The URL can be used to link to this page

Home My WebLink About97-6950 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 6950-.t Date 9-7-77 'IIJ. Liz; BUILDING ~ --. cJzJ ELECTRICAL 3,-S": tTP PLUMBING MECHANICAL Sewer Conn Water Conn: ~ - ~ Property Owner: ~ e ~ ~:~,:'d~~S;"~ nL- - '-9'.:Jj 701: ~~'e3gz3 Zoning: _~-:r?! Code; ~~on Gas: Description of Work fJ1 ~ # d""n'U?'-:- i-( ~ d~ c?--4-tP~ Water Meter: T.I.F.'s: ~.rf.l~~~?-/'I-?.rh ~'OS JJh1 NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # State Certified License# i/~ Permit Fe~/ 0, O-Ch Signature ~..N1. :~ '- Company Address Telephone# eP Valuation or Contract Price ~ (j~Ltl~ ~ f BUILDING rf~ /'7D ELECTRICAL ~:f\ ~ cJ. ~tf/ PLUMBING 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 _ I : i I.. 1_lIu13 ($ 'I"t;p801 shall be made for each trip for each trade: .L0 -; iJ1) 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 PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER · S NAME -::S::M bt:> S S OWNER'S ADDRESS ~ Br 3 ~ Bx- cJ2 jt JOB ADDRESS --rr e~ L A"t e V/ ( f Aj -e.. PHONE '7g~- ~d.-7~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. t (OBTAIN FROM PROPERTY TAX NOTICE) IlORK PROPOSED'_lIew Coostruction --Addition ---.JUte rat ion -.Jlepair v'" lDatall IT ~e. f I Ace Nlel'v _' of Units ~ _Sign Z1e F..IlY _Hove _DeIIOlish PROPOSED USE: _H/F _eo..ercial _Indust. _Swta. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK:~Cf..t't'\ell\.'T D-f' ty/.,6 ,./~ BUILDING SIZE: 1 ~ X 5? . ~ 7;;1.. Square Feet. 1-10 NI. -e 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. ~UILDDlG /' ELECTRICAL PERHITS REOUESTED $ ~, 5 co Valuation of Total Construction t ' &tJ AMP Service Florida Power Corp. W.R.E.C. ~CBAlfICAL ~PLUKBING $ Valuation of Hechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FlRISBED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO BUTI.DER WlITRA::;:;EcrS: -t-!. f.e I J State Cert. or Regist. t City License Registration t ****************************************** Signatur fYlDh//e. Ho;YJt!.S t/f r;-/ec- COMPANY /7b Ne I~()"I 1? VHl4J'\ State Cert. or Regist. t ' City License Registration f ...;t 7k' ****************************************** COMPANY State Cert. or Reg City License Registration t ******~****************************** OTHRR COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** APPLICATION APPROVED BY PKRMIT 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 assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED. CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner h~s 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 owner or intended contractor are uncertain as to what licenSing requireaents aay apply for the intended work, they are advised to con~a~l'the City of:Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor Sections. of this application for "hich they "ill 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 Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~'\' D. CONSTRUC'I'ION LIEN U\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 _ Hoaeowoer's Protection Guide~ prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sQl80ne 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 COHenceaent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' I certify that all the inforlati,on.in this application is accurate and that all "ork'will' be done in COIpliance with all applicable la"s regulating construction, zoning, and land deve~op'ent. Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certify that no wort or installation has cOllenced prior to issuance of a perlit and that all worl will be perf oIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of otber governaental agencies aay apply to tbe intended wort, and that it is IY responsibility to identify "hat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * Departlent at EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands, Vater/Vastewater Treatlent * Southwest Florida Vater Hanageaent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Vatercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable WateClfays * Departlent of Healtb & Rehabilitative Services, EnviroDlental Health Unit - VeIls, Wastewater Ireatlent, Septic rants * US EnviroDlental 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 "cOIpensating volUle" will be sublitted wbicb 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 tbe 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 frUl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle in,alid unless the work authorized by such perlit is cOIIenced within six IOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, IIY 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 IOntb period, or tbe project will be considered abandoned. VARNING TO OIlIER: YOUR FAILURE TO RECORD A NOTICE OF COHHHNCHHBff'l HAY RESULT IN YOUR PAYING NICE FOR IHPROVIIIDl'S TO YOUR PROPERTY. IF YOU IH'lIlND TO OBTAIN FINANCING, ,CONSULT WITH YOUR LENDER OR AN AnORIHY BEFORE RECORDIHG YOUR 1f000lCE OF ClIIIRtlCJJIIIi.o JOBS UIID 12,500 'IN VALllIl 00 IIOf NEIlD 10 RRCllIID NID ~ ~. . 0 I , SIGNATURE: con CTOR STATE OF FLORIDA COUNn OF P 1I.s c--v The foregOing instrument was aCknowledged before me this ..sePT S?,. 19 --9.L by IV eLSo J.J R Y f.-I A-J.J who is personally known to me gr whe has iU;gll'I'C"8d as idE:IIUIit;....118R and who tU4/did not take~~j~ fj.~ (Signature) . .. ~I\T\{LEBJ J. -:r?Rf)7~),J (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA COUNTY OF P lis C-O The foregOing instrument was aCknowledged before me this $c:..--pj f , 19 '17 by JJ c:.7-S0 N 7::: Y jl( It AJ who is personally known to me or whe has pl'o<.hnrl ~9 id9n.i~'n~tiAft and who did/did not tak~ Z ~'h.<W (Sign ture) . J . . '"--;;? r>. \) ~-Arnl ~_ ::.::I" ~N (Name Typed, Printed or Stamped) NOTARY PUBLIC :\~I\l "u8 ."'ti<'~ ~1iiI: ./'~ Of f\.O~ KATHLEEN J BROWN My COlTlrTlisaion CC449029 Expires Apr. 02.1999 :\~I'Y PU8 +()n"~ .'tt )Sj;jf * ~~.,~ ".1'. ~'O 'tOf ,\.0 KATHLEEN J BROWN My Commission 00449029 Explrec Apr. 02, 199s ~(f ~ J "if' .;1 W, 22 't-- tuj/o' ~,U1711,fJ mA(U/1fi~ IN' IT =-J Pllcm jJelftt. OF.." I-/Ome.. /,J.- ~ If) , ~b 6~~t. s83'- #}AiNTI1f,f/ IN :~- Fi€OJVr f!.f- ~er 811(1-..... CX-ee.L S TI€ eer - LOT ~ 75" 7,€ee UJI(/t!!.. 1//(:.(. Atlt:. /11,:::- /0' . "..., II rt(}IJ jlA 1/;1/1 ;blltv' ,)r5 I tJ' 5= 'u1 tl ~r# p( ~ </I c:. l.- ~fY,{O'" -..--.-,. ~._-~-'-_.._--_..._.._~-~-_...~,-.._-