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Home My WebLink About96-6357 BUILDING PERMIT -.. c ! 6 7: CITY OF ZEPHYRHILLS Permit N - 35 (813) 788-6611 ,- Date .1:2 - ;2.& -'l~ ~- ~u ~RIC~) P~ ~'fz ~ //71 I J Cf-H 6 r- ~~ewerConn Water Conn: Property Owner: Job Address: Parcel I. D. # v ~ ~lr;: - Water Meter: T"I.F.'s: 9: ~Olt"" ah- Zoning: Description of Work FINAL ~- :d.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 Valuation or Contract Price ------- o Perm;' Fee ~5t: Signature i./ ( ~'::.1~ Company Address Telephone# City License Registration # .----------- State Certified License~------ @,P7U9 B~- ~ ELECTRICAL PLUM~ ~ ME~ 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 ($15.001 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 ZEPHYRllILLS BUILDING DEPARTMENT OWNER'S NAME ;:: R A iU J< ;::- 1;rJ I- E Y OWNER'S ADDRESS / ~.#- 7""P::s y JOB ADDRESS /.t'.# 7' 9 3 </ PHONE 1/ f~o - 71 d- ~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. , (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction --^ddition ____Alteration _Repair _Install _Sign _Hove ____Demolish JJ .. PROPOSED USE: --.k::::Single Family _H/F _' of Units _H/H ____C~ercial _lndust. _Swim. Pool _Other _Restaurant & Health Department 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 FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _ELECTRICAL lOt) . AMP Service Valuation of Total Construction ~Florida Power Corp. Valuation of Hechanical Installation W.R.E.C. ~UILDING $ -"ECHANICAL $ _PLUMBING GAS ROOFING SPECIALTY nPE OF CONSTRUCTION: ____Block _FrUle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS "PROJECT IN FLOOD ZONE AREA? YES NO ..............................**.*...*..*. CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. , Signature City License Registration' *...**.....***..*......................*.. ELECTRICIAN COMPANY State Cert. or Regist. f SianAture City License Registration . ...*********.....*..***.***.**..******.*.* PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration f **.************.************************** MECHANICAL COMPANY State Cert. or Regist. , 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 perlit lay be subject to "deed restrictions" wbicb lay be lOre restrictive than City regulations. The 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbicb 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 tbe contractor wishes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to pmitting 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 "Florida's Construction Lien Law _ HOIeOWner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is semeone other than the .owner", I certify that I have obtained a copy of the above described doclllent and premise in good faith to deliver it to the "owner" prior to COllellcelent. 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 cempliance with all applicable laws regulating construction, loning, and land developllent. Application is herehy 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 perlit and that all work will be perf oIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the requlations of other governJental agencies laY apply to the'intended work, and that it is If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: t DepartJent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, Nater/Wastewater TreatJent t Southwest Florida Nater ManageJent District - Wells, Cypress Baybeads, Netland Areas, Altering Natercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODleDtal Healtb Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan addressing a "cOlpensating volllle" will be subtitted wbicb 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 witb the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter requiring a torrection of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work autborized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is coaenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. NARNING fO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEHElft' MAY RESULT IN YOUR PAYING TIIICE FOR IMPROVEMElft'S TO YOUR PROPERTY. IF YOU Ilft'EIID TO OBTAIN FINAlfCING, CONSULT WITH YOUR LlIIDER OR !If ArTORIEY BEFORE RECORDIIG YOUR IfOTICE OF COMMEN . JOBS UIIDER $2,500 IN VALUE DO NOT NEED fO RECORD AID POST A "NOTICE OF COMMENCEHElft'N. SIGIfATURE: COlft'RAC'fOR STATE OF FLORIDA COUNTY OF The foregOing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum OF The foregOing instrument before me this was aCknowledged , 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