The URL can be used to link to this page

Home My WebLink About00-9914 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09914 " II'} /00 Date BUI~ING '"l ,... CJu ~"'.- ELECTRICAL PLUM\NG MECH~ICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # ~o....dr avJ )'80 ~ 8~ S..L Water Meter: T.I.F.'s: Energy Code: }LrV;\~ aG"'~~ ~ ~ 'tv A,!'1, OQfh.\f! Radon Gas: Zoning: De,cription of Work 1/ U<..//vc F f. fo NO OCCUPANCY BEFORE C,O, FINAL II 00 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector ~ City License Registration # State Certified License# Permit Fee ~ -Signature.4~~j ~ Company Address -Telephone# 7?t1-.;;>. 2.S-tl Valuation or Contract Price BUlL ING ELECTRICAL PLUMBI G 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 001100 Dollars ($ 25.00 I 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 ZEPHYRHlLLS BUILDING DEPARTMENT "J OWNER'S N~v'Ptto Iv 4' / ~-& ;(biV OWNER'S ADDRESS S- 8' J/8"" ~ -r It "5 (- JOB ADDRESS S ~ 6 f ~-r11 5 r. PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: _SiqleF~ily _KIF _, of Units _K/H _GoIaercial _Indust. _Swill. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: f L~.?/Je I<!:. A.. L-. // // frR I) E . BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COKKERClAL : 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 _ELECl'RlCAL AMP Service Florida Power Corp. W.R.E.C. ~CHANICAL $ Valuation of Kechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr88e _Steel Other FIliISBED FLOOR ELEVATIONS: F1' . IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUJIJlER COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature RT.RGTRIClAN /l Sism..ture If~J~-~ C~~?~f? I COMPANY J11"'.,lJ-ttA? {?fLl'f/v',{JIft..t..... F L.EG7 /'!/~1f t.... C:O"ur4A-c1"'tJ/'( State Cert. or Regist. , City License Registration , ****************************************** oP'~ PLUKBER COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature ,. MECHANICAL COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature OTHRR COMPANY State Cert. or Regist. , City License Registration t ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fbe undersigned understands that this peIlit lay be subject to Ideed restrictions" wbich JaY be lOre restrictive than City regulations. fbe undersigned assuaes 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 lilY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtheIlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the IContractor 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 sign as contractor that lay be an indication that be is not properly licensed and is not entitled to petlitting privileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, have been provided with a copy of IFlorida's Construction Lien Law - HOJeOWner's Protection Guide" prepared by tbe Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docUJent and pro.ise in good faith to deliver it to the "owner. prior to COIleIlCl!lent, E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforaation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOlleDced prior to issuance of a peIlit and that all work will be perforJed to Jeet 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 governaental agencies JaY apply to the intended work, and that it is If responsibjlity to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: * Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Managl!lent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & ~ebabilitative Services; BnvirOllJelltal Health Unit - Wells, Wastewater TreatJent, Septic Tanks * US EnviroDleDtal Protection Agency - Asbestos abateJent 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 Ico.pensating voluaeD will be sublitted which is prepared by a professional engineer registered in the State of Florida ~rior to peIlit, issuance. A peIlit 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 peIlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall becoJe invalid unless the work authorized by such peIlit is COIIeIlCed within six IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of six IOnths after the tile the work is ~ced. One 90 day extension of tile, JaY be allowed for the peIl~t with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each six IODth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURB 10 RECORD A NOfICE OF COMMBRCBMm MAY RESULI IN YOUR PAYING filCE FOR IMPROVBIIII'fS TO YOUR PROPERTY. IF YOU IN!BND TO OBTAIN FINANCING, CONSULT WIIH YOUR LINDER OR AN A'f'fORIIY BBFORE RECORDING YOUR DICE OF COMMBNCBMm, JOBS UNDBR $2,500 IN VALUE 00 NOI !fBBD TO RBCORD AND POSI A "HOIICE OF COIIMBHCBMBN!". ~~(~ ii~~~c~~~-t STAlE OF FLORIDA coom OF The foregoing instrument was acknowledged before me this , 19 by -- SlATE OF FLORIDA coum 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 o~th. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC