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Home My WebLink About01-0537 ~ BUILDING PERMITN~ 0537 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date 9-//-0 I , B~ ~ P~ - MECHAr41CAL - Sewer Conn ~ f?J Water Conn: Property Owner: .;. ~ ' - ~6- Water Meter: Job Address:t<"O ~/,~~ q ,~~-~,Se~~J/D! .JI..:l.: T.I.F.'s: ~I g., J!3j ~/P. Iff ~~ /j 9, ~::J. ~ ~ t,~ ~5'; b~J (p7, t..f; ~7.' 17~ 7(, ~ 73 /?~ Zoning: Energy)1>de: .. ~Gas~. $?l1 <;?/, &',:J., /.5'3 "Y /5'1' DescriPtion of Work /1 G'~Oha!_~.{! ~_ Valuation or Contract Price FINAL C.O. 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. ~<' /I.fJJ<I) ,.--.., ( /P/JvML.L Company Addres!; ~ City License Registration # 7 ctl. State Certified License# BUI~ - ELECTRICAL ~.. PL G -- MS.GHAr-4ICAr 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 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 FOR PERMIT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT OWNER'S NAKE l1:lA 1~.s 71 c ['J /l-K S' (j PHONE OWNER'S ADDRESS JOB ADDRESS :375J 111/H€L. ,) Irt-Lc,l ~I b~ FL-Y3s-1// LEGAL DESCRIPTION: LOT(S) '-1:15./ )l-~r~c4lLOCK SUBDIVISION PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition .--Alteration _Repair _Install _Sign ~ove _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTIOR OF WORK: BUILDIRG 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 _BUILDIRG $ Valuation of Total Construction Florida Power Corp. W.R.E.C. _ELECTRICAL AMP Serv'ice ~CBAlUCAL $ Valuation of Mechanical Installation _PLUMBIRG GAS ROOFIRG SPECIALTY TYPE OF CONSTRUCTIOR: _Block _Fraae _Steel Other FIRISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTIOR RIJTUlER Signature COMPARY State Cert. or Regist. . City License Registration . ****************************************** =:~."'. '. COMPARY~(hA/l.fJ CIl.-/fA/cflf-tL URC-Tj(JC / :Lc ,.. ~ State Cert. or Regist. . ',. ~ City License Registration . /1 ?d-.. ****************************************** PLUMBER COMPARY State Cert. or Regist. . City License Registration . ****************************************** Signature ,. MEGBARICAL COMPARY State Cert. or Regist. . City License Registration . ****************************************** Signature OTIIRR COMPANY State Cert. or Regist. . City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT -A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands tbat tbis pemit laY be subject to -deed restrictions II wbicb lay be lOre restrictive tban City regulations. Ibe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, tbey laY be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJents lay apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrbills Building DepartJent, (813) 788-6611. FurtberlOre, if the owner has bired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe RContractor Sections- of tbis application for wbicb tbey will be responsible. If you, as tbe owner sign as the contractor, you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign as contractor tbat lay be an indication tbat be is not properly licensed and is not entitled to perlitting priVileges in tbe City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, tbe applicant, bave been provided witb a copy of -Florida's Construction Lien Law - HOIl!OImer's Protection GuideR prepared by tbe Florida DepartJent of Agriculture and ConsUJer Affairs. If tbe applicant is sOJeOne otber than tbe -owner", I certify tbat I bave obtained a copy of tbe above described docUJent and prOllise in good faitb to deliver it to tbe "owner" prior to couenceJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all the inforlation in tbis application is accurate and that all work will be done in cOlpliance witb all applicable laws regulating construction, zoning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify tbat no work or installation bas couenced prior to issuance of a pemit and tbat all work will be perforJed to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developJeDt regulations in tbe jurisdiction. I also certify tbat I understand tbat tbe regulations of otber governJental agencies laY apply to tbe intended wort, and tbat it is If responsibjlity to identify wbat actions I lUst take to be in cOlpliance. Sucb agencies include butBre not liJited to: t DepartJent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJeDtally Sensitive Lands, Water/Wastewater TreatJent t Soutbwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Amy Corps of EngIneers - Seawalls, Docks, Havigable Waterways t DepartJent of Healtb & Qebabilitative Services; EnvirODJental Healtb Unit - Wells, Wastewater TreatJent, Septic tants t US EnviIODlental Protection Agency - Asbestos abateJeDt I also certify tbat, if fill .aterial is to be used in Flood Zone liAR or "A,etc. R, it is understood tbat a drainage plan addressing a uCOllpensating volDle" will be subJitted wbicb is prepared by a professional engineer registered in tbe State of Florida prior to per.it. issuance. A perlit issued sball be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor sball issuance of a pemit prevent tbe Building Official frOJ tbereafter requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued shall beCOll! invalid unless tbe work authorized by sucb pemit is cOlEnced witbin six IOnths of issuance, or if work autborized by the pemit is suspended or abandoned for a period of six IOnths after tbe till! tbe work is cOJJenced. One 90 day extension of tile, lilY be allowed for the pem~twitb fee cbarge of $15.00. Tbe extension sball be requested in writing to tbe Building Official. An approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned. WARHIHG TO OWHER: YOUR FAILURE TO RECORD A HOTICE OF COIlMDCEMEIIT HAY RESULt IH YOUR PAYIHG TWICE FOR IHPROVBIIDts TO YOUR PROPERTY. IF YOU IJft'EW TO OBTAIH FIWCIHG, COHSULt WITH YOUR LEWER OR AJf ATTORm' BEFORE RECORDIHG YOUR DICE OF COMHEHCEMEIIT. JOBS UlmER $2,500 IH VALUE DO HOT HEED TO RECORD AHD POST A uHOTICE OF COMMEHCEHEJft'". SIGlfIlTURE: OWIIBR OR IlGElfT SIGHIlTURE: COlfTRACTOR STIlTE OF FLORIDA COUffTY OF The foregOing instrument was acknowledged before me this , 19 by ----..- STATE OF FLORIDA COUIITY 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