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Home My WebLink About97-6603 BUILDING PERMIT N~ CITY OF ZEPHYRHILLS Permit (813) 788-6611 - 66oat3 Date .....? -31 - 7' 7' ~~ ELECTRICAL PLUMBING P,opertyOwne, ,-)>i94 X~"~f<_ 0,4- Job Address: "-.S -& _ -'\I' M ~~ Parcel I. D. # Zoning: Energy Code: Description of work'?A../../~ ~ ~L!2__~ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: E-tJ " ~a/,- FINAL C.O. NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# Permit Fee Signature Company Address Telephone# Inspect Valuation or Contract Price I...f ~ /. c:rv ~/n (2/\_ 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. APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKL.I:W\iJy C. k.ee~ OWNER'S ADDRESS S-o 0 1- :l 0 & s-b , i JOB ADDRESS sa W\e., 2-~ f) ~"~,,t' ( is . , f PHONE g f3 - 18;l - D5-01 F'L 33j-lj 0 LEGAL DESCRIPTION: LOT(S) IY I IS-, / ~ 81()~ PARCEL LD.' 1/ - ;2 b -;;;L I . ClIft, , I I BLOCK. ~ I b SUBDIVISION wt5_ / If I / S : ) b (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---..Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single F~ily _M/F _, of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: Pt- IV ().. ~ ~C€/ BUILDING SIZE: x Square Feet, 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHAlUCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr~e _Steel Other FIlUSBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUH.DER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** ELECTRICIAN COMPANY State Cert. or Regist. , SiDnAture City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** tlECBANI~ COMPANY State Cert. or Regist. I Signature City License Registration . ************~***************************** OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. "'" .. --_....,.-.. CONDl'l'IONS OF PEnMl'!' AFFIDAVI'l' A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. . Furtherlore, 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 tbe contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES (!,-! , D. CONSTRUC'I'ION LIEN M\.W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HoIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleODe otber 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 COllenCelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'I' I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. t \ Application is hereby lade to obtain a perlit to do work and instailation 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 Jeet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goverDlental agencies aay apply to tbe 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: · Deparllent of HnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands, Vater/Vastewater Treatlent · Southwest Florida Vater Hanagelent District - VeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Havigable Vaterways · Departlent of Healtb & Rehabilitative Services, EnviroDlental Health Unit - VeIls, Wastewater TreatJent, Septic Tanks t US EnviroDleDtal 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 "cOIpensating 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 tbe work and not as authority to ,iolate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Every per.it issued sball heCOlB invalid unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IOnths after tbe tile the work is cOll8nced. One 90 day 81tension of tile, 181 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 eacb sil IOntb period, or the project will be considered abandoned. NAMIHG TO OWNER: YOUR FAILURE TO RECORD A NOTlCE OF COHItEHCRHKHT HAY RESULT IH YOUR PAYIHG TWICE FOR IMPROVBllBlTS TO YOUR PROPERTY. IF YOU INTEHD TO OBTAIH FIHAHCIHG, COHSULT WITH YOUR LEHDER OR AN ATTORNEY BEFORB RECORDIHG YOUR HOIICE OF COMMENCEMEHT. JOBS UNDER $2,500 IH VALUE DO NOT HEED TO RECORD AHD POST A "HOTICE OF COHKKHCRHKHT". SIGNATURE: COHTRACTOR SIGHATURB: OWNER OR AGEHT STATE OF FLORIDA COUHTY 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 bas 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 \.... l:-I(J~;U--UI!iUI!iL-5- A::i::iVCIATES, INC. 5151 GALL BOULEVARD ZEPHYRHILLS, FLORIDA 33541 (813) 782-6717 , () o ti l'f\ LOT ... o l) ~ Lo T II () C) l;) l't) Lor 12 I:) Cl l) l'f) LOT /3 ~ 1tJ ~ K V) Cl <:l ~ IL 'J.. 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