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Home My WebLink About97-6549 BUILDING PERMITN8 - .. CITY OF ZEPHYRHILLS Permit. 6549 ~ (813) 788-6611 Date J ~ / J - 1'7 ~~ ELECTRICAL PLUMBING MECHANICAL Property Owner: 13~ ~tiA ~ Job Address: \. -f?.;t R-/ c!. r, Parcell.D. # ,Q,,-Y-d-6 -;;L/ - 0 ~O . <:5 D/I/ 0 - &-1 Sewer Conn Water Conn: Water Meter: T,LF.'s: Zoning: Description of Work Energy Code: 6 XI::, ~rf Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. /3-9 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector elL Valuation or Contract Price b...3 to . crv Permit Fee Signature Company Address Telephone# ~,~~ City License Registration # State Certified License# )70 ~~ .;7:~~ 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. I APPLICATION FOR PERKlT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB ADDRESS {; /~L-' 3136 0 ~..{ ?i / C()TLegl<. C tI/fxJ CE- 'I 6-t~~ PHONE ;7S~ ~/ f(S- C OWNER'S NAKE OWNER'S ADDRESS Rl>. POIth-. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Alteration _Repair _Install _Sign --1Iove _Deaolish . PROPOSED USE: _Single Family _M/F _' of Units _M/H _Commercial _Indust. _Swim. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Department Approval P,.((L FIla 76 //J3~ ~ . 3h Square Feet. b >Cb 15} /-hE.b . BUILDING SIZE: o x 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. ~~G PERMITS REOUESTED $ /' <tD c.o :3 0 . i<)C Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. ~CHAHlGAL $ .. Valuation of Mechanical Ins tally. ion _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDITSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BUILDER CONTRACTOR SECTION ~~COKPAHY S'O'vi577hc -= -~ -- State Cert. or Regist. t .--~- City License Registration t ****************************************** /k()~ fA) Or(. 70' ( Signature ELECTRICIAN COMPANY State Cert. or Regist. # SiRnature City License Registration # ****************************************** PLUMBER COMPANY State Cert. or Regist. f Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration . ****************************************** OTRF.R COMPANY State Cert. or Regist. f Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERKlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A, NOTICE OF DEED RESTRICTIONS . The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay 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 lisdeleanor 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 Zephyrhills Building Department, (813) 788-6611. Further.ore, 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 ~s not entitled to perlitting 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 Department of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the .owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the "owner" prior to couenCl!lent. 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 compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a permit 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 perfo!led to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in th~ jurisdiction. I also certify that I understand that the regulations of other governmental 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 Environmental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatment * Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Department of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US Environaental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understooc: that a drainage plan addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it, 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 issuance of a per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid unless the work authorized by such per.it is cOllenced within six .onths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, lay 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 lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKHENCEMENT". ~~ ~~ ! . u"~~ SIC.- STATE OF FLORIDA ~ COUNTY OF /' /f5 ( 0 The foregOing inst~ent was aCknowledged before me this 3 f-I 0 , 19.1Z by STATE OF FLORIDA ~ COUNTY OF / ;f- S C8 The foregoing ins~r~ent was acknowledged before me this -i--f.Q-, 19_21-,- by who is personally known to me or who has produced as identification and who did/did not take an oath. ~ e~ (Signature) who is personally known to me or who has produced as identification and who did/did not take an oath. ~~ ~-"C (Signature) (Name Typed, Printed or Starn NOTARY '. KEITH CORREIA lR;." ',,/~ MY COMMISSION' CC 451416 ~J EXPIRES: May 13. 1999 ~. ..." Bonded ThN NolIIy PubIc \M1dII'MItIII'8 ,,-., (Narne Typed, P ~.~ or S1:HBI}ttflftEIA , NOTARY PUBLIC {!t'Ji.".,;~ MY COMMISSION' CC451416 ! ~.~{~f EXPIRES: May 13, 1999 . ...'4.,1(.,....'<$-.. Bonded ThN NotIry PubIc UndeIWllblrs t SITE Pl.A.N (RESIDENTIAL USE ONLY) ./ rARCEL 1.D. SEe PROPEHTY MEASUREMENT TWl' RNG ~() I <6! SUllD BLOCK ~/~ LOT b~~-')) CUIUtENT OWNE.HS j) ! (,1- CurL-EI<.. IwrE 11 L_ drawn to Bca1e for all parcels or lots five acres or less. All drawings aba uc 1,-- ~ 10 Sg;:rcJ? ~ MCi~ o '16 j?Uh90 9 . 5 & I STf;.) f- V ' // (. ~'f 15/IAJ9 5LA-P SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIME.NSIONS AND SETBACKS. ALSO, INDICATE AKY BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO TilE PHOPE.HTY. INDICATE THE SIZE, YEAR, ~~D N~~E OF HOBILE; SUCH AS 12' x 60'. 1981. FLEETwOOD. All "EASEMENTS", "RIGHT-Of-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans. C '; e , , / . ,--,- 4) , '!' .,;;..\..\..f.i..,"":,:;,!<.- "~r----"', ..2P ; \ "/ ' l'" " -' .1' ~\, "-'-"... ,--:~ -" "'-\fE~I(.o. ~;,1. rj S!.' ~ 1 r-,,,.,T, ,~T"'.'.'. "'! I! '1,I!' N' ,...~ .. . _ "\ , . I, U l" I d . '.J Iii l , .~ 7528 State r.~::ad ~,1 'Nest ; r\~ ,2 Z[--PHYRHtLLS FL 335t-1 (813) 788.7308 CUSTOMER'S ORDER NO PHON~..-, ./j( '<;( /.' f i' ! ,( () ....- t (j ;; /' ~ C~./LJL0 NAME ADDRESS 1:""6 T .>~I PAID OUT SOLD BY QTY. DESCRIPTION ~.X/~ S.('cC W~. c:~_.. ;~j U -f2- < ,,-7-;-1- , ....J. L!-f, 1. -, ,'LA..- I , PRICE AMOUNT ~S~(~a 3S-:-:9Q )~jQO -,-'=)~\ OC:) ',- t- <.'" ~"1__.c:Lc ,~ ?'r:7.:L4. ....-!--.----- / -- I I . C; .~.gQ I 1 I ci~.-c. 2.. L--A'-.-"'- L. C,r LJ::/ 3 /1) /"-0"\~ '""~ .l..- ..\0 E-~ --~ /./~, // &."ur:.,-:-L__'~, -' HctCZ/ ~G TAX RECEIVED BY TOTAL All claims and returned goods MUST be accompanied by this bill. PRQOUCT 610 ~cyow