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Home My WebLink About97-7011 BUILDING PERMIT 7011 CITY OF ZEPHYRHILLS (813) 788-6611 Permit 13 Date. 9-3 cJ - 77 ~ Pmperty Owne' ~1-:? ~.a7L Job Add..." ~ ~C? - - . 0 d. ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Ene~rgy Code: Radon Gas: ~ ~ tfe _ ,A,lA.s?#A/1 ~ i' Description of Work FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ~--: trD I SignatureY ~.".. Company Address Telephone# Valuation or Contract Price ~~o. 0-0 City License Registration # State Certified License# CJ-.y.. lYl.P.A--- BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ -.....t)) shall be made for each trip for each trade: ~-; c7ZJ Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. a. b. c. d. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATIOH FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTKEHT OWNER'S _/bY ~~ OWNER'S ADDRESS "50 ~ I-:~ S Q{. V\I\. e POOl ~1S - <1;d- ? ~, ':2-ep/:yl'V-.ll__ PI ~y6 JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOGIL.--SUBDIVISIOH PARCEL I.D.' (OBTAIH FROM PROPERTY TAX NOTICE) WORK PROPOSED:_Hew Construction --Addition ----^iteration ~epair _Install _Sign ~ove _Deaolish PROPOSED USE: _Single Faaily ~/F _' of Units _K/H _~ercia1 _Indust. _Swia. Pool _Other ~l' ..(. _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUlLDIHG SIZE: x Square 'Feet, Height RESIDEHTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL HEW COHSTRUCTIOH. PERKITS REOUESTED V BUILDING $ S -S,U . v~ . Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. --1IEGIIAIO.CAL $ Valuation of Kechanical Installation _PLUttBIHG GAS ' ROOFIHG SPECIALTY TYPE OF COHSTRUGTIOH: _Block _Fraae _Steel Other FDlISBED FLOOR ELEVAITOHS: PT. IS PROJEC'f IH FLOOD ZOHE AREA? YES NO ****************************************** COHTRAC'fOR SEC'fIOH BIITT.DRR " COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** F.T.~GTRICIAN COMPANY State Cert. or Regist. . SionAture City License Registration . ****************************************** PLUttBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** IlECllANICAL GOKPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATIOH 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 lOre restrictive than City regulations. The undersigned aSSU8es responsibility for cOlpliance with any applicable deed restrictions. 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 la, be cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills 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 which they will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wiabes lou to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES , ~. , D. CONSTRUC'I'ION LIEN L'AW (CHAPTER 713, FLORIDA STATUTES., AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoKner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUl8r Affairs. If the applicant is sOlBODe other than the "owner", I certify that I have obtained a copy of the above described docU8ent and prOlise in good faith to deliver~jt tiJ. the "owner" prior to COllenCelent. 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 cOlpliance with all applicable laws regulating construction, laning, and land developlent. j' , Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no vorl or installation has cOllenced prior to issuance of a perlit and that all work will be perforaed to Jeet standards of all IllS regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goverDlental agencies laY apply to the intended worl, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: · Departlent at EnviroDJeDtal Regulation - Cypress Blyheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Managelant District - Wells, Cypress B~yheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalis, Docks, Navigable Waterways · Departlent of Health' Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater freatlent, Septic rants · US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage 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 sball 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 tecbnical codes, nor sball is~u~ce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perllt Issued &ball becoIe Invalid unless the work autboriled by such perlit is cOllenced within sil IOnths of issuance, or if work autboriled bl the perJlt is suspended or abandoned for a period of sil IOnths after the tile the wort is coaenced. One 90 dal Bltension of tile, lal be allowed for the perlit with fee cbarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each sil IOOth period, or the project will be considered abandoned. WARRING TO OWHIlR: YOUR FAILURE TO RIlCORD A NOrICE OF COKKIlNCEHEN'l HAY RBSULT IN YOUR PAYING RICE FOR IHPROVIIIDr8 TO YOUR PROPERTY. IP' YOU IN'lEND TO OBTAIN FINANCING, CONSULT IIITH YOUR LIlNDIlR OR AN AnORRIY BEFORB RECORDING YOUR HO'lICE OF COHHENCRHENT. JOBS UNDER $2,500 IN VALUE DO NOT NIlED TO RECORD AND POST A "NOrICIl OF COt!HEHCBllEN'l".. , I SIGNATURIl: ONNER OR AGENT SIGNATURIl: CONTRACTOR STATE OF FLORIDA COON'll OF The foregoing instrument before me this was acknOWledged , 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 bas 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