The URL can be used to link to this page

Home My WebLink About96-6331 BUILDING BUILDING PERMIT NO CITY OF ZEPHYRHILLS Permit. (813) 788-6611 :LtJ" uv o-u:JMBINV ?<aperty Owne' ~. ff; ffla:!i Job Address: c3?'3 'Z.' ~ 71 ~ ~ Parcell.D. # 6331, Date Irl~Jd -9'6 ;;L () . crv ~CTRICA0 MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~ode: ~ . Radon Gas: Description of Work d "4- tAl (j I' Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Inspector City License Registration # State Certified License# 127 Permit Fee Signature Company Address Telephone# 7'iJ. U?:J L~~ Valuation or Contract Price I,pe.( ~ ~P./l BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. 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'S NAME lO. J-4. '- \ p +? r /.J ct , PHONE OWNER'S ADDRESS ~q<C~0 Ch"",c-e..y Roo.J\L~ JOB ADDRESS ~ me... A ~ A ~)V G. LEGAL DESCRIPTION: LOT(S) ~ ~ BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ----^1teration ~epair ____Install ____Sign ~ove ____Deaolish PROPOSED USE: ____S ingle Family _H/F _' of Units ~/H ____COIIDercial _Indust. _Swilll. Pool ___Other ____Restaurant & Health Department Approva1 DESCRIPTION OF WORK: S.e LUe... r llAe..- 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 X-ELECTRlCAL laD AMP Service Florida Power Corp. W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Insta1lation - -XPLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: ____Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION COMPANY State Cert. or Regist. f City License Registration . ~***~~~******************************** BUILDER Signature ~~ COMPAHY~ ~ r ~ . . % ~ S~ate Cert. or Regist. f eSOOoool;.1 . ~ C1ty License Registration' IC1 *************'**************************** Signature x ~.~). ~ COMPANY "~ State Cert. or Regist. t ~-7-..../{ City License Registration t * **************************************** PUIMBER OW I, -e..- MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration # ***********~****************************** OTHER COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** 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 II which lay be lOre restrictive than City regulations. The 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 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 peClitting 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, bave been provided with a copy of .Florida's Construction Lien Law - Hoaeowner's Protection Guide" prepared by the Florida Deparllent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the "ownerlf, I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the Ifownerlf prior to couenCeJent. 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 has cOllenced prior to issuance of a perlit and that all work will be perfoCled to leet standards of all laws regulating construction, City codes, zoning regulations, and. land develop.ent regulations in ~~ jurisdiction. I also certify that I understand that the regulations of other goveI1llental agenCies lay 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 lilited to: * Department of EnvironJental Regulation - Cypress Baybeads, Wetland Areas and EnvironJentally 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 & Rehabilitative Services, EnvironJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US EnvironJental Protection Agency - Asbestos abatement 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 ucolpensating volUle" will be sublitted 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 peClit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued shall becOle invalid unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authorized by the per.it 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 perlit 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 fO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHEHfS TO YOUR PROPERTY. IF YOU IHTEND TO OBTAIH FIHANCIHG, CONSULT WITH YOUR LEHDER OR Alf ATTORNEY BEFORE RECORDIHG YOUR HOTICE OF COHHEHCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED fO RECORD AlfD POST A "NOTICE OF COHHEHCEMENT". 'Y.. ~ ~,jJ- SIGNATURE: OWN 0 AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY 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 oCJth. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC