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Home My WebLink About97-7189 BUILDING PE,RMIT 7189 CITY OF ZEPHYRHILLS (813) 788-6611 Permit 13 Date JI"?-7~ BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn P<aperty owne~ .4J ~ Job Address: _ _ e:L./ Parcel I. O. # Zoning: ~nerg~ Code: Description of Work _~ Water Conn: Err Water Meter: T.I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ., City License Registration # State Certified License# /V7 . Permit Fee ~ ~ Signature (t: $ .-<l Company Address Telephone# Valuation or Contract Price ;L,~" -.s-: chJ , a g '.s BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr, Pre SLB Lintel FRM. Insul. CL WL Driveway +1 /!t1 /1 7 &O~ I Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($4-6-:-66) shall be made for each trip for each trade: ~-:a-v 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. a. b. C. d. e. f. g. 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 ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS L. 0 J L?J/eCl-(" -z.. l~ n cd? F}J..J:> ft)htf./;r PHONE APPLICANT OWNER JOB LOCATION ~J>~X //.p.# LOT SIZE(TS,~ ei:7j AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4~ 1 Z;<' e.os L F1/3 , WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install c ____Demolish ....:...-Sign/Temp. ____Sign ____Move PROPOSED USE: ____Single Family ----M/F ____# of Units .-M/H ____Commercial ~Indust. ,____Swim. Pool Other ____Restaurant & Health Department Approval 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.** **COPY OF CONTRACT REQUIRED. PF.RMITS REOUESTED ____BUILDING $ 2-2 b S- trY' Valuation of Total Construction --,:"ELECTRICAL AMP Service Florida Power Corp. _W.R,E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBI?{G ..... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Stee~ Other FINISHED FLOOR ELEVATIONS: FT. Signature ****************************************** _I ,. CONTRACTOR SECTION _ I. . ' - J)-J SeD /L-',,5 r _ Company 8r./ -3 C l) A,/,5 r -~~. ~ ~/"'J' // State Cert. or Regist. l~ C/?CD..33"-9~/ ~~~ City License Registration l~ / ~'J ****************************************** BUTLDER ELECTRT CT AN . Company State Cert. or Regist. # City License Registration 1~ ****************************************** Sillnature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature . Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. '\ '\ .-;.. ...J kJ-...........~ -"'a.". ~ "-- ~ ..... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" whicfi'lay be lore res~rictive than City regulations. The undersigned assutes relpOnsibili\y.,fo~ co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If the contractor il not licensed as required by law, both the owner and contractor lay be cited for a lisde.eanor 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 Departlent, (813) 789-6611. ' Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the "Contractor 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 resPQnsible for the work. If the contractor wishes you to sign as contractor that .ay be an indication that he is not properly 'licensed and is not entitled to per.itting priviltges 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 LaM - HOleowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is SO.Eone other than the "owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the "owner" prior to COllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in compliance with all applicable laMS regulating construction, zoning, and land developlent. Application is hereby .ade to obtain' a per.it to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a per.it and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it,is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include bllt ~Ie not li.ited to: I Depart.tnt of Envifonlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treat.ent . I Southwest Florida Water "anaQe.ent District - Wells, Cypress 8ayheads, Wetland Areas, Altering Watercourses I Army Corps of EnQineers - SeaMalls, Docks, Navigable Waterways I Department of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatlent. Septic Tanks t US Environmental Protection Anency - Asbestos abate.ent I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it iss~ance. A permit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit iS511~d 5hall becole invalid unless the work authorized by such per.it is com.enced within six lonths of issuance, or if work authorIzed by the perlit is suspended or abandoned for a period of six lonths after the time the work is cOlmenced. One 90 day e~t~nsioll of tile, lay be allowed for the per.it 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 .onth period, or the project will be considered ~bal~Dned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__________________________________ OWNER OR AGENT SIGNATURE______________________________ CONTRACTOR DATE --------------------------------------- DATE___________________________________ NOTARY AS TO OWNER OR AGENT_____________________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES__________________ MY COMMISSION EXPIRES______________________ , . .. .;"~."~'.'_'.."~.' --0 '-'~. ." L EVEC K ,( EMff({f}LD L~TZJ P~J~T t / / D!::> '6' .? . - .----r"L:- ".. \ I" s JleO SLI16 - B' 50' : 2'0' 30~ """ '~ "'-- )2/_~ t '30, ,~4 ~ , -1 /'/>1. ,j..: 1"'- C r- C ';:.. ~!~~ ) .' ~ ';'~'. I " " ) I ,JL:l'-0