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Home My WebLink About96-6053 BUILDING PERMIT Permit N! .. ~o. 0-0 BUILDING ~ Propsrty Owns' 7.~~. 5 Job Address:~_1-7~ .- R--: ' r CITY OF ZEPHYRHILLS (813) 788-6611 Date -. 6053;1 f?' -J-/- 7' t., ~ ~ PLUMBING Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel 1.0. # Zoning: Description of Work Energy Code: - ~ /4-) ,+ / C- Radon Gas: FINAL DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Permit Fee Signature ,_ Company Address Telephone# Valuation or Contract Price 'f J~.'zl - t-r-t:) City License Registration # /..!:>-'/ State Certified License# BUILDING ELECTRICAL PLUMBING _ d7L7~/l1 'I r;r/' MECHANICAL - ~ /Z"o' ~7 Breakers Ducts Insl. Compressor F:inal SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel 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 OWNER'S N~Y"\P t.. lAJ"\,~ OWNER'S ADDRESS 5 7 30 ~""~ S-t-r'ee..+- JOB ADDRESS 5730 <i;tA S '" ree'" c G s....~.... LEGAL DESGRIP'l'ION: LOT(S) \ 'I ' I J v~ olZ,O BLOCK PARCEL I.D.t--.ll'" "2 ~ ..."2,. (- ~ 4 - ,~ -I <1 PHONE 7 <if 3'" 2:2. ~'t ~ L.{ SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _eo..ercial _Indust. _Swill. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK:~/;1 ~-/an. J~~pt.J--( t:t.cl. O~ort... . 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 ~MEGllANICAL , ~ S~rv'ice Florida Power Corp. S ~ - cr /50 Valuation of Mechanical Installation W.R.E.C. _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: F'f . IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... I' CONTRACTOR SECTION BITII.DRR COMPANY State Cert. or Regist. , City License Registration . .......................................... Signature ~= ~ ~ COMPANY"ttl~ E: ,.', ~0 . , lAB. ~ '\ _ '"., State Cert. or Regist. ,-C; d - ~ ~ City License Registration . ,237 - i;,Cd:. ' /2lf.(n .......................................... /' D? PLUMBER Signature .. COMPANY State Cert. or Regist. . City License Registration . ................................ COMPANY 5 State Cert. or Regist.' C. . 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 fhe undersigned understands that this perlit lay be subject to "deed restrictionsD whieb laY be lOre restrictive than City regulations. fhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTORRESPONSIBILI~IES If the owner bas hired a tontractor or contractors to undertake work, they lay be required to be ~icensed 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguiretents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. ' FurtheIlOre, if the owner has hired a contractor or contractors, be is advised' to 'have the contractor(s) sign portions of the "Contractor Sections I of this application for whieb they will be responsible. . If tou, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the ccintractor wisbes you to sign as contractor that laY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. 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 "Plorida's Construction Lien Law - HDIeOIDer's Protection GuideD prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is sOleOlle other than the "ownerl', I certify that I bave obtained a copy of the above described docUlent and prOtise in good faith to deliver it to the "owner I prior to cOllellcl!lent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlatiQnintbis, application is accurate and that allvork will be done in cOlpliance with all appliCable laws regulatinq construction, loning, and land develo~ent. 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 perlit and that all work will be perfoIJed 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 govel1lllel1tal agenCies lilY apply to the intended work, and that it is IY responsib,ility to identify wbat actions I lust take to be in cOlpliance. Sueb agencies include but are not luited to: · Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater freatJent · Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses · ArlJ Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health i ~ebabilitative Services; EnvirODleDtal Health Unit - Wells, Wastewater freatlent, Septic fanks t US EnvirOJllental Protection Agency - Asbestos abatl!lellt . I also certify that, if fill laterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan addressing a "cOlpensating VOlUleI will be subJtiUed whieb is prepared by a professional engineer registered in the State of Florida ~rior to perlit, issuance. A perlit issued shall 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter requirinq a correction of errors in plans, construction, or violations of any code. Every pertit issued shall bea. invalid unless the work authorized by sucb perlit is cOlleDced within Sil IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IODtbs after the till! the work is COIIenced. One 90 day I!Itension of tile, lay be allowed for the perl~.t with fee charge of $15.00. fbe extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during eaeb sillOnth period, or the project will be considered abandoned. IIAIUlING fO omR: YOUR FAILURE fO RECORD A NOfICH OF COMMDCEllEIff MAY RESULf IN YOUR PAYING filCH FOR IHPROVIMBIfS fO YOUR PROPERfY. IF YOU IIlfEIfD fO OmAIN FINANCING, CONSULf WIfH YOUR LDDER OR All AffORREY BEFORE RECORDING YOUR JlOfICE OF COMMENCEHBIff. JOBS OMDIR $2,500 IIf VALUE DO NOf NEED TO RECORD AND POSf A "NOflCE OF COHHENCEMBIffI'. ~~~~ " , SIGIIA~~jd Nf SIGNAfURE: COlffRACfOR Sf A'll OF FWRID{Q COIJNfY OF ,0 tZ-t' ) The foregoing instrument was acknowledged before me this /? I/a-cfl..u, 19%- by Sf ATE OF FLORIDA COlJIIfY OF The foregoing instrument was aCknowledged before me this , 19_____ by known to me or who has and who did/did not (~ ure) :5'~ . tTJ5BIE . 0E'/ ..u:?~ (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC ..\,~'1~tfJ."", Bobble S ............. ~~!!\..~ . .,,,,,"',,"u f,,({tJ;..~ :"~ MY COMMISSION' CC534927 EXPIRES ~.~.~~ February 22. 2000 "'~iif. :~1f...., BONDeD THRU TROY FAIN INSURANCE, tNC,