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Home My WebLink About97-7103 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788~6611 Permit - 7103 J.:=- Date / 0 -~/- 9 7 BUILDING ~~ PLUMBING ",operty owne'd~A A 1 rP ~ Job Address:,--b_ ~ ~ Parcel I. D. # Zoning: Energy Code: Description of Work I~~- XJ~ tY IJRE/t /0 ~~-y? ~ }fJ7J NO OCCUPANCY BEFORE C.O. MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL 10 C.O. DATE Inspector Permit Fee Signature Company Address Telephone# ~ '" p--0 O.~ Valuation or /' IL Contract Price ,~ /T City License Registration # / r7 State Certified License# attd 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 A::l.__.. , . 88 _.dl..,~ ($ ~ shall be made for each trip for each trade: ~';;tv 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 ZEPHYRHILLS BUILDING DEPARTMENT LOT OWNER'S NAME OWNER'S ADDRESS E """ -c:.. r "- l d fc,; V\ t 1" (,o r 1..0 ~cP,=0'l AVV\t:...+hy ~t 0o..y ~m-e...... PHONE 1 &' () - ..;l(L{ )" #31 JOB ADDRESS LEGAL DESCRIPTION: LOT(S) 3.1 BLOCK SUBDIVISION PARCEL 1.D.# (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~New Construction ----Addition ____Alteration ____Repair ____Install ____Sign --1Iove ____Deaolish PROPOSED USE: ____Single Faaily --1I/F ____' of Units ____M/H ____COI8ercial ____Indust. _Swim. Pool _Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: 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. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ~ELECTRICAL 100 AMP Service Florida Power Corp. W.R.E.C. ____MECBANlCAL $ Valuation of Mechanical Installation ____PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____FrOle ____Steel Other FIHISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER Signature COMPANY State Cert. or Regist. , City License Registration , ****************************************** :~::CTRI:~ x.~~J ~A{JL CQlfPANY'I<. ~ avv r edf (../~ State Cert. or Regist. f ~-S()t:)Occ ,/ City License Registration # ) g 7 ****************************************** PLUMBER COMPANY State Cert. or Regist. f Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration . ***********~****************************** OTHER COMPANY State Cert. or Regist. . Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this peIlit lay be subject to .deed restrictionsN which laY be lOre restrictive than City regulations. Tbe 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 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 lisdeJeanor 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 Zephyrhills Building Departlent, (DI3) 788-6611. FurtheIlOre, 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 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 Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Plorida's Construction Lien Law - HOIeOWDer's Protection GuideN prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOlSone other than the .0wnerN, I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the Nowner. prior to cOlleDceJent. 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, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a peIlit and that all work will be pedoIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in 14e jurisdiction. I also certify that I ~derstand that the regulations of other goverDlental agencies laY apply to the intended work, 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: t Departlent of RnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable.Waterways t Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroDleDtal Protection Agency - Asbestos abat~ent I also certify that,'if fill laterial is to be used in Flood zone .A. or NA,etc.., it is understood that a drainage plan addressing a .cOJpeDsating volUle. will be sublitted whieb 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 authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~uance of a peIlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of sil IOntha after the tile the work is cOllenced. One 90 day l!Itension of tile, laY be allowed for the peIlit with fee charge of $15.00. The l!Itension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEHEH'1' MAY RESULT IN YOUR PAYING 'l'VICE FOR IMPROVEMmS TO YOUR PROPERTY. IF YOU IIITEND TO OBTAIN PIlfANCING, CONSULT WITH YOUR LENDER OR All ATTOmY BEFORE RECORDING YOUR IIOTlCE OF COHMElfCEHKIIT. JOBS UNDER $2,500 III VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMElfCEHKNT". SIGlfATURE: OVIIER OR AGEIfT SIGNATURE: COIITRAC'lOR STATE OF FLORIDA COUIf'lY OF The foregOing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum 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 (Name Typed, Printed or Stamped) NOTARY PUBLIC