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Home My WebLink About98-7688 BUILDING PE,RMIT 7688 E CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date, if- ~/- 7f::: BUILDING ~CTRIC~ PLUMBING p,.perty Owne" ,,~~ Job Address: ~-S . - I....d ~ Parcel 1.0. # Zoning: ~ Energ'! Code: Radon Gas: Description of Work --AHA-R- 71.-1 tJ-~ r;-? I :Sf l' ~ 'It) (j)~ ~.5 MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: 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 :~;~~:~:i.Rct.#/ Compa _ Address Telephone# .JI/ * City License Registration # .;2. c ~ Y i State Certified License# Valuation or Contract Price a4" 4~~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($4-5':'00) shall be made for each trip for each trade: ~-'tn a. b. c. d. e. f. g. 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. 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 ZEPIIYRlIILLS BUILDING DEPARTMENT OWNER'S NAME '}-A~C) ~ 5'5~4 J 1 rn. ~ T ) ,-<SA- M. ri.- ~ PIIONE ~ I 3 - 7 (l3 - <;('?FFl "Z.6P/..!Yf? HILt ~l FL. .3~~4c OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) 0 l5c BLOCR.}c4oo SUBDIVISION 00 I c PARCEL J.D.' ~ } / /Lb Q'L.\ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ----Addition ~Alteration ____Repair ____Install ____Sign _Hove _Demolish PROPOSED USE: _Single Family _H/F ____, of Units ____H/H ____COIIBercial _lndust. ____Swim. Pool ___Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: .6rzR-Vll!6: u..P ('~AD~ % JS0AMP I fl!! BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACII (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ____BUILDING ~LEC1'RICAL $ )60 AMP Service Valuation of Total Construction ~lorida Power Corp. W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLmtBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block. _Fra.e _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. , City License Registration' .......................................... Signature ~ ~ COl\PANY~R- EL-rzerrz.!e <: tZ~V/,'Fi:_ JJc;rIC . s~ate Cert. or Regist. t FIL(S~;..'.J-:f <: u e ( C1ty License Registration t ~ . ....................................... ~ PLmtBER COMPANY State Cert. or Regist. t Signature City License Registration # .......................................... MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration . .......................................... OTHF.R COMPANY State Cert. or Regist. , Signature City License Registration , ................................*......... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PEI~IT 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 assWles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'On 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, 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 wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills 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 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, raUler Ulan the contractor, are responsible for the wort. If the contractor wishes fOU to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND U'1'ILl'fY CONNECTION FEES "" D. CONSTRUC'l'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection Guid~" prepared by the Florida Departlent of Agriculture and ConSWler Affairs. If tbe applicant is sOleone 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 couenCl!Jlenl. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do wort and instailation as indicated. I certify that no wort or installation bas cOllenced prior to issuance of a perlit and that all wort will be perfolled to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of otber goverDlental agencies laY apply to the 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 lilited to: · Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, . Water/Wastewater freallent · Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Materways · De artlent of Health & Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater freatlent, Septic fanks · US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan addressing a "co.pensating 'olUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. . A perlit issued sball be construed to be a license to proceed with the work and not as autbority 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 frOl thereafter requiring a correction of errors in plans, construction, or violations of any code, Bvery petlit issued sball beCOle invalid unless the wort authorized by such perlit is cOllenced within six IOnths of issuance, or if wort authorized by the per.it is Suspended or abandoned for a period of six IOnths after the tile the work is couenCed, One 90 day 81tenaion of tile, lay be allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OIINER: YOUR FAILURE TO RECORD A NOTICE OF COHIfIlNCEHBNT HAY RESULT IN YOUR PAYING TIIICK FOR IHPROVIHlIfIS TO YOUR PROPERTY. IF YOU IlfTEND TO OBTAIN FINANCING, COlfSULT WITH YOUR LIlNDBR OR AN AnORNEY BBFORE RECORDIHG YOUR HI1lICK OF COHHlllfCIlHIlHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHKKNCKMEIIl'". SIGNATURE: OWNER OR AGIlNT . I SIGNATURE: COlfTRACTOR STAfll OF FLORIDA COUlflY OF The foregOing instrument before me this was acknowledged , 19_ by STATIl OF FLORIDA COUNTY OF The foregoing instrument before me this was aCknowledged , 19_ by who is personally known to me or who has produced 8S 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC