The URL can be used to link to this page

Home My WebLink About97-6630 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 " 66308 () l ~ cJ'LJ ~ ----- '~ C BUILDING'~ 2- 0 - c:r-o ~R'~~ Pmperty owne'_;Jl ~ i91::: jf ~ Job Address: ~ -3 Parcel 1.0, # /1 - ~ t -.;).../ -. 6 i)/ () ~ ..:L/ '/ iJ 0 Date ~-8--?!? PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.IF.'s: - C)/y. 0 Zoning: ., Energ~ COd~ Radon Gas: oe,c;t;:"w';.ktJJf .n...:"~~~""7; /AA/"..v' <oj ~r </;LJ FINALS - :2.. ~7Jl.... P NO OCCUPANCY BEFORE C,Q, DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector 'f, Valuation or Contract Price (,.'7 d'L>.. o--v City License Registration # ?".3 State Certified License# Pe'm;t Fee ~ ~ Signature ~ (""- Company Address Telephone# " o~a~ )/; (~Ih ~:L BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECT/ON 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE Rtt~ [JItN J f L-- S ~R<f'Lf-d \. \()v(rl1 S/7frJE PHONE '7[tJ'~ 9c1 J'f OWNER'S ADDRESS At/E- JOB ADDRESS ~ LEGAL DESCRIPTION: LOT(S) BLOCIt PARCEL LD.' /J-~ -;2)-c>o/p--.:JJtfL)O- 0/9"0 WORK PROPOSED:_New Construction ~ition SUBDIVISION (OBTA~N FRoII ~1lOPRIlTV TAlI 1I0TI"ll1 _Sign PROPOSED USE: V; ingle FaallY -Alteration _Repair _Install _Hove _Deaolish _KIF -' of Units _K/H _C~ercial _Indust. _Swt.. Pool ___Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: IJ. j) ;J W/If/()DW.r To CM...PtJR.-,r t//A.JJ2. a//>p/I..Jer :! IMR.~ DDOfL tJ1. ' '':>;/ //.u€ /.2' ijcIUi!f:.A1 U/,lJL '- BUILDING SIZE: I <r x. /t?, 0'Z,d.. Square Feet, pJ-o 7" 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. V;UILDING ~ _ELECTRICAL _HECBAlUCAL $ PERKlTS REOUESTEQ / tJ tJtJ ~ tJ D Valuation of Total Construction AKP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY nPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIlfISHED FLOOR ELEVATIONS: FT. IS 'PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO BUILDElt CONTRACTOR SECTIO~ /!e-Ji /}LU,N1" ~~ COMPANY State Cert. or Regist. , . City License Registration # . ****************************************** Signature ~ ~~ L COMPANY mO~/8/f-/ EL-..EC, . ,~ - State Cert. or Regist. # ~OOOOJ,/,/.J --.- --- -~ _4' _./ _ City License Registration f dA-:d-- v ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration f ****************************************** KEGHANICAJ.. COMPANY State Cert. or Regist. f Signature City License Registration . ****************************************** O~ COMPANY State Cert. or Regist. f Signature City License Registration f ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject to "deed restrictions" which laY be lOre restrictive than City regulations. Tbe undersigned assutes responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas 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 ~d contractor ~y b! cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertalD as to wbat hCenslng requireaents aay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre if the owner bas bired 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 contr~ct~r wis~~ you t~ sign as contractor that laY be an indication that be is not properly licensed and is not entltled to perllttlng pnVlleges In the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN oLAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that 1, the applicant, bave been provided with a copy of 'Florida's Construction ~ien L~W - Hoaeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the apphcant IS sOleone other than the 'owner", I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner" prior to couenceaent. 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 coapliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a perlit and that all work will be perforted to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that 1 understand that the regulations of other governaental agencies laY apply to the.intended wort, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t 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 understood that a drainage plan addressing a "cOlpensating volute" will be subtitted wbich 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 the work and not as authority to violate, 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 Violations of any code. Every perait issued sball beCOlB invalid unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if wort authorized by the perait 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 tbe perait with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURE 'f0 RECORD A NO'l'ICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING !NICE FOR IMPROVEMElft'S TO YOUR PROPERTY, IF YOU INTEND TO OBTAIH FINANCING, CONSULT WITH YOOft LENDER OR AN ATTORIEY BEFORE RECORDING YOUR lfO'l'ICE OF COMMENCEMENT. JOBS UNDER 2,500 IN VALUE DO N NEED TO RECORD AND POST A "NO'l'ICE F C NCEMEIT" , SIGNAtURE: has STATE OF FLORIDA h coum OF W-SC () The foregoing instrument was acknowledged befO~ 1~ ,19.22.- by who is pers~~l~y known t ~e or who has produced jJI~ as identification and did/dO t take an oa ~ n (Signture) A,uO~ OAN} 6 L )' (Name Typed, rinted or Stamped) NOTARY PUBLIC ~ Randy Allen Daniels Notarv Public, State of Florida My Comm. ExoIres J8l1 16,2001 No. CC614195 Bonded Thru: Official Notary SefVice 1..(600) 723-0121 A kandy Allen Daniels Notarv Public, State of F.lorida My Comm, Exolres Jan 16,2001 No. CC614195 Bonded Thru: Official Notary Service 1 aoo 7121