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Home My WebLink About97-6599 BUILDING PERMIT Permit N! Date - 6599)c8 . if!}.~ ~ILD~ - ~5 r:::=.~=.'~"- ~ CITY OF ZEPHYRHILLS (813) 788-6611 ~~~ J-o?7-y7 - . ~~ Property Owner:' ;VI J. Job Add...., :=>f -- - -. ~~M"P~ Parcel I. D. # Zoning: M~ SOW" Conn ~ Water Conn: ~ ~ / (" )~ Water Meter: T.I.F.'s: (.""~ ,I FINAL 3-.3/- DATE C.O. .v - L - NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price Permit Fee Signature ~. Company Address Telephone# City License Registration # r2 Or2/ 11: Certified,~~ G?;ill~ GUz;;; BUILDING ELECTRICA~ ~mJs?I~~ U PLUMBING #, 0 Ftr. Pre SLB Lintel FRM. Insul. CL WL M'4-r S-2~-~ 1 .2Lj' Driveway Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 3-Z~-q,\ e~ SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER' S NAME ~081A1S6A) ? PHONE /1 S CJ,~6 7 OWNER' S ADDRESS JOB ADDRESS ~~ PCJlN'I2- LEGAL DESCRIPTION: LOT(S) loA BWCK SUBDIVISION PARCEL 1. D. , WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install (OBTAIN FROM PROPERTY TAX NOTICE) ____Sign -Hove ____De.olish PROPOSED USE: ____S ingle FutUy . ____M/F ----, of Units ____M/H _eo..ercial BUILDING SIZE: x ____Indust. ____Swim. Pool ____Restaurant DESCRIPTION OF WORK: -- -. Square F~et, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PWT 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 ~~e $ .. PERMITS REOUESTED Valuation of Total Construction ____ELECTRICAL -"ECBANlCAL ____PLUMBING AMP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frale ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ---- .......................................... YES NO PLUMBq ~ COMPANY tlcJL-lJ CdAJ.>T State Cert. or Regist. , City License Registration' / .........................,:r.............. " ELECTRlCL\l( ---- COMPANY _' (,!.. ~_ . /7 /, State Cert. or Regist. ,. SiRnAture (tl77(//ftc City License Registration' .......................................... \ \. ( '. COMPANY ", -,'(~~S 1:- ':XW'\S State Cert. or Regist. , ',;. , City License Registration' ................................. CONTRACTOR SECTIOt{ Btrrl.nq Signature )180 Signature ("'-'- \ .Pt i.y)h}'J~ C '" ~o~a KEGHANlGAl,. ....-.... """""-:..' COKPANY State Cert. or Regist. I City License Registration . ..........~...............--............ Signature " omRll COMPANY f}fl1E.f2v4;(1J Pd/ltf7c State Cert. or Regist. , City License Registration . .......................................... fA f!.t: frlcJ/JEt. >- :::MJc ::2.0::1../ Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject to "deed restrictions" which aay be lOre restrictive than City regulations. The undersigned assWles responsibility for cOlpliance witb 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 tbe contractor is not licensed as required by law, both the mmer and contractor JaY be cited for a lisdelleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents aay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtbeIlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the .Contractor Sections I of this application for wbicb tbey will be responsible. If you, as the mmer sign as the contractor, you are indicating that you, ratber than tbe contractor, are responsible for the 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 peraitting privileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - BOIeOIDer's Protection Guide" prepared by tbe Florida Departlent of Agriculture and ConsUlar Affairs. If tbe applicant is sOleODe other than the "owner", I certify that I have obtained a copy of tbe above described docUlellt and prolise in good faith to deliver it to the "owner" prior to COllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. \ Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has COIIenced prior to issuance of a perlit and that all work will be perfolled to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in tbejurisdiction. I also certify that I understand that the regulations of otber govefDlental agencies aay' apply to the intended work, and that it is IY responsibility to identify what actions I-lust take to be in cOlpliance. Sucb agencies include but are not lilited to: * DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and BnviroDleDtally Sensitive Lands, Water/Wastewater !reatlent * Southwest Florida Water Hanagel8nt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks * 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 that a drainage plan addressing a .cOlpensating volUle" will be sublitted wbicb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor sball is~uance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becou invalid unless the work authoriled by such perlit is cOllenced within sil IOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of sil IOntbs after the tile the work is cOMenced. One 90 day utension of tDe, lilY be allowed for the perait with fee cbarge of $15.00. !be extension sball be requested in writing to the Building Official. An approved inspection lust be logged during eacb sil IOnth period, or the project will be considered abandoned. WARRING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEllENT MAY RESULT IN YOUR PAY YV FOR IHPROVIHBIll'S TO YOUR PROPEm. IF YOU INTEIlD TO OBTAIN FINANCING, CONSULT WITH YOUR LBIlDBR OR AN AnOmy yOUR NOTICE OF COHHENCEHBNT. JOBS UNDER $2,500 IN VALUE DO MOT NEED TO RECORD AND POST A "NOTICB 0 C · SIGNATURB: OWIIER OR AGENT SIGNATURE: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNTY 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC .' !_ cJT b 2--err- \l.j 'r"",~"~'.. I -"": ~..:.~;;:' , i ( g,--I. G'I ~, JJPJ j.VJ 9,' - ./ -:.' \-1 "" ~.~' - ~ /\- I V1 ~ .....i \ ,.;..., " J .,.,--. \ i \ .1 t.J )1.01 VJ?; . 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