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Home My WebLink About97-7134 BUILDING PERMIT 7134 Permit E CITY OF ZEPHYRHILLS (813) 788~6611 Date / tP -..l. '7 - Y 7 BUILDING ~~~RIC~ Pmp'rty Own.' !!rAu J ,I r-p~ :t:-: Job Address: '\::-~ eX ':2-. PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel I. D. # Zoning: Description of Work ~ V3:.y ~ode: . . J1.. ~ ~ ~ --p~ z;:::; Radon Gas: Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Inspector Permit Fee Signature Company Address Telephone# :2 ~-. dV O. &-r~ Valuation or Contract Price f/'k City License Registration # J r7 State Certified License# o~ 0 /i~.:... 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 ($1-&:601 shall be made for each trip for each trade: ..;.!.s':' c-v 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. f "'., APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT LOT OWNER'S NAME i:: r-Y\ 'C:. 1,1"- Ct leA PD,; h + c. C (){~ yo. A rn t:- + h '( "r W CI. LJ / PHONE ? tf -c)-./ 7'(- JOB ADDRESS '), '1 \0 0 d-. :;;rmc:..- ~~ BLOCK SUBDIVISION OWNER'S ADDRESS LEGAL DESCRIPTION: LOT(S) PARCEL I.D.f (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~New Construction _Addition -Alteration ~epair _Install _Sign --.-JIove _Deaolish PROPOSED USE: _Single Faaily --.-JI/ F _' of Units ---1'l/B _eo..ercial _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 ~ELEC'fRlCAL ---1IECBANICAL 100 AKP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FlRISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION COMPANY State Cert. or Regist. t City License Registration f ****************************************** BUILDER Signature :'::~7~ . COMPANY'/( ~ ~ r ~ State Cert. or Regis t . # /:o-S () 000 C 'i City License Registration f ) g 7 ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration f ***********~****************************** OTHER COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit 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 has hired a contractor or contractors to undertate wort, 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 Zepbyrhills Building Deparllent, (813) 708-6611. FurtheIlOre, if the owner has bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the RContractor 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 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. 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 - Hoteowner's Protection GuideR prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOl8One other than the Rowner", 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 COIlenCetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforlation in tbis 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 wort or installation has collenced prior to issuance of a perJit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in t4e jurisdiction. I also certify that I understand that the regulations of other governtental 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: * Departtent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses * ArlY Corps of Engineers - Seawalls, Docts, Navigable.Waterways t Deparllent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abateJent I also certify that, .if fill laterial is to be used in Flood ZOne RAR or "A,etc.", it is understood tbat a drainage plan addressing a "colpensating volUleR will be sublitted whicb 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 perJit prevent the Building Official frOt thereafter requiring a correction of errors in plana, construction, or violations of any code. Every perJit issued shall hecote invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six 80ntbs after the tile the work is cOllenced. One 90 day extension of tile, liy be allowed for the perJit with fee cbarge of $15.00. The extension 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. NARHING TO OliNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENI MAY RESULT IN YOUR PAYING DICE FOR IHPROVEHENlS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCRHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHDCEHENT". SIGNATURE: OIIHER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COllHTY OF The foregoing instrument was aCknowledged before me this , 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 has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLICB (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC