HomeMy WebLinkAbout02-0979
BUILDING PERMIT~~
0979
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
d-II-07
,~
Property Owner:
Job Address:
Parcel I. D. #
Zoning: 7rgy Code:
Description of Workr---..... f?fi1J141
.
PLUMBING
-----
MECHANIr.AI
c::."wer,.Conn
Water Conn:
Water Meter:
T,I.F.'s:
tA'v
~,~don Gas: t:;It.
. u. Ai jf d..if.
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
DATE
Valuation or
Contract Price
C);:)
I., /00'
Inspector
City License Registration # ______-
ertified Licens~
BUILDING
ELECT~-
-----
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
~'"'
P NG
1l..1CeMAI'Ill,AL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
.... ... ~
C--~~~~::~.:~~~.i:: Y: ~
C~~~~7~1 .- .
LEGAL DESCRIPTION: LOT(S) BLQCK
CITY OJ' ZIIPHYRRILLS PlliRJIIT APPLICAT:IONA 0 0; 1/ 9 '
BU.ILDi:HQ DIIPARTJUurr 5335 8th 8ftRIIT ZRPRTUJ:LLS, I'L- 33S4({ ~
Phone.813-780-0020 l'ax.813-780-0021'
DATIl .BClIl:VJID :2 - / /-eJZ
PLARS IlBV.IIIIf I'RR
PHONB CONTACT
~'"
SUBDIVISION
PARCEL ID #
WORK PROPSED: [JNEW CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
OSIGN
o ADDITION
o MOVE
o ALTERATION
o DEMOLISH
o RBPAIR
o INSTALL
PROPOSED USE: OeGL FAMILY DW.&;LLING
[] COMM.l!lRCIAL
OMuLTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOMB
o OTHER
,;
DESCRIPTION OF WORK
o RESTAURANT " HEALTH DEPARTMRNT APPROVAL
.~"'<AA l.... J'fk.U7. h::l~djldL
SQUARE F AGE
HEIGHT
BUILDINCl SIZE
RESiDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS" (2) SETS OF BUILDINCl PLANS" (1) SET DRRClY FORMS.
ATTACH (3 ) SETS OF BUILDINCl PLANS " ( 1) SST RNBRClY FORMS.
PROPERTY SURVEY RBQUIRRD FOR ALL NO CONSTRUCTION.
rX~UILDINCl
o RLBCTRICAL
PBRMITS, RBQUBSTBD
$
~ /OD'
,
~,
VALUATION OF TOTAL CONSTRUCTION
AMP SIIRVICR
o FLORIDA POWER
o
W.R.E.C.
[] PLUMBINCl
[] MECHANICAL
$
VALUATION OF MBCHANCIAL INSTALLATION
[JClM
[] ROOFING
o SPECIALTY
o OTHBR
TYPJI OF CONSTRUCTION t 0 BLOCK
FINISHED FLQOR IILEVATIONS
o FRAMB
[] STERL
o OTHBR
IS PROJBCT IN FLOOn ZONE ARBAO YBS 0 NO
BUJ:LDBR
SIClNATURE ,r.~ At: .~ ~~~
'- !
COMPANY
STATE CHRT OR REClIBT #
CITY PROCBSSINCl # ,
*.................................................................
BLBCTR:tCJ:Q
SiClNATURB
COMPANY
STATE CHRT OR REQIST #
CITY PROCRSSINCl #
..................................................................
PLUllBBR
COMPANY
STATE CERT OR REClIST #
CITY PROCESSINCl #
SIClNATVRE
IIIICIlANJ:CAL
..................................................................
COMPANY.
STATB CBRT OR REGrST #
CITY PROCESSINCl #
SIClNATURE
........................~........................................
OTBBR
SIClNATURB
COMPANY
STATE CERT OR RBClIST #
CITY PROCRSSINCl#
.................................................................
A. NOTICE OF DEED RESTRICTIONS
f The und'ersigned understands that this pennit may be sub:lect 1i:O "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 RESJ?ONSIBII.ITIJ!iS
If the owner has hired a contractor or contractors to undertake work, they .ay be required
to be licensed in'accordance with st~te ~nd local regulations. If the contractor is not
licensed as required by law, both the owner and contraotor may be oited for a misdemeanor
violation under state law. If the owner or intended contra'~tor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact t~e
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 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 contraptor that may be an indication that he is not properly licensed and is
not entitleq to pennitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUIQN LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AttENDED)
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 Agricultrtre
and Consumer Affalrs. If the applicant is someone other that the "owner", 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. J
E. CONTRACTOR'S/OWNER'S AFFIDAVlT
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 pennit to do work and installation as indicated. I
certify thae no work or installation has commenced prior to issuance of a pennit and that
all work will be perfonmed to meet standards of all laws regulating construotion, City
code~, 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 oompliance. 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 Distriot-Wells, Cyp~ess Bayheads, Wetland Areas,
Altering Watercourses
*Anny corps of Bngineers-Seawalis, 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.", it is
understood that a drainage plan addressing a "oompensating'volume" will be s~bm1tted which
is prepared by a professional engineer registered in the State of Florida prior to peomit
issuance.
A perRdt issued shall be construed to be a license to prooeed with' the work and not as
authority to violate, cancel, alter, or set aside any provisions of the teohnical codes,
nor shall issuance of a permit prevent the Building Offic~al from thereafter requiring a
corr~ction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenoe~ within
six months of issua~ce, or if work authorized 'by the perRdt is suspended or abandoned for a
period of six months after the time the work 1s comm.nced. One 90 day extension of time
may be allowed for the permdtwith fee charge of $15.00. The extension shall be requested,
in writing to the Building Offioial. An approved inspection must be logged during each six
month period, or the projeot will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTIC~ OF COMMEHCEMENT ,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 COMMENCi:MENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD .AND POST A "NQTICE OF COMMENCEMENT".
--~.._--........._....- -I,;. .J;.......~......1...J.. n..t:/:'J.,'..J.fi..V}_'.':
SIGNATURE I OWNER OR AGENT'
SIGNATURE I CONTIU\CTOR
STATE 01' FLORIDA
COUNTY OJ!'
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 1!L-
STATE OF FLORIDA
COUNTY OF.
The foregoing ins~rument was
Before me this ~ay of
by
acknowledged
, 19
(name of person aokno~ledged)
'0 who is personally known to me, or
of identification)
take an oath.
(n~e of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification)
and who Ddid [}lid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledqment
Name typed, printed or stamped
Name typed, printed or stamped