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Home My WebLink About98-7683 BUILDING PE,RMIT CITY OF ZEPHYRHILLS (813) 788-6611 7683 13 Permit Date 'i -- I 5-- 7 ~ ELECTRICAL PLUMBING MECHANICAL ::~::,~.:~3 9# 2!.1!::::; ~~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel 1.0. # Zoning: Energy Code: Description of Work.. ~'.AA..J' j Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Inspector DATE Valuation or Contract Price AlL1. / Permit Fee Signature Company Address Telephone# tkp.~~ City License Registration # State Certified License# iNI ~/'h~ 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 ($ H5.oen shall be made for each trip for each trade: .:L..5-. o-V 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. 39039 (~aJ Z~ .if. ) iUdk ~ tf)t<. &tJMI. / JZc~ ~ I&av 76g'3J!, ,-- - -- --- ~ ...--- , I I I j I I I I r f f /" I I I I / I I - - - -- - - - - :: ~~J U..:....~~ ~ :::- NJJV J~ ~ APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWIlER'S ~ud c:tJa~r1. OWNER'S ADDRESS .' 0 Box- ) 2/1 ~ Y1 JOB ADDRESS~ 03Q CdkAdJ 1\.AJ.Jifll ( 2<.t/~ PHONEg]3' ~~3t1~ () rdnlt I'~ H .. :S:K7 (11 Z(.fJ,j4~~'/k FC J3S'-/O BLOCK SUBDIVISION LEGAL DESCRIPTION: LOT(S) PARCEL LD.t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair 0nstall _Sign _Move _DeJIOlish PROPOSED USE: ~ngle Faaily _H/F _' of Units _M/H _eo..ercial _Indust. . _Swia. Pool _0 t.he r _Rest.aurant. & Health Department. Approval DESCRIPTION OF WORK:J;JoDcl F-e~1 e~ , COD x BUILDING SIZE: 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 .....t::.BUILDING $ Valuation of Total Construct.ion _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _HECllARICAL $ Valuat.ion of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO BUILDER CONTRACTOR SECTION COMPANY 0 /J {).IDUrl d 1="'( it ~ /:5 State Cert. or Regist. , City License Registration t ****************************************** Signature RT.RCTRICIAN COMPANY State Cert.. or Regist.. t Cit.y License Registration , ****************************************** Si'"'~ture PLUMBER. COMPANY State Cert. or Regist. t City License Registration t ****************************************** Signature KECBANIGAL COMPANY State Cert. or Regist. , Cit.y License Regist.ration t ****************************************** Signature OTHRR COMPANY State Cert. or Regist. t City License Registrat.ion # ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDl'l'IONS OF PERMI'l' AFFIDAVI'f A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRAC'l'OU 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, botb the owner and contractor lay be cited for a lisdeaeanor violation under state law. If lhe owner or intended contractor are uncertain as to wbat licensing requiruents lay apply (or the intended work, they are advised to contact the City of Zepbyrbills Building DepiI'uent, (813) 788-6611. Furtheuore, if the owner has hired a contraclor 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 work. If the contractor wisbes you to sigo as contractor that lay be an indication that he is not properly licensed and is not entitled to perlittiog privileges in the City of Zephyrhills. c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~ D. CONSTRUCTION LIEN L~W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law - HOIeowner's Protection Guid~n prepared by tbe Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeone other tban the .owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to couencuent. 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 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 perloIled to Jeet standards of all laws regulating construction, City codes, loning regulations, and land develop.ent regulations in tbe jurisdiction. I also certify that I understand that the regulations of other goverlllental agencies JaY apply to tbe intended work, and that it is IY responSibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not li.ited to: t DepartJent of Envirolllental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally Sensitive Lands, , Water/Wastewater Treatlent t Southwest Florida Water "anaguent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Deparllent of Healtb , Rehabilitative Services, EnviroDlental Healtb Unit - Wells, Wastewater Treallent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "An 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 sball be construed to be a license to proceed witb the 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 f(OI thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall becOle invalid unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of Sil IOnths after the tile tbe work is cOllenced. One 90 day eatension of tile, laY be allowed for the perlit with fee charge of $15.00. The extension sball 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHBNT KAY RESULT IN YOUR PAYING twlCK FOR IHPROVEKBRrS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENOIR OR AN ATTORNEY BEFORB RBCORDING YOUR NorICK OF COHMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKMENCKHBNT". . I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE 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 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