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Home My WebLink About97-7356 BUILDING PE"RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 73565 Date J J.. -3/- if 7 BUILDING ~~~~ Pmperty Owne' ~ &~ 7?7{; Job Address: ~~ ~ Parcell.D. # - . ) () PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T_I.F.'s: Zoning: ~_ C?de: DescriPtion of Work 8 A~ <. ~ , ')J](~c- I-~ ~9f" ~'J1 J1Il NO OCCUPANCY BEFORE C.O. Radon Gas: - FINAL ') 96 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 u City License Registration # State Certified License# /r7 Permit Fee Signature Company Address Telephone# rf6"'--crD ao~ Valuation or Contract Price II/A- ~d BUILDING 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 ($~) shall be made for each trip for each trade: ~-: tn: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 PERKlT CITY OF ZEPHYRHILLS BUILDING DEPARTKENT LOT - OWNER'S NAKE--'=- rn -e r t! l J .~ '\ <00 ~ ~AW\-e- LEGAL DESCRIPTION: LOT(S) 1 D-7 OWNER'S ADDRESS Pc;. n 1-<.... G tlc ~. f\1Y\~+-~y ..~T PHONE ''I <{(-S(- .J..l 't r 0",., , JOB ADDRESS BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction --'ddition ----Alteration ~epair _Install _Sign --",ove _Demolish PROPOSED USE: _Single Faaily --",I F _, of Units ~/H _Coaaercial _lndust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet. Height RESIDENnAL: COMMERCIAL : ATTACH (2) PLOT PLANS 1& (2) SETS OF BUILDING PLANS 1& (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS 1& (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. _KECHARlCAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION COKPANY State Cert. or Regist. , City License Registration . ****************************************** BUILDER Signature :CTRI:~~~ COKPANY'I... t2a- CL~ r etIf State Cert. or Regis t . ,l::--.s 0 "00 If} Ii anatu . / 6V~ City License Registration f } g 7 ****************************************** PLUKBER COKPANY State Cert. or Regist. , Signature City License Registration , ****************************************** KECBANICAL COKPANY State Cert. or Regist. , Signature City License Registration . ***********~****************************** OTHER COKPANY 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 peClit lay be subject to "deed restrictions" which lay be lOre restrictive tban City regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas 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 aay be cited for a lisdeleanor 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 DepartJent, (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 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 uFlorida's Construction Lien Law - HOIeowner's Protection Guideu prepared by the Florida DeparLlent 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 CODenCl!lent. 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, zoning, 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 cOllenced prior to issuance of a peClit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in t4e jurisdiction. I also certify that I understand that the regulations of other goveIDIental 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 DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable.Waterways t DepartJent of Health << Rehabilitative Services, Environtental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US Environlental Protection Agency - Asbestos abate.ent 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 which 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 work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~uance of a per.it prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued shall becOle invalid unless the work authorized by such perlit is cODenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tilt! the work is cODenced. One 90 day extension of tile, .lily 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. WAIUHNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMEBCRMEM1' HAY RESULT IN YOUR PAYING TWICE FOR IMPROVKMElITS TO YOUR PROPERTY. IF YOU IM1'EMD TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHMENCEMEM1'. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMEHCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COOOY OF The foregoing instrument before me this was aCknowledged , 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC