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Home My WebLink About98-7695 BUILDING PE<RMIT .7695 ;1 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date '7'-c:l:L-pJ-- BUILDING ELECTRICAL PLUMBING ~~ Sewer Conn Water Conn: Property Owner: Job Address: Parcel 1.0. # ~~>:9 )/~cr Water Meter: T.I.F.'s: Zoning: Description of Work .l!'nergy COdZ ,A-I C- ~ AL-rSL Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector of City License Registration # State Certified License# 176.'5 Permit Fee Signature Company Address Telephone# ...3 -.s....... ( !TV ~ ~~~/ Valuation or Contract Price ;J.., S [., ". t:H) , ~r2 - 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.OCt) shall be made for each trip for each trade: ~~tn> 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 PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE J: Jett ~/tE.4I6ee/l~ PHON(J>t3~ 7t!.:J-.3dSY OWNER'S ADDRESS SbZ7' ~/h~ t!-T; Z4;047~.4r/Cf. J.JSYO JOB ADDRESS SbZ--7 ~~ (l'A'; 2<~-Ay~/d.r 'j JSYO LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition.'~ Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: _Single Faaily _H/F _' of Units _H/H _ec-ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: 1tt6::l.Nt/?f 04 r 3 70~ ~ ~/rJySar-- 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 ~CllAHICAL AMP Service Florida Power Corp. W.R.E.C. $ 23btJ..oo Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FI.HISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO 'CONTRACTOR SECTION BUTIJ)ER COKPANY State Cert. or Regist. , City License Registration . ****************************************** Signature RI.F..CTRICIAN COMPANY State Cert. or Regist. . City License Registration , ****************************************** SiQ'nSlture PLUMBER COMPANY State Cert. or Regist. , City License Registration t ****************************************** Signature KECllAHICAL Signature F ~, ~ COIIPAIIY ~ 4. f:! .z:oc. . . State Cert. or Regist. , ~ '- City License Registration , ****************************************** OTRF..R COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PEUMIT 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 CONTMCTORS AND CON'l'RAC'l'On RESPONSIBILI'l'IES If the owner has hired a contractor or contractors to undertake work, they .ay 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 .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing requirBlents lay apply for the intended worl, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 188-6611. 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, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that .ay 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. CONSTRUC'l'ION LIEN L'1\W (CHAPTER 713, FLORIDA STA'rUTES, 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 the applicant is sOlBOne other than 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 couenC8lent. E. CONTRACTOR' S/OWNER' S AFFIDAVI1' I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land develop.ent. I Application is hereby .ade to obtain a per.it 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 perfoIlBd to lBet 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 goverDJental agencies JaY apply to the intended wort, and that it Is IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDJentally Sensitive Lands, . Water/Wastewater TreatJent t Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US BnviroDlental Protection Agency - Asbestos abatBlent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.., it is understood .that a drainage plan addressing a .cOlpensating voIUleu will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. . A per.it 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 perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued aball becOle invalid unless the Nork authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, lay be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to tbeBuilding Official. An approved inspection lust be logged during each six IOnth period, or'the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCHHBIIT HAY RESULT IN YOUR PAYING NICE FOR IHPROVIIIBIIS TO YOUR PROPERTY. IF YOU IIITEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMKNCEMBIIT.. s~~~/ ~~/ SIGNATURE: OWNER G ~". . I STATE 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 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