The URL can be used to link to this page

Home My WebLink About96-6302 BUILDING PERMIT N~ Permit 6302 E CITY OF ZEPHYRHILLS (813) 788-6611 Date 1/ -~'7-;9~ BUILDING ~ PLUMBING MECHANICAL pmpertyown~L~d~~ JobAddress:__ J ~__"NI' Parcell.D. # Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work E!,,~Code: fA#!& ~ Radon Gas: }rJ<E~ -&~ 1:;L-(9-9-J. //:/s- Y1 f11 NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. If). - J DATE DATE Inspector City License Registration # State Certified License# ~A'//~A- IY7 Permit Fee Signature Company Address Telephone# 6l... O. c/<.~ ~., A~ ---...t--- .,;.t.. _ .; ~ Valuation or Contract Price fie bJ-rl (l.Lt .1 BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. 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 t S ADDRESS IS'"::> \0 -t m f'\ r r t 4., (\ h 4 vY'. ~q <0 3::;, C h c\ h <--e. y Rood f PHONE OWNER t S NAME ~ -:s 'i JOB ADDRESS 5Am~ LEGAL DESCRIPTION: LOT(S) 3~ BWCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~lteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _, of Units _M/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 2s:;:..ELEcnuCAL $ Valuation of Total Construction \Dv AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER Signature COMPANY State Cert. or Regist. t City License Registration . ****************************************** ::.:::C~ ~~g;'h~ COMPANY ~ ~ r- ~ , State Cert. or Regist. , F .r 17 t::) oot:? 6 I City License Registration f 187 ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration t ***********~****************************** OTRRR COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. , ~. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peflit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. fhe undersigned assUles responsibility for COIpliance 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtheflOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the UContractor 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 peflitting 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 uFlorida' s Construction Lien Law - HOIH!OIfJ1er' s Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the "owner" prior to cOlJeDceJent. 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 cOllenced prior to issuance of a peflit and that all work will be perforted to teet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in 14e jurisdiction. I also certify that I understand that the regulations of other govel1lleJ1tal 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 IjJited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, 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 Enqineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan addressing a "cOlpensating volUJe" will be subJitted which is prepared by a professional engineer registered in the State of Florida prior 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 the technical codes, nor shall is~uance of a perlit prevent the Building Official f[OJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peflit issued shall beCOle invalid unless the work authorized by such perlit is cOlJenced 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 cOllenced. One 90 day extension of tile, JaY be allowed for the peflit 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. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING YVICE FOR IMPROVBMBNTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COMSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIMG YOUR NOTICE OF COMMENCEMENT. JOBS UMDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT II . SIGNATURE: O'rIllBR OR AGENT SIGNATURE: CONTRACTOR 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC