The URL can be used to link to this page

Home My WebLink About97-6823 BUILDING PERMIT. CITY OF ZEPHYRHILLS Permit N. (813) 788-6611 - 6823 B Date 7-/-7'7 .yo ~ ~'t-z;J BUILDING J--S~t/Z> ELECTRICAL ...3S" JD PLUMBING ;LO., o-v MECHANICAL Sewer Conn Water Conn: Pmp,rty OW"" {;9 .~ Job Address: h Parcell.D. # If}/I .. /1 H' P Water Meter: T.I.F.'s: Zonin~: . ~y N~ f2 2don Gas: Description of workJ2/... ~ ~ 0--/' ~~ ?-.31-? > ~~-I ~ ~..6~ 11 h1 NO OCCUPANCY BEFORE C.O. FINAL '"J-:J 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 City License Registration # State Certified License# P..mit Feed o. e:t ~-ze Signature ti.. .(AA /l;(/ Company Address Telephone# Valuation or Contract Price <~~/ A- ~77 ~~LA47i~ BUILDING ~,&., /70 - Jr~ JJJl ELECTRICAL PLUMBING ~ i~ Aft- MECHANICAL 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 ($15.00) 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 ZEPHYRBILLS BUILDING DEPARTMENT ~ OIlIIER · S NAHIl L €.on r'!1JIe. r PHONE '7 'l J.. - d.. ';)..7 re OWNER'S ADDRESS iltJOO NJ1JrrorT ~ Sf.00Ans /VIle/' ~ If ~'l79 JOB ADDRESS ;ZACKs ()AK..~;d~ r11~j,f1Ie Ifo~ R4.r/...- 6(3<1 ttJ~fe. , LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION As4C;./CS o~/JU;d PARCEL I.D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED~New Construction _Addition ----..Alteration _Repair _Install _Sign -'love _Deaolish vC PROPOSED USE: ~ngle Famiiy _H/F _' of Units _eo..ercial _Indust. _SwiIB. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK:--'!1oh;{e W<11'1e. :ie-f-up BUILDING SIZE: ~K" x:52. 1~t'Square F~et~~eight RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING ~ELECTRICAL ~CllAllICAL $ cfl3 ~f.? ~ Valuation of Total Construction v"'piorida Power Corp. W.R.E.C. $ /57 AMP Service . ?t:nJ Valuation of Hechanical Installation ~PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDIlSBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUn.DER j~ Signatur~"'L tU COHPANY/"'~ ~?/'~~~ ". State Cert. or Regist. . City License Registration . ****************************************** ~ .:2~? RT.'RCTRICIAN" f COMPANY t? - t</, S;;; cLtiM.- ~.-<... ' s~':~::&'~C./~y~ ~~~eL~:;"'O~e~:~~i:'" /W) ~_u *******~********************************* PLUMBER ~4 COMPANY A/~t1A.1 ,L~ ~. ~ State Cert. or Regist. . Signature <f' ~-'~ City License Registration f 1J.-l} ry ~ **************************************** MECHANICAL r' " ~ COMPANY 3/VZf ~fiU~ ~ ~~ -d/ /' J i~' r21 . State Cert. or Regist. f Sigoatur<<UWUI DlUt' ~ City License Registration . / ? /' ************~***************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERKIT 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 .ure restrictive than City regulations. The undersigned ass lilies responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'OU RESPONSIBILI'l'IES 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 )icensed as required by law, ~tb the owner'andcontractor 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 (or the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611.. .- . . ' . FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the "Contractor Sections" of tbis application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather tban the contractor, are responsible for the work. If tbe contractor wisbes you to sign as contractor tbat lay be an indication tbat be is not properly licensed and is not entitled to per.itting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES (or..! , D. ~ONSTRucrl'ION LIEN fA\W (CHAPTER 713, FLOIUDA STATUTES1 AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOMDer'8 Protection Guide" prepared by the Florida Departlent of Agriculture and Consllller 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 deUver it to the "owner" prior to co..encelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate 'and that 'all work will be done in co.pliance with all applicable laws regulating construction, loning, and land developlent. 