The URL can be used to link to this page

Home My WebLink About97-6841 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 684118 ~ dD" ~~.~~~~~ Date 7-11-97 Property Owner: Job Address: Parcell.D. # ~ ~- ~~rConn .n . Water Conn: ~"- iJ!i:.4;I\...{,(~-/Jlwdlb.- W"e, Mete, -------L - ~~ _ _ . T.I.F.'s: Zoning: Description of Work ;:,;:;,gy Code' G ~-f/8/~ ~it7 Ro/Ge'/,,-~ hi NO OCCUPANCY BEFORE C.O. FINAL C.O. /.:1 - '30 -9'7 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or ~ Contract Price 71)0' Vc> - Inspector ~ . DC.) Permit Fee . - S;gnatme ~; ~ ~H"'~ J:==- Company Address Telephone# -'8;;)~ 51 ~ ( City License Registration # ______ State Certified License# ~ ~ --- ( LJ~ C;-'LD~~.! ~C~- PLU~- - MECHAAlIC,\L 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. .. APPLICATION FOR PERKIT CITY OF ZEPllYRHILLS BUILDING DEPARTMENT OWNER'S NAME v'lj1f1c IY/;C.h9.e../ r'fJ )e{')1I e vlj (e 9"1, (... ..s7-, PHONE 72),- 5/ 3~ OWNER'S ADDRESS ~-:t; C} 't I JOB ADDRESS ~ /'" _'<; hi ~ ? -y'AJrhl (Le LEGAL DESCRIPTION: LOT(S) ~ARCEL I. D. ',-) BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -...Alteration _Repair _Install _Sign --Jlove _Deaolish PROPOSED USE: _Single Faaily --Jl/F _' of Units _M/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: ~o/;Cl)1' 51{:/;()~, I?~ /be fJ 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. ---../ ~LDING PERKITS REOUESTED $~7m~C>o Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. ----1IECllAliICAL $ Valuation of Mechanical Installation -"LUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FIllISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... COIlTRACTOR SECf~ RIJTI.ng & COMPANY .. 19-n1...e....~;r~ / State Cert. or egist.'. Signaturet4..u... flt I~ City License Registration , ..............**.......................... ../ RT.RCTRICIAN COMPANY State Cert. or Regist. , SignAture City License Registration , .......................................... PLUHBER COMPANY State Cert. or Regist. , Signature City License Registration . .............................*............ MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . .*****....*.*...*......******.*.........*. OTRRR COMPANY State Cert. or Regist. . Signature City License Registration # ..***....*..*.....**.....*.**.**.........* APPLICATION APPROVED BY PERKIT OFFICER. · .. r CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to Bdeed restrictionsB which .ay be lOre restrictive than City regulations. The undersigned aSSU8es responsibility for co.pliance with any applicable deed restrictioDS. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8Il) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portioDS of the BContractor SectionsB of this application for wbich tbey will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than tbe 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 Zephyrhills. c. TRANSPORTATION IMPACT FEES AND U'fILI'fY CONNECTION FEES t,t' D. CONSTRUCTION LIEN L~W (ClffiPTER 713, FLORIDA STATUTES1 AS AMENDED) I certify that I, the applicant, bave been provided with a copy of BFlorida's Construction Lien Law - HoIeoIner's Protection GuideD prepared by the Florida Departlent of Agriculture and ConsU8er Affairs. If tbe applicant i8 sOleODe other than the .owner", I certify that I have obtained a copy of the above described docu.ent and prOlise in good faith to deliver it to the Downer" prior to co..encelent. E. CONTRACTOR' S/OWNER' S AFFIDAVrr I certify that all the inforlation in this 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 DO worl or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all law8 regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand tbat the regulations of otber goverD8ental agencies lay apply to tbe intended wort, and that it i8 IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: A Departlent of EnvirODlentaI Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Vater/Vastewater Treallent A Southwest Florida Water Hanagelent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Watercourses A ArlY Corps of Engineers - Seawalls, Docks, lavigable Vaterways A Departlent of Healtb , Rehabilitative Services, EnviroDlentaI Health Unit - Veils, Wastewater Treallent, Septic Tanks A US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A. or BA,etc.", it is understood tbat a drainage plan addressing a .cOlpensating volUle" will be sub.itted wbicb is prepared by a professional engineer registered in the State of Florida prior to per.it. 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 Bet 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 peIlit issued ahall beCOll invalid unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if worl autboriled by the perlit is suspended or abandoned for a period of sil IOntha after the tile the work is c~ced. One 90 day 8Itension of tile, .J be allowed for the perlit with fee charge of $15.00. The Bltension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or tbe project will be considered abandoned. VARJUIG TO OIIIIER: YOUR FAILURE TO RECORD A HOTICE OF COHKEICKHBI1' HAY RESULT II YOUR PAYlIC !VICB FOR IMPROVIIIBftS TO YOUR PROPBRTY. IF YOU II1'EID TO OBTAII FlIAICIHG, COISULT IIITH YOUR LENDER OR AJI ArTOORY BEFORB RBCORDIIiC YOUR MICB OF COMMENCEMENT. JOBS UNDER $2,500 II VALUR DO lOT NEID TO RICORD AID POST A "IOTICE OF COHMBICBMBITD. , I SIGIATURE: OVIER OR AGIIT SIGIATURE: COITRACTOR STATE OF FLORIDA COUIft'Y OF The foregoing instrument was acknowledged before me this , 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 (Narne Typed, Printed or Stamped) NOTARY PUBLIC