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Home My WebLink About96-5973 BUILl?~~9HY~L~RM~~!N~ ~~5~7~~ (813) 788-6611 . 1)' Date /f-7-1~ ~ 6~ Sewe' Conn Water Conn: Property Owner: Water Meter: Job Address: T.I.F.'s: Parcel I. D. # FINAL_ ?-- C.O. _ DATE Zoning: NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee Signature ~ Company Address Telephone# ----...... ------,. Valuation or ~ _ ~ Contract Price . ~~ 0 ,. City License Registration # 7 ( State Certified License# MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ~ -1." 'C( to .Bl)~ SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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 ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME Ronc:l1 rl Atkinson PHONE 782-4729 OWNER'S ADDRESS 6221 Agate JOB ADDRESS same LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION Oakside MHP PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Kove _DeJlolish PROPOSED USE: ~Single Family _KIF _' of Units _K/H _eo-ercial _Indust. _Swill. Pool _Other _Restaurant Ii Health Departaent Approval DESCRIPTION OF WORK: Central heat & air BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ ?LJ."in nn Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BlITl.DER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature R1.RCTRICIAN /7 COMPANY!(:c.- /A/e.O {'KHA/d/f~C -,~Ucr. G<./T-e~f..c1C.we.. ./ (J /"~. State Cert:. or Regist. . SbnAture /1='e"r:'A[~--\., ( A.A~-P'/ City License Registration . 0 '7::2... ****************************************** PLUKBER COMPANY State Cert. or Regist. , City License Registration . ****************************************** Signature MECllABICAL COMPANY r.rc:lrlrlnrk 'c; Air r.nnrl it 'i nn i no ~ / // _ State Cert. or Regist. f Signature. (./?..~€C.~, City License Registration' 071 ****************************************** OTRRR COMPANY State Cert. or Regist. f Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be suhject 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 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 aay be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtheIlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of tbis application for wbicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to pentitting 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 - HOIIl!OlfJler's Protection Guide" prepared by the Florida Departlent of Agriculture .and ConsUler Affairs. If the applicant is SOIeone otber than the "owner", I certify that I have obtained a copy of the above described dOCUJeDt and prolise in good faith to deliver it to the "owner" prior to co.uenceJent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify tbat all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developllent. 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 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 goveIDIeDtal agencies aay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to: t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, BnvirODJeDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abateJent 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 .cOlpensating volDle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perJit issued sball 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 shall issuance of a pertit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball becOJe invalid unless the work authorized by such perlit is COIIenced 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 cOllenced. One 90 day extension of tile, laY be allowed for the pertit with fee cbarge of $15.00. Tbe extension 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. WARNING TO amR: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEMEIft' MAY RESULT IN YOUR PAYING UICE FOR IMPROVEIImS TO YOUR PROPERTY. IF YOU IIft'EHD TO OBTAIN FINANCING, CONSULT WITH YOUR LEHDD OR AN ATTORDY BEFORE RECORDIHG YOUR HOTICK OF COMMEHCEMENT. JOBS UlmER $2,500 IN VALUE 00 NOT NEED '1'0 RECORD AHD POST A "NOTICE OF COMHEHCBHEN1'''. SIGlfAt'URE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUlft'Y OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUHTY 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