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Home My WebLink About97-6847 BUILDING PERMIT ./ riD CITY OF ZEPHYRHILLS /' (813) 788-6611 Date 7-/6-97 (~ ~ M~ S,w"Conn 471. t!fE ,. Water Conn: IJ:J/~ cfl.J ::~::,~,:~., [Y;~~~"i ~~~,~f~,~&'~ ~~:':,~on;:"l!/tn Parcel J.D. # hJ/f-h2t:,~~/-OODO- 2)DJDD- 0..::3 >:39kV/ ~ Zoning: erg Code: Radon Gas: 6l ~ i4. . Description of . - Permit Ii! 684~ ~ AJ NO OCCUPANCY BEFORE C.O. FINAL C.O. P ,/5 -9? p---- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Ifl Permit Fee Signature / Company Address Telephone# Valuation or Contract Price City License Registration # State Certified License# 7~o-1i()1 Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer ,(Z'ilq..., t:.j Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final '1 h.. 4/<1 , r'o~ 'I' Driveway ~e.,r - t.A f 7~il(~ 1 ~'Ol 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 W/f.f7Jf"" JK5'/A./" ra b. Condemned work resulting from faulty construction. /. fJ g - J 7' - Y'7 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. LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL I. D.' -< 'f - =t ~ - ~ I 00 c.. 0 - 00/ (1" - (J){ OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: /New Construction _Addition _Alteration _Repair _Install f, ~ ~:~cy tm.s _ OWNER'S ADDRESS JOB ADDRESS l\ , r1 ~--;/C) , . i) 1,1 (f ::nlYl L- YAJf)A /'"7 APPLICATION FOR PERMIT l . )J.Hof~ ~ . CITY OF ZEPHYRHILLS LV.,.u....~ b BUILDING DEPARTMENT 1 tl 0 C~ LLJ> PHONE <B~4-J1?' -4550 .3'~ SUBDIVISION F~ML D ~..u- .., _Sign _Move _Deaolish ~ . ~/F PROPOSED USE: _Single Faaily _' of Units _M/B .~ _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Depar~ent Approval DESCRIPTION OF WORK: >~T I {)L.UfV\6' W\ ~z:. ./ BUILDING SIZE: J <- X '10, RESIDENTIAL: COMMERCIAL : _BUILDING _ELECTRICAL _MECBAIlICAL Square Feet, 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. PERMITS REOUESTED $ Valuation of Total Construction AKP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other IS PROJECT IN FLOOD ZONE AREA? / FINISHED FLOOR ELEVATIONS: BUILDER Signature FT. YES NO ****************************************** CONTRACTOR SECTION (~~ COMPANY ~ State Cert. or R ist.' LT:.-.J..f~ - City License Registration f ***** *********************************** PLUMBER Signature MECBMUCAL Signature omRR Signature COMPANY State Cert. or Regist. . ty License Registration . ************************************ /10 I /n' I/:.- S' COMPANY I-?~ LJ ~ State Cert. or Re --st. . W~ City License Registration' *** ************************************* ._ COMPANY ~ State Cert. or Regist. . City License Registration . ~ **** ~~~****************************** COMPANY State Cert. or Regist. . City License Registration , **** ****************************** . .~;:: /' ~ PERMIT OFFICER. APPLICATION APPROVED B · CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peIlit .ay be subject to Pdeed restrictionsP whieb .ay be lOre restrictive than City regulations. The undersigned assuaes responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake wort, 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 EY be cited for a .isdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireleDts .ay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the .Contractor Sections. of this application for wbieb they 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 wisbes you to sign ....... ~.contractor that Ey be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the C~~ of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN IiAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HOIl!OIJler's Protection Guide" prepared by the Florida Depart.ent of Agriculture and CODSl1IIer Affairs. If tbe applicant is sOleone~ 3'tber than the Rowner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "ownerP prior to couenCl!Ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT , I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, laning, and land developlent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation bas COlleDced prior to issuance of a per.it and that all work will be perforJed to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies .elY apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in cOlpliance. Sueb agencies include but are not lilited to: * Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroOlen18lly Sensitive Lands, Water/Wastewater rreat.ent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Depart.ent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater rreatlent, Septic ranks t US EnviroDleDtal Protection Agency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone RAP or "A,etc.p, it is understood that a drainage plan addressing a .cOlpensating voluaeR will be subaitted whieb is prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. -A peIlit 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 issuance of a per.it prevent the Building Official fral thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball becClle invalid unless the work authorized by such peIlit is coaenced within six IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of six IOntbs after the tiE the work is coaenced. One 90 day extension of tille, .elY be allowed for tbe peIlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection aust be logged during eaeb six IOntb period, or the project will be considered abandoned. WARNING TO 0WlfER: YOUR FAILURE fO RECORD A NOTICE OF COMMENCHMElft' MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMmS TO YOUR PROPERTY. IF YOU Ilft'END TO OBTAIK FIMAHCING, COMSULT WITH YOUR LENDER OR AN AftORm' BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMENCEHEMf". Sl~~~~ .)~ "'SIGNA : CONTRA STATE OF FLORIDA COUlft'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 tej':;~~, . (Slgnatur (Name ,,:~Pni1liled~, ataAped NOTARY -. ~ EXPIRES: May 19, 2000 . .... Bonded TI1nI Notary PubIc llrIdItwIIbll1 known to me or who has . .K 7' 4'. i /,2' up /2. 1< ~t/ SCR.Il./J ROOIYI , I;" /J.. ;('{-O ,Pta7WCOL> j I '10 J / /Y) rf- L V;U I!)A- elf I L/) E;r7EMLb f/cJl.AJl"E- ~. --'" .. ... ...'1 r. ~ 'i' i.....IL ''It'',!. .,..';...., i :'_'.-i l...:'., I _" r:~ t".! ~;: T :'1 ,':: .I.!...._.. i 'j -.:,:. '.~ t ',l\. ...'.....".1 ; ",.l.o.".,..'l' 'r;' ~ '..:- 'f i~j ." ,. . , ,.~ :.. ; ;..~'. .t, i....; :~:, ~ .::: :..,-~ L:: ,""/ '._' i '"I '. i.,. " ,. .f.!' .'....;. II ,-- ~=:::~~i.,.~ .,. 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