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Home My WebLink About97-7133 BUILDING PE<RMIT CITY OF ZEPHYRHILLS (813) 788~6611 Permit 7133 t:: Date fO ..;)'1-77 BUILDING ~TRI~ PLUMBING ::::::,~:~.~ ~~ a/~ !:r-~ Parcell.D. # Zoning: ~er~y Code: Descriotion of Work ('/; -IoJl~ ? ~ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: VI( E-A- q... jg--1Y ~ J :3l? .J:r:r'l'l }1 ft\ 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. DATE Inspector Permit Fee Signature Company Address Telephone# ::2-s-. crc2 O.~< City license Registration # State Certified license# ff/A- J~'7 Valuation or Contract Price (lAi p /L;,. BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 ($1-&:60) shall be made for each trip for each trade: .1-!.>':lTD a. b. c. d. e. f. g. 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. 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 (/J LOT OWNER · S NAKE~ IrY\ e...r t\ ~ ~ S~~O d-.- JOB ADDRESS ~ A ffi !2:- OWNER · S ADDRESS ~C> \ Y\ -\- ~ ~ 0 (' r0. f\ i'J\ "t:- t- h Y L~ 1"" CAJ 1'\ V I PHONE , 'f g t ~ d- ( L ( <:- LEGAL DESCRIPTION: LOT(S) 4- 'k 4 '/7 BLOCK SUBDIVISION PARCEL J.D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:~New Construction --^ddition -Alteration ~epair _Install _Sign. ~ove _Deaolish PROPOSED USE: _Single Faaily ..---Jtl F _' of Units _HID _Cogaercial _Indust. _Swia. 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. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block. _Fraae _Steel Other FT. IS PROJECT IN FLOOD ZONE AREA? FlHISHED FLOOR ELEVATIONS: YES NO ****************************************** CONTRACTOR SECTION COMPANY State Cert. or Regist. . City License Registration . ****************************************** BUILDER Signature :.:::~~~ . COMPANY'l<. t2d ~ r- ~ State Cert. or Regist. t f::.-S OOOot!> Ii City License Registration t } g 7 ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration' ***********~****************************** OTHER COHPANY State Cert. or Regist. t Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rhe undersigned understands that this perJit lay be subject to Ddeed restrictions" which lay be lOre restrictive than City regulations. rhe undersigned assUles responsibility for cOlpliance with. any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertate work, they lay be required to he 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 lisdeteanor 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 Departtent, (013) 788-6611. FurthellOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the DContractor 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 wort. If the contractor wishes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting priVileges in the City of Zepbyrbills. 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 .Florida's Construction Lien Law _ HOIeowner's Protection GuideR prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber 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 vownerv prior to COIIBnCBlent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all wort 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 wort and instailation as indicated. I certify that DO work or installation has cOIIenced prior to issuance of a perJit and that all work will be perfOrted to .eet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in t4e jurisdiction. I also certify that I ~derstand that the regulations of other goveIIllental agencies lay apply to the intended wort, and that it is IY responSibility to identify what actions I lust take to be in colpliance. Sucb agencies include but are not litited to: t Departlent of Environlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Nater/Vastewater Treattent * Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable. Waterways * Deparllent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - NeIls, Wastewater Treattent, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abatBlent I also certify that, . if fill lateriaI is to be used in Flood ZOde VA. or IIA,etc.., it is understood that a drainage plan addressing a .cOlpensating volUlev 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 witb tbe wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~uance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid unless the wort authorized by such perJit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntha after the tile the work is coaenced. One 90 day eItension of tile, IiY be allowed for the pertit with fee charge of '15.00. Tbe extension sball 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. NARlHHG 1'0 OIliER: YOUR FAILURE 1'0 RECORD A HOTICE OF COHHEHCEHEH'I' MAY RESULT IN YOUR PAYING TWICE FOR IHPHOVEHEIt'S TO YOUR PROPERrY. IF YOU IJf1'EIID 1'0 OBTAIH FIHANCIHG, COHSULT WITH YOUR LEIDER OR AN A!TOHHBY BEFORE RECORDING YOUR NOTICE OF COHHENCBHEHT. JOBS UNDER $2,500 IN VALUE 00 HOT NEED TO RECORD AND POST A vHOTICE OF COHHEHCEHBNTIf. SIGHATURE: OIiHER OR AGEH'I' SIGNATURE: CONTRACTOR srATE OF FLORIDA COUHrY OF The foregoing instrument was acknowledged before me this , 19____ by STArE 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