The URL can be used to link to this page

Home My WebLink About02-0980 BUILDING PERMIT ~~ 0980 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date #-12-0~ BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ~op.rtv Own., . G~~ ~ ~!it Job Add,..., ?! (;J tJ m < 0- I ~- ~ _- - Parcell.D. # Water Meter: T,I.F:s: Zoning: DescriDtion of Wo NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Valuation or Contract Price City License Registration # c::L~:1 D State Certified License# ~~ elep~orie# 13) Ct:J6 - lib l/6 ~ )'-{ NICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. OWNER'S NAME-lJ~de()( JOB SITE ADDRESS ~f) 3 'I CITY OF ZEPHYRHILLS PERMIT APPLICATION nUILDING DEPARTMENT 5335 8~ STaBBT ZB~HYRHILLS, PL 33540 Phone:813~780-0020 raxt813-780~0021 OATH RECBIVED PLANS RBViBW PEB PHONE CONTACT( 7f I :D b ~ /;.1./6 'I~ 0+ 'FJ "rrJ~ 1$1 S-tr-lA 9D LEGAL DESCRI~TION: LOT(S) 21"" yrJ. ./($ BLOCK / J ~()/) 0900 FL SUBDIVISION -- PARCEL In #-1 () J.l .). I 00, 0 WORK PROPSED: [JNEW CONSTRUCTION OSIGN ) ') g06 (OBTAIN FROM PROPERTY TAX NOTICE) [J ADDITION [JALTERATION [J REPAIR it!- INSTALL D MOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING D COMMERCIAL OMULTI - FAMILY D INDUSTRIAL 0# OF UNITS D SWIMMING POOL o MOBILE HOME ~OTHER BUILDING SIZE c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ::r;. > k /IVji~" of:1 lh~il,j()rI''''' J iJ",lj '-h ROW I '7 fJ ~ -;" ~ SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDINQ PLANS ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PROPERT~ SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED :O~~1~F(ORM;;~ j. [t~) ~p1Ii!!", ~' i,~ VALUATION OF TOTAL CONSTRUCTION / o BUILDING $ o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMB ING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION OGAS D ROOFING D SPECIALl'~ D OTHER TYPE OF CONSTRUCTION: D BLOCK o FRAME o STEEL ~THER kV4/ j>R.r1vJl-f IS PROJECT IN FLOOD ZONE AREAD YES 0 NO FINISHