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Home My WebLink About96-5865 BUILDING PERMIT 0 ~- . CITY OF ZEPHYRHILLS Permit N · . _ 5865 t3 (813) 788-6611 Date S-J- Y-?b ~LD~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: ~A~ "- ~A .J1P~. Job Address: -..1'-0 t./ / / !1.2:7. ~ Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work Q E!'ergy Code: ~ ~A~~1 Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # State Certified License# Permit Fee OLO, t/i:) Signature Company Address Telephone# Valuation or Contract Price /. () 0-0 . ch} / (1)-..JY\-eA- 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 OIlNER'S IWlE ?I ~ OWNER t S ADDRESS TOy / ~ ~'7~ /7u q 71 J -:- a 3 C) ~ PHONE ~,<<: ~ h~; JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -Alteration --.Jlepair _Install _Sigtl _Move _Deaolish PROPOSED USE: _Single Faaily _"IF _' of Units _M/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant it Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL _MEGHARtCAL AMP Service Florida. Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** /. BUILDER ~ CONTRACTOR SECTION Signature COMPANY V State Cert. or Regist. , ;r ~~ City License Registration' ****************************************** F.T.RGTRICIAN COMPANY State Cert. or Regist. , SianAture City License Registration , ****************************************** PLUHBER COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. * Signature City License Registration , ....*......~....*.***.******************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to .deed restrictions" which lay 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 bas 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 lilY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirlllents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 lilY be an indication that he is not properly licensed and is not entitled to pertitting privileges in the City of Zepbyrbills. 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 - HOIIeawner's Protection Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is sOleone other than the .owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to cOllencl!lellt. 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 pertit to do work and installation as indicated. I certify that no work or installation has cDllenced prior to issuance of a pertit and that all work will be perforJed 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 goverDIental agenCies laY 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 lilited to: * Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanaglllent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abatlllent 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 uCOlpensating volUleu will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid unless the work authorized by such pertit iscOlleDced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOnths after the tile the work is coaenced. One 90 day extension of tile, lilY be allowed for tbe peIlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during eacb six IOnth period, or the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCEMBNT MAY RESULT IN YOUR PAYING !VICE FOR IMPROVEIIBNTS TO YOUR PROPERTY. IF YOU INTEW TO OBTAIH FIHAIICING, CONSULT WITH YOUR LEWER OR AM AnORDY BEFORE RECORDING YOUR HOTIC,J OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AHD POST A "NOTICE OF COMHENCEMBNTII. SIGHATURE: omR OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19~ by STATE 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 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 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DRIVEWAY CONSTRUCTION SPECIFICATIONS 1. DRIVEWAYS SHALL FOLLOW 'THE CONTOUR FROM CENTER OF STREET TO BOTTOM OF SWALE. 2. EXCAVATION SHALL BE SIX (6) INCHES FROM SQUARE CUT STREET EDGE TO BOTTOM OF SWALE, THEN TAPER TO FOUR (4) INCHES AT PROPERTY LINE. 3. ALL VEGETATION SHALL BE REMOVED, RAKED, LEVELED AND TAMPED UNDER TOTAL AREA TO BE PAVED. 4. WIRE MESH IS REQUIRED FROM STREET TO PROPERTY LINE, AND FASTENED TOGETHER WITH TIES EVER FOUR (4) FEET. s. CITY RIGHT-OF-WAY USE PERMIT. 6. PLANS MUST BE SUBMITTED, SHOWING THE ABOVE REQUIREMENTS BY BUILDING DEPARTMENT BEFORE PERMIT IS ISSUED. 7. IF FIBERMESH IS TO BE USED, INDICATE SAME ON PLANS WITH OWNERS APPROVAL. HOWEVER, WIRE MESH WILL STILL BE REQUIRED IN RIGHT-OF-WAY. Cet\-tQp <!\""oL.)v\ Of ~fhe..T - SheoLt v-; v edll{t 6" !. ~ ~/i9b dE.o~ . ,'It ~ ~" ?f'CJf4!W"tr, I ('I1e- .~ . DATE:~,..t'T - t; ~ if CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT RIGHT-OF-WAY USE PERMIT PERMIT /I No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the City Building Department. Any application for approval of cQnstruction operations on any City owned Rights of Way shall furnish a detailed .drawing showing the complete scope of the proposed work in triplicate to the office of the Build- ing Official for approval prior to the commencement of any work. A copy of this permit is to be kept readily available at the site of the work at all times. : ')?j. Date!~ ~,l~-?? Sec No.' , 0 "7 ~ 7 0 -~ ) - ( ~ ~-- City Road 17~~ LOCATION (Legal Description): 176/r 5-1: .J"~ ~ / ,') >t; Permission is hereby granted to of for the construction and maintenance of subject to the following conditions: 1. The construction and maintenance of such utility shall not interfere with be property and rights of a prior occ~pant. 2. All work shall be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Official, who will be notified at least one day prior to commencement of construction. 3. All materials and 'eq~ipment shall be subject to inspection by the City Building Official. 4. During construction all safety regulations of the State Road Department shall be observed and tqe City shall be relieved of all responsibility from damage of any nature arising from this permit: Subject to the same terms and conditions, the permit holder may take such safety measures, inclUding placing and display of caution signs, as it may deem necessary in conduct of construction and maintenance work hereunder. 5. All private and all City property shall be restored to its original condition as far as practical in the opinion of the City BUilding Official. 6~ All underground CI:lCIssing installations shall be laid at su~h depth as may be specified by the City Building Official. 7. The sketch covering the details of this installation shall be made a part of this permit. This permit is granted with the understanding that the applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior installations as a result of his operations in order that they may safe guard their interests. B. It is expressly stipulated that this permit is a license for permissive use only and that the placing of ~~~ilit:ies upon public property pursuant to this permit shall not operate to 'create or to vest any property right in said holder. 9. Whenever the City decides to further exploit the City Rights of Way, any or all of said poles, ~ires, pip.s, cables, or other facilities and appurtenances authorized hereunder, shall be immediately removed from said Rights of Way, or reset or relocated thereon as required by the City BUilding Official at the expense of the holder of this permit. 10. The holder shall save and keep the City harmless from any and all damages, Claims, or injuries that may occur bt..reason of the construction, maintenance, and operation of said facility. 11. . The holder ahall complete the requested work within days or this permit shall become null and void. In the event the work requested is not completed upon the expiration date of this permit, the City shall have the right to complete such work and to charge the holder of the pe~t for all casts incurred in completi~g said work. . 12. The holder shall post a cash or surety bond with ~he City Manager in the sum of $ dollars to guarantee performance of the obligations herein, and to guarantee maintenance of the right-of-way d~scribed,herein for a period of one (1) year following completion of the requested ,installation. In the event a surety bond is posted, the said surety bo~d shall be made payable to the City and shall obligate the surety to hold the City harmless in the event the holder of this pe~t should fail to. meet any of its obligations hereunder. The bond shall also indemnify the City for all court costs and reasonabl~ attorneys fees in the event legal action is required to collect on said bond. '?~:~ . Date '2 ~ SUBMITTED BY: (Permittee) Signature & Title Address