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Home My WebLink About01-0329 BUILDING PERMITN~ 0329 CITY OF ZEPHYRHILLS (813) 788~6611 Permit BUIL~G pmp.rtYOWn~ Job Address: ___ Parcel I. D. # )~/~ ELECTRICAL Date S/31/01 PLU~ING MECHA~AL Sewer Conn Water Conn: ~o lis lof:} n. Water Meter: T,I.F.'s: Zoning: Description of Work Energy Code: ~e.r V: c:e Up j r Co till.. q IR-I D/ /O;s-rl1h\a7 NO OCCUPANCY BEF~"t6. Radon Gas: FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. City license Registration # State Certified License# Inspector Permit Fee J {". ~ -J.-signature I~ -R~ Company , 7' rf;f~s I . (; Address ....L Telephone# ?fl- 2.ZSo Valuation or Contract Price ( B ILDING ELECTRICAL PLUM ING MECH NICAL 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 Twenty Five and 001100 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 ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE 111 J'(, kd cI ;f- OWNER'S ADDRESS 0'8"" ~ 7" <1 7h 6 r JOB ADDRESS " 6 t/,)'" / t") 7Zt S r PHONE Z,€OAV;( /-kL{r, TL , / ' ~~,4At/4/c~, FL / 3 :;>s-Yo J3sj#c> LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Kove _DeJIOlish PROPOSED USE: _Single Faaily _KIF _' of Units _KID _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK:~ - (') fl~ (cZdZl "+1"'1;0 5'e~(/t'~) 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL NIP Service Florida Power Corp. W.R.E.C. _HECllARICAL . $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel Other FlBISHED FLOOR ELEVATIONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA? .................................*****.*** YES NO CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. , City License Registration . **.****.************.********.************ Signature ELEC'l'RIClAN COMPANY;f,' Ci'ktUJ CJe.,+jtlcf A-t-L FL~~p;. I'L &i'lll~=-;e.d~-II1.~ ~~~\~~:';"O~e:::~:~~i:'" "7~ .*.***********.**.**********.****.******** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration t ******...****.**************.************* ItECBANICAL COMPANY State Cert. or Regist. * Signature City License Registration , .*****.**...~***************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration t .*..********.***********.*...************* APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT )\.. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to 'deed restrictions" whicb laY be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED 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 lisdeieanor 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 Zephyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner has bired a contractor or contractors, be is advised to bave 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, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to pertitting 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 that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOIBer's Protection Guide" prepared by the Florida DepartJent of Agriculture and CODSUler Affairs. If the applicant is sOloone other than the Downer", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the "owner" prior to cOlleIlceJent. 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 bas cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developJeDt regulations in ~e jurisdiction. I also certify that I understand that the regulations of other goveI1llental agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in coapliance. Such agencies include but are not li.ited to: * DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJeDtally Sensitive Lands, Water/Wastewater TreatJent * Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US EnviroDlental 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 tbat a drainage plan addressing a .cOlpeDsating volUle" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to pertit, 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 is~uance of a perlit prevent the Building Official fIOl thereafter reguiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball beCOle invalid unless the work authorized by such pertit is cOlleDced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOntbs after the tile the work is co.enced. One 90 day l!Itension of tile, laY be allowed for the pertit 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 IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURB TO RBCORD A NOTICB OF COMHBNCKllENT MAY RESULT IN YOUR PAYING "'ICE FOR IMPROVBMBIITS TO YOUR PROPBRTY. IF YOU IIITEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORNBY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHBNCKIIBN'l". SIGNATURE: CONTRACTOR SIGHATURE: OWIIBR OR AGBMT STATB OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATB OF FLORIDA COUNTY 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. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC