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Home My WebLink About97-6680 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 6680 I . - f-;lC}-;?P -j BUILDING ~~ PLUMBING p..pertyown.'_~ ~~ {J4~-. Job Address: "',-J..__ _ ~ _ _ _A. . Parcell.D. # Date MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning, ~ C_, Radon G.., ~ . Dese"pt'on of Worl< PAt '- ~ Ix- .....y~ ~ .-l-<-~--k;;' L t c ~ti dVt ~ 66 ~0 E' NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. .L/ '~3..~17 /[)::J.!F>? """' 9~6;' FA Valuation o~ ~- A-- ~ Contract Price / I ~ - c.o. DATE Inspector 1>"-v8 Permit Fee Signature Company Address Telephone# City License Registration # State Certified License# BUILDING S Off! s/I~~, ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Con st. 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 PERKIT CITY OF ZEPllYRHILLS BUILDING DEPARTMENT '\ OWNER'S NAKE Si ~ V ~ eMK.S A ~<s ~ '\ OWNER'S ADDRESS ~. C}, ~~ \ \ t.s ~ PHONE JOB ADDRESS"'rc."X.. M.Oorl Sl~"l, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _eo..ercial _Indust. _Swill. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: E:. L,~~. Se\fi..\')\(.,~ r'll.) ~c)(..~l\... <;.,IE:.....\ ~\L w~~ Cc..c.x:::.~"?, BUILDING SIZE: x Square Feet. -- - Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. 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 CONSTRUC'l'ION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: Fl" . IS PROJEC'l' IN FLOOD ZONE AREA? **..***.**..........*....***..*........... YES NO CONTRAC'l'OR SECTION BUILDER COKPANY State Cert. or Regist. . City License Registration . ...*.............*..........**............ Signature ELECTRICIAN SiQflAtu~~ COMPANY 'L...- \..\\ \.L ~ E L ~ c "( , S' &~ \J , ~ ' S....e Cer<. or Regis'. # <bnq ",-(Chi;- ~ City License Registration' q c,-' . ....................................... PLUMBER COMPANY State Cert. or Regist. . City License Registration . ..*.....***........*....**..*.......*..*.. Signature MECHANICAL COMPANY State Cert. or Regist. , City License Registration . ..*......*..*.....*...*.*..............*.. Signature OTHRR COMPANY State Cert. or Regist. , City License Registration # ***...*.*...**....**....***.*..*........*. Signature APPLICATION APPROVED BY PERMIT 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 assWles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'On 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 ONner or intended contractor are uncertain as to what licensing requirelents lay apply (or tbe intended work, tbey are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the ONner bas bired a contractor or contractors, he is advised to have tbe 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 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 Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND U'fILI'fY CONNECTION FEES l'~' D. CONSTRUC'l'ION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOIDer's Protection Guide" prepared by tbe Florida Departlent of Agriculture and ConsWler Affairs. If tbe applicant is sOleone other than the "owner", I certify that I have obtained a copy of tbe above described docu.ent and prolise in good faith to deliver it to the "owner" prior to co..enCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 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. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wor1 or installation bas cOllenced prior to issuance of a perlit and tbat all work will be perf oIled to l8et standards of all IBIS regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand tbat tbe regulations of otber govefDIental agencies lay apply to the intended wor1, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewater Treallent t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, InviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks 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 volOle" 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 the 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. Every per.it issued shall beCOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOnths after the til8 the work is cOll8Dced. One 90 day 81tension of tile, liy 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 the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHENT HAY RESULT IN YOUR PAYING !VICE POR IKPROVEHIIIS TO YOUR PROPERTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BBPORB RBCORDING YOUR HOIICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMINCKHENT". . I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATK OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 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