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Home My WebLink About97-7305 BUILDING PERMIT 7305 L3 Permit I CITY OF ZEPHYRHILLS (813) 788-6611 ;;h!> ~, oiJ ~ (fi) ~ ~~RiC)L PLUMBING MECHANICAL Pmperty Owne" ~ J)<+J) Job Address: 5" ~ ~.f Parcell.D. #--S.5-- :;;.S- -~- /) D/ 0- O--S.""6 t!JD - ,9 t::1 0 lJ Date j;2 - 9 - 7' 'J Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Wor~ V..4-0 ~ LL.h A"~ Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector c City License Registration # State Certified License# :)Ss Signa Company Address Telephone# Valuation or Contract Price /'?rz9 ~ e:r() Ja~~ l1/AJ BUILDING / Jd~/~ ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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-i-:e61 shall be made for each trip for each trade: ;l..S-. tJV 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 ZEPBYRBILLS BUILDING DEPARTMENT .:1'1 . J "?- --3 OWNER'S JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION -1fU..O-"'\>l~) S.. Q.... ~ ~ .,_0000 PARCEL I.D.' ~ ~ - 2.,5- :JJ- (JCJ)()-()5"PIf'L)-(OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ----..Addition ~ration _____epair _Install _Sign ---1Iove _Deaolish PROPOSED USE: _Single F8IIily _M/F _' of Units _M/H ~rCial _Indust. _Swia. Pool _Other _suurant & Health,DepaJ~j trova1 ~ c;r,~ f~(( DESCRIPTION OP WORK: ~ ~4-" t '~ -t- ~ !JJ4JL ~.-J BUILDING SIZE: (7 X (/0. / d-CCY~.. Square Feet, Height RESIDERT1AL : COMMERCIAL : ATTACH (2) PLOT PLANS lie (2) SETS OF BUILDING PLANS lie (1) SET ENERGY FO ATTACH (3) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ----1IECllARIGAL $ Valuation of Mechanical Installation PERMITS REOUESTED BUILDING ~CTRICAL $ . a a.> ,//')0 ~..-- Valuation of Total Construction AMP Service Florida Power Corp. _PLUMBING GAS ROOFING SPECIALTY l.L.C 1-:- <:( r-- TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other F1lII.SBED FLOOR ELEVAITONS: FT. IS PROJECT IN FLOOD ZONE AREA? ~ YES NO ****************************************** Signature COKPARY State Cert. or Re City License Regis ation' ****************************************** ~ BIITl.DER OMPANY r ~ tate Cert. or Regist. , ity License Registration , ************************** 1;1./ (/J .. PLUMBER COMPANY State Cert. or Regist. , City License Registration' ****************************************** Signature MECllAHICAL COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature nTRF.R COMPANY State Cert. or Regist. , City License Regist~tion , ****************************************** Signature APPLICAITON APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject Lo "deed restrictions" which .ay be 80re restrictive than City regulations. The undersigned assWles responsibility for 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 is not licensed as required by law, both the owner and contractor lar be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing requiretents lay apply for the intended work, they are advised to contact the City of Zephyrbills 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 rou, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor .ishes you to sign as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U'l'ILITY CONNECTION FEES ~{ D. CONSTRUC'l'ION LIEN L1\W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If the applicant is soaeone other than the .owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "owner" prior to cOll8nceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe infor.ation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land develop.ent. I Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that no vorl or installation has cOllenced prior to issuance of a per.it and that all work will be perfoIled to l8et standards of all laws regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of otber governaental agencies lay apply to tbe intended vorl, and that it is .y responsibility to identify wbat actions I .ust take to be in cOlpliance. Sucb agencies include but are not 11llted to: · Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health & Rehabilitative Services, Environaental Healtb Unit - Wells, Wastewater !reablent, Septic rants · US EnviroDlental Protection Agency - Asbestos abateaent I also certify that, if fIll .aterial is to be used in Flood Zone "An or .A,etc.., it is understood that a drainage plan addressing a .co.pensating volute" will be sub.itted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit_ issuance. . A perlit issued sball 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 tbe technical codes, nor shall issuance of a per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Every petlit issued shall beCOle invalid unless the work authorized by such per.it is cOIIenced witbin six IOnths of issuance, or if wort authorized by the per.it is suspended or abandoned for a period of six IOntbs after tbe tile the work is cOlleDced. One 90 dal eatension of tile, III be allowed for tbe per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during eacb sil IOntb period, or tbe project will be considered abandoned. WARNING TO OWNER: YOUR FIULURE TO RECORD A NOTICE OF COIfHEIICEHBNT HAY RBSULr IN YOUR PAYING '"liCK FOR ItIPROVIJIBHrs ro YOUR PROPERTY. IF YOU IJlTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR All AnORRIY BEFORB RBCORDING YOUR NorICI OF COHHENCfiHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEBD TO RECORD AND POST A "NOTICB OF COHHIlN . SIGNATURE: ONNER . I STATB OF FLOR)9J_ COUNTY OF ~~ The foregoing instrument was acknowledged before me this 1).e..t.. 3 , 19-'-2 by dAlJ1bJ" jJ.. ~,tV G-IfAl/1 who is personally ~n to me or who has produced as identification and who did/did not ~/J, ~~ Igna ure) . ( Name NOTARY STATB OF FLORI~ COUNTY OF See The foregoing instrument was acknowledged before me this \:::>~ .3 ,19 9'7 by c/i- J!..Q "" IT W. /}4-~ r /ii"1!- who is personally known to me or who bas -- producea as identification and who did/did not tak~ p ~ (Signature) "'~~. . .<"-".1o:.:.":c,c::o..' .oIJte~..__ ' LINDA 0, MATTINGLY ~ta;y Public. State of Aorida My Comm. Exp, Aug, 20. 1999 Comm. 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