1\ Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or installation bas cOllenced prior to issuance of a perlit and that all work will be perf oIled to l8et standards of all 1818 regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I al80 certify that I understand that the regulations of otber governaental agencies lay apply to the intended wort, and that it i8 Iy responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: I Departlent of BnviroDlental Regulation - Cypress B8yheads, Vetland Areas and BnviroDlentally Sensitive Lands, Vater/Vastewater Treatlent t Southwest Florida Vater Hanagelent District - VeIls, Cypress Baybeads, Vetland Areas, Altering Vatercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Healtb , Rehabilitative Services, Environlental Health Unit - VeIls, Vastewater Ireatlent, Septic lanks t US InviroDlental 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 volUle" will be sublitted whicb 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 witb tbe work and not as authority to violate, cancel alter, or set aside any provisions of the tecbnical codes, nor sball is~u~nce of a perlit prevent the Building Official frUl thereafter requiring a correction of errors in plans, construction, or violations of any code, Ivery petlit issued sball beCOle invalid unless the work authorized by sucb perlit is cOllenced within six IOntbs of issuance, or if wort authorized by the petlit is suspended or abandoned for a period of six IOnths after the tile the work Is cOllenced, One 90 day 81tension of tile, Jay be allowed for tbe perlit with fee cbarge of $15.00. Tbe extension shall be requested in writing to the Building OffIcial. An approved inspection .ust be logged during eacb six IOnth period, or the project will be considered abandoned. WARNING TO OIINER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RBSULT IN YOUR PAYING nUCE FOR IHPROVBIIBIIS 10 YOUR PROPERTY. IF YOU INTEND TO OBTAIIf FIIfANCING, CONSULT WITH YOUR LINDIlR OR AN AnORRBY BIFORK RICORDIIfG YOUR NOTICE OF COKHENCEHENT. JOBS UNDER $2,5 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMKNCKKKNI". ~~?-- STATE OF FLORIDA COUNTY OF PAS (' D The foregoing instrument was acknowledged before me this U, ~ ~ , 19-.!1-Z by N8-SoN RYMAtJ who is personally known to me ~r Wh6 hft8 preduGod &s ideRtificaliun-and who ~/did not take ~h....J& ~.~ (Signature) . KATflL~) J: Zl3Al>w;J (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA COUNTY OF PASC 0 The foregoing instrument was acknowledged before me this &- at) , 19 97 by N ELSnt-...\ ~~NJ.\tJ who is personally known to me or ..ho baa p!'6dt1ced as ideRti~i~ati8A and who ~/did not take ~ n.&"" (SigDa Dre) . ~~T.P.::/::/ d (Name Typed, Printed or Stamped) NOTARY PUBLIC ~'\"g6(,.t' KATHLEEN J BROWfII '" ~ My Col11l'ltlPlon CC449029 *~. ~ ExpireS Apr. 02, 199a ~'" f\,'.J' ,.,.\~. PillJ( ..,"'....C~,.t' ~fI: "'" Of f\,O'tl KATH~ J BROWl' MYCo~CC4'" ElCplr- Apr. 02, 1_ t ... -'{ }O, ~(' 10 ~o;! (JA~ 10 \ T c' Ipl ,.t{?/~t1- .::JerJ.1N1n'o~ 2 {3 ..,c:;2- '. fYlolJ ILe-- /l (}e;J (J/; {Yt,iICefi /1 e f)r 1 sl1 fv1 . J '5' J:;Y--,. ljl.t'Vlbi/ /,/ r' ./ /,/,,,- ~/ .... ~ . / "=- 10 ( ;J .- D / J'.P' f\ u~1;pJY 00/ ~,,1'-+ L PL/1-1u Ft:::J /Z. L0./2 G?N /J1/ L t.o./__ Z/J::.t:.f cJA-.e~~ ~/L&l /lAJ/4tG ~ /l/'/'yp hI' 1.3;' 1/ 13~/2.!e.J.S . 7 A/ec..:sop r //J/!/C e:?a/U7c /'L~~6W'...., .