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Home My WebLink About98-7542 BUILDING PE,RMIT ~ -" /J.:> ~TRIC~ P~ ME~Sewer Conn . 'C/: tater Conn: p,"pertvownc-ff~~i ~~A,g . ,n~/ ate: Mete, Job Address: T.I.F. s. Parcel I. D. # CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7542E q-2-9L - Date Zoning: FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# /S9~ Permit Fee Signature Company Address Telephone# Valuation or c--. Contract Price BUILDI~ ----- ~' 8~~ ECTRICA PLUMBING M~L Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway 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: 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 ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE 0'1i OF Z- /0//5 I PHONE OWNER'S ADDRESS JOB ADDRESS HffAI911 J::.. aoo z- ;-J/ /5:, AI ~ PC) 12-=r- , LEGAL DESCRIPTION: LOT(S) PARCEL I. D. t BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _ _Alteration _Repair ~Install _Sign -..JIove _Deaolish PROPOSED USE: _Single FUlily Aeo..ercial _M/F _' of Units _M/H _Indust, _Swim, Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: JYl5/J4/1 //ovo/(- ...J'/?'7ok'e ~~/<:s: AA/cI (J) /JCJc...JO/~ G.?E~ /It' hf"'~ 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 _BUILDING ~ELEC'TRICAL ---1IEGllANICAL $ Valuation of Total Construction AMP Service Florida Power Corp. W.R,E.C, $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDUSBED FLOOR ELEVATIONS: Fl' . IS PROJEC'l' IN FLOOD ZONE AREA? ****************************************** YES NO -CONTRACTOR SEC'l'ION BUTIJlER COMPANY State Cert. or Regist, , City License Registration t ****************************************** :.=~ v;t# M Signature COMPANY )/(/) c&1J(#E~ F~e/fl/C. State Cert, or Regist,' CR.OOI;),?V5 -. City License Registration' /j"1g ****************************************** PLUMBER COMPANY State Cert. or Regist, t Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. . Signature City License Registration t ****************************************** 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, 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 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 what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 188-6611, . 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 wort, 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. CONSTRUC'j'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES., AS AMENDED) I certify tbat I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law - BoIeoIner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsOler Affairs. If the applicant is sOleODe other than the .owner", I certify that I have obtained a copy of the above described docOlent and prolise in good faith to deliver it to the "owner" prior to co..enCelent, E. CONTRACTOR I S/OWNER I S AFFIDAVI'l' I certify that all the inforlation in this application is accurate and that all wort 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 wort and instailation as indicated. I certify that no wort or installation has cOllenced prior to issuance of a perlit and that all wort will be perforJed to Jeet standards of. all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of otber goverRlental agencies laY apply to tbe intended worl, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance, Such agencies include but are not lilited to: · DepartJent of BnvirORlental Regulation - Cypress Bayheads, Wetland Areas and InviroRlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Ingineers - Seawalls, Docks, Navigable Waterways · DepartJent of Health & Rehabilitative Services, InvirODlental Health Unit - Wells, Vastewater rreatJent, Septic rants · US InviroRlental Protection Agency - Asbestos abatelent I also certify tbat, if fill laterial is to be used in Flood Zone "A. or "A,etc,", it is understood .lhat a drainage plan addressing a "cOlpeDsating volOle" will be sublitted 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 with tbe wort and not as authority to ,iolate, cancel alter, or Bet aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery pertit issued shall beca.e in,alid unless the wort authorized by such perlit is coaaenced within Sil IOnths of issuance, or if wort authorized by the petlit is suspended or abandoned for a period of sil IOntbs after the tile the wnrt is cOllellced. One 90 day uten8ion of tile, lIy be allowed for tbe perlit with fee charge of $15,00. The 91tension sh~ll be requested in writing to the Building Official. An approved inspection aust be logged during eacb Sil IOntb period, or tbe project will be considered abandoned. WARlHNG TO OWNIR: YOUR FAILURI TO RECORD A NOTICI OF COMIIINCBllBlfT HAY RBSULr IN YOUR PAYING RICE FOR IHPROVBIIIIIS fa YOOI PROPIRTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDIR OR AN ATTORRIY BBFORB RiCORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDBR '2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICI OF COHMBNCBHBHT.. . I SIGNArURI: ONNBR OR AGENT SIGNATURE: CONTRACTOR STArl OF FLORIDA COUlfTY OF The foregoing instrument before me this was acknowledged , 19_ by STATI 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