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Home My WebLink About97-7135 BUILDING PE.RMIT 7135 ~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date I ~ - a '1- r 7 BUILDING ~CTRICAD PLUMBING Pmperty owne~d -0~:G . Job Address: ~ -"--~---- Parcell.D. # Zoning: ~f!:!3rgy Code' DescriPtion of Work 1..:../j,.1....~.4- _ r ~ ~ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: 7Jt(E-C- ~ ~J / () -.;L~-9 :> 11/11 NO OCCUPANCY BEFORE C.O. Complete Plans, SpeCifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. /a-Z7-'9 DATE DATE Inspector L L Permit Fee Signature Company Address Telephone# :25,tTD O'~~ Valuation or Contract Price I~/ A- City License Registration # J ~7 State Certified License# ~~ 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 ($ ttr:eel shall be made for each trip for each trade: .).~':IJD 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 ZEPHYRBILLS BUILDING DEPARTMENT 1'\. i \ (.( JOB ADDRESS E n"\e r- c. l ~ rJD ~ It... -\- L .~ q ~ 0 ~ f\ n"\ ~ + h Y .& SA-me..--- (-) l)f f ~)CI' PHONE I ~ ~K'-~ll{ \" LOT OWNER'S NAME OWNER' S ADDRESS LEGAL DESCRIPTION: LOT(S) ~:;D 1.4'1 >, I ,) 1,-' ..---/ BLOCK SUBDIVISION PARCEL 1.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~New Construction ~ddition ----A1teration ____Repair ____Install ____Sign --IIove _Deaolish PROPOSED USE: _S ingle Faaily --III F _' of Units _M/B _Comaercial _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 ~ELEcnuCAL 100 AKP Service Florida Power Corp. W.R.E.C. _MECBAHICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae ____Steel Other FT. IS PROJECT IN FLOOD ZONE AREA? FINISHED FLOOR ELEVATIONS: YES NO ****************************************** CONTRACTOR SECTION COMPANY State Cert. or Regist. f City License Registration . ****************************************** BUILDER Signature ::::~;:r$ . COMPANY)( ~ avv r ~ State Cert. or Regist. "l!SOOOot:> II City License Registration i ) g 1 ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration t ****************************************** MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration t ***********~****************************** OTHER COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit 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 bas 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirBlBDts lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparllent, (013) 700-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor Sections I 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 _ HoteOWDer's Protection Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOIeone other than the 'owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner. prior to COlleDcetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all the inforlation in this application is accurate and that all wort will be done in cOlpliance with all applicable laws regulating construction, loning, 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 cOIIenced prior to issuance of a pellit and that all work will be perforted to leet 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 goveI1llental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust tate to be in cOlpliance. Such agencies include but are not lilited to: * Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDIIDtally Sensitive Lands, Nater/Wastewater Treatlent t Southwest Florida Nater Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docls, Navigable.Waterways * Deparllent of Health & Rehabilitative Services, EnviroDIIDtal Health Unit - NeIls, Wastewater Treatlent, Septic ranks * US EnviroDlental Protection Agency - Asbestos abatBlent I also certify that, if fill laterial is to be used in Flood Zone "AR or "A, etc. ", it is understood that a drainage plan addressing a ucolpensating volUleu will be submitted 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 with the 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 frOt thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall becOJe invalid unless the work authorized by such pellit is cOlleDced 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 cOllenced. One 90 day extension of tile, lay be allowed for the pellit with fee charge of $15.00. fbe 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. NARHING TO OWNER: YOUR FAILURE fO RECORD A NOrICE OF COHHEHCIMEIft' MAY RESULT IN YOUR PAYING fNICE FOR IHPROVEMmS TO YOUR PROPERTY. IF YOU INTEND fO OBTAIN FIWCING, CONSULT WITH YOUR LENDER OR AI AnOmy BEFORE RECORDING YOUR NOTICE OF COHMENCBHKNT. JOBS UNDER '2,500 IN VALUI DO NOt' NEED fO RECORD AND POST A uNOt'ICE OF COMHEIfCBHKNr". SIGNATURE: OWHER OR AGE1ft' SIGNATURE: COHfRACTOR Sf ATE OF FLORIDA COlOO'Y 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 wbo is personally known to me or wbo bas produced as identification and wbo did/did not take an oatb. wbo is personally known to me or wbo bas produced as identification and wbo did/did not take an oatb. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC