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Home My WebLink About97-6615 BUILDING PERMIT NO CITY OF ZEPHYRHILLS Permit. (813) 788-6611 661.513 DatE~ '-/-3-77 ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: P,"perty Owne" 13 ~ Job Address: ~ ~< 7. Parcell.D. # Water Meter: T.I.F.'s: Zoning: Description of Work ~ I { ... ~a- Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# 17~O Permit Fee :L.s --.. o.....{J Signature Company Address Telephone# Valuation or Contract Price I? ~. CD ./ '2JnflJ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 \ (/ L0 T ~G::::) ?)ffitJ~1tJN - - 3lo( (dl' APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE bM/J51 OAJ PHONE 1\)+ OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) bs BLOCK SUBDIVISION ~. (f..Ac Ib w \AJl.Z- PARCEL I.D.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED: ~~ Construction _Addition -^lteration ~epair _Install _Sign _Kove _Deaolish PROPOSED USE: _Single Fuaily _KIF _' of Units _KID _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: co;Uc~~ I~ OAt> BUILDING SIZE: x Square F~et. 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 $ l3 ~O. dO Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _KEGBANICAL $ Va1uation of Kechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fruae _Steel Other FI.liISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ..........*.*******.**.**.**************** Signature 7 CONTRACTOR SECTION BUTJJlER COMPANY .l/tJL//J c O~;)' f< State Cert. Or Regist. . City License Registration , .******.****************.*.***.*********** /'1<60 ELECTRICIAN COMPANY State Cert. or Regist. f SionAture City License Registration , ****.**.***.*************..*.*.*.********* PLUKBER COMPANY State Cert. or Regist. , Signature City License Registration . ****...***.************.******..*********. tlECBANICAL COMPANY State Cert. or Regist. , Signature City License Registration f ******.**.**~*******.**.**.*.*.*********** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration f **.***.*.*.***************.****.*.******** APPLICATION APPROVED BY PERMIT OFFICER. CONDI'fIONS OF PERMIT AFFIDAVIT 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 IaJ be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills 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 the contractor wishes you to sigo as contractor that lay be an indication that he is not properly licensed and is not entitled to perlittiog priVileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~'t' , D. CONSTRUCTION LIEN LnW (ClmPTER 713, FLORIDA STATUTES1 AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoJeowner's Protection Guide" prepared by the Florida DepartJent 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 COllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all ~he inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. I I Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perfolled to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govelDlental agencies lay apply to the intended worl, 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: t Deparllent of EnviroDJental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treallent t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic ranks I 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 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 autbority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~ce of a perlit 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 perlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, IIJ 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 IOnth period, or tbe project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEKBNT MAY RESULT IN YOUR PAYING nICE FOR IMPROVIlIEIt'S ro YOUR PROPERTY. IF YOU INTEND TO OBTAIN FlIfAHCIHG, CONSULT WITH YOUR LEHDER OR AN AnORREY BEPaHl R If Y ICE OP COMMENCERENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A -NOTICE OF COHMJl:RC SIGNATURE: CONTRACTO . I SIGNATURE: OWNER OR AGENT 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC