The URL can be used to link to this page

Home My WebLink About96-5918 ~ .. {jO BUILDING ~AL PL~~/~. M~~ICAL - :;:;~:~~. Pmpe"" Owne'. ~qt?2L .:::j' ~: Mete, Job Address: _ _t2____ _' r.I.F.s. Parcel 1.0. # ~- ~0 -.:J I-OI?'~ - () //,,?(JO -On AD Zoning: _Ene~y Code: c:p. Radon Gas: ~ . Description of Work ~~<?iLu~~ . ...,{./}"l....-6_ '/<-~j/V>-v &ru----ne.b BUILl?!~9Hy~!RM!IN~ ~~5918b (813) 788.6611 Date 6 -- / 0 -7'6 f8Ai5!dt~ NO OCCUPANCY BEFORE C.O. FINAL "'" ~.-' 2-,5,.- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ~~~t~~~n P';;ce .)S 4 ,3--:/ u-- City Ucense RegiSti.tion # _ . State Certified License# {~7( t1 (j) 'Y 79 ~ c>>..,li:;;.~41/n. 0;j?~ · 'J<P.. ~'>r~-E ~ILDING /' ~ PL~ - ~.~N. S~ Rough In Tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter Final Pe,mit Fee ~ !Z Signature '--~ . a ~/~ Company Address Telephone# MECHANICAl -. Ftr. Pre SLB Lintel Breakers Ducts Insl. Compressor Final 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT r OWNER'S NAME //1/,C' yJ1rS sJ</J.. {I ~cs,. OWNER'S ADDRESS .s 1'/ g/ 0 A Li'5> S A b.r 2~fJ...t/ 1-1,' ( -'_'<_ \' PHONE Prs- 'lKr;- ?/(,pJ FI 33sY1 JOB ADDRESS U.-v ;+- h /!,Idc; J~ / LEGAL DESCRIPTION: LOT(S) BLOCK ,.-.. PARCEL LD.' 1.5- ;;;"~~/-DI7A - DlfdD-oo /'to SUBDIVISION (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install _Sign ~ove _Deaolish PROPOSED USE: LSingle Faaily _KIF _' of Units _K/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: t'..~bUS. ... :::r~S ......l,,~\.. t)..,) , r,,-k (.~.(" r f\...:>-<./s BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COtIKERCIAL 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. PERMITS REOUESTED ~UILDING C>4? $ c2.3S"o .- Valuation of Total Construction _ELECTRICAL _MECllARICAI. AtIP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other PDfISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION RIJTI.Dm COMPANY ~c., ~ J.- State Cert. or Regist. . Signatur~ ./"--------..-:-- City License Registration' ****************************************** RI.RGTRICIAN COMPANY State Cert. or Regist. . Sianature City License Registration t ****************************************** PLUKBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration t ***********~****************************** OTRRR COMPANY State Cert. or Regist. t Signature City License Registration' ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peIlit lay be subject to "deed restrictions" ~iob lay be lOre restrictive tban City regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor tay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing reguirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) 788-6611. FurtbeIlOre, if the owner bas bired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the "Contractor 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 wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting 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, have been provided with a copy of 'Florida's Construction Lien Law - HOIeOlOler's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOleone other than the .owner", I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the "owner" prior to cOIlenCetent. 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 cOlpliance witb all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a peIlit and that all work will be perfolled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies tay 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 litited to: * Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Healtb & Rebabilitative Services, Environtental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US Environtental Protection Agency - Asbestos abatetent 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 volute" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to peIlit. issuance. A perlit issued shall 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 peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid unless the work authorized by such peIlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the lfOrk is coaenced. One 90 day extension of tite, tay be allowed for the peIlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned. WARKING TO OIiNER: YOUR FAILURE TO RECORD A NOTICE OF COHMERCEMEH'r MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMBIft'S TO YOUR PROPERTY. IF YOU IH'rEND TO OBTAIN FlHANCING, CONSULT WITH YOUR LENDER OR AM AnOIUlEY BEFORE RECORDING YOUR IIOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMERCEMEIIT". A ~ ;ii;4Jv:p . .... ~ BlOOm: OIIIIIR OR - iIIT - SIGIIATURB: COH'rRACTOR STATE OF FLORI~ coum OF fA)(" c The foregoing instrument was aCknowledged before me thisJZrV</o , 19~ by -:;;':,4~ f) ~ jJ /"2 L L who is pe sonally known to me or who has produced as i tification and who did/did not ta --~ ,/ /' /'/'7 - ?~i? (J bn!!k~1fC,/ (Signatur STATE 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. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC