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Home My WebLink About96-5807 BUILDING PERMIT 0 CITY OF ZEPHYRHILLS Permit N. (813) 788-6611 --58011/ I~7 -76 Date BUILDING ELECTRICAL PLUMBING ~ECH~'~ Sewer Conn Water Conn: ",.perty Owne" ~ A1..--, ~ Job Address: ...!>-/...3;;;).. - cr '_~ -/r Parcel 1.0. # Zoning: dnergy ~o~: Description of Work ~ "[J .L-/5l/h-.f1.J2 Water Meter: T.I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. l, Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price :l, #-z51-ZJ. ~ , Inspector Permit Fe~~'-,.::ro ""'t- ;;.s-, t:rv Signature~ ~ Company Address DATE i>ol City License Registration # I / 6.3 State Certified License# Telephone# ~~~~ ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAHE-itJ f'- \ Qa Y\^. \ e r- OWNER'S ADDRESS ~l 5'2- l~ -tlA. ~T JOB ADDRESS .::; c?\ V1r...Q PHONE 7~K '2 SIc... LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. f (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: t.../Single Faaily _KIF _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Deparbaent Approval DESCRIPTION OF WORK:---H-- <:. c k~V\~ <€'cQ<...)~ 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 FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERtlITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL ~KEGllANICAI. AKP Service Florida Power Corp. W.R.E.C. $ ~ 0 no. 0 <:Valuation of Kechanical Installation _PLuttBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIlUSBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO , ,. CONTRACTOR SECTION BlJTT.DER COMPANY State Cert. or Regist. , City License Registration f ****************************************** Signature F.T .RCTRIClAN COMPANY State Cert. or Regist. f City License Registration f ****************************************** SismAture PLuttBER COMPANY State Cert. or Regist. f City License Registration , ****************************************** Signature HECBARI~ Signature 760 COMPANY -'--0 C c P9 - C. I v1 c , ~ State Cert. or Regist. " C'-14Cj ~~cr City License Registration , ~ ****************************************** OTHRR COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that tbis pemit lay be subject to "deed restrictions" which laY be lOre restrictive tban City regulations. The undersigned assUles responsibility for cOlpliance witb 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 witb state and local regulations. If the contractor is not licensed as required by law, botb tbe owner and contractor IlaY be cited for a lisdeleanor violation under state law. If tbe owner or intended contractor are uncertain as to what licensing requiretents laY apply for tbe intended work, tbey are advised to contact tbe City of Zephyrhills Building Departlent, (813) 788-6611. FurtberlOre, if tbe owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe "Contractor Sections" of tbis application for which tbey will be responsible. If you, as tbe owner sign as tbe contractor, you are indicating that you, ratber tban the contractor, are responsible for tbe work. If tbe contractor wishes you to sign as contractor tbat IlaY be an indication tbat he is not properly licensed and is not entitled to pemitting privileges in tbe City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, tbe applicant, have been provided witb a copy of "Florida's Construction Lien Law - HOIeOWner's Protection Guide" prepared by tbe Florida DepartJent of Agriculture and ConsUler Affairs. If tbe applicant is sOleOne otber than tbe "owner", I certify tbat I have obtained a copy of tbe above described docUleDt and prOlise in good faitb to deliver it to tbe "owner" prior to cOlleDcl!lent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all tbe inforaation in this application is accurate and tbat all work will be done in cOlpliance witb all applicable laws regulating construction, zoning, and land developllent. Application is hereby lade to obtain a pemit to do work and installation as indicated. I certify tbat no work or installation has COIIenced prior to issuance of a pemit and tbat all work will be perfoIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify tbat I understand tbat tbe regulations of otber goverDIeDtal agencies laY apply to tbe intended work, and tbat it is IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to: * Departlent of Environlental Regulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater TreatJent * Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Healtb fr Rehabilitative Services, EnvirODJelltal HealtbUnit - Wells, Wastewater Treatlent, Septic Tanks * US EnvirODlental Protection Agency - Asbestos abatetent I also certify tbat, if fill laterial is to be used in Flood Zone "AU or "A,etc.", it is understood tbat a drainage plan addressing a UcOlpBDsating volute" will be subtitted which is prepared by a professional engineer registered in tbe State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall issuance of a pemit prevent tbe Building Official frOl tbereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOle invalid unless the work authorized by such perlit is cOllenced witbin six IOntbs of issuance, or if work authorized by the pemit is suspended or abandoned for a period of six IOntha after tbe tile tbe work is cOlleDced. One 90 day extension of tile, IlaY be allowed for the PBI"lit witb fee charge of $15.00. the extension shall be requested in writing to tbe Building Official. An approved inspection lUst be logged during each sillOntb period, or tbe project will be considered abandoned. WARHING TO OWHER: YOUR FAILURE TO RECORD A NO!'ICE OF COMMENCEMEIft' MAY RESULt IN YOUR PAYING twICE FOR IMPROVBIIEII1'S TO YOUR PROPERty. IF YOU IIft'BIfD TO OBfAIH FINAHCING, CONSULT WITH YOUR LEIIDER OR AN AftOllREY BEFORE RECORDING YOUR DICE OF COMMENCEMEIft'. JOBS UNDER $2,500 IN VALUE DO NO!' NEED TO RECORD AIID POST A "NO!'ICE OF COHMENCEMEIft'II. SIGNAtURE: OIftIER OR AGENT SIGMATURE: CONTIIAC'rOR STATE OF FLORIDA COUIft'Y OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUIft'Y 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC