ Company Address Telephone# Valuation or Contract Price ~ ~ 1/ [). cr-v City License Registration # :J X---:;L.. State Certified License# ~ -ALx~/l-~ BUILDING ELECTRICAL PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. 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. " ~PLtCAT10N FOR PERM1T C1TY Op:ZEPHYRHILLS. " . "BUILDING DEPARTMENT ... ~."r'h:; ~.' ~.1': _! ..J.._ JOB LOCATION '~d-\~Q~'Lg~t.l'~~LU~~~ l\Z,~ s, ~..~.~j,f\-~6*J. ML O~PM OlNt-~ b~S52 --:Pl~'Om~, ',2\\ ~ . '~~ ;.-=-r ~r~ .: ".. ADDRESS P~~~:"""~/StC1.- .p~ APPLICANT '. OWNER ~;. .~:.... LOT SIZE x AREA SQ. FT. : t ~ ~ LEGAL DESCRIPTIO~: LOT(S) BLOClC SUBDIVI~ION PARCEL 1. D. 4. WORK PROPOSED:_New Construction -Addition ~lteration -Repair _Ins.~all _Sign/Temp. _Sign ____Move ----Demolish PROPOSED USE: _Single Family ~/P _~ of Units ,----H/H _Commercial ~Indust. ____Swim., Pool Other _Restaurant & Health Department Approval 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 & {i) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. pF.RMITS RF.otlF.STED _BUILDING $" \, '2.-40 .. CC> Valuation of Total Construction _ELECTRICAL AMP Service Florida power Corp. _W.R.E.C. ~ECHANICAL $ Valuation of Mechanical Installation GAS X /' ROOFING SPE((IALTY . _PLUMBING .~ . TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~ONTRACTOR SECTION Company State Cert. or Regist. # City License Regis~ration ****************************************** : ~::::~.:: AN / / / Company State Cert. or R~gist. ~ City License Registration ****************************************** . Company / , State Cert. or Resist. #;Y'/ City License Registration # ****************************************** . Signature Company State Cert. or Regist. # City License Registration ****************************************** . DINER Z2}~<- Signature ' ~-> ~ Company ~.~~~ ~S~\').Gn~r-l State Cert. or Regist. 4. ~ct...c;;:Q"t:<r-'-Hr~ City License Registration # ~~ ****************************************** , PERMIT OFFICER. APPLICATION APPROVED BY CONDITIONS O~ PERMIT AfFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und~rsigned understa~ds that this perlit lay b. lubj.ct to .d.ed restrictions" which lay be IDre'r..t~ictiv. th.n City r.gulatlons. Th. und.rllgn.d alluatl r'iPonlibility:'for cOlpli.ne. with any appliclbl. d..d r.strkctionl. , . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES . If the owner has hired a contr~ctor or contractorl to und.rtak. .ork, they lay be requir.d to be licensed in accordlnc~ with s~.t. ~nd 10c~1 regulatio~s. ~f th. contr.ctor il not liclftltd II required by law, both the owner Ind contr.ctor I'y be Clt~~ for a Ilsdele.nor vlolatl~n und.r ,t.t. 1... If tb. o.ntr Dr intended contractor art unclrt.in .s to wh.t lic.nsing requlr'l.nts I'y apply for the Int.nded 'Drk, tbey .r. advil.d to cont.ct the City Df Z.phyrhills 8uildi~ Dlp.rtl.nt, 18131 788-6611. . Furtherlore, if the OMner h.s hired a contractDr Dr contractors, he is .dvised to have the contrictorls) sign portions of the "Contractor S.ctions" of thil .pplication for which they will be responsible. If you, al the Dwn.r sign .s th. cODtr.ctor you are indicating that you, r.th.r thin the contrlctor, .r. r.lponlibl. for the Mork. If thl contrictor wishes you to si~n as cDntractor th.t I'y be an indic.tion th.t he il not properly licensld .nd is not Intitled to perlitting privil.ges in the City Df 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 prDvided .ith . copy