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Home My WebLink About98-7502 BUILDING PERMIT Property Owner: Job Address: Parcell.D, # CITY OF ZEPHYRHILLS (813) 788-6611 7502 -t:=' Date d2-/77~ Permit B~- MEC~ Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, DATE City License Registration # ...sf State Certified License# Permit Fee Signature Company Address Telephone# Valuation or Contract Price =- ~I~ ~~~c~~~~'~~ Tp. Servo SLB Rough In Tub Set Meter Can Water Const, Pole Sewer Pool Final Pre-Meter Final u,.,k,~,.o...",J ~{e l/I'h~ ~I MECH~ ~ Ftr. Pre SLB Lintel FRM, Insul. CL WL 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: ~-; eTV 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 ZEPHYRBILLS BUILDING DEPARTMENT OIINIlR'S 1Wl1\~. ~/~f~~NE _'S AIIDIlESS W.P9' ~~~ - JOB ADDRESS W ~f ~~/ ~ ,Z-~ C-' ' . n"'O;; . ~ ; 7tf{)-f22- ~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. f (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: _Single Fsaily _H/F _' of Units _H/H _~ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Departaent Approval ~~L "".. .._,._.......-.~------...... 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING ~CTRICAL $ Valuation of Total Construction AMP Service Florida Power Corp. t ..w:iL E. C. --1IECllAlUCAL $ Valuation of Mechanical 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 BIJTI.DRR COMPANY State Cert. or Resist. f Signature City License Registration f ****************************************** UoICTRICIANa COKPAJIY~~~ :ii....tore /~ ~ ~~~\~~O~::~::~i:.. ~~~iJJ'"'M2?~ ***************************************** PLUMBER COMPANY State Cert. or Resist. f Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration f ****************************************** OTRRR COMPANY State Cert. or Resist. f Signature City License Registration f ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigne~ 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 CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertale 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 lIy 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 worl, they are advised to contact the City of Zephyrbills Building DepartleRt, (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 per.itting priVileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ., { . D. CONSTRUCTION LIEN LnW (ClmPTER 713, FLORIDA STATUTES I AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoNner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleODe 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 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, loning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a per.it and that all work will be perf OIled 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 goveInlental agencies lay apply to the intended wort, and that it is IY responsibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not lilited to: · Departlent of EnviroDlental Regulation - Cypress Bayheads, Netland Areas and EnviroDlentally Sensitive Lands, Nater/Nastewater Treatlent · Soutbwest Florida Nater Hanagelent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways · Departlent of Health' Rehabilitative Services, EnvirODlental Health Unit - NeIls, Nastewater TreatleRt, Septic ranks · US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", it is understood tbat a drainage plan addressing a "colpensating volUle" will be sublitted whicb 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~u~ce of a perlit prevent the Building Official lrOl thereafter requiring a correction of errors in plans, construction, or violations of any code. !very peIlit iSBued aball becOle invalid unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if vorl authorized by the petlit is suspended or abandoned for a petiod of six IOnths after the tile the work is c~nced. One 90 day utension of tile, IIJ 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 sil IOntb period, or'the project will be considered abandoned. NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCBJlBNT HAY RESULT IN YOUR PAYING TNICE FOR IHPROVIIIDIS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIH FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORREY BEFORB RBCORDIHG YOUR HOlICK OF COHHENCIHENT. JOBS UNDER $2,500 IN VALUR DO NOT NERD TO RECORD AND POST A "NOTICE OF COHMINCKKBNJu. SIGNATURE: OWNRR OR AGRNT , I SIGNATURE: CONTRACTOR STATR OF FLORIDA COUNTY OF The foregOing instrument was acknowledged before me this , 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 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