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Home My WebLink About97-6424 BUILDING PERMIT N~ Permit - 642VS CITY OF ZEPHYRHILLS (813) 788-6611 Date j-30 -77 ~ ELECTRICAL PLUMBING MECHANICAL ~::~::"%t~':;-f! ~L ~A-AL/ p~ Zoning: (I E~ergy Code: Radon Gas: Description of Work U A A A/-f ..bl ~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: 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 Permit Fee Signature Company Address Telephone# Inspector Valuation or Contract Price I ___::S o-z? . o-v -' City License Registration # J 7 ~o State Certified License# '7,ji~J. ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Driveway II~d'11 Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. ~C9T <t 3 CA~PS ~~~7 ('IV\/ ^ C ',_,1, rb<" f\.p.( L..,."" '.J' . 2.2..(.2. --I 73.S!> . \ l \1 ~ 1< I J-. "1' bl H\C K Corve ~El~ IN ,"h~ <C}\ W t t2.E.. C6t1..lCJR€l'E F-{ ()fJZ N) [5 \-t rY'fv-Ac H f1' L [j ~ . .. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTKENT OWNER'S NAKE~1h~S CAePs. fY'ALAc.~ IK SAfYll- 4>~ PHONE JJ!A OWNER'S ADDRESS 3~37 .Q.~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED: ~w Construction -.Addition _Alteration ____Repair ____Install _Sign ~ove ____DeIIOlish . PROPOSED USE: ____Single Fallily _M/F ____, of Units ____K/H ____eo-ercial _Indust. ____Swia. Pool ___Other ____Restaurant & Health Departaent Approval DESCRIPTION OF WORK: f) f, l V'>: \.,J Ay BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMKERCIAL : 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 $ /3 C!JO. dC-' Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. --1IECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUGTION: ____Block ____Fralle ____Steel Other FDUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... BUILDER CONTRACTOR SECTION f)l/. COMPANY (fOL/) ct v'; I " State Cert. or Regist. , t ' City License Registration t / if ~<-~; .......................................... Signature ELECTRlCIAN COMPANY State Cert. or Regist. t Signature City License Registration , .......................................... PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... KECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration , .......................................... OTRRR COMPANY State Cert. or Regist. , Signature City License Registration # .......................................... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Ybe undersigned understands tbat this pertit .ay be subject to "deed restrictions" wbich .ay be lOre restrictive than City regulations. Ybe undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, tbey .ay be required to be licensed in accordance with state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor lilY be cited for a .isdeteanor violatien under state law. If the owner or intended contractor are uncertain as to wbat licenSing requiretents .ay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections. of this application for wbich they will be responsible. If you, as the owner sign as the contractor, you are indicating tbat you, rather than the contractor, are responsible for tbe work. If tbe contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided witb a copy of .Florida's Construction Lien Law - HOIIl!OlfI1er's Protection Guide" prepared by tbe Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOJeOne other than the .owner", I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the "owner" prior to cOIlenCetent. E. CONTRACTOR'S/OWER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance witb all applicable laws regulating construction, zoning, and land developteDt. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a pertit and that all work will be perfolled to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in th~ jurisdiction. I also certify that I understand that the regulations of other goveIDllental agencies tay apply to the intended work, and that it is If responsibility to identify what actions I lUst take to be in co.pliance. Such agencies include but are not lilited to: * Oepartlent of EnviroRlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abatetent I also certify that, if fill .aterial is to be used in Flood ZOne "A" or "A, etc. ", it is understood that a drainage plan addressing a "cOIpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. . A per.it 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 sball is~uance of a per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOle invalid unless the work authorized by sucb perlit is cOllenced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOnths after the tiae the work is cOllenced. One 90 day l!Itension of tiae, lilY be allowed for the pertit with fee charge of $15.00. Yhe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned. WARHING TO OWNER: YOUR FAILURE YO RECORD A NOTICE OF COMMEffCEMEIft' MAY RESUL'1' IN YOUR PAYING 'lVICE FOR IMPROVEMEITS '1'0 YOUR PROPERlY. IF YOU IIft'Erm TO OBYAIM FIKAlfCING, CONSULT WIYH YOUR LErmER OR AI A'1''fORm BEFO HE ING YOUR NOTICE OF COMMENCEMRN'l'. JOBS UMDER '2,500 IN VALUE DO NOT NEED 1'0 RECORD AID POSY A "NOTICE OF C " SIGNATURE: OWNER OR AGE1ft' SIGNATURE: C SYATE OF FLORIDA COUN'l'Y OF The foregOing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUN'l'Y 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