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Home My WebLink About98-7594 BUILDING PE"RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7594 H Date ....3 - / r-- 7 y BUILDING ELECTRICAL PLUMBING 0ECHANI~ Sewer Conn Water Conn: ",operty Own., ;#. 7J~ Job Address: 6._ ~_ Parcel 1.0. # Zoning: Energy ~d)7--- Descriotion of Work -.Z1-/ C ~(J 12 Water Meter: T,I.F.'s: ~ras: 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 City License Registration # State Certified License# //b-3 Permit Fee Signature Company Address Telephone# ~~ ~~~~ Valuation or Contract Price ~.I.jS.3 . o-v , ,~- BUILDING ELECTRICAL 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 ($1 S.OOI shall be made for each trip for each trade: ~--- tTl:) 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 PKRKIT CITY OF ZEPllYRHILLS BUILDING DEPARTMENT OWNER' S NAKE T h A- OWNER' S ADDRESS ~/3 Z- 111 ' t04~t€ re ~~~~T .s-7: PHONE (Pl1) 7"2- 3b23 2~~'y/E!A~qf R.. 3~~/ JOB ADDRESS S:4UtE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition. -...Alteration _Repair _Insta1l _Sign ---.Hove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/B _ec-ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: {l.J./4v~c ot..tT 3 /ilK ~// .~~ ~//. BUILDING SIZE: x Square Feet, Beight RESIDENTIAL: COMKERCIAL : 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 ~CllANICAL AMP Service Florida Power Corp. W.R.E.C. $ 21/53.10 Va1uation of Kechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIlIISHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO 'CONTRACTOR SECTION BIJTI.DER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature F.l.R.CTRICIAN COMPANY State Cert. or Regist. , City License Registration . ****************************************** SilmAture PLUKBER COMPANY State Cert. or Regist. . City License Registration t ****************************************** Signature MECHANICAL Signature COMPANY 7a f~, vI c -~., State Cert. or Regist. t ~J ~ < )-~L. City License Registration' J ****************************************** OTRR.R COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. J CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .ay be subject to "deed restrictions" wbicb lay be lOre restrictive tban 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 with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor aay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requir8lents lay apply (or the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (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 whicb they will be responsible. If you, as the ONDer sign as the contractor, you are indicating tbat 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 Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES , ~' , D. CONSTRUC'l'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 tal _ HOIBOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If tbe applicant is sOleone otber tban the "owner", I certify that I have obtained a copy of the above described doculent and prolise in good faitb to deliver it to tbe "owner" prior to couenCelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'f 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 work or installation has COllenced prior to issuance of a perlit and that all work will be perforaed to l8et standards or 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 other governaental agencies aay 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 Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Deparllent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tants · US EnviroDlental Protection Agency - Asbestos abat8lent 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 sub.itted 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 autbority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official {rOl tbereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall beoole invalid unless the work authoriled by such perlit is cOllenced within six IOnths of issuance, or if work autboriled by the perlit is suspended or abandoned for a period of six IOnths after the til8 the worl is cOllenced. One 90 day eatension of tile, l8y be allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to tbe Building Official. An approved inspection lust be logged during each six IOntb period, or' tbe project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICB OF COHHBNCBJlBlff KAY RESULT III YOUR PAYIIIG filCH FOR IHPROVIIIBBrS TO YOUR PROPBRTY. IF YOU INTEND TO OBTAIN FIIIANCING, CONSULT WIrH YOUR LINDBR OR AN ATTORlIY BEFORE RECORDIMG YOUR MO'IICH OF COHMENCIHINT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMKNCIHBNT". ~/ SIGNArURI: OWNER ~ . ~L7~ SIGNATURE: HACTOD , I STATB OF FLORIDA COUM'fY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUIITY 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