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Home My WebLink About00-9857 BUILDING PERMIT " Property Owner: Job Address: Parcel I.D, # CITY OF ZEPHYRHILLS (813) 788-6611 ~CAl PlJ,JMll1NG ~ ~~_~~;J; Permit 09857, Date / tJ -,:?- .,-- DO . ~.._.., Sewer Conn Water Conn: Water Meter: TI.F.'s: Zoning: Descriotion of Work Energy Code: <fjJ /1/~ Radon Gas: t1J::J.n~ A<Lif-:.--- -- /l.( JP.LJ) Y NO OCCUPANCY BEFORE C.O. FINAL 3,.....7-0 DATE Complete Plans. Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE Valuation or Contract Price ~, ~on o2L A~.. __ Celephond ---.) City License Registration # c::< '7 /f .0:-- State Certified License# Ftr, Pre SLB Lintel FRM, Insul. CL WL Tp, Serv, 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, APPLICANT APPLICATION FOR PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 1 ADDRESS 2/3' 9; 7 'Jt7tl. f/ OWNER JOB LOCATION 3 X' 0 ').. 7 ---!; ~ k--( LEGAL DESCRIPTION: LOT(S) LOT SIZE_____~ AREA SQ,FT. BLOCK SUBDIVISION PARCEL I.D,~F WORK PROPOSED:_New Construction _Addition _Alteration _Repair _InstaLL _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _IF of Units ,_M/H _Commercial _Indust. _Swim, Pool Other .~ _Restaurant & Health Department Approval BUILDING SIZE: ~, Square Fee t, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.~~ ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _E~RICAL ~T;;!TT . _MECHANICAL AMP Service Florida Power Corp. _\"R,E.C, $ :3'001] Valuation of Mechanical Installation _PLtTMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** CONTRACTOR SECTION Company State Cert. or Regist, # City License Registration # ***************************************~** BUILDER Signature ELECTRICIAN Company Stat~, Cert. or Regist. # City License Registration # ****************************************** Signature PLUMBER Company State Cert, or Regist, # Signature City License Registration ~ **********************fr******************* , , !lECllAN~ . companY~('4<y' :jW'~<<~ ~ ~ . .#d~ State Cert, or Regist, IF }'(~t.JCJ .j;;~ Signature .- yV- ~ City License Registration " '7~ ~ ****************************************** OTHER Company State Cert. or Regist, # City License Registration # Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERM=~ AFFIDAV!~ A. NOTICE OF DEED RESTRICTIONS The undersiqned understands that this penH lay be subject to "deed restrictit,ns" ll'~ich laY be lore restrictive than City requlations. The undersiqned assu.es responsibility for co.pliance ~ith ,any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPQNSIBILITIES 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 requlations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing requireaents .ay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departaent, (8131 7BB-bb11. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 SlgO as contractor that aay be an indication that he is not properly licensed and is not entitled to per.itting 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 - Ho.eowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consu.er Affairs. If the applicant is soaeone other than the "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it tel the "owner" prior to coatenceaent. :. E" CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all worK will be done in coapliance with all a~plicable laws regulating construction, zoning, and land develop.ent. I Application is hereby aade to obtain a perait to do Mork and installation as indicated. I certify that no worK or installation has coa.enced prior to issuance of a perait and that all work will be perforled to .eet standards of all 10.5 regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that It is ay responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not liaited \c': I Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, WaterlWastewater Treataent I Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways I De arttent of Health L Rehabilitative Services Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I Environaental Protection AQency - Asbestos abateaent I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plaii addressing a "colpensating volute" will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to perait issuance, A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel altef, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, Dr violations of any code., Every per.it issued shall becole iDvalid unless the work authorized by such perait is coaaenced within six aonths of issuance, Dr if work authorized by the perllt is suspended or abandoned for a period of six lonths after the ti.e the Mork is cOI.enced. One 90 day extension of tile, ~2V be allowed for the perait 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 .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IIIPROVEt\EIHS TO 'lOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMtlENCEtlENT". ft.r,/e' &:--/ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befctl-e me th i 5 STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged ~ 19_ by who is personally known to me or who has pl-oduced 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. (SignatUl-e) (SignatLn-e) (Name Typed, Printed or stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC '-I SUNCOASl SE VICE-CENTER. INC. ;3CJ~'f-W.;!.;; I ~. - ~?t- ot)S~~S' ~'?>I' ~ 'AT LSBOROUGH t.</ \.... <C , T PA;FL33614 . -7 ~ ..:....~ /' Us L( (813) 879.0281 - Lie # RMOO30862, /1- / / J :cp T . , NANIl : DATH: /6J-,-z..S_ ~ ~ . JOB ADDRBSs: CIn/tn/ZIP: ---------------------------------------------------------------------------------------------------------------- CITY/ST/ZIP: 1 :: ; -~' ..', I , KOOIPMDrP C(H)DfSD. AI1l BANDLQ , I".. P~"UNIT nnOFDAT ~.Jt " ::- '~ ~L~~~"r ~ .i'i!')'; cJ I / 0 ~ t.<../ . JWtItANTr BY NANuPACTURD.:' ------____-:~---~-------------.,----- LABoIl WAaRANTY BY SUNCOAST SER CENTER. INC,: ~4'(~ --e~ OP'1'ICNAL DTDmm WARRANTIBIl: ~ '10 YBAJ( PARrS G _ 5 YEAR PARrs G LABoR* *BX'l'DIDm WARRANTIES ARI: COVZRzD BY A-S. DfDGr , ---------------------------------------------------------------------------------------------------------------- TRIB PROPOSAL NAY U WITBDMMN IF NOT ~ INTo A CClNTRAcT WITIIIN 30 DArB. T~: After installation is completed, a qualified representative of this company will start, test and certify to our office the correct operation of the equipment covered by this contract. That action will establish the date of COmpletion of our contract, except the'warranty, and any further adjustments, replacements or repairs will be performed by us under'the terms of the warranty as stated above and on the back of this contract, Payment is due immediately 'upon completion of installation. However, if payment' in full is not received by 'this office wi thin 5 days from the date' of our Inv'oi<:e, the warranty will be suspended and interest at the rate of .00049315 will be charged on any unpaid balance. 'The warranty will' not then be reinstated until the unpaid b'hoo. .od 'h. 10'm., h.v. b..b. pold io full. Th. 10'or." ""od .bov. w111 b. ohorgod ..oh d.y .od" ao b..od 00 ... A.P. R. A h ,. to. '.y b. 'ub"" .d 10"~0 f '0,",.., " 'h. dl'm",o 'f 'h. '.11 or.' '" ~- ' , CClNTRAcT PRICK: $ 3~CJ u - Opt1.on.: 1. ' ~ ~ 2. The installation and equipment above mentioned are Subject to conditions and warranties on the reverse side of this Agreement the same as if they were pr'inted above and thoil'e conditions and warranties constitute a part 'of this Agreement, ACCaP'1'ANCK OF PROPOSAL ~~-'~'0'~ /tJJ - ~3 - /130 U - COtf8TlWCTION INDUSTJUBS RBCOVQy POND Pa~t ally be aVaJ.1ab1e ~rCllll the con.truct1.on .1ndu.tr.1e. recovery ~uncl .1~ you 10.e !DOney on a project per~oZ'llled under contract, where the 10.. re.u1t. ~rcxa ~c.1~.1ed no1at1.on. o~ Flor.1da law by a .tatct l.1cen-.c1 contractor. For ~ormat1.on about the recovwry hnd and ~.11.1ng a c1a.1.m, contact the F10r.1da Con.truct1.on Inctu.try L.1aen..1ng BOARD~: CILa, 7960 Ar1.1ngton Bxwy., su.1te 300, Jaak.onv.t.11e, P.L 32211-7467 or Phone ('04)727-6530. SS8li