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Home My WebLink About96-6033 BUILDING PERMIT Permit N! CITY OF ZEPHYRHILLS (813) 788-6611 Property Owner:i Job Address: Parcell.D. # Zoning: Description of Work Date ~.. \\ Sewer Conn r: ~;:J ,$ I Radon Gas: Q~..bi:: 6u5~ I' c/ '~ (' . NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or ~ -Iv 0 C:' Contract Price T'~. Y f~ -- City License Registration # 7/ /1 / c - ( State Certified License# Telephone# (;?d~L (~~,Jl- .. ~~TRIC~~?'~ . ~. BU~' ~ O:t!:~g!~ ECHANICAL ) Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp.Serv. 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 NAKE PHONE OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: _Single Fallily _KIF _' of Units _K/H . _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: 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 FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _KECBAlfICAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FDfISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature 7 ELECTRICIAN /'1 COMPANY 1\ I c;;4;e~J CK/f~{,/oI/f-c.: L FL#c./- Cd-vT4";dt'( ~/.,. / j ~. /l State Cert. or Regist. , SiQfu,tur~/Jt? I'--ehe;' L/cd-p-Tx!~ City License Registration' () ?:2.. ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** KECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** OTRRR COMPANY State Cert. or Regist. f Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to 'deed restrictions" which laY be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance 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 laY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents laY 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 NContractor 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 laY be an indication that he is not properly licensed and is not entitled to per.itting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HoIeoIner's Protection Guide" prepared by the Florida Departlent of Agriculture ,and ConsUJer Affairs. If the applicant is so.eone other than the Downer", I certify that I bave obtained a copy of the above described docUJeJlt and pra.ise in good faith to deliver it to the NownerD prior to COllencetent. 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, loning, and land developlent. 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 perJit and that all work will be perforted 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 goveIDIeDtal agencies laY 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 lilited to: I DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US Environtental Protection Agency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone "An or "A, etc. n, it is understood that a drainage plan addressing a 'ca.pensating volute" 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 tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perJit prevent the Building Official fra. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOntha after the tile the work is cOBenced. One 90 day extension of tile, lilY be allowed for the perJit 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMUCEMEH! HAY RESULT IN YOUR PAYING 'NICE FOR IHPROVEHEIft'S TO YOUR PROPERTY. IF YOU IIl'I'EHD TO OBTAIN FINAJlCING, CONSULT WITH YOUR LElfDER OR AH ArTORm' BEFORE RiCORDING YOUR HO'flCE OF COHHEHCEHENT. JOBS UNDER $2,500 IN VALUE 00 HOT NEED TO RECORD AJfD POST A "NOTICE OF COMHENCEMEN'l". SIGHATURE: CON'lRACTOR SIGJfA'fURE: OIfJfER OR AGEN'l STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by 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. 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