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Home My WebLink About97-6788 ,-/0 ~ OV BUILDING BUILDING PERMIT N! CITY OF ZEPHYRHILLS Permit (813) 788-6611 Date b - /6- 9 '7 .~: 67888 J~ '. CT[) ELECTRICAL .3...s~ cTV PLUMBING MECHANICAL Sewer Conn :::::,~,:~.'~"f~ /!i!.b/> '"-<1 Parcell.D. # <j Zoning: Energy Code: ~ :R:88R, ~s: fPi-' CriP:;:n of wo~~ :'.;>-~ - - p -- -/f -tJ7 .. ' 3,.1} ~ NO OCCUPANCY BEFORE C.O. Water Conn: Wate~ Meter:~~r T.I.F.s: jtJ-bt- FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price /~JI- Inspector Permit Fee ~ O. LJ-z:> Signature ~J._' -fl.? , Company Address Telephone# DATE ;.f City license Registration # State Certified license# VS~f-,t~ ~L/'tJ ELECTRICAL 5JY1 ~/t,T PLUMBING MECHANICAL BUILDING 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 ($15.001 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. - '..--r: (f}.A~i . ~ ^"'/\ .A A JA)...-l.eJ C ./::fC'~ ~ r f<YJ 63 :;!1j!-:--:-- c OWNER'S N APPLICATION FOR PERKIT CITY OF ZEPllYRBILLS BUILDING DEPARTMENT OWNER'S ADDRESS JOB ADDRESS L '535gc; LEGAL DESCRIPTION: LOT(S) BLOCJL SUBDIVISION PARCEL I. D.' WORK PROPOSED:_New Construction _Addition _Alteration (OBTAIN FROM PROPRRTY TAX NOTICEl _Sign -Hove _Deaolish PROPOSED USE: _Single F8IIily _M/F L. of Units K-eo..erCial _Indust. _Swill. Pool _Repair ~~~/.. CtJl)'7/1 -;Wf LM/H t~J,~r DESCRIPTION OF WORK: BUILDING SIZE: --1!2-&,~square Feet, _Restaurant &- Health Departaent Approval _Other RESIDENTIAL: COMMERCIAL : Height 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. /BUlLDING LELECTRICAL PERMTTS REOUESTEQ $ Valuation of Total Construction AHP Service Florida Power Corp. W.R.E.C. -JlEClWUCAL LPLUMB~riG $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY FllUSBED FLOoR ELEVATIONS: TYPE OF CONSTRUC'l'ION: _Block _Fr_e _Steel Other FT. IS PROJEC'l' IN FLOoD ZONE AREA? ****************************************** YES NO BIIT~.n1l',ft CONTRAC'l'OR SECTIOti Signature COMPANY ~ State Cert. or Regist. . CtJ~12 City License Registration . ****************************************** /fir ~ m~ ~ COMPANY ! State Cert. or Regist. , ~:::: - '~~~ ~CitY License Registratton' ** * ************************************* J ?v ~ PLUMQq COMPANY tate Cert. or Regist. . City License Registration , ************************************** Signature //:'1 ~ IlECBAWIGAla COMPANY State Cert. or Regist. , Signature City License Registration . ****************************************** OTllFJt COMPANY State Cert. or Regist. , Signature City License Registration I ****************************************** APPLICATION APPIlDVED BY PERIO:r OPFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject Lo "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 CONTRACTOH .RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be l~censed in accordance with state and local regulations. If the contractor is not licensed as required by law, botb the OIner 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 DepartJent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, be 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 wisbes 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. CONSTHUCTION LIEN L~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 - HOJeQIDer'. Protection Guide" prepared by the Florida Departlent of Agriculture and ConsDler Affairs. If the applicant is sOIeone.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 co..encelent. 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 cQlpliance 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 worl or installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled 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 other goverDlental agencies JaY apply to tbe intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not liJited to: * DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and RnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Rngineers - Seawalls, Docks, Navigable Waterways * Departlent of Health' Rehabilitative Services, RnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanls * US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a draloage 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 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. Ivery perlit issued aball becoIe 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 IOntha after the tile the vork is cOllenced. One 90 day estension of tile, ., 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 OWRER: YOUR FAILURE TO RECORD A ROTICE OF COHHBNCRHKRT HAY RBSULT IN YOUR PAYING TWICE FOR IHPROVIIIIRS TO YOOI PROPERTY. IF YOU INTERD TO OBTAIR FINANCING, CONSULT WITH YOUR LENDER OR AR ATTORNBY BEfORE RECORDING YOUR NOTICI OF COHHERCRHENT. JOBS URDER $2,500 IN VALUR DO NOT NEED TO RECORD AND POST A "NOTICR OF COKHRNCRMIHT". SIGNATURE: CONTRACTOR SIGNATURB: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATR OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19 by who is personally known to me or who bas 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