of .Florida', Const~uction Lien LiW - HOleowner's Protection Suid.. pr.p.r,d by the Florid. Dep.rtlent of Agricultur. Ind ConlUl,r Aff.irs. If the .pplicant il 10l,ont oth.r th.n the "owner., I certify that I hav. obtained I copy. of the Ibov. d.scribed dOCUlent .nd prolis. in good f.ith to d.liv.r it to the "owner. prior to COI.encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that .11 the infor.ation in this application is accurate and t~at all work .ill be done in coapli.nte with all applic.ble l.ws regul.ting construction, zoning, Ind l.nd d.v.lop..nt. . Application is hereby .ade to obtain a perlit to do work and, install~tion as indicated. I certify that no work or installation has COlleneed prior to i55uance of a p.rlit Ind that ill work will be perforled to leet standards of all l.ws regulating construction, City codes, zoning regulations, and hnd developlent regulation5 in the juri5diction. I .lso certify that I understand that the regulations of other governaental agencies lay apply'to the intended .ork, and that it is IY responsibility to identify what i1ction5 t lust take to be in cOlpliilntt. Sucb agencies ir.clude bllt .Ie 1I0t hlited to: .... . DeDartle~t of Envir~nlentil Reauliltion - Cypr'ls Bayheads, Wetland Are.s and Environaentally Sensitive linds, . Water IWillttwilter Treitlent t SouthMest Florida Witer' "anilaelent District - Wells; Cypr.ss Bilyh.i1ds, Wetland Areas, Altering Watercourses t ArlY CorDs of Enaineers - Se,willls, Dockl, Nivigable Wat.r'i1YI t De arher.t of Health L Reh.bilih ive Sen tS Envir nl h Hea h Unit - Wells, Wa5teMilter Trl!ataent. Septic hnks . US Environlentil Protection Aaency - Asbestos abitelent I also certify that, if fill lateriill is to be used in Flood Zone "AI Dr "A,etc.", it is understood tllat a drainage plan .ddressing a "colpenl.ting volule. will be lub.itted .hich il prepared by a professionill engineer registi(~d in the St.te ~f Florid. prior to perlit issu.nce. A perlit issued shall be construed to be iI license to proceed .ith the Mork i1nd not i1S i1uthority to viol~te, cancel alter, ~r set .side .ny provisions of the technicll codel, nor shall issuance of a perlit prevent the Building Official fr~1 thereiftel requiring. correction of errors in plansi construction, or violations of any code. Every perlit issll~d :hall becole invallo unless the. work authorized by such per.it i, cOI.enced .ithin six lonths of ilsuance, or if Mork authol lzed by the perlit i, suspended Of abandoned for a period of sil lonths i1fter the ti.e the work is tOllenced. One 90 d'1 ~=tE"5ioll of tile, lay b~ allowed for the perlit with fee charge of 115.00. The 'Itenlion shall be requested in writing to tho Building Official. An approved inspection IUlt be logged during each lix lonth period, or the project will be considered jb.lldoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, . CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 30BS UNDER $2,500 IN VALUE DO NOT N~_~~ORD AND POST A "NOTICE OF COMMENCEME SlGNATURE~_~~~~--~~~-- 5~~~- ----------- DATE 1e 12--4- L" ____~ DATE--------.&l~~ ~L----- .,;;;,;~-------+---;f2-.~ "t'emonal1 Kno nIt L . NOTARY" Aeat'NKnn, " ,NOTARY AS ~ OWNER OR AGENT _____ _' ___ -~- CONTRACTOR___ " MY COMMISSIO MY COMMISSI --:j~l."';;t:'::l;~--- Notav t'lJt1Iic. ,rote of FtoIIdo My Comrn ",.;:., JUnQ O. 1997 I..i{.,~ ',:123.')7 00 )"U~ JUOITI;.. SCHAPER Notay Public. State at FloI1da My Comm, Exp, June 6.1997 No, CC 292357