HomeMy WebLinkAbout98-8024
BUILDING PE.RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
8024 E
Date
/tJ -/;;L-'j'y
BUILDING GECTR~ PLUMBING
)J4, &i: ~~
::~:::r~s:j >'-~ 0; ~ I 4 ,~' /d __
Parcell.D. # 2y--:u,~'Jj.... {)t!Jt)O~ OcJ/OD~
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: Ener~ode: Radon Gas:
Descriotion of Work (O..P ~ (~ ",.b -J~ ~d.~ 4./<..7- .......:,
Fo..f -1-0 Ffo,."lc:... Pt;~,,':'r 7'''1~ AM ~oho/4l ~
NO OCCUPANCY BEFORE C.O.
~
FINAL 10 Cfi
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
010
Valuation or . / A
Contract Price "'~ /T
City License Registration # I eJ G
State Certified License#
Permit Fee ~ t;I"'D
Signaturei'~~ J z0 ~ ___"-
Company
Address
Telephone#
\...-71' ~ ..i?
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
'nsul. 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 ($ 25.00) 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.
Sep-30-9S OS:38A Majestic Oaks
P.Ol
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De5C{~.,- vJit'~
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APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER' S N~R)c...
OWNER'S ADDRESS YD
bE\)EL.a~mE.n'T' I :t......K_.
~~ a011 (..frhLjlt)ll\':'
lcLure) \JC\.uQ.t 1 ~i "c\ '
PHONE
~~s3<1
JOB ADDRESS
'6 ~l S l
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.'
(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
_eo..ercial
____Indust.
_Swim. Pool ___Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
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
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHAMICAL
$
Valuation of Hechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _FraJIe _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
ELECTRICIAR COMPANY ~~
d~). / /')~ State Cert. or Regist.' /'=:~44d?-..-5 .vrJ
Si2llature ZV-bVLut#' 2<Y V~ City License Registration' //76
..........................................
PLUMBER COMPANY
State Cert. or Regist. .
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 PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
. A. NOTICE OF DEED RESTRICTIONS
'Ibe undersigned understands that this perlit lilY be subject to "deed restrictions" which lilY be lOre restrictive than City
. regulations. 'Ihe undersigned assUJeS responsibility for cmpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OlDer has hired a contractor or contractors to undertake IIOrt, 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 owner and contractor lilY be
cited for a lisdeleanOr violation under state law. If the owner or intended contractor are uncertain as to what licensing
requir8l8llts lily apply for the intended wort, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611.
FurtheIlOre, if the 0IlIl81' has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections" of this application for wbich they will be responsible. If fOU, as the OlDer sign as the contractor,
you are indicating that fOU, rather than the contractor, are responsible for the work. If the contractor wishes 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 Zephyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Plorida's Construction Lien Law - lIoIeowDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is SOIeOIl8 other than the
"owner", I certify that I bave obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to tbe
"owner" prior to COIIeDC8leDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify tbat all the inforaation in tbis application is accurate and that all work will be done in cQIPliance witb all
applicable laws regulating construction, loning, and land develolllent.
Application is hereby Iilde to obtain a perlit to do work and installation as indicated. I certify that no IIOrk or
installation has CDlencec1 prior to issuance of a perlit and that all work will be perfoIJec1 to Jeet standards of alII_
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand tbat the regulations of other goverDIIeDtal agencies lilY apply to the intendec1wort, and that it is
If responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not luited to:
t Departlent of BnvirOllleDtal Regulation - Cypress Bayheads, Wetland Areas and BnvirollleDtally Sensitive Lands,
Water I"astewater 'Ireatlent
t Southwest Florida Water Manag8leDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Amy Corps of Engineers - Seawalls, Docks, Ifavigable Waterways
t Departlent of Health & Rehabilitative Services, BnvirODleDtal Health Unit - Wells, Wastewater 'lreatlent, Septic tanks
t US BnviIOllleDtal Protection Agency - Asbestos abat8leDt
I also certify that, if fill Iilterial is to be used in Flood ZOne "A" or "A,etc.", it is understood tbat a drainage plan
addressing a "COI{)eDSiIting volUle" will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A perlit issued sball be construed to be a license to proceed with the IIOrk and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a petlit prevent tbe Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becoIe invalid
unless the work authoriled by such peIlit is COIIeDced witbin sillOnths of issuance, or if work authoriled by the petlit is
suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day atension of tile, lilY be
allowed for the perlit witb fee charge of $15.00. 'Ibe atension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sil IODtb period, or the profect will be considered abandoned.
WARlUIfG '10 omR: YOUR FAILURE !O RECORD A 1f0000ICE OP <XJIMBRCBIIIH! MAY RESUL'I II YOUR PAYllfG filCE FOR IMPROVBIID!S '10 YOUR
PROPBR!Y. IF YOU III!BHD '10 OB'flllf PIIIIICIIfG, COIfSUL'I WIIB YOUR LEIDER OR AH AftORDY BEFORE RBCORDIIfG YOUR IO'I'ICE OF
COMMBICBMBIf'l'. JOBS UllDBR $2,500 IIf VALUE 00 If 0'1' IfBBD 'f0 RECORD AIID POS'IA 'IO'I'ICE OF C(JIIIJICBMBIIt".
SIGII'IURB: COIItIIAC!OR
SIGlltuBB: OOBR OR AGm
SfA!E OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
SU'IE OF FLORIDA
coum OP
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 Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC