The URL can be used to link to this page

Home My WebLink About97-7173 BUILDING PE.RMIT .7173 - ~ CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date 11-3-7'7 BUILDING ~ PLUMBING Pmpert'! Owne' b J f:p",,:" r: Job Address: 0_ ~ Parcel 1.0. # Zoning: ~rg'y C~:, ~ DescriPtion of Work )1~~A.........._--r-- ~ T MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: V!f&C ~ //-1/'-9>' )Jut 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 ;;...~ " I"JI) Signature.-n . ~ Company Address Telephone# Valuation or Contract Price ~h City License Registration # II! 7 State Certified License# O.Lo~/ 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 ($~ 5.0()) shall be made for each trip for each trade: ~': c:rv 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT LEGAL DESCRIPTION: LOT(S) E I-C\ C- (' c. 10 ~ "l c... c> ~ $+\ h1. e- d...\ P <:> i '" .+. <-- LO r f' . f9-m-e. + ~ {' S-+ LV&. r PHONE ;lot -~(4C LOT OWNER'S NAKE OWNER I S ADDRESS JOB ADDRESS BLOCK SUBDIVISION PARCEL LD.' WORK PROPOSED:-X-New Construction _Sign (OBTAIN FROM PROPERTY TAX NOTICE) ~ddition ----Alteration ~epair _Install -.Jfove _Deaolish PROPOSED USE: _Single Family _M/F _' of Units _M/H _C~ercial _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 ~ELECI'RlCAL $ Valuation of Total Construction 100 AMP Service Florida Power Corp. W.R.E.C. _HECHAlUCAL $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIHISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION COMPANY State Cert. or Regist. , City License Registration . ****************************************** BUILDER Signature =ur::~ff~ . COMPANY~ ~ ~ r etif State Cert. or Regist. , /:--SOOOcc II City License Registration t ) g 7 ****************************************** PLUHBER COMPANY State Cert. or Regist. f 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 perJit lay be subject to 'deed restrictionsR which laY be lOre restrictive than City regulations. !be 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 wort, 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 Zepbyrhills Building Deparllent, (013) 780-6611. Furtberlore, if the owner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the .Contractor Sections. 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 wort. If tbe 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 - HOIBOWner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other 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 .owner" prior to cOlleDcetent. 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 work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a pertit and that all wort 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: t Departlent of Environtental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Nater/Nastewater Treallent * Southwest Florida Nater Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable.Waterways * Deparllent of Health & Rehabilitative Services, EnvirODlental Health Unit - NeIls, Wastewater Treallent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "A. or "A,etc. ", it is understood that a drainage plan addressing a 'cOlpensating volUle' 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 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. Every pertit issued shall beCOll! invalid unless tbe 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 sillOnths after the tile the work is cOllenced. One 90 day extension of tile, liy be allowed for the perJit with fee charge 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. NAIUlIHG TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEHEHI MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEHEHlS TO YOUR PROPERTY. IF YOU IJIIEIm TO OBTAIN FIIWfCING, CONSULT WITH YOUR LEimER OR All AnORHEY BEFORE RECORDING YOUR NOTICE OF COMHENCEHEHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A uNOTICE OF COMMENCEMEHI". SIGNATURE: OWNER OR AGENT SIGNATURE: COHTRACTOR STATE OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUHTY 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 PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC