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Home My WebLink About96-6328 BUILDING PERMIT N! CITY OF ZEPHYRHILLS Permit (813) 788-6611 - 632SP Date / :J- - / ;;l -9 c.. BUILDING ELECTRICAL ~MBIN0 :::::::~.:~r;;~~Jn!r-/ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: '"")")7Ener~ Code: Description of Work---P~ -0--" ;~z';;~C:1 (j -:aLas: _ '~J-vrc- --:z;:- /~7~/ ~~ NO OCCUPANCY BEFORE C.O. FINAL Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector O;J5 Permit Fee Signature Company Address Telephone# Valuation or Contract Price rLi: City License Registration # 19'.5~ State Certified License# .~;trd-.- 4c1A~? .- BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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 ($15.00) 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 NAKE . Ycih I{et C!!:'udrR PHONE OWNER · S ADDRESS JOB ADDRESS ,Cr/g Cc;;/ /J1&4 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition LAlteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single FOlily _H/F _' of Units _H/H _eo..ercial _Indust. _Swta. Pool ___Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: re~-k ~1tt1dYl fJ(~"'rtl~ 10 Ovhlv t3v;U5 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. _BUILDING $ ffo~ PERMITS REOUESTED Valuation of Total Construction _ELEC'J"RlCAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL ~PLUHB~NG TYPE OF CONSTRUC'l'ION: _Block _FrOle _Steel $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY Other FlNISBED FLOOR ELEVATIONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA? YES NO ****************************************** CONTRAC'l'OR SECTION BUTl.DER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature RT.RC'l'RlCIAN COMPANY State Cert. or Regist. . City License Registration f ****************************************** Si'"1Ature Signature COMPANY Seo fI) ~Y(/lcrf State Cert. or Regist. f C[.-CO Y'6l>OO City License Registration' jqm ********************************** PLUMBER MECHANICAL COMPANY State Cert. or Regist. f City License Registration , ************~***************************** Signature OTRRR COMPANY State Cert. or Regist. , City License Registration # ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peClit lay be subject to "deed restrictions" which lily 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 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 lilY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing requireJents lilY apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections I 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 lily be an indication that he is not properly licensed and is not entitled to peClitting priVileges in the City of Zepbyrbills. 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 IFlorida's Construction Lien Law - HOJeOWner's Protection Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOJeOne otber tban the lowner", I certify that I bave obtained a copy of the above described dOCUJeIlt and prOlise in good faith to deliver it to the "owner" prior to cOllenceJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. 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 peCli t and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in t4e jurisdiction. I also certify that I understand that the regulations of other goveI1llental agencies lily apply to the intended work, and that it is Iy responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent * Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arly Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US EnviroDJental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "AI or "A,etc.", it is understood that a drainage plan addressing a UcOJpensating volDle" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. A peClit issued sball be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall is~uance of a peClit prevent the Building Official frCl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued sball beCOJe invalid unless the work authorized by such peClit is cOllenced within six IOntbs of issuance, or if work authorized by the peClit is suspended or abandoned for a period of six IOnths after the tile the work is c~ced. One 90 day extension of tile, lilY be allowed for the peClit with fee charge 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 COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEN1'S TO YOUR PROPERTY. IF YOU INTEND TO OBT1UH FlIIAlfCIHG, COHSULT WITH YOUR LENDER OR Alf AnOmY BEFORE RECORDIHG YOUR HOTICB OF COMMEHCEMEN'l. JOBS UNDER $2,500 IH VALUE 00 HOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMm". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA coum 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC j l.:f ~ \. '\-" " l \ I \ ) \ -- \ ----r-.---- (' ) ) -.----- . .. ,-' . / ..~ 7 /2 j./ () ~_. - .,-'- /- )'-'/ .- /. i I (JI /'/ ) (\ () ,:./ i L p, (/i: ", \ ) \ / ( .' I /1 'I .); ( (~, '. .J C / /v 1//o/ti/!. qJ r~ LJ