The URL can be used to link to this page

Home My WebLink About97-7273 BUILDING PERMIT 7273 IJ CITY OF ZEPHYRHILLS (813) 788.6611 Permit Date I d- - '1- 9'7 g ELECTRICAL PLUMBING Pmperty own"'h ~ I Cj) ~ Job Address: ~ _? Parcell.D. # Zoning: Energy Code: DescriPtion of Work CFYt-"" A~."7;- MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Radon Gas: FINAL /2-, /9- NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. J c.o. DATE Inspector te.L- Po,ml. Fee . c: .~ Signature iIA _.L Company Address Telephone# Valuation or Contract Price 5,5:(}(::J. 0-0 City License Registration # J? ~ State Certified License# r J)trI!~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB /2 -Ii -q'J lJILi- Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final 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 S.eetshall be made for each trip for each trade: ~-;tJ7:J 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER' S NAKE E M~rc; kI !JOt ;,1- PHONE OWNER · S ADDRESS JOB ADDRESS Lol- 27 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Hove _DeJIOlish PROPOSED USE: _Single Faaily _H/F _' of Units _H/H _~ercial _Indust. _Swia. Pool _Other _Restaurant Ii Health Department Approval DESCRIPTION OF WORK: CO" c"k S/q h BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~LDING PERMITS REOUESTED $ I 'SOD 00 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. ---1fECIIAIIlCAL $ Va1uation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _B1oclt _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** RIITT.DER Signature COMPANY State Cert. or Regist. . City License Registration . ****************************************** I Cf ?O RT.R.CTRICIAN COMPANY State Cert. or Regist. . SignAture City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration f ****************************************** KEGBAHICAL COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRRR 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 perlit 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 CON'l'RAC'l'On RESPONSIBILIi'IES If the owner has 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 responsible for the work. If the contractor wisbes 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. CONSTRUC'I'ION LIEN Lnw (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer'a Protection Guide" prepared by the Florida DepartJent of Agriculture and ConSUler Affairs. If tbe applicant is SOleOne other than the "owner", I certify tbat I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the "owner" prior to COllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVrf I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. I Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goverDlental agencies laY apply to the intended worl, 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: · Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · De artlent of Health' Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater rreatlent, Septic ranls · US EnviroDlental Protection Agency - Asbestos abat8lent 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 wbich 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 tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Every perlit issued sball beCOle invalid unless the work authorized by such perlit is cOllenced within six lanths of issuance, or if wort authorized by the per.it is suspended or abandoned for a period of six lanths after the tile the worl is cOllenced. One 90 day extension of tile, lay be allowed for the perlit 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCKHENT HAY RESULT IN YOUR PAYING nlCl FOR IHPROVIDIDl'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOMEY BEFORE RECORDING YOUR NOTICI OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHKKNCKHENT". SIGNATURE: OWNER OR AGENT , I SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 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 / ~ /)~ --_.---,...~- // ~ I "\ - --- .----.--__...___ '~_____'__4.__#__' 'r) ?..~ -:2-Go P Q _..- u____ 2-D {' ---I- I j - ---~~ , (, ~ b 0, " ~ I I . ,-~t:(~ p_,:') _._6'--.- . I 7-- ' G'> I) P ,~\ , \ \, '-..~ ---- \ ----- -- , \ 's- ) ~ " --------= ~o\ I- 1- ') \o\L (jJJ 1 ()