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HomeMy WebLinkAbout97-6550 BUILDING PERMIT Ii'! Permit CITY OF ZEPHYRHILLS (813) 788-6611 - 655~ Date ,~.; /.2 - 97 ~::JI'I~~ ELECl.BJ-C.Al PL~ MErl-l^NICAL - Sewer Conn :~~::,~:~e' ~~O ~:t::i;'-~jJ Parcell.D. # ,::2 Jf - :J (17 .- ~ I - Zoning: Description of Work Water Conn: Water Meter: _ ~tJT.-S-/'f.I.F:s: , NO OCCUPANCY BEFORE C.O. FINAL C.O. ~-l3- q DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector P..m;t Fee ~ r Signature i..---' I .,' ~ .J. Company Address Telephone# Valuation or Contract Price 15 / /f r?9 i!5!- G-rr~c City License Registration # "7D State Certified License# c;;/~~UvD {~ MEC~CAL Brea~ Ducts Insl. Compressor Final BUILDING ELECTRIC~ ..-------- Tp. Se,,,:/ Rough In Meter Can Con st. Pole Pool Pre-Meter Final PLUM~ ..-/ 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 ($15.00) 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 PERMIT CITY OF ZEPIIYRHILLS BUILDING DEPARTMENT /1 OWNER'S NAME G~y -.. .I OWNER'S ADDRESS ,3;3 CD ch>/ 51 JOB ADDRESS ;( uT1fV!- RJR)J ~dmU U5'/ <]) , b7 I ' ~ ~ o/.V-r-. PHONE 7~~ ~ Ifl LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION WORK PROPOSED:_New Construction _Addition (OBTAIN FROH PROPERTY TAX NOTICE) _Alteration _Repair ~nstall PARCEL LD.I _Sign -.Jlove _Deaolish PROPOSED USE: _Single Family _H/F _# of Units _H/H _Commercial _Indust. _Swim. Pool ___Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: 75 / AJ S77f1C It ~ ~ BUILDING SIZE: -Lx(() , /, Square Feet, ry/o , ~ St3/W 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. _BUILDING $ PERMITS REOUESTED I Cf' f;tj . d'l) Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _HECHAHICAL $ .. Valuation of Mechanical Installation " _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8Jlle _Steel Other FINISHED FLOOR ELEVATIONS: FT, IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BUILDER CONTRACTOR SECTION ~ COMPANY 9c1,u577t7-S ~../ / / //~ . - - ~~"'> State Cert. or Regist. . , ..- ..-- _//' City License Registration' ****************************************** 4-Lu If ('/(/ i/f7 70' Signature " ELECTRICIAN COMPANY State Cert. or Regist. # Sianature City License Registration # ****************************************** PLUMBER COMPANY State Cert, or Regist. # Signature City License Registration # ****************************************** MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration * ****************************************** OTHF.R 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 permit lay be subject to "deed restrictions" 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 requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. Furthermore, 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 Consumer Affairs. If the applicant is sOleone other than the 'owner", I certify that I have obtained a copy of the above described document and prolise in good faith to deliver it to the "owner" prior to couencl!llent. 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 developtent. 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 per.it and that all work will be perforled to teet 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 governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I must take to be in compliance. Such agencies include but are not lilited to: * Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US Envirofilental Protection Agency - Asbestos abatement 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 .cQlpensating 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 issuance of a permit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall becOle invalid unless the work authorized by such perlit is cOllenced within six months of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six months after the tile the work is cOllenced. One 90 day extension of tile, aay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCKHENT. JOBS m1DHR VALUB DO HO' HEBU '0 RECORD AND~. "HOT:::,:, ~~ -" ~ : CONTRACTOR STATE OF FLORIDA ~ COUH1Y OF rlf S Co The foregOing inst~ent was acknowledged before me this .:?f-J I , 19-ilby STATE OF FLORIDA ~ COUNTY OF /' ~S Co The foregOing inst~ent was acknowledged before me this 2f- f/ ,19-2:2. by who is personally known to me or who has produced as identification and W~~id/did not take an oath. ~,Lf' ~ (Signature) who is personally known to me or who has produced as identification and who did/did not take an oath. ~~ ~ (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC CORREIA .,........ KEITH 1416 ;'~;r.v.r~\ MY COMMISSION' CC 46 l i"tin EXPIRES: May 13, 1999 11 \ ~;", Ii Bonded T11Iu NolIIY PubIc lJnd8IWI\lll <l "r"Rr.",'" (Name Typed, Printed or Stamped) NOTARY PUBLIC ---;::;..!/.rU..... KEITH CORREIA g"/J;,~r;~ MY COMMISSION' CC 461416 '~"~'~~ EXPIRES: May 13, 1999 '.~Rf.,\~~~_. Bonded TImI Notary PublIc UndeIWItteIl SITE PLAN (RESIDENTIAL USE ONLY) / PARCEL I.D~ RNG SUllU ,,(J~ H,RA 3) 7 ' bto:&j) BLOCK LOT SEe 1"1<1' fWlIf ~/ Pol Jr PROPEHTY HEASUREMr:NT CUlmENT OWtmnS DATE L_ drawn to scale for nll parcels or lots five acres or less. All drawings shall uc 5/ Ie) INS77K-G .- ~ jf?J CffO /(. r 5' c; '//0 /P--Lhffl 511€b '. Er($ /(,J0 :;; cA-i? SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DlliE.NSIONS AND SETBACKS. ALSO, INDICATE ANY BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY. INDICATE THE SIZE, y~~, ~~D N~~E OF MOBILE; SUCH AS 12' x 60'. 1981. FLEETwOOD. All "EASEMENTS", "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans.