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Home My WebLink About96-6223 BU"ILDING PERMIT N~ Permit CITY OF ZEPHYRHILLS (813) 788-6611 ~ 62238 '1-5.--: trV ~ILDI~ Date .'/- 5'- -96 ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: :~~::,~:~e'1t &_ ~i1 g- Parcell.D. # Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: (~/\r~ Radon Gas: .J. ~ - :;;l.. NO OCCUPANCY BEFORE C.O. FINAL ~';J r 31- 1~ 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 City License Registration # State Certified License# /17 , Permit Fee Signature Company Address Telephone# Q~%.-k Valuation or Contract Price J..t.f t77J ~ 0-0 / a Q~<.. (J BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. IfILf/qflt~ Tp. Servo Pre SLB /. I Rough In Lintel Meter Can FRM. Const. Pole Insul. CL Pool WL Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Driveway ~ l'Z"z.lo...~w e>,LL. 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 ZEPIIYRlIILLS BUILDING DEPARTMENT OWNER · S NAME ~ Rv8J;f(J v .S 6 Z CJ ___ c;-- p .rn f> K r;;- ,ST PHONE ~82 - 829'Y OWNER · S ADDRESS /97# ..--- r: JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.' WORK PROPOSED: ~ew Construction ~ition (OBTAIN FROM PROPERTY TAX NOTICE) ----Alteration ____Repair ____Install ____Sign PROPOSED USE: "/Single Family _Move ____Demolish ____M/F ____, of Units ____MIll ____CORIIeccial ____Indust. ____Swim. Pool ___Other ____Restaurant & Health Department Approval BUILDING SIZE: WORK: I~X /8 ;<7 X /8 , c 171{ tPo~-r DESCRIPTION OF Square Feet, lIeight 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 ~~UILDING $ ;z9CCJ. (2 C? Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FrUle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BUlIDER CONTRACTOR SECTION ottPANY ;=J \J Is C D /l-.6' T- State Cert. or Regist.' C I? C 033"7' L I City License Registration' / i./ 7" , ***************...*..**..***....**.* Signature ELECTRICIAH COMPANY State Cert. or Regist. # City License Registration # *..******.****..***********.****.*.*****.* SiRlUlture PLUMBER COMPANY State Cert. or Regist. f City License Registration . *****************************.************ Signature KECHANICAL COMPANY State Cert. or Regist. , City License Registration t *****.******~***************************** Signature omF.R COMPANY State Cert. or Regist. , City License Registration' ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this perlit lay be subject to "deed restrictions" wbich JaY be lOre restrictive than City regulations. 'he undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, tbey 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 Jay be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtherJOre, if the owner bas bired a contractor or contractors, be 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 wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting 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 - HOIl!OWDer's Protection Guide" prepared by tbe Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOJeone other than the "owner", I certify that I bave obtained a copy of the above described docUJent and prOJise in good faith to deliver it to the "owner" prior to cOJJenceJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance witb all applicable laws regulating construction, zoning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOlleDced 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 developlent regulations in ~~ jurisdiction. I also certify that I understand tbat the regulations of other govelDlental agencies aay apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in coapliance. Sucb agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic 'anks 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 .cOJpensating volUle. will be sublitted wbicb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued sball be construed to be a license to proceed with tbe work and not as autbority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~uance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becOJe invalid unless tbe work autborized by such perlit 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 work is COlJeJlced. One 90 day extension of tile, JaY be allowed for tbe perlit with fee cbarge of $15.00. Tbe extension sball 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 COMHHNCEMIlNt HAY RESULT IN YOUR PAYING !WlCE FOR IHPROVEHmS TO YOUR PROPERTY. IF YOU INtEND TO OBUIN FIMAMCING, COMSULT WITH YOUR LIMDBR OR AM AftORm' BEFORE RECORDIMG YOUR NOTICE OF COMHENCBHENt. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHBNCEHENt". SIGNAtURE: OWNER OR AGENT SIGMATURE: CONTRACTOR StATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum 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. 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