The URL can be used to link to this page

Home My WebLink About97-7018 BUILDING PE,RMIT 7018 p ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 3/) ~ tfv PLUMBING Permit Date I t9 ~V - '1 ') BUILDING MECHANICAL Sewer Conn Property Owner: .-& ~ Job Address:~-3.S~ - / V ;z;t ~ Parcel 1.0. # Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work ..j,nergy Code: _ ~.JA ~ .1..-. ~- - ~~ NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE ~Jt City License Registration # J 9 b l?- State Certified License# Inspector Permit Fee 't..O. tJ7) Signature'j..l j~},.jI! Company Address Telephone# J/~P Valuation or Contract Price r-R;:t; K:~_ 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 ($~) shall be made for each trip for each trade: o2S; tJ1) 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME l...~ 0 -8 OWNER'S ADDRESS 5'3 5 ~ 5~5~ PHONE JOB ADDRESS IO-t~ ~ ) 0 1'r, ~i . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~teration -.Jtepair _Install _Sign --"ove _Deaolish PROPOSED USE: ...Lsingle Faaily _KIF _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other ~f' ..J;.~ _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: Y e pi 0.. C <2.. S€u::J.e 1 \ i n eJ BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COKKERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED _BUILDING $ Valuatiop. of Total Construction _ELECl'RICAL AMP Service Florida Power Corp. W.R.E.C. --1IEClWllCAL $ Valuation of Kechanical Installation _PLUKBING GAS' ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIlUSBED FLOOR ELEVAnONS: FT. IS PROJEct' IN FLOOD ZONE AREA? YES NO .......................................... RIITT llER Sigpa~}!IYXP4 CONTRAct'OR SECTION COMPANY ~~~~ a JA State Cert. or Regist. t ~ City License Registration t ........ ................................. /9fb.R RT.~CTRICIAR COMPANY State Cert. or Regist. f SiDnAture City License Registration t .......................................... PLUKBER COMPANY State Cert. or Regist. t Signature City License Registration . ....................................*.***. KECllANlCAL COMPANY State Cert. or Regist. t Signature City License Registration t .............*..**....................*.*. OTRRR COMPANY State Cert. or Regist. . Signature City License Registration t .............*..*.................*.*..... APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject Lo "deed restrictions" which laY be .ore restrictive than City regulations. rhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertale worl, 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 III be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents lay apply for the intended worl, they are advised to contact 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 which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the worl. If tbe contractor wishes rou to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting pri'ilegu in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~{ D. CONSTRUC'!'ION LIEN Lnw (CIIAPTER 713, FLORIDA STATUTES" AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleODe other than the "owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to dellver~t tiJthe "owner" prior to COllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVl'f I certify that all the inforlation in this application is accurate and that all worl 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 certifr that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perfoCl8d to Jeet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govefDIental agencies laY apply to tbe intended worl, and that it is IY responSibility to identify what actions I lust take to be in co.pliance. Such agencies Include but are not lillted to: · Departlent of Environaental Regulation - Cypress Bayheads, Vetland Areas and EnviroDlentally Sensitive Lands, Vater/Vastewater rreatlent · Southwest Florida Vater Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Vatercourses · Arlr Corps of Engineers - Seawalis, Docks, Navigable Waterways ' · Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Vastewater Ireallent, Septic lanls · US EnviroDlental Protection Agency - Asbestos abalelent I also certify that, if fIll laterial is to be used in Flood Zone "A" or "A,elc.", it is understood that a drainage plan addressing a "cOlpensaling volUle" will be subtitted which 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 the work and not as authoritr to violate, cancel alter, or Bet aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official fCOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery pellit issued sball beCDIB ioralid unless the work autborized by such perlit is cOllBnced within sil IOnths of issuance, or if work autboriled br the pellit is suspended or abandoned for a period of sil IOnths after the tile the work is c~ced. One 90 day 81t_ion of tile, III be allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. WARHUrG TO OIINER: YOUR FAILURE TO RECORD A NOrICE OF COHHENCKHBNT JIIlY RESULI IN YOUR PAYllfG IIfICl FOR IIIPROVIIIIIrS 10 YOUR PROPERTY. If' YOU INTEND TO OBTAIlf FINANCING, CONSULT VITH YOUR LENDER OR AN ATTORBEY BEFORE R1COJIDllfG YOUR JKJrICl OF COHHEffCEHENT. JOBS UffDER $2,500 IN VALUE DO ffOT NEED TO RECORD AND POST A "NOrICE OF C(JNNCIIIENT".. SIGNATURE: OWNER OR AGRNT " I SIGNATURE: COffTRACTOR STATE OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 19_ by STArK 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 oatb. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC