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Home My WebLink About97-7152 BUILDING PE,RMIT 7152 E CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date /o-0l9-7"') Pmperty Owne' ~~ ~I!l!~ Job Address: ~ -~-- - Parcel 1. D. # Zoning: ~y Cop~ Description of Work {'M-f .b\.J:' ~ ?~ PLUMBING MECHANICAL Sewer Conn BUILDING 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 C.O. / /- ~ ~ 97 DATE NO OCCUPANCY BEFORE C.O. DATE Inspector City license Registration # State Certified license# ~/A Irt; , Permit Fee Signature Company Address Telephone# d~'-~crD . .~~ -- Valuation or Contract Price {b.q ('~ 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 ($ +8.e61 shall be made for each trip for each trade: ~--. tTD 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 LOT OWNER'S NAME JOB ADDRESS ~ me r" t"\. I d t.:J'::>1 " + e: C <..:..)( (0. -:s '-, <.c:, {).J- A 'Y\ 'C' 1- h. Y ~ -r <" ,)fT 111 <e.- L' I '-I.~ (J BLOCK PHONE 17 g-,r- A/~",- OWNER'S ADDRESS ~ c-.. v I LEGAL DESCRIPTION: LOT(S) SUBDIVISION PARCEL 1.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-4New Construction -----Addition -----Alteration ~epair _Install _Sign ---1Iove _Deaolish PROPOSED USE: _Single Family ---111 F _, of Units ---1I/H _CoB.ercial _Indust. _Swia. Pool _Other _Restaurant & Health Depart-ent 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 AKP Service Florida Power Corp. W.R.E.C. _MECllAlUCAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _Fraae _Steel Other FlRISBED FLOOR ELEVATIONS: F1" . IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER Signature COMPANY State Cert. or Regist. , City License Registration , ****************************************** :=CIAR~~~ COMPANYi..~ ~ r- etJf State Cert. or Regist. "f:.-.s 0 t:)Occ 'I rex. J ~ City License Registration # J&7 ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. # 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 The undersigned understands that this pellit lay be subject to udeed 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 bired 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 OWDer and contractor lay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirBlents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departtent, (013) 700-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the uContractor Sectionsu of this application for wbich 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 pellitting privileges in the City of Zephyrbills. 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 Guideu prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If the applicant is sOleone other tban the Uowner", 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 COIleDCBlent. 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, loning, and land developlent. Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work 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 tqe jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies tay 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: * DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Natercourses * AllY Corps of Engineers - Seawalls, Docks, Navigable.Waterways t Deparllent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abatBlent I also certify that, .if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a ucolpensating volUleu will be subtitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A pertit issued shall be construed to be a license to proceed witb 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 pellit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery pellit issued shall becOle invalid unless the work authorized by such perlit is collenced within six IOnths of issuance, or if wort 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, IiY be allowed for the pellit 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. NARHING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCBHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHDt'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCBHKNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A uNOTICE OF COHHEHCEHRNT". SIGJlATURE: OmlR OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUHTY 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC