The URL can be used to link to this page

Home My WebLink About01-0086 BUILDING PERMITN2 B~ING 0086 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date 2/2/01 . El~RICAL 30.~ MECHANICAL PLU~ING Sewer Conn Water Conn: Property Owner: C h; n ~ W cJ \<. Job Address: 72 5 ~ ('>G-l ( ~"d. Water Meter: T.I.F.'s: Parcel I. D. # Zoning: Description of Work Y h r,' A') Energy Code: ~ ( \,J I U , r :c.e wok r Radon Gas: UJO~V r S~~""" ~If I SN'\O ke.r I 1 ,((''fllr S d"'" FINAL C.O. 2. ~7' ~ 6' ( DATE NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE 5'~ Inspector Valuation o~ -' II 2~. q2 Contract Price 1 Permit Fee "30 - ~ ~ s;gn.tu~~~ co;-~ Company u- Address TelePhonet 8/~3) L~/ - o2~s-8 City license Registration # State Certified license# Ftr. Pre SlB lintel FRM. Insul. CL WL Driveway 6 e..rS "j:A c. . ElEC RICAl PLUM ING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SlB Tub Set Water Sewer Final Breakers Ducts lnsl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five 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 FOP. PElQO:'l' CIn 01' ZEPHnlHILLS BUl:LDDlG DEPAIl'l'MEN'l' DAB DCKIVED PLANS RBYIEW I'EB OWNER'S NAME ~ I na...... WD k. JOB ADDRESS, 1rJ54 ("fa} I 61 vd. PHONE Zepheylr)'/IL<::. I 33 5Lf I BLOCK SUBDIVISION LEGAL DESCRIPTION: LOT(S) PARCEL ID # WORK PROPSED: pI:IEW CONSTRUCTION OSIGN PROPOSED USE: OSGL FAMILY DWELLING JilJ COMMERCIAL IOBTJ>.TN FROM PROPF.RTY TAX NOTICEl o ADDITION o MOVE OALTERATION o DEMOLISH o REPAIR ~ INSTALL OMULTI-FAMILY o INDUSTRIAL D# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER CJ RESTAURANT & HEl'.LTH DEPARTMENT APPROV1U. DESCRIPTION OF WORK -M wi H, ric'{!. c.aok.e..Y', stqo.m mil, smokR-r I ;) ~l..rs. +f" rinJ ~ok.. BUILDING SIZE RESIDENTIAL: COMMERCIAL: o BUILDING o ELECTRICAL o PLUMBING o MECH1\NI CAL ~ GAS SQUARE FOOTAGE HEIGHT 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 REQUESTED $ VALUATION OF TOTAL CONSTRUCTION J\MP SERVICE o FLORIDA POWER o W.R.E.C. $ /9025. ~ VALUATION OF MECHANCIAL INSTALLATION o OTHER o ROOFING o SPECIALTY TYPE OF CONSTRUCTION:!Q BLOCK IS PROJECT IN FLOOD ZONE AREAO YES o NO FINISHED FLOOR ELEVATIONS o FRAME o STEEL o OTHER BUILDBa SIGNATURE J:LBCTlUCIAH SIGNATURE PLUYBEll SIGNATURE YRCBAInCAL SIGNATURE 0'l'IIZR .. '~..~~~~t~.fl4~~~~ COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # **************************************** COMPANY 0::t~m ~1"B?.~ ~~ . STATE CER'l' OR REGIST # fi '1/&,5 CITY PROCESSING # COMPANY STATE CERT OR REGIST # CITY PROCESSING # **.**********................******.*****.*********************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *******************************************************.*******.* ~ . d SlllHHAHd3Z ~O AIIJ ~d91:8 IOO~ '18'uer LO~O'ON G aBed ~lIIId9G:~ :pa^,:aoal:/ ~s.Ja:t-sellllset) <- ~o/ ~~/ ~ coNDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands tha~ this permit may be subject to ~deed restrictionsN which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. It the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City ot Zephyrhills Building Department, 813-788-6611. Furthermore, 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 signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION 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 GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~ownerH, I cerify that I have obtained a copy of the above described aocument and promise in good faith to deliver it to the ~ownerH prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development re9ulations in the jurisdiction. I also certify that I understand that the regulations of other go~rnmental agencies may apply to the intended work, and that it is my responsibility to ident1fy what actions I. must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of EngineerS-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, it till material is to be used in Flood Zone ~AN or ~A,etc.H, it is understood that a drainage plan addressing a ~compensating volumeH will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the t~e the work is commenced. one 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be conSidered abandoned. WARNING TO WNER: YOUR FAILl1RE TO RECORD A NOTICE OF COMMENC PAYING TWI FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y INTEND TO WITH YOU LENDER OR AN ATTO EY BEFORE RECORDING YOU NOTI OF $2,500 DO OT N T RECORD AND POST A ~ ICE C MAY RESULT IN YOUR F NANCING, CONSULT T. JOBS UNDER STATE OF FLOp"rpJ1/ COUNTY OF tn1 .sbo""O~h The foregoing instrument a~~cknowledged Before me this ~ day of ~8 . :JIJo-l- by .....r (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA I-t- COUNTY OF \1 \.sbot"'CI~"'- The foregoing instrument wa~ac nowledged Before me this ~day of E''R. , aaQ.L by (name of person acknowledged) ~o is personally known to me, or identification) e an oath. oath acknowledgement wledgrnent Slll tamped My Contm Ellp. 8/12103 No. CC 862931 ~ ,)Oll.ll.(f.b. . . U E r ~o/ ~8/ ~ :pa^Taoa~ 8 aBed !s.Je+sewse~ <-