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Home My WebLink About96-6089 . BUILDING PERMIT NO J-rl> ,:..)1 CITY OF ZEPHYRHILLS Permit. ~'~_ t1~~ (813)788-6611 Date 'I - 9 - ZJ" :t.~ --~ ~UILDI~) GCTRICAU - -6089B Zoning: Description of Work M~ Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # Water Meter: T.I.F.'s: /ZLuu.ud 'fl~S NO OCCUPANCY BEFORE e.o. DATE Complete Plans, Specifications and Fee Must Accompany Appli C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price ~~/~OO'~ Permit Fee Signature Company Address Telephone# City License Registration # ~ AI 9 . ~ce";f;~~~O;f~ - J::~_. /} 6,)i;, BUILDING ELECTRICAL#- /7..2 ~G ~AL - Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final Driveway fv~ ll"'I,)"~ L, t;i L-L- .D~ \l......I~/ttC, 5iL..L Ftr. II, /)..f - 96 .;SILL. Pre SLB Lintel jj...jQ,ty/r; &/1 FRM. Insul. CL WL Breakers Ducts Insl. Compressor F:inal SLB Tub Set Water Sewer 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 PERMIT CITY OF ZEPHYRHILIS BUILDING DEPARTMENT OWNER'S NAME E/.57??f.s c. 0 /;1 C'./)ICA-( Ce/J/ .:TEA::: OWNER'S ADDRESS ? () ~7J (.i /!-C{ 1;> l. VI? JOB ADDRESS Yf/.:2</ 0 AJ~r;1rJ 7cA-y J26)A-..P PHONE I LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---Alteration ~epair _Install -4..Sign ____Move _Deaolish PROPOSED USE: _Single Faaily ~<=<-ercial _M/F _, of Units _MID ____Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: fo#.r?/aiCT .s~,4 - //JA.PU7)ZUf~O 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 $ eR.:f"60~ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. --1IECBANICAL $ Valuation of Mechanical Installation _1 TYPE fuP FINI5 ~.--. \S ROOFING SPECIALTY Lock _Fraae _Steel Other YES .x NO _FT. IS PROJECT IN FLOOD ZONE AREA 'I ...................................... ~ COMPANY ~ ;;;!"".J? . State Cert. or Regist. , Signature ~ ~t.e/' City License Registration ,.2 ......................................***. RT.RCTRICIAN // . COMPANY /fi?? t/. ~:, I . State Cert. or Regist. , / City License Registration , ........*.*..*.*...................*..*.** BIJTI.DRR '70- l PLUMBER Signature COMPANY State Cert. or Regist. , City License Registration , .....................*.............**..... ~ MECHANICAL Signature COMPANY State Cert. or Regist. . City License Registration , .........................................* OTRRR Signature COMPANY State Cert. or Regist. , 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. rhe 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguireaents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas hired a contractor or contractors, he is advised to bave 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 lay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the City of Zephyrbills. 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 _ H_owner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleDne other 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 couenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in coapliance 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 cOlleDced prior to issuance of a perait and that all work will be perf oIled to teet 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 goveIDJeDtal agencies laY apply to the intended work, and that it is If responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to: t DepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rphabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater rreatlent, Septic ranks t US EnviroDlental Protection Agency - Asbestos abateaent 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 volllle" will be subJlitted wbich is prepared by a professional engineer registered in the State of Florida ~rior to perlit. issuance. A perlit 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 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 perait is cOlleDced 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 c~ced. One 90 day l!Itension of tile, lay be allowed for the pertit 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. WARlfING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHElft' HAY RESULT IN YOUR PAYING nICE FOR IHPROVEIIENTS TO YOUR PROPERTY. IF YOU ImHD TO OBTAIN FINANCING, CONSULT WITH YOUR LEJlDER OR AN AnORREY BEFORE RECORDIHG YOUR HOfICB OF COMMENCEMENT. JOBS UJlDER $2,500 IN VALUE DO NOf NEED TO RECORD AND POST A "NO'l'ICE OF COMMENCEMENt". ~~~ ~~. SIGNAtURE: OWNER OR AGENt . SIGlfA RE: c~~cm tXJ STATE OF FLORIDA P COUNTY OF 0....5 C. 0 The foregoing instrument was acknowledged before me this ACJ v.s1' IS-, 19 qb by 60b \:D 6J.d ~is personally known to ~ or who has produced as identification take n oath:- (Si9l!ature) '1)~t'\.~~~, J.t/~f'"I~c.h.5 (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA P COUMTY OF aJ ~ C> The foregoing instrument was acknowledged before me this AU vyt /~fo", 19~ by C~c...v {~ Po ~l(t... ~is personally known to m~r who has proauced as identification and who ~did not take~ .q<T~ (Signature) 8 S)~Y\~'t... \f. H,."V"\'c..h5 (Name Typed, Printed or Stamped) NOTARY PUBLIC ""V I'IJ "<:'"\n8<1:o DENEE J HINRICHS *. My Comminlon cec..Q109 * ExpiresMar.28,l9Q9 ~ ~~ Bonded by HAl ~ Of f~II" 800-422-1555 "l\V I'IJ ..<:'''n8<1:o DENEE J HINRICHS *W* My~,........,. CC44e1Ost Expir.. Mar. 28, 1999 ~;. ~... BondedbYHAI ~ Of f\'O" 800-422.1555