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Home My WebLink About98-7592 BUILDING PE,RMIT 7592 .c- CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date -2-/?--9r- BUILDING ~ PLUMBING MECHANICAL Sewer Conn p~pertyow~~~ y~ Job Address: .. :L.../ Parcel I. D. # Water Conn: Water Meter: T.I.F.'s: n ~~s~ n ~';f"V"\ Zoning: Description of Work E~Co~e: ~~~---' -~ 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 Inspector 0 Valuation or Contract Price /~/A d-~Cfi ~,m;t Fe"-IG~~ Signature Company Address Telephone# City License Registration # State Certified License# BUILDING (oj L C~~JI~ ELECTRICAL PLUst'NG he.; 7S/.joA MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo l . Rough In 3 / <i Iqg g Dt Meter Can Const. Pole Pool Pre-Meter 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 ($.:t 5.08) shall be made for each trip for each trade: ~-: tY"O 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 PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT IJ1J-9J~5d~rl1q~.,,,. I T'~ C.ftilNeJffi'V OWNER t S NAKE o (/~ L[JJ) rp~ PHONE OWNER t S ADDRESS JOB ADDRESS .3s-o~ a'!{;f LEGAL DESCRIPTION: LOT(S)_ P;3 PARCEL 1. D. f ce)~93 BLOCK SUBDIVISION 8~~d C~~~/ (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition. ----..Alteration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: ___Si~leF~ily _KIF _' of Units _K/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: 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 $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. --1IECHAIIICAL $ Valuation of Kechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** -CONTRACTOR SECTION BUTT .DER COMPANY State Cert. or Regist. f City License Registration f ****************************************** Signature ~~t~ mHPANY (bl~ dL\'~ ... . State Cert. or Regist. , e.. .. I '\ . City License Registration' ************ **************************** PLUMBER COMPANY State Cert. or Regist. f Signature City License Registration f ****************************************** ttECHANlCAL COMPANY State Cert. or Regist. f Signature City License Registration f ****************************************** OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigne~ understands tbat 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 CONTRACTOH RESPONSIBILITIES If the owner bas 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 tbe owner and contractor lay be cited for a lisdeleanor violation under state law. If the ONner 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 DepartJent, (813) 788-6611. . Furtber.ore, if the ONner 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 tbey will be responsible. If you, as the owner sign a8 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting priVileges in tbe City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND U'l'ILITY CONNECTION FEES ,.' D. CONSTRUC'l'ION LIEN LnW (ClrnPTER 713, FLORIDA STA'l'UTES1 AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIBOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is SOl8One otber tban the "owner", I certify that I have obtained a copy of the above described docUlent and pro.ise in good faith to deliver it to the "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 with all applicable laws regulating construction, loning, and land developlent. I Application is hereby .ade 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 perfofled to leet standards of. all laws regulating construction, City codes, loning regulations, and land developlent regulations in tbe jurisdiction. I also certify tbat I understand that the regulations of otber goveCDlental agencies lay apply to tbe intended wort, and tbat 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 Baybeads, Wetland Areas and BnviroDlental1y Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departaent of Healtb & Rehabilitative Services, BnvirODlental Healtb Unit - Wells, Wastewater IreatJent, Septic rants · US EnviroDlental 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 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 tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Everl per.it issued shall becole invalid unless the work autboriled by such per.it is cOllenced within six IOnths of issuance, or if wort authorized by the per.it is suspended or abandoned for a pedod of six IOnths after the tile the work is cOllenced. One 90 day utension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension sh~ll be requested in writing to tbe Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURB TO RBCORD A NOTICB OF COHKBNCKHBNT HAY RESULT IN YOUR PAYING DICE FOR IHPROVIIIID'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORIBY BEFORB RBCORDIHG YOUR HorICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RBCORD AND POST A -NOTICB OF COHHBNCKMINT". SIGNATURB: OWNER OR AGENT . I 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 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC