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Home My WebLink About98-7593 BUILDING PERMIT -- ... CITY OF ZEPHYRHILLS (813) 788-6611 --- ~ Permit 75938 .3-lfJ- 9; . /fD ~5' - Date ;l.? Sewer Conn Xl L j 0 - 1.,-.7'1 (/ L . Water Conn: ~ In-"-97 r Water Meter: BUILDING ELECTRICAL PLUMBING MECHANICAL Property Owner: Job Address: Parcell.D. # T.I.F.'s: t.-C!7 Zoning: Descriotion of Work -~ Cl: ~ Radrls:i (y~ '---:Y?J {. L "- 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 City License Registration # State Certified License# c2c2-3D ~ Valuation or Contract Price Telephone# ~~ BUILDING ~ all~ ~ ELECTRICAL /g 1 ~J;"~ PLUMBINGtlJ7--XJ {}t11a- MECHANICAL -<<T 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 (~ S~I shall be made for each trip for eachlrade: ". ~ a. Wrong Address .;L~. tJ1) i;J 6.-~ W,~ f . 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. ~~ 0IiIlER' 5 IIAIlI\ EN e'lCfJlJ I!: IL k 11 'D d&--t~ PJIONE ; 7 R tJ -;1:J/ <'- OIiIlER'S ADDRESS 39p,,92- -1IU..e!4 ~r ft.),'J-f/ s '7" I~ D.: _~ ))J(, JOB ADDRESS :37'~n ;9M p7i,!~r 0~ c ;)....0 // LEGAL DESCRIPTION: LOT(S) ::; 7 BLOCK SUBDIVISION PARCEL I.D.te2~-;<t -.:2/- t.h-tM -/rZ)/PV .- ,{oTiI.;2Y I APPLICATION FOR PERMIT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---Alteration _Repair _Install _Sign -----"ove _Deaolish PROPOSED USE: _Siogle Faaily _"'F _' of Units _"/H _eo..ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Depart:lllent Approval p {j-fL i:: Nod e--L .s: 1= 7- up ~ BUILDING SIZE: x Square Feet. 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 $ Valuation of Total Construction _ELECTRICAL AtIP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO BUILDER CONTRACTOR SECTION cmlPANY I<!f AU vi ~ State Cert. or Regist. , City License Registration t .;L.:2.. .3 0 ************************** Signature RT RCTRICIAR / // COMPANY ~ . A.LLtilUi . JlI y II ~ tG.~ '., 'C' { ,f t"?tI... State Cert. or Regist. t I ~ (4 j60l/~~ City License Registration t ****************************************** /}?7 Signature PLUMBER COMPANY "-<A) State Cert. or Regist. t City License Registration t * *************************** 3() MECHANICAL COMPANY ~tk-~h~ State Cert. or Regist. # L City License Registration , *************************************** . Lf~ OTRRR COMPANY State Cert. or Regist. t Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERH1T 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 CON'l'RAC'l'On RESPONSIBILI'l'IES 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 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 (or the intended work, they are advised to contact the City of ZephyrbiIls Building Deparllent, (813) 788-6611. Furtherlore, if the ONner has Jlired a contractor or contractors, he is advised to have tile contractor(s) sign portions of tbe "Contractor Sections" of this application for which they will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, ratber 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 perlitting privileges in tbe City of Zephyrhil1s. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES . . , D. CONSTRUC'l'ION LIEN Lnw (CHAPTER 713, FLOIUDA STA'fUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection Guid~" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleOne other 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 tbat all work will be done in co.pliance 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 wort or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to l8et 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 other goverDlenlal agencies JaY apply to tbe intended vort, and that it is .y responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not liJited to: · DepartJent of EnviroDlental Regulation - Cypress Dayheads, Wetland Areas and BnviroDlentally Sensitive Lands, , Water/Wastewater Treatlent · Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · DepartJent of Health & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abateJent 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 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 per.it prevent the Building Official frOl tbereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOlB invalid unless the work authoriled by such perlit is cOllenced witbin six IOnths of issuance, or if work autboriled by the perlit is suspended or abandoned for a period of six IOnths after the till the work is cOllenced. One 90 day Bltension of tile, Jay 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 six IOntb period, or'the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURB TO RBCORD A NOTICB OF COHHBNCBHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIBIft'S TO YOUR PROPERTY. IF YOU INTRND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORIEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHBNT. JOBS UNDER $2,500 IN VALUB DO NOT NEED TO RBCORD AND POST A "NOTICB OF COHHBNCBKBNT". . I SIGNATURE: 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 wbo bas produced as identification and wbo did/did not take an oatb. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC JJ/l1J i I/'/I<'/'<[N .:s'cI7f1/I1<'P 39(, ()Z 11M IE" 1/'ys'T h4j1 );.1,f4/ /1 odeL ~1=4'jJ. ---- ""- if) I _.______~ l' 5- .. I' 'it j - - - - - - - - - . . - ?-.._-r~ , ". ( , ' '! 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