The URL can be used to link to this page

Home My WebLink About00-9603 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788~6611 Permit 09603 7-1()-O~ Date g Zoning: DescriPtion of Work ~ Sewer Conn Water Conn: Property Owner: Job Address: Parcel 1.0. # Water Meter: T,I.F.'s: Energy Code: I >< FINAL ~~ 13/00 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Sf Valuation or sf... ~ / ~ D ' Contract Price .. ~ ~~~'~ ~~rm}t Fee ' - ~..~.:-- - Company Address ~~eV ~7::>- 7'l?- (7'..:1.3. City License Registration # ~ 7<) State Certified License# {-f;,-~ (! ~~ E LE..CfRICAL .../' Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ~I~- tG -a. ~~j Ftr. ~.r Pre SLB Lintel FRM. Insul. CL WL "~~~I Breakers " Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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. t="=<()!-1 : ,--- ~--,,172--~ t I I I i- ! FAX l'iO. : , ~ ui m T I I I I ! I i I I i I Y s ... ...... !If:~;: :ii....g;~ ~~~~ J "lOP-. iiJ>n- 2~;rr:a <!:O;,r;'-" es;?~:>.l :iail..if I I I ~I al I i II ! i- .J ! ~ \' gl... I:.! iil ~ $~, :,g. -, I 9~,g~:~~v l i ,L la ~ Cl IJ cr. J JU'"l. 23 :mo 01: lSrl'l P3 ..J W g~ i ItY ~~ w ~a Hi 5U ~ Wi J 5l~ ~ z~lt( Q: fj ~ cnffi ~ 2~~~~F\~ffi~ lSE ~ ~ ~i~iio ~..J ~~ ~ ~ ~~.:~~~~~ ;~fB~ =- '<:J:e~:t...it....-,wQ:~;;Jm ~~~~~~li~~9~~~2~ ~~~83~~g~~?~~t~t5 ma.~:i<l:~IUr...o,,"5~~~~ ~muc~~~~~_~~..J~ZO 'r.. ~ , ~-t . }~) if ~/. ~..o --- (-i --r---, '--, ~ . I I h - - . II t-~W ~ - ~" ---. '~_"_/" -t. ~ ~ 1. C, '., i~~~1T ~ ~ ~ i~ ~ ~I i ~ ; I I I ~ ~ I ;; I. I m I ~~~ !~ . I = i! ,~-' ~ ~ ~ 'lij ~I .0 81 ~ ~ ~ ~ IK ~ It! ;Z; 1$ l3 c ~:! ~ ~ -.-- I. '(l~ U ~ = e .. WI ~ h41 .. ~._ u t .! 1'1 i~ ~ 0\ :; Q ~ C ~-::: R :::I... "Q ~~ @~ \~ ~, ~ ~ \)., ~ "K \~ Z -'--~- - -~--- ,i~l!!A ~f---' --- !dii~J~ Ii !:il5~!I!:i ~ I!i~~il!il :s t:1fii =i2d-tll g~! ~iudi~ ;~e !,!;-5aX jf Sl.j~'5ii ~~ s ..hgll: !J9 2~ (., ~ it ! I ~I I I APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 1-/0 -z; 0 . OWNER'S NAKE ;::-/ 0 r ,x 01. q VVl Qd ; ca { C-! /I ,. C- PHONE OWNER'S ADDRESS C 'J ~ 10 q (h 0- {' k. ef- ~(A 0<. r ~ ~ Z .eft, '1rh ,'/ / S JOB ADDRESS /1 E' J 0 9 VVl 0. rite f- <- <:::;?J U a r ~ / Z Q ph '/ r J, ; I J .5 BLOCK SUBDIVISION LEGAL DESCRIPTION: LOT(S) PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---Alteration _Repair _Install 0ign ---,,"ove _Deaolish PROPOSED USE: _Single Faaily /"" ec:-ercial _M/F _' of Units _M/H _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: W Q , 1 BUILDING SIZE: :!:i.')' X /5)-'. 6 ~8 Y\ . 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 L.BUILDING $ !:J/LRO.O () Valuation of Total Construction _ELECTRICAL _MECIWIlCAL . AtIP Service Florida Power Corp. W.R.E.C. $ Valuation of Kecbanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDlISBED FLOOR ELEVATIONS: Fr. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... Signature CONTRACTOR SECTION t ~ .-pAllY ~ ~pr/; ~'ifn ffl':f /W ~ State Cert. or gist.' E - O~ .. 3;;' ~d. City License Registration . ~ "70 .......................................... ~~~ RIITl.DER Signature ~(~ Y1-,,~e COMPANY State Cert. or Regist. . City License Registration . ......................*...............*... RT.RCTRICIAN COMPANY State Cert. or Regist. . City License Registration . ..**.....*..*..*........*...*........*.*.. PLUMBER Signature COMPANY State Cert. or Regist. . City License Registration . ...........~................*.*...*..**.*. MECHANICAL Signature COMPANY State Cert. or Regist. f City License Registration f ....**...........**........*....*.....***. OTRg '\ Signature APPLICATION APPROVED BY PERMIT OFFICER. , CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat this perlit lay be subject to "deed restrictions" wbich Jay be lOre restrictive than City regulations. fhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas 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 JaY be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents lay apply for the intended work, 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 tban 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 perJitting 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, have been provided with a copy of "Florida's Construction Lien Law _ HOIIeowner's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the "owner", 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 cOJJenCeJent. 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 cOlpliance with all appliCable laws regulating construction, zoning, and land developllent. 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 perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govemaental agencies JaY 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 liJited to: * DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways * DepartJent of Health & Rehabilitative Services, EnvirOlllental Health Unit - Wells, Wastewater freatJent, Septic fants t US EnviroDlental Protection Agency - Asbestos abateleDt I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc. n, it is understood that a drainage plan addressing a uCOlpensating volDle" will be subJitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. A perlit issued sball 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 frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOJe invalid unless the work authorized by such perlit is cOJJenced 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 c~enced. One 90 day extension of tile, Jay be allowed for the perlit with fee charge of $15.00. fbe 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. WARHIHG fO OIilfER: YOUR FAILURE TO RECORD A HOfICE OF COMHElfCEHEf/1 HAY RESULf IH YOUR PAYIHG BICH FOR IHPROVEHEHfS fO YOUR PROPERTY. IF YOU INTEJID fO OBfAIH FIHAlfCIHG, COHSULT WIfH YOUR LEJlDER OR !If AnOmY BEFORE RBCORDIHG YOUR HO'l'ICH OF COHHEHCEHEHT. JOBS UffDER $2,500 IH VALUE DO HOf NEED '1'0 RECORD AHD POST A "HOfICE OF COHHEHCEHENT". SIGHATURE: OIilfER OR AGEHr SIGHATURE: COHrRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19~ by STArE OF FLORIDA 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. (S~gnature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC