The URL can be used to link to this page

Home My WebLink About97-6679 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! 6679t: Date '1- a-.1-<j '7 BUILDING ~_.m~ _"\ ! . ELECT PLUMBING MECHANICAL Sewer Conn P,"perty Owne' :If;; J~ ~ Job Address: ~ R--VI Parcell.D. # Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work r ~gy Code: . /~don Gas: . d J! !fi.J.JlA4~' ~ r ....-I~~/ (~ Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. FINAL I( - 2~-7 7 /0: z 5-A-1'V'-'" ~ NO OCCUPANCY BEFORE C. DATE Inspector t>z- tJ p~'mit Fee ~~) (BeL; Signature ~ Company Address Telephone# Valuation or .A/ / A-- Contract Price v , / I I City License Registration # ? ...> State Certified License# BUILDING S /.-tl. ~~~K2~ 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 ($15.001 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 S\ I...." \..IE'lL ~-t\~ ,{\ ss I-.i .... ~~^ \\CoR- Ll\.~'''"2..~ L. W C::ll)~ PHONE OWER'S ADDRESS \2- <::), JOB ADDRESS ~~~ 0 ~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Move _DeJlolish PROPOSED USE: _Single F8IIily _M/F _' of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESpRIPTlON OF WORK: t;.~~, S-.t?Q..'-l. .c:?-u~ u..)\ll.."'F'<\... ~U~ K 5 , 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. -"ECHAlUCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'.I'lON: _Block _Fr8lle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. t City License Registration t ****************************************** Signature RT.RCTRICIAN COMPANY "7...- t\\'-L~ \:::: L.~~""t- ~ 'bl'hJ . ~ ~ State Cert. or Regist. . L"'I.l?- I (" ~ SiaDll . j City License Registration' ~ ~- ***************************************** PLUMBER COMPANY State Cert. or Regist. t Signature City License Registration , ****************************************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** APPLICATION APPROVED BY PERHlT OFFICER. .' · CONDITIONS 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 as sOles 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, botb 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 for the intended work, they are advised to contact the City of Zephyrbills Building Departaent, (813) 788-6611. Furtberlore, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for which tbey Ifill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Ifork. If the contractor wishes you to sign as contractor tbat lay be an indication tbat he is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~ D. CONSTRUCTION LIEN LnW (ClmPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Lalf _ HOIeOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleODe 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 "olfner" prior to COllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all Ifork will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do Ifork and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of other govetnlental 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 11lited to: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departaent of Health & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater rreallent, Septic ranks t 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 whicb 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 witb tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball beODle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, l8y 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 IOntb period, or tbe project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHKENCHMENr HAY RESULT IN YOUR PAYING TWICE FOR IMPROVBIIBIIS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDIR OR AN ATTORIEY BEFORB RICORDING YOUR NOTICE OF COHKENCBHENr. JOBS UNDER $2,500 IN VALUE DO NOT NEID TO RECORD AND POST A "NOTICE OF COHMBNCBIIBII". . I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATI OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 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