The URL can be used to link to this page

Home My WebLink About97-6544 BUILDING PERMIT N! Permit _a6544~ CITY OF ZEPHYRHILLS (813) 788-6611 Date d~I/-97 .-:) ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: P<operty owne'Jd! ,n- (",.. 7~ Job Address: ~ 33 ~ Parcell.D. # Water Meter: T,I.F.'s: Zoning: Description of Work ~~ ' -- ~ / Radon Gas: Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. ,1 (n DATE NO OCCUPANCY BEFORE C.O. DATE Permit Fee Signature Company Address Telephone# Valuation or Contract Price :J- I d- 07J ~ (/f) , J q Cl-J""'\ City License Registration # _ IOU State Certified License# <Y<rI! jJ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S N~c.. (1.ofY\N\tSky PHONE tJ-A- OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) 33 BLOCK SUBDIVISION 8Y1f-AA<j) PARCEL I. D,' (OBTAIN FROM. PROPERTY TAX NOTICE) WORK PROPOSED:_New construction _Addition _Alteration _Repair _Install _Sign _Kove _Deaolish .. PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other ----Restaurant" Health Depart:aent APProVj . DESCRIPTION OF WORK: C(JJ...X~L \dR\~ PM) / BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ ~~ce/ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp, W.R.E.C. ~CllAllIGAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel Other FDlISHED FLOOR ELEVATIONS: FT, IS PROJECt IN FLOOD ZONE AREA? YES NO ****************************************.. CONTRACtOR SECTION roKPANY \}oL~ State Cert. or Regist.' ~ ~ City License Registration . *....**..*...............**.**............ RtJTLDER Signature SignAture COMPANY State Cert. or Regist. t City License Registration . ......*...**........*.***********..****..* COMPANY State Cert, or Regist. f City License Registration . .****.*.*..........*........**............ PLUMBER Signature COMPANY State Cert. or Regist. f City License Registration . *.***..***.~*...........***.*............. MECHANICAL Signature COMPANY State Cert, or Regist. . City License Registration t *.*******.***.....**........**.*.......... OTHF.R Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe WldelBlgn.d und.lBlands Ih.1 Ihl. pee.11 ',y be .ubjecl lu 'deed e..leicIIUDS' .hlch "y be ..e. reslelcll.. tban CII, eegul.II.... 'be und.e.lgn.d ....... e'.pnnslbllll, fne cuspllanc. .Ith .ny 'ppllcabl. deed e..lelcll.... B, UNLICENSED CONTRACTORS AND CON'!'RACl'On RESPONSIBILITIES ff lb. ....e b.. bleed a conleaclne oe conleacloe. 10 underlal. ..el, lbey..y be reguleed 10 be Ilcensol 10 aCOOCdaoce .11b .Ial. and local eegulall.... If lb. CllI'lraclor Is IIDIllcen..d as eequlred by la., bolb !be llOIIer and conleactor sa, be cited foe a .I.d.....oe ,Iolallon und.e .Ial. I... ff the ....e oe Inlended conleacloe ae. uncerlaln as 10 1101 11....109 eegule....l. lOy apply foe lb. Inl.nded ..el, lb., ae. ad'i'ed 10 cnnLacl the Clly nf Z.pbyehlll. Bulldlog OeparlBeol, (813) 788-6611. Fuelb.e..e., If the ..ner 10. ble.d · conleacLne ne conleaclne., b. I. ad,I..d In ba,. lb. cooleacloe(.) sign poell... of lb. 'Cooleaclor Secll...' of Ibis appllcall.. for .blcb lb.y .HI be e..ponslbl.. If you, as lb. OOIU!C .Ign as tile contracloe, you are lodlcallng !hal you, ealber lban lb. conleacloe, ae. e"ponsibl. foe lb. ..el. If lb. conlractor .18Ios JOB 10 .Ign a. conleacloe thaI ..y be ao lodlcallnn 1101 10 I. nnl penpeely licenSed and Is IIDI enlllled In persilllog prl,lleges 10 !be City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U'!'ILl'fY CONNECTION FEES ",~ D. CONSTRUC1'ION LIEN UIl.W (CHAPTER "lI3, FLORIDA STATUTES, AS AMENDEDI I ceellfy Ibal I, the appllcanl, 10,. been pe..lded .11b a cnpy nf 'Flnelda'. COnslencllon Lien law _ 8......er.. Pcolectlon Cui d.' pe.paced by Ih. Floelda Depael.enl of Ageicollue. and Co.....e Affale.. If the appllcanl is ....... otb.r tban the ....er., I cerlify Lbat f ha.. ul>lalned a copy nf U" above doscribed dOC...nl and penol" In good fallb 10 d.lher It 10 the "owner" prior to co..ence.ent. E. CONTRACTOR 'S/OWNER'S AFFIDAVIl' I ceelify 1101 all lb. Infoe"llon in Ibi. appllcallon I. acenral. and !hal all ..el .ill be done 10 coopll.... wllb all applicable laws regulating construction, loning, and land developlent. I \ Appllcallon I. b.eeby lad. 10 oblaln a perail to do ..el and Inslallallon as Indicated, I ceellfy Iiol DO ...1 or Instal I all.. ban ......coi peloe 10 Issuanc. of a pee.11 and !hal all ..el .111 be pecfursed to ...1 .Iaodards of all lass eegulating consleucllon, Clly codeo, IOOlng eegu1all..., and land d.,.lopoenl eegulall... 10 !be jwrlollctlon. I al.. ceellfy Ibal f und.estand thaI lb. e.gulali... of nlbee go'.rosenlal agencl.. .., apply 10 lb. lolended worl, and !IoI It Is ., eesponslblllly to id.nllfy .bal aCllm" I .u.t lal. 10 be 10 COIpllanc.. Sucb agoncl.. Include but are not Ilslted 10: · OeIoelsonl 01 Bu'le.....lal Regulatl.. - Cypeess 8'Yloads, M.lland Aeeas and ZO,ICOOIOOlally S...ltl.. landa, Water/Wastewater TreatJent I Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · De arlseot of HealIb , HeIobllltatl,. Services Bu,ICODIenlal Heallb UOit - Mell., laste..ter rrealBeot, S.ptlc rants I US EnviroDlental Protection Agency - Asbestos abate.ent I al.. cerllfy 1101. If fill "leelal I. In be used in Flood Zon. '0' ne 'O,.lc.', II I. under.tood !hat. dr.iDags pi.. 'ddeesslng , 'COBpensallng ..I.... .ill be .uboltted which I. peepaeed by , Professl..,1 engineer regl.tered 10 1Io State of Florida prior to perlit, issuance. . A per.lt i..ued &ball b. con.trued 10 be , lic.... 10 peoceed .Ith Ibe ..el and nol as aulloeily to ,lol,ta. canoeI aller, or o;t a.ld. any pe..I.ln.. of the I.chnlcal cod", nor sbaIl I....nc. of a P...lt pre,ent the Building Offlcisl froo lbaresfter requleln, a coreectl.. of .reoe. 10 pi..., con.lrucllon. oe ,Iolallons of an, cod.. ."" )OrBIt lssued AIolI becooe Ioralld unl... the 80el ,ullorl.ed b, 8DCb peesll I. co....ced within .i. 800lhs of i........ oe If ..rl autIor1sed by tIo )OrBIt Is 8Depend.d or abandoned foe a peelod of .1. 800110 aftee th. t1.. the ..el I. ......001. One 90 doy ..t...lon of tiss, .., be '1Iooed for th. pee.lt with f.. chaeg. of 115.00. lb. ..ten.lon .ball be eequested 10 writing to the Bolld!og Official. AD approved inspection lust be logged during each six IOnth period, or the project will con. d abandoned. I18l111flC TO OOHR: YOOII FAlll/111l TO IlHCURO A zorlCll OF ~ IlAY 1IIlSIIL' II , III !OS DIi'IIlVBIIIIrt TO IlXIlI PROPIRrY. IF YOU INTEND TO OnTAIN FIHANCIHG, CONSULT WITH YOUR LINDIR OR AH ATTO ORDIHG YOUR NOTICE OF COHHIHCRHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTIC " SIGNATURI: ONIfIR OR AGINT STATE OF FLORIDA COUHTY OF The foregOing instrument before me this was acknowledged , 19_ by STATE OF LORIDA COUNTY 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 oiJth, (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC . , '- \ ;r ~~...J "\ J I . , . ,," -r J.., ,) I Il~'< ',~-I L~_- L! \J .......t. -.- . t ".:~ J -- ~ lI) 1---' - f" ~ r.- o' ;, '." 1 ! , _. \ ( ) r1 to fJ' rt " '1' I r~ r"- \- 1./.\ + U\ - ~ ? I , I' . .~ I ~I J t ~ , / ,/ '~'~P_-""""'\, / , ~ .. /~-~\-< -\r // '\.~ -- - \ .,/-//\ ,/"", .--/~. ..- ~ /"'. -- ~ ---- ---- .-/.. /'" ~~.-/ }~/ .~ 'f'/' \ -- ' 1- ') oil ') ~ '" -;: ~, ~ ~ ~ D~ It\ V1 J ~, ~ . - o Ii -r I, )' 0? C \.1 ) 'I)