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Home My WebLink About98-7444 BUILDING PE_RMIT ,;l.S..... H C;'LDIN~~ :2..S", (h) GECTRI~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7444 8 Date ..;;l - ;J -7 <f> PLUMBING MECHANICAL Sewer Conn Water Conn: ::::,~:~e:;~~ .%~ Parcell.D. # Water Meter: T.I.F.'s: Zoning: Energy Code: DescriPtion of War;; X~ ~ ~ Zdan Gas: _dd:,~./:, _ A(J~L~ NO OCCUPANCY BEFORE C,O, FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C,Q, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector tJ, City License Registration # State Certified License# Permit Fee -g . ru . Signature '%( ~ ~,;/ Company Address Telephone# Valuation or Contract Price /1 CJ-7/ . r-v '7Kd - Q l/ b 'j .d)A IYwA /?')..., /'V11? A- BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM, lo/~ ~ Insul. CL WL In{q f,~ ~b Tp, Serv, L Rough In 8 J.o Jq <J Meter Can Const, Pole Pool Pre-Meter Final lob SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway Re - foo{ ~/)ohi BeL, REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($-15,00) shall be made for each trip for each trade: ~..5-:lTD 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ,/S'd- - 1,/63 OWNER'S NAME !?1llff ~ k ,f, 1ft' I ~ ,.f-" ;( OWNER'S ADDRESS '?~ J.2? f( ~ /(V/'.. PHONE JOB ADDRESS r il 2 c; t;f/;~I: 2 - /./:/ Ie 2. - /"';//1", BWCK f / SUBDIVISION LEGAL DESCRIPTION: WT(S) i'3 , ('f. IS #' / PARCEL 1. D. t (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign -",ove _DeIIOlish PROPOSED USE: _Single Faaily _H/F _, of Units -"'/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COMMERCIAL : ATTACH (2) PWT 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. --.t::BUILDING ~ELECTRICAL PERMITS REOUESTED $ SO(),O/'J Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. _MECHAIII.GAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FrtHIe _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO 'CONTRACTOR SECTION BUILDER COMPANY ~ w,ve~ _/'J ,,/ State Cert. or Regist. t 7L!L..4 d >:Tot!'~ City License Registration t ****************************************** Signature ELECTRICIAN Silmature .4 ~ ,;( COMPANY 6(.dA/~/t' ~ ' State Cert. or Regist. t -,,~ City License Registration' ****************************************** PLUMBER COMPANY State Cert. or Regist. t City License Registration , ****************************************** Signature MECHANICAL COHPANY State Cert. or Regist. f City License Registration , ****************************************** Signature OTRF.R COHPANY State Cert. or Regist. # City License Registration t ****************************************** Signature APPLICATION APPROVED BY PERKIT 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. rhe 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 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 Lhe owner or intended contractor are uncertain as to wbat licensing requirelents lay apply (or the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (BIl) 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 (or which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather tllan 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 f ~' , D. ~ONSTRUC'l'ION LIEN L'.I\W (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HoIeoIner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs, If the applicant is sOleone otber 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 co..encelent. 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. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no vorl or installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to leet standards of all law. regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies aay apply to the intended wort, 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 Deparllent of HnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewater rreallent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways t Deparllent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treattent, Septic !anls t US HnviroDlental Protection Agency - Asbestos abatelent 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 yolDle" 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 autbority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery'p&rIit issued shall becOie invalid unless the work authorized by such perlit is cOlIBnced within six IOnths of issuance, or if work autboriled by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, liy be allowed for the perlit with fee charge of $15.00. rhe extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. WARlING TO OVIHR: YOUR FAILURB TO RECORD A NOTlCR OF COHHBICEllRIT HAY RBSULT II YOUR PAYIIG "'ICE FOR IHPROVIIIBI1'S TO YOUR PROPBRTY. IF YOU INlBID TO OBTAII FIIAICIIG, COISULr WITH YOUR LEIDER OR AN ATTORRBY BBFORl RICORDING YOUR MorICE OF COKMEICEHBIT. JOBS UIDER $2,500 II VALUE DO lOT IBED TO RECORD AID POsr A "IOTICB OF COMKBICBHEIfT". . I SIGIArURB: OVIIER OR AGBIT SIGIATURE: COllDACrOR srATE OF FLORIDA CoolTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUITY 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 bas 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