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Home My WebLink About96-6235 BUILDING PERMIT N~ Permit CITY OF ZEPHYRHILLS (813) 788-6611 - 623513 Date Jf -JeJ--7-6 C~I::~ ",opertyOwne, &7J,I7~ Job Address: ~ ::J-. ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work ~r;:!6code: Radon Gas: NO OCCUPANCY BEFORE CoOo FINAL CoOo s -- ( ~ q/) DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector p~rm;t Fee ~4 J-v Slgnature.:.!i. _ _ '1:1e O/l Company Address Telephone# Valuation or Contract Price / 0 7' /. tlV ./ City License Registration # :;; Y State Certified License# ~n- >>l I1--Md BUILDING ~~ 611.. 79 ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Ins!. Compressor Final SLB Tub Set Water Sewer Final Ftr, Pre SLB /1'/4 ..-9~ &u_ Lintel FRM. Insul. CL WL Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.001 shall be made for each trip for each trade: )/tJ- pJ Ij-</-97 a. b, Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called, Work not ready for inspection when called, Permit not posted on job site. Plans not at job site. Work not accessible. c. d. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. I; ( ~ '~ Lt!) TelL ( .30 1\ J(l ~L_._ IO~ gl . ,~., .'1'-- ~ g I 10 - )-" ~ N I , '\ "0 -j / + '- .~ ~~\ . 1~-'L- tv i' cL--'-y t;U1-t'~ "V~ r 2. ---.. . APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT O~1,'lb ) /1 (15 ./ PHONE 7 ~ ~ - ;J..I 4 S Z4J~; 1I5 j r-I OWNER'S ADDRESS s~~o Po, '!\XL (~( p ClIaYlce;-Rd . t... t) ~ 2- "......., OWNER'S NAKEJ;:: me vu.Q d JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. f (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. _Swu.. Pool ___Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: Conc..re-fe S Ia. h 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 AttP Service Florida Power Corp. W.R.E.C. _HECBAIIICAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BUILDER p~ CONTRACTOR SECTION COMPANY ~hG\r MlL)()Y\Vy C6f1stru.chan,...Lr1<:. '-"V\ State Cert. or Regis t. . ~ (( C tJ tj 5' Y) 1 .:J.- J-Je~1) City License Registration f 2 g - Ce v+ ****************************************** Signature F.T.F.CTRICIAN COMPANY State Cert. or Regist. # Sianature City License Registration t ****************************************** PLUMBER COMPANY State Cert. or Regist. f Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration # ************~***************************** OTRF.R COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to "deed restrictions" which Jay be lOre restrictive than City regulations. Tbe 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 wort, 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 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 Zephyrhills Building Deparblent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for whicb 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 perlitting privileges in the City of Zephyrhills. C" TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D" CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AM.8NDED) I certify that I, the applicant, have been provided with a copy of RFlorida's Construction Lien Law _ HOJeowner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SORone other than the .owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the "owner" prior to couenCeJent. E" CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOIIenced prior to issuance of a perJit and that all work will be perfOrJed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDlental agencies JaY 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 li.ited to: · DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent · Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · DepartJent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks · US EnviroDlental Protection Agency - Asbestos abateJent I also certify that, if fill .aterial is to be used in Flood Zone "AR or "A,etc.", it is understood that a drainage plan addressing a .cOlpensating volUJe" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. A perlit issued shall he construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOJe 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 cOllenced. One 90 day extension of tile, JaY 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 OIUfER: YOUR FAILURE TO RECORD A NOTICE OF COHHElfCEMElft' MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEJIm'S TO YOUR PROPERTY. IF YOU Ilft'EIlD TO OBTAIN FIMAlfCING, CONSULT WUH YOUR LENDER OR AN AnORm BEFORE RECORDING YOUR NO'rICE OF COHMENCEHRlft'. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COHHDCEHRNf". ~.~" .. ~~~~ SIGNATURE: COlft'RACTOR STATE OF FLORIDA COUlft'Y 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. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC C{;Mo t::-.I~~ \)~ 8 ~... ~ ~aso~ Page No. __ of Pages P.O. Box 1003 Crystal Springs, FL 33524 (813) 782-5657 ~ubcontract ~grttmtnt ZEPHYRHILJ..S, FI...L.l\. -.lOB PHONE '1 DATE ~ I !. 1/08/9:; .JOB NAME/LOCATION WI' 92 -.lOB NUMBER I ARCHITECT h TO I;;r'IERA..LD PO fNTE 39630 CdAl'-JCEY RD. JOB SPECIFICATIONS: LAIQRl'u1\JPMA.1'E:R I i\L > FOR~1 Al~'D POUR 81....<\8 > For the sum of $ dollars ($ D97.60 ). The above specified project is to be completed in strict conformance with all specifications and conditions relating to this agreement. In addition. the project is to be performed in compliance with OSHA regulations and local. state and national building codes. Although the contractor has control over the quality of all work relating to this project. the subcontractor is an independent contractor in all respects; the subcontractor is responsible for his employees. his subcontractors. materials. equipment and all applicable taxes. benefits and insurances. The subcontractor is responsible for coordinating his activity with other trades and promptly cleaning up any surplus or refuse which was created by his work. Payment will be made as follows; COM'?LETION OF JJIi ChAjj\, (I '- Co.niracw.- -'r r)e C.. Subcontractor ZEPHYR 1'IASJNR. f CONSTRUCT 1 ON , r~c. Authorized Signature .\ ~:'''''~~'-_.'-' ......-~ -- . J )______-''1- . Authorized Signature t/ .- /?-/ ..'j '. Date ~_ ~ ). - COO) <... Date 11/08/96 --- -_.~.- - - -- - -~.__.-.~ - - - - - --- -- -- ---I CLN'fRAL PERMIlflNG F'(,',:;C I) ::.liUNT '/, : U.lh:.[ [1;:\ L(,~;r L: j 1 /."y:: /9)T .H'1E" :I.~':': ~57 !-.', H.lt:: :[ I,W I J ::::Ur: Of: F ,:.1,:,,0::: U r;:FCE J. F r rl:Il''-lbF:,:: 1,'U:.>:11~"::'..:: C.!)Ni'F<tl(:Ti)F: ~t.: (1 Ii i"J f. : !.. /1;:\ I ;.; L-L ':,U !.' ~ J CJ.: \:ULif-:: -::~'i:::':, P,I.,I!J{';!"toH T i'.iE ':: ':;; T :: i: J ':.' 2 / II 1 L L:: CJf f . 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