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Home My WebLink About95-5332 Property Owner: Job Address: Parcell.D, # BUILDING PERMITN!- CITY OF ZEPHYRHILLS Permit. (813) 788-6611 ,.- 02-0 6~ 1-5332 .$ )f!-~ c:;~ Date JI) - :?/7-95 - ~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work ~ Code. ~~ ( I~/.)L tadon Gas: ~ . ~t1J7;L FINAL C.O. NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. ~ ~.z:, Valuation or ~ Contract Price Iv 0 CJ 0 "'.. C;ty Ucense Reg;st..t;~ State Certified License Q ~ >-J1.~~ DATE Inspector Permit F Signature Company Address (j)UnJ~ Telephone# Q~ BUILDING ELECTRICAL PLUMBING - ME~ ~ Breakers Ducts Insl. Compressor Final Driveway ~i~ 1~ ~ Tp. Servo Rough In ~ ' /.5"- q(p B4J Meter Can /1'" /3 -9~ I&> Const. Pole Pool Pre-Meter Final ~ jk12,.<j(l8~ ~\ L\<U 4.0~ ~,f- Qt:JB'T/? 5/~ /'1"7 ~15 . Ftr. Pre SLB Lintel FRM. ));1'S....9~ &~ Insul. CL WL SLB Tub Set Water Sewer Final 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKIL.-~\\- \' ) (l ~ C \\'C~ ~ Q I'v'. OWNER'S ADDRESS 5 :)0;:2 Lj Tl\ 5T PHONE / R ~ r). 0 6 d- ?e \,h\(\~ J\~ lIs ' [;/ JOB ADDRESS _ SCi YV\. e LEGAL DESCRIPTION: LOT(S) 19 r ;;0 BLOCK I 5 ~ SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install _Sign ---1Iove _Deaolish PROPOSED USE: _.~:single Faaily _KIF _, of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK:_ReVv>.::lde" u p5\(<~\-<;' BUILDING SIZE: d 1 S X ;US. 1'1,3,75- 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. V BUILDING VELECTRICAL PERMITS REOUESTED $ 15"()7) - ;)(f?J() Valuation of Total Construction /t;() AMP Service ~ Florida Power Corp. W.R.E.C. _KECllAlfICAL $ Valuation of Mechanical Installation ~UMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ~Fraae _Steel Other FINISHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? V- YES NO ****************************************** CONTRACTOR SECTION =~ci..~JJL. COMPANY State Cert. or Regist. t City License Registration . ****************************************** :::~~J~... COMPANY State Cert. or Regist. t City License Registration , ****************************************** PLUKB~~ COMPANY State Cert. or Regist. . Signature. ___ City License Registration' ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this pellit lay be subject to 'deed restrictions" wbich lay be lOre restrictive than City regulations. tbe undersigned assUles responsibility for COIpliance 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 state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the IContractor Sections" of this application for wbich they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to perJitting privileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - HOJeOWner's Protection Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOloone other than the "owner", I certify that I bave obtained a copy of the above described doclllellt and prOlise in good faith to deliver it to the "owner" prior to couencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOJpliance with all applicable laws regulating construction, zoning, and land developleDt. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas COIIeDced prior to issuance of a perlit and that all work will be perforJed to Ieet standards of all laws regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also certify that I understand that the regulations of other governJental agencies laY apply to the intended work, and that it is If responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of BnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDJeDtally Sensitive Lands, Water/Wastewater treatJent t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AllY Corps of Bngineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health i Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic tanks t US BnvirODJental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood ZOne "A' or "A,etc.', it is understood that a drainage plan addressing a .cQlpensating volUJe" will be sublitted 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 perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid unless the work authorized by such perlit is cOlleDced within six IODthS of issuance, or if work authorized by the pellit is suspended or abandoned for a period of six IOntbs after the tile the worl is coaenced. One 90 day extension of tile, lilY be allowed for the perJit 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 IODth period, or the project will be considered abandoned. WARHIHG TO OIlIER: YOUR FAILURB to RECORD A NO'IICE OF COHHBICEIIEn' HAY RESULt IN YOUR PAYING twICB FOR IHPROVBIID!'S to YOUR PROPBRIY. IF YOU IITEND to OBIAIN FIIWfCING, CONSULT WIIH YOOR LEllDBR OR All AnORIIBY BBFORE RECORDING YOUR NO'IICE OF COMHENCBHEN'l. JOBS UHDBR $2,500 IN VALUE 00 NO'I NEED 10 RECORD AND POSt A "NO'IICE OF COIIMBNCBIIBN'lN. SIGNArURE: OWNER OR AGENt SIGNATURE: COImlACTOR srATB OF FLORIDA COUlm' OF The foregoing instrument was acknowledged before me this , 19____ by StATB OF FLORIDA COUNTY 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC <1', 100 :\'?-~~'\ ~/~ ~ ~ Dt\'0. ~ ~~ ~ ~~.cfl,""'~1 ~~~ GO, -p ...... ~ ~ 0' ~(} . \.~ ~ ~ -~ ~ ~. :J'~ ~C/) ~ ~~ ~ ;') '" c ~ < ."g~ ~z~ c:- Qj ao- . "'.... "':b."O_ ~.... 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