The URL can be used to link to this page

Home My WebLink About98-8023 BUILDING P~^RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 8023 E Date / () -I;) -9 r BUilDING ~T~ PwpertyOwne, mi7"L -~ Job Address: '-- Z} -...s--/ - ; / ' PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # Zoning: Energy Code: / ~, Radon Gas: Description of wor-:-JR f O.A ~ _ yf R ~ AJ-( 11 Q \:YL~~ fa -1.3-<7K- ~ 1:30 lJ *t NO OCCUPANCY BEFORE C.O. t FINAL DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price 4A Inspector Permit Fee ~ ~ Signature ~ ~ ~)%.A........ Company Address ob City license Registration # / /1 b State Certified license# Telephone# lfL.? 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 ($ 25.001 shall be made for each trip for each trade: a. Wrong Address 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. ,-" ""'~'--'~,~ 'f"'-"___" APPLICAnON FOR PERK1T CITY OF ZEPIlYBIIILLS BUILDIliG DEPARTKEIiT OWIiER.'S UHE ('V\~J~\~ <~.H~.r OWER'S ADDRESS ~ ~ \ \ \\ 'tt\. S\ JOB ADDRESS $ c..oN\.e. PHONE ')\~ ~~~~ -....... LEGAL DESClUPlION: LOT(S) $} ~).....\D B~SUBDIVISION-C-;;U)\A tsC "'2-\.t.~_U~ PARCEL LD.'--ll ':l-b')-, (\')f1\n- \ \ QOO -(")6""\0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSBD:~ew Coastruction ----Addition ~teration ~ir _Install -5ign -.--JIove -Peaolish PROPOSED 'USE: _Single Faaily ----3f./F _' of Units ----3f./H _ec-ercial _Indust. _Swia. Pool _Other ~estaurant 6: Health Departaent Approval DESCRIPTIOII OF WORK:~4..;lr J Rp~.....(.\J tC:',e,N~e. I BUILDIliG SIZE: X ~e Feet, Height RESIDEJITIAL: COMMERCIAL : ATTACH (2) PLOT PLAliS 6: (2) SETS OF BUILDIliG PLAliS 6: (1) SET EliERGY FOBHS. ATTACH (3) SETS OF BUILDIliG PLAliS 6: (1) SET EliERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL IIEW CONSTRUCTION. PERMITS REQUESTED ~UILDDlG ~crnCAL $ -:LoD Valuation of Total Construction AIIP Service /:lorida Power Corp. W.R.E.C. ----llECllAllIc&L $ Valuation of Kechanica1 Installation -PL1RIBDlG GAS ROOfiliG TYPE QF mIISTRUCTION: -----Bloclt _Fraae _Steel SPECIALTY Other FI.IIISIIBD FLOOR ELEVAnOIlS: FT. IS PROJECT III FLOOD ZOO AREAt YES NO .......................................... COIiTRACTOR SECTION COlIPAIIY State Cert. or Regist. . City License Registration . .......................................... RIITI.DRR Signature Rl.RCTRICIAII COHPAIIY j';: c:: e: / _ //. l _ t 4 State Cert. or Regist. . ~~~/7~ #6~cJ SianAture ~../~~ ~~ City License Registration' Ld'.d .......................................... PLUKBER COlIPAIIY State Cert. or Regist. . Signature City License Registration . .......................................... HECRAHICAL COHPAIIY State Cert. or Regist. . Sigoature City License Registration . .......................................... nTRRR COHPAIIY State Cert. or Regist. . Signature City License Registration . .......................................... APPLICAnOIl APPROVED BY PERK1T OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this pel'lit lilY be Subject to .deed restrictions. whieb lily be lOre restrictive than City regulations. the undersigned asSIlleB responsibility for cmpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors 'to undertake work, they lilY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the OlDer and contractor lily be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirl!ll!llts lily apply for the intended work, they are advised to cootact the City of Zepbrrhills Building Departlent, (813) 788-6611. FurtherJOre, 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 whieb they will be responsible. If JOU, as the owner Sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wiaJles you to sign as contractor that lilY be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephrrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN' LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's COnstruction Lien Law - ~'s Protection Guide. prepared by the Florida DepartJent of Agriculture and COnsUller Affairs. If the applicant is 8OIBODe other than the .owner., I certify that I have obtained a copy of the above described docUIent and p~ise in good faith to deliver it to the "owner" prior to co.enCl!lBDt. -("/ , E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIliltion in this application is accurate and that all wort will 'be done in COIpliance with all applicable laws regulatinq construction, loning, and land developleDt. Application is hereby lade to obtain a pemit to do work and insWlation as indicated. I certify that no work or insWlation baa CDIl!DCed prior to issuance of a perIIit and that all work will be perfoIled to .et atanc1ards of alII. regulating construction, City codes, loning regulations, and land developElt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDleDtal agencies lilY apply to the intended worl, and that it is If responsibility to identify what actions I lUSt take to be in COIpliance. Sueb agencies include but are not lilited to: t Departlent of EnviIOllllBlltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDWly Sensitive Lands, Water /Wastewater rreatlent t Southwest Florida Water ManagBleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways t DepartJent of Health i Rebabilitative Services, bvirODleDW Health Unit - Wells, Wastewater !reatlent, Septic !anD t US bvil'ODleDtal Protection Agency - Asbestos abatl!lellt I also certify that, if fill Iilterial is to be used in Flood ZOne IA. or II,etc.., it is understood that a drainage plan addressing a .COIIpeII8ating 901_. will be sublitted whieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. I ~it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the teclmical codes, nor shall issuance of a petlit prevent the Building Official fIOl thereafter reguirinq a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall bt!cme invalid unless the work authoriled by sueb pemit is ~ced .ithin slllODtbs of issuance, or if wort authoriJed by the perIIit is suspended or abandoned for a period of sil IODtbs after the tile the work is ~ced. One 90 day utensiOll of tile, lily be allowed for the petlit with fee charge of $15.00. !be utension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abancloDed. IfARlfIIfG to (JIDR: YOUR FAILURE to RECORD I IOI'ICK OF ctlllBlCIIIIIff MAY RISUL! II YOUR PIYDfG !IIICK FOR IMPROVIIIDl'S to YOUR PROPmY. IF YOU ImIfD to OBI'W FIIfAlfCIIG, COKSOL! IIID YOUR LIIDIR OR 11 AnoBIIY BI10III RBmRDIIG YOUI ROrICK OF COIIMIIfClMD!. JOBS OlDER '2,500 IN VALUE 00 IO'IIIIID to RECORD 110 POS! I INO'IICK OF aJIIIDCBIIIftI. SIGKl!lJRl: OOIR OR lGBK! SIGD!lJRI: COJmIACfOR srlTE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S!I'O OF FLORIDI coom 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 has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Sta.ped) NOTARY PUBLIC (Signature) ,/ (Name Typed, Printed or Stamped) l' NOTARY PUBLIC