The URL can be used to link to this page

Home My WebLink About96-5550 .---- c9-D __ ~ BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit If! (813) 788-6611 !~5550 8 ,--Zi2-----------. ~CTRI~ Date /-9-9-9b Property Owner: Job Address: Parcel I. D. # ~--_.. ~4~~ ' D d ;7. \ M~IL.AL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: U./YJ 7/i],/~ Radon Gas: . ~ 12 n [) I. )}!bt. 'jJr!S NO OCCUPANCY BEFORE C,Q, FINAL _ C,Q, _ {,... Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price Permit Fee Signature Company Address Telephone# _.o)~. rtl.'5" - D 7~j) City License Registration # State Certified License# BUILDING PLU~ ,,- M~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final 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. ~.~....... "'I""r ,_~...,.. -' r ~. )J:" . "Aft? , <""\.'). '"\ 7~~r-.7-. > { ~....~ I'..... .:~ -~1!' , -".. ';:r,<""-'.k-_.."J"..,",.",,;.~. rJ:",j "'~i"'-- ~':.. ~~: :, ~~ ., . ~:~. -::,;. . . :/' ...,~. . ~ .., ~"' ';f'"' t _ " :. ...-'1:1' -...:...{ ~ h -"" J". " f'': ;+ ,:, \.~,:.~~' ~, . ~:", ,;; ~, " . . ~~~~~~;~,. ~. "\' ,'. ,;,' .',> . "'~'" ..:;. , f< ~;'~/A/ez4tJii?' - , APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE /C ~.t'C'fI d f ~ OWNER'S ADDRESSV"it?'irt' ~J~#L}/,/! ~ JOB ADDRESSl/' ~/1hJE PHONE ?~h'y~;f?~ F~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install _Sign ____Kove ____Deaolish PROPOSED USE: ____Single Family ____KIF ____, of Units ____K/H _Co..ercial _Indust. _Swta. Pool ___Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: D)~...-11-ca~~ ~ ~ fJJ.J~<" 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, ~~LDING ~~CAL PERMITS REOUESTED $ Valuation of Total Construction Al1.P Service F.lorida Power Corp. W,R.E.C. _l1.ECHAlUCAI. $ Valuation of Mechanical Insta.llation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Fraae ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION 8J11I1,1ER ~CIJlfpAIIY'/(~_1J1;.~/.I t'F ~ I f /:... '"" ' " State Cert. or Regist. # Signature"/ ~ '4A..A....-'. City License Registration # ******** **** ************************** ~~~~ CIlIIPANY l __J~~l,c." -:!&;t'{..(2. ~A" , -.......::: ~~ ~ ~ State Cert. or Regist. , - (XI n 2- SiQTlAture ~.~ f~ City License Registration * -1 ....-/-'l.... I 'l . ****************************************** (::;/C),D PLUMBER A/;? COl1.PANY S~te Cert. or R~gist..' FR:r~~~~ C1ty License Reg1strat1on t ****************************************** Signature MECHANICAL ;/ Signature _)//).7 . I COl1.PANY State Cert. or Regist. , City License Registration # ****************************************** OTRRR COl1.PANY State Cert. or Regist. t City License Registration t ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER, .cJ.. J...V.l.....\.".I.:I V1.~ J..IuS.:'dJ .l"\";:II.:JJ..1\...L'-..l~VJ.'..:J Tbe,undersigned understands that this perlit lay be subject to "deed restrictions" whicb lay be !lOre restrictive than efty regulations. Yhe 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 state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay bl! cited for a lisdl!leanor violation. under state law, If the owner or intended contractor are uncertain as to what licens:ing requirl!lents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, ,: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 Sections" of this application for which 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 wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting 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 - BOIeowner's Prote,ction Guide" prepared by the Florida Departl~nt of Agriculture and COnSlln-er Aff~ire, If the applicant is sOIeone other than the .owner", I certify that I ,have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the "owner" prior to cOllenceJent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a perait and that all work will be perforled 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 goveIlllleDtal agencies laY 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 liaited to: * Departlent of EnviroDllental Regulation - Cypress Bayheads, Wetland Areas and EnviroDllentally Sensitive Lands, Water/Wastewater Yreatllent * Southwest Florida Water ManageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * Al'IY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Yreatllent, Septic Yanks * US EnvirODllental Protection Agency - Asbestos abatl!ll!llt . 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 .cOllpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. 1\ permit issued shall be construed to be il license to proceed wIth tile work anJ ilot as Quthority to violate, cancel alt.er, or set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official fIOl thexeafter requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued shall beCDe i.nvalid unless tbe work authorized by sucb perlit is COllBDCed within six IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of six IOnths after the tile the IIOrk is coaenced. One 90 day extension of tille, laY be allowed for the peIlit with fee charge of $15.00. 'fbe extension shall be requested in writing to the Building Official.. An approved inspection IlUst be logged during each six IOnth period, or the project will be considered abandoned. WARMING YO OWKEH: YOUR FAILURE 'f0 RECORD A NOfICE OF COIIMEHCEMm MAY RESUL'f IN YOUR PAYING 'fIIICE FOR IMPHOYEMEIft'S 'f0 YOUR PROPERTY. IF YOU IIft'EHD YO OBtAIN FINANCING, CONSULY WI'fH YOUR LENDER OR AN AnORREY BEFORE RECORDING YOUR NO'I'ICE OF COMMENCEMm. JOBS UNDER $2,500 IN VALUE DO NO'I' NEED 'f0 RECORD AND POS! A .'NO'I'ICE OF C<JIMINCEMEIft'''. SIGNATURE: COIft'RACfOR SIGNA'fURi: OWER OR AGE1ft' SYAYE OF FLORIDA COUII'fY OF The foregoing instrument was acknowledged before me this , 19____ by SYATE 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 p:J:Oducad as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC :.:..,. ',:i. , _ .' ~ ,.' '. ~,. .' ~.' .'~~Ir::S;'9#~. I .......- '. ,.j.' . ,,'.. y~ '. .. . ...... .....:' '.. '\\":. ~-n7~ -: ~., ":,/r.' ,.',,~~:~-"';::' ,','. ,. ';'1;:,:;.,:;.;.::1:') "r;;.,::,' '" > . \6 ~(51~ ',2; 3\< "., ,.,'; ,," 'rfi172Y.,(.A('.. .'. ~.. ~~. ...... . ..tt-. ~, ~" ''''rr~;i. ." >:,.::. ,. ,~r::.~)~/:.;:,:ir. " '. . :q~::-,,: :<.' . ,: '~;:<: ' n;:i'.~.:,:f~' .... ,>: . :.. ";:C." ,'~ ) ".;:C. ~~,;;j:. ' .. ..... . \J\ ~ ?~ ..' '. ,iY': "-,:' ."~., .:..i.... ..i. , -a v .,i-~'.~i;-:'ir!J... ....: "~. 'r.;.:~. '.~ ...... ;. :6"e ....<:.3;,.",;.;; ).c:.',-.:..:o .'.. .:'-.' L", " '"...' :., ~~'i. ".. c'::::':;:','.': .,.:;.:.), .~~.: ., .. . Fk":"""-,;'.:""J ., . '.'-..' .' .... ..:r;; '., ""'" . , 'f:.' .' '. " . ;.<. .'. . y ! /;.,,'::'-j(2~ ,... ...".,". ~.\ .,,', .. '.::0:- >' . 'j .) '~~\:...:"<';J;...~. ; ;:;':;/:'"., ' . <. .~. .. ..' .:~ -< .,?:'l"iI.,:,.."" .., ' ..:"- /i! 2:'.cir ..":',3.,:,';'.l'~.;,.C:> '_ >:''' > ~'i>:.:, ," J' '\'", "...I~~:>:~'i'< >bi,p '. . -.;,':, I> . . 7' '. ..0';:;{:: > .:" ~ :,> i ~:?E:,'''',~'' ..,:,." c"t ',:, ~ . ' ,,;-.';:j::~~;';'.,,:'.' ~ ,t ~ " t LAS)' ~ Ivt. G k~J\ ,>'(.<:' .\.", ;'~", ". ".,/-.<.'j, ..," ;", " ~ ., .L.V;-. " '. ....: .:::';:,,: ."", '>:.' . >.~' , , '- . , .,:.';. '., .'~~X~}:. ".J;}"'~{:;~I::jn~;~j':";';:;':' .:t.::.;~.j..;,4\,,_~~ ..ft.t~ N{~ ~tl..J~ .ftsv-: ,,' ... ,.' :'1;:~' .. '.7:'.>-;:.. ... . c'~;;j:,.. .,<.'. . .,; ,:'r~.;;~;;'.<,'t>t-J :: '\{\.u~nLs1-(tt:.,J' 6~ Mb..c..:~tL~ ,';i':,.. \:.,j;,,,,,,..,,:.Z::'.:. ;/:Y~,,, .' . .".. . . -?,,;.;~\'':'.. .......:" .., :,;.:L'- :,..,~:'. (,...V6eunl.i1'l16,v- 5u L~.'A S. ~y >~.~~. ;~. l' .. :"',i$~11:;f'-;':~'~'.~ ';~.C;!': ,:',<: .;,..' .... ,';;.:.J..A\:vL~I&~~~~ _'..c",',.., .:,....;::>...~'i:.," . __. .'>'" t'c'{-. . -.)' ,,i;S.:"'\.~<~7 ;:}~~:;>: : ":.:.':~.' . ,w.;;;,:,.:_ ::~>;~;. "':~,::'S;'-1~n~,. ~.. ,.' :v"""'-c...::..-, .'" ':~';:!i@~~j;';?', i._ .-' . .,- ,. -.., - ::t",:::'H' ~ "''' '"'" 'c,. '.7: 'I ~~;: ,'I -\ ~;: ::.~,~~.~. .' , ~....; .-.... "';:'!\,:.c'~l:: "',,:'r'.;.y !'X~;)":".,. . ". .., "';"":'" ..\c .;i,: ;;:~ '. ,'_ '-"" , '<;';; ;,.-' >,;,'. ~, h..: rtffi~ ~~:;:,.,)~ "R":,. .' ;;, ,Co ''';}h'''':v 'i"~G"~ \ . 'j "., ...; . .~ :~>t:';~';<'";.~:l):,,""'(lS 'Sl1A~t'JoT ::;.:'.Z{':';;L".:'.;-';:;:-;';>,. .', ....,....w;: .'. ..... . ... '," i..;~~;~'..>' ,.":.,~.:;: "';2:t{"'"" t)\l~ l~r6 '(o~uDC'K , I}~).:~[~:.;{~;;-C~''';;: L;' I. i~.: .:;2~,i~~:.. .. , i: I.'D:;} ',}. ;,,::.::,,< .....'\ ~;/;"'...r. '}:' .... . . "';. ;':.'><;~'"'~".;.:'~.~, ;.:',i.....:, . A':: > , . i;.;;S:ti~>f2.<',::;;, 1:5 p"" ., ~";,.?:>~:. ~1'~;;:II';Zl ;~.'~~c:'~ '- ~. .~, ~ ' . ~~'-';'; . ." . :. . ---.. ....', h ;: v~..,~ -~'. ~. -' ~ :":'",',--'. ,-~ ,~>i '<,:,...;'-- .~ :q.~":::{':' , ': . -. ., "..,.' ..: "#~;S;,,: ,,' . .;.L - "; . . '~;.; ::i~ '~x ;.:~"~f li~:~t~t~:':':", ' . :~~~i~ :;-".;. r:',:;,'; ~;t . '.. . . ,,;;; :'c..:: ..;, ..;'i: '. :.~.; ,I. .>.. ;",,::r;;t;' :,\. 5:~:~;7i..s: ," ' :{. ~;{~:~':"'7'~:>": !t.H< ,;:.~~':." ......:: (~\;r;..>' :; ~::: ....A ',.~' '.. ;':~ ~': /\":: .,'.1 "i) i< ,::., <~;.., ". .., . ~~,;"';'r:';';'::.'.'."": :7f"/~,;\)" '~;; j.> . '.~" ,".' ..... -....... . :;;"""'''Ci,'',~.~,--;, '.' .".,.....". .....,...',.;..:-, . ;"",:,:-- :.<,:f.. ':"~..' '.i .':j' ~ -, b - ~ ",._',...,...," ,..A,',....,.,.. . .""'.Cc"<"" '....i.> """"':7 i. ." ''';'."!': ,.:.;i..,\i'.,:L,,~.;:'-:::-\:' ..{ . ~f f :;;'-~\i<::. ";~;::::C"i:~./ i:>; " ,~. \':'-" ',..:-.' .;'.;" .:. .... '. ...."..". .. "'~~~~:~;~"'> .-' ,,< ~~.;itt:~t;i?.;:..~.",:;;.:,-:-j.,~~'~""."~;''''. ,:!!r." ,~~~AJ'F;(~:~.::~< .~<)~-~. -..",,-,,!:-,.,.:...~tJ ", ._. ,~" ".-.,: ;::~< :/;::. .,";:;' {:i:: ." '."".: }~ ",~.,,~;: ~;~ ~,.. ..../" II ',/-" l_ I ~ CA, /.:. ::../ '7 ~ D/-~ 6 0 /,J /,.-) .-, .." Cf /;, /) i \.-f { l r '- l /./ L 6 L !t 6 ( /'- /lu;: .....~ '16 .. ,) '~. , ,YJ;r;b , we;( .. -...-: ',--'-- . ;~. .'.':.>6--!-. 9-~ . \ .' ~""'., "- "," z;~. 60:;):} 1\ "-! ... ~ ..I ~ \V >' /1\ )..... ~1 'J/.' '. r '. . ........... :. ~ . .' "'" .' .., , / I .' ....~. . .....J 1 ~ - ..J - "\,' '. NAN:Y.i ~