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Home My WebLink About99-8873 BUILDING PE,RMIT oPJ ""0 ~ ~ . BUILDING CITY OF ZEPHYRHILLS (813) 788-6611 Permit 8873 9/K/C;Q Date ELE~AL PL~NG Pmp,,,,, Own.'~ J S I e ~~ n_ Job Addr8ss: ~ ~ _~ Parcell.D, # ; s - 2 &- J (- fYj "re). ()iJ 100 MECH~AL Sewer Conn Water Conn: Water Meter: l' "7 g 20 DOlO ~Yw T.I.F.'s: Zoning: Ener9.V Code: DescriPtion of Work_Q~ .... K.oe+ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. f"-2-CJ-4 DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee -i 0 . .~ --,Signaturee;ikb rQ ftt (~,-{/ '~ Company Address Telephone# '7 Y;}.-(J3?7:-S Valuation or I 0 Contract Price (:) J 00 , City License Registration # $""'1 State Certified License# ""' BUILDING ELE TRICAL PLUM NG ME HANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ... OWNER t S NAME {J)..e.:ffS if PHONE ~{ ~' ~!' OWNER t S ADDRESS ?7 JOB ADDRESS '535 o LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL LD.' ,5" Jt.p -dJ-CO~-CCdC{)-W I 0 SUBDIVISION /~ " (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ----^Iteration ~epair ____Install * ~~ 'i ) i: _Sign --..Move _Demolish ~ 7~ " it '.; PROPOSED USE: _Single Family --..MI F _, of Units ---.JI/H ____Commercial _lndust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: ~- 7o~ 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, ~BUILDING $ {/J,000 PERMITS REOUESTEQ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W,R,E,C, _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTIO~ BUILDER Signature COMPANY RYMAN (':ONSTRIJCTJON. JNC. State Cert. or Regist. I CBC 035134 City License Registration' 274 ****************************************** ELECTRICIAN COMPANY State Cert, or Regist, # City License Registration # ****************************************** Sis:mature PLUMBER, COMPANY State Cert. or Regist, # City License Registration # ****************************************** Signature MECHAlUCA~ Signature COMPANY_~ State Cert, or Regist, # City License Registration # ****************************************** 2DUm COMPANY RYMAN, CONSTRUCTJON, JNC. . , P" ~ A' State Cert. or Regist. fRC- 0061648 Signature:.7~f: ,'~ City License Registration # 58 ***************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT . .A: NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit 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. I , ~,... B. UNLICENSEP CONTRACTORS AND CONTRACTOR 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 lisdeteanor violation under state law. If the owner or inte~ded contractor are uncertain as to what licensing requirements lay apply for the intended work, they are adrised to contact the City of Zephyrhills Building Department, (813) 788-6611, Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections II of this application for which they Ifill 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 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 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 _ Homeowner's Protection Guide" p{epared by the Florida Department of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the Nowner", I certify that I have obtained a copy of the above described docUJent and prolise in good faith to deliver it to the "owner" prior to couencelent. 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 compliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a permit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other ~oveInlental agencies .ay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to: t Department of Environmental Regulation - Cypress nayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater !reatJent * Southwest Florida Water KanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Servica~, Environm~1tal Health Unit - Wells, Wastewater 1reatlent, Septic Tanks * US Environmental Protection Agency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a NCOlpensating voluae" will be suhlitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit 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 technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becOle invalid unless the work authorized by such peClit is cOlJlenced within six lonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOnths after the tile the work is cOllllenced. One 90 day extension of tile, JaY be allowed for the peClit with fee charge of $15.00. The 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 OWHER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCKHENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVKHEHTS TO YOUR PROPERTY, IF YOU Iln'BHD TO OBUIK FI.!IANCnIG, CONSULT WITH YOUR LENDER OR All ATTOID/EY BEFORE RECORDING YOUR NOTICE OF COKKENCKHEN 500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOfICE OF COMMENCEMENT". STATE OF FLORIf)AJj) /l A n COUNTY OF Lu..u VL/ The foregOing instrument was a~Dwledged before me this , , 19_~ by eJ/ /U \Ii is ersonall produced as identification and who did/did not take ~_a;~ ia d /iJz~ (Si9~~) Ie.. t (Na.m~ Typed, Printed or Stamped) . NOTARY PUBLIC STATE OF FLORIDA, ~ /1~ COUNTY OF (.,.(J.;C/' The foregoing instr~ent wa~ a~tlledged before me this 7~Si; ei , 19~ by did/did not . P/-fJ'V<J (Name Typed, Printed or Stamped) NOTARY PUBLIC "::'~""" Angela l Helms .-:1*My CommiMlon CC8OO247 ..,~' Expires January 3. 2003 '~<." ~ i ,elms *~ *My Commission CCa00247 "'... 1m.... Expires January 3. 2003