HomeMy WebLinkAbout98-7589
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7589 t3
1r'J'. ~
BUILDING
Date
s-/)- fJ?
3--.5: en:>
ELECTRICAL
3,s--:ro
PLUMBING
MECHANICAL
Sewer Conn
,L-
Pmperty owne;;--?~ ~
Job Address: {3 <; I, ,,~ .JJ If'
Parcell.D. # ~ r... .J.. 6 -;).../ - t:J t:9 I:) o~. ~ () / ~ D ,- L..(
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: ~ Energy COde=;J'; Radon Gas:
DescriPtion of Work ~---1~ /J1 R ~r r
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
'''1 ..,?o
City License Registration # ~ ~
State Certified License#
Permit F~e ' 3P7~
S;gnatu,e _ _ _ ~~
Company.~ - V
Address
Telephone#
Valuation or
Contract Price
--f ~A.J
BUILDING
" ~4Q7~/'/-'
ELECTRICAL
~.;2~30
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 ($-H;:.,,66-1 shall be made for each trip for each trade: _ J
;1..5. &TV .' IJ~:.L)
a. Wrong Address I ) 5t- r( 5 r
b. Condemned work resulting from faulty construction. ()J~
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.
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S N
PHONE
>7/3-Zef'09
0, Irfj b4/fJJ
OWNER'S ADDRESS .:3' 9 h os (j)0 /9 /Z. ~
519M& rJ ~ ,qbo Vb
l2,b G="'
JJtf
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
PARCEL 1.D.' ;)~
BLOCK
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction --Addition. -^lteration ----Repair _Insta1l
_Sign
_Move
_Deaolish
PROPOSED USE: _Single Faaily
_M/F
_, of Units _M/H
_ec:-ercia1
_Indust.
_Swia. Pool _Other
DESCRIPTION OF WORK:
_Restaurant & Hea1th Departaent Approval
PI) R II f'1 c 'd &-[
BUILDING SIZE:
x
Square Feet.
-Sl#r -~p
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Va1uation of Total Construction
_ELEC'l'RICAL
AMP Service
. Florida Power Corp.
W.R.E.C.
~Cll.ARICAL
$
Va1uation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _FnUle _Steel
Other
FIlUSBED FLOOR ELEVAnONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
..........................................
YES NO
.CONTRACTOR SECTION
BllJI~RR ~ W1PANY #~ o(~
~ . State Cert. or Regist. .
Signature City License Registration , :2 :2.30
.........~........................... . ~ ~
COMPANY r; j:5 r C~?? B~c
State Cert. or Regist. ,
City License Registration' ./~~
...................................
I'LlJlUlRR COMPANY .x:)":"", ~~~
~ d ~ State Cert. or Reaist. .
Signature .0 - City License Registration' .-";] ~~D
~ ... ~............................
IlECHANICAL COMPANY
State Cert. or Regist. f
Signature City License Registration ,
........................................*.
OTRRR COMPANY
State Cert. or Regist. f
Signature City License Registration ,
..........................................
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. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOH RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor 181 be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply (or 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 tbe
"Contractor Sections" of this application for which they will be responsible. If you, as the ONDer sign as tbe contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If tbe 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 tbe
City of Zephyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
..
, .
D. CONSTRUC'!'ION LIEN LnW (ClrnPTER 713, FLORIDA STATUTES" AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIBOIDerts Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeone otber tban tbe
"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to tbe
"owner" prior to COllenCelent.
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 witb 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 work or
installation has cOllenced prior to issuance of a perlit and that all worl will be perf OIled to lBet standards of. all laws
regulating construction, City codes, loning regulations, and land developlent regulations in tbe jurisdiction. I also
certify that I understand that the regulations of otber goverDlental agencies laY apply to tbe 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:
· Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
· Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
· Deparllent of Health & Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
· US EnviroDlental 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 ,tbat a drainage plan
addressing a .colpensating volUle" will be sublitted whicb is prepared by a professional engineer registered in tbe State of
Florida prior to perlit. issuance.
-
. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official lrOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of six IOnths after tbe tiae the work is cOllenced. One 90 day 81tension of tile, lal be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to tbe Building Official. An
approved inspection lust be logged during each six IOntb period, or. the project will be considered abandoned.
WARNING TO OWNBR: YOUR FAILURE TO RECORD A NOTlCB OF COHHENCBHBNT HAY RESULT IN YOUR PAYING fIIlCH FOR IHPROVIIIIIl'S TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIH FINANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORREY BEFORE RECORDING YOUR NOTICH OF
COHHIiNCKHIiHT. JOBS UNDER $2,500 IN VALUIi DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHBNCBHINI".
. I
SIGNATURK: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATB OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 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 wbo did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC