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HomeMy WebLinkAbout96-5631 BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit ]I!. i - 5631A (813) 788-6611 Date ;;. _;}?---- 7' b ~~ ELECTRICAL PLUMBING MECHANICAL P<aporty Own" J1! ~ -f l::;L:;jyr JObAddress:..3V~ g,------'_ _.__ _ 31 Parcel I. D. # Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work_ ~.A..e..PA'l. ~ Radon Gas: FINAL (., 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. Inspector Perm;' Fee ~ 0-iJ Signatur0-;7. A~4~~ Company Address Telephone# Valuation or Contract Price 6'bC)'P7) City License Registration # State Certified License# h .J'YV2/'I_ BUILDING ELECTRICAL PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo 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 --;; // --:;>' ra,w F7~'~- PHONE (8 (3) 7? 2, ~ () /y Z L- ;t;:t t:P< ? I OWNER'S IWIE M c::;ty){ ~ Ve Ya !\e r ~1..rt.. W' OIIIIEIl.'S ADDIlBSS j 9' 7 tJ ;; ,V C~~ / A"cf. JOB ADDRESS JY~~--e-P LEGAL DESCRIPI'ION: LOT(S) PARCEL 1. D. f WORK PROPOSED:_New Construction Pcklition ----1U.teration ~pair _Install _Sign --Hove _Deaolish PROPOSED USE: _Single Faaily --H/F _, of Units _K/B Swia. Pool Other - 1-1;/'/ I ~'~~ _Restaurant &: Health Departaent Approval _A--!!'~ I" inn" "'/1; I r (, (J l:A /~. /,7,~:r /1. d tn DESCRIPTION OF NORK: ~~V\P,/X:/ ./Z"t.~ 0.. ~ _,_ BUlLDIRG SIZE: >( /f X / J If _ec-ercial _Indust. Square Feet. Beight RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUlLDIRG PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REQUESTED -----BUlLDIRG $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. N.R.E.C. ----"ECllAlfICAL $ Valuation of Kecbanical Installation _PLUHBIRG GAS ROOFING SPECIALTY TYPE OF COIJSTRUCTION: _Block _Fralle _Steel Other FIlJISBED FLOOR ELEVAfiOIJS: FT. IS PROJEct IR FLOOD ZONE AREA? YES NO .......................................... CONTRActOR SECTION Signature 't.J.Ava~ - COKPANY ~ State Cert. or Regist. f }~..M'-4.! City License Registration f ..................................*.**.*.. BIJTTJlER, RI.RCTRICIAN COKPARY State Cert. or Regist. f SianAture City License Registration f .....*.*.....*...*...............*.*...... PLUMBER COKPARY State Cert. or Regist. f Signature City License Registration f ...................................*...... IlECBANlCAL COKPARY State Cert. or Regist. . Signature City License Registration f ...............*.....................*.*.. OTRRR COKPARY State Cert. or Regist. f Signature City License Registration , .................*........................ APPLICATION APPROVED BY PERKIT OFFICER. ';"', CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'he undersigned understands that this pertit lay be subject to Ideed restrictions" which lily be lOre restrictive than City regulations. the 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 JaY 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 lilY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. Furthel'lOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the IContractor Sectionsl 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 lilY 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 - HOIllOW.Iler's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJeOne other than the "owner", I certify that I have obtained a copy of the above described dOCUJent and pnmise in good faith to deliver it to the "owner" prior to COlleDCeJeDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlition in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, zoning, and land develo~ent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation bas ~ced prior to issuance of a pmi t and that all IIOrk will be perforJed to Ieet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. lalso certify that I understand that the regulations of other governJental agencies lilY apply to the intended work, and that it is If responsibility to identify what actions I lust take to be in colpliance. Such agencies include but are not Haited to: I DepartJent of Environaental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/llastewater !reatJent I Southwest Florida lIater Hanagelent District - lIells, Cypress Bayheads, lIetland Areas, Altering lIatercourses I ArtY Corps of Engineers - Seawalls, Docks, Navigable lIaterways t DepartJent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'l'reatlent, Septic lants t US Envil'ODlental Protection Agency - Asbestos abatl!leDt I also certify that, if fill Jaterial is to be used in Flood Zone "AI or "A,etc.", it is understood that a drainage plan addressing a "COJpenSating volllle" will be subaitted wbich is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A pertit 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 the technical codes, nor sball issuance of a pertit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid unless the work authorized by such perlit is COllellCed within sillOnths of issuance, or if IIOrk authorized by the pertit is suspended or abandoned for a period of six IOntbs after the tiae the IIOrk is COIIeDced. One 90 day l!Itension of tile, lay be allowed for the perIIit with fee charge of $15.00. 'l'be l!Itension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sixlODth period, or the project will be considered abandoned. WAlUfING '1'0 0IIlfER: YOUR FAILURE '1'0 RECORD A NOTICE OF COHMDCEIID'I' HAY RESUL'I' IN YOUR PAYING NICE FOR DlPROVIIIDl'S '1'0 YOUR PROPERTY. IF YOU IIl'fBIID !O OB'l'AIN FINANCING, CONSUL'I' WI'I'H YOUR LINDER OR AN AftORNEY BEFORE RECORDIXG YOUR 1I0UCK OF COMMENCEHRlft'. JOBS UNDER $2,500 IN VALUE DO NOT NEED fO RECORD AND POS'I' A "NOTICE OF COMMENCEMEII'I'''. SIGlAIURE: OVIIER OR AGEIf'I' SIGlA'I'URE: COIf'l'BAC'I'OR SfA'I'E OF FLORIDA COUIf'I'Y OF The foregoing instrument was acknowledged before me this , 19____ by S'I'AfE 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. 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