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Home My WebLink About01-0827 BUILDING PERMITN~ 0827 CITY OF ZEPHYRHILLS (813) 788-6611 Permit ~~ Date /.fl-/~o I , ~AL PLU~~ P,operty owne'~1~ tJ ~~ Job Address: - ;5;-t... MEC~' Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: DescriDtion of Work En ( Radon Gas: FINAL .-;2 S- -- CJ ,,;:2- 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. c.o. DATE Valuation or Contract Price p.~!_IT!~tf~ Inspector 9' . C)tJ 00 ~ Company City License Registration # ~ 9 0 ~ Address State Certified License# {] e t!-o.. ?f.o 7P C-:-~on~! ~.01~0C?o~~ d4~ BUILDING () . ELE~-.' ~~74-S~'3 .- PLUMBIN.G-- MECHANICAL 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 REINSPECTlON 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. / PROPERTY OWNER: PASCO COUNTY, FLORIDA CO~TYDEVELOPMENTDIVISION ~OOF~ )6RUrt-~ * Michelle White 5546 18th Street Zephryhills , FL.33540 CASE NUMBER: 01-023 PHONE NUMBER: (813) 780-1192 PROJECT COORDINATOR: Mike Snyder DUE DATE: August 31,2001 ' REVISED: --Th;s T0 IYDt- fY~.r ct JAR. h6~ ,S v-n4t ~ REHABILITATION SPECIFICATIONS lfat S/r~ TYPE OF PERMITS REQUlRED:BUILDING X ELECTRICAL X ROOFING X MECHANICAL PLUMBING GAS t CONTRACTOR TO FURNISH UTILITIES: YES NO X RESIDENCE TO BE OCCUPIED DURING RENOVATIONS: YES X NO BID ON INDICATED ITEMS ONLY Specification description of any number in extreme left hand column will be found in the General ----- __hSpecification13ook1~t._supplied to all bidders. -:: -When .-indicated;Lhese---numbers and their corresponding descriptions are to be bid on and strictly adhered to, Contractor is cautioned to verify all site conditions. All bids shall cover material required to complete work description. All items such as towel bars, curtain rods, light fixtures or mirrors removed during construction are to be reinstalled prior to completion unless otherwise specified, No Lead-Based Paint shall be used on rehabilitation work either on existing surfaces or on new construction, If plans or drawings are supplied as part of these Rehabilitation Specifications they are complementary. Whatever is shown or reasonably referred to in the specifications is required. Scaled dimensions govern size, and large scale drawings supersede those of smaller scale, If specifications require any clarifications which were not obtained prior to bidding, the designer's interpretation of the true intent shall govern. No additional cost will be paid above the contract amount when the Contractor has neglected to properly evaluate the extent of the rehabilitation work. Name: White Date: 713012001 Page 1 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPAR~ 5335 S~ STREET ZEPRYRBILLS, pL 33540 PhoneIS13-7S0-0020 paxIS13-7S0-0021 DATE RBCEIVED PLANS REVIEW PEE i (1LU ~- LUk(~ ~5~ \@ ~ sA-~ OWNER'S NAME f\('l PHONE CONTACT JOB SITE ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: DNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION o ALTERATION )!:1REPAIR o INSTALL OSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING OMULTI - FAMILY 0# OF UNITS o MOBILE HOME o OTHER o COMMERCIAL o INDUSTRIAL o SWIMMING POOL DESCRIPTION OF WORK CJ RESTAURANT +HEALTH PEPARTMENT AP}'l'OVAL =r{ C> ML- fbCJ l'nS6 l( tMcJ<f\-d SQUARE FOOTAGE 5 DO HEIGHT (~lur-,,-- BUILDING SIZE 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. PBRMITS RBQUBSTBD o BUILDING $ 80 0 _ t:!!2- VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS ." ROOFING o SPECIALTY ~ OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAo YES o NO BUILDBR ~uL COMPANY SUV1 ~,d-- f?o 'tl) t;J. rAe, STATE CERT OR REGIST #~ CITY PROCESSING # ~ I?~ SIGNATURE ***************************************************************** ELECTRICIAN COMPANY STATE CERT'OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A: NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictions" 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. If 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 of 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 SectionsH 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 Guide" 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 document and promise in good faith to deliver it to the ~owner" 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 regulations in the jurisdiction. I also certify that "I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify 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, if fill material is to be used in Flood Zone ~A" or ~A,etc.H, it is understood that a drainage plan addressing a ~compensating volume" 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 Offic~al 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 time 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT acknowledged , 1L- ST TE OF FLORIDA COUNTY OF The foregoing instrument was Before me this -----pay of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 19 (name of person acknowledged) owho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Ddid [}:lid not take an oath o who has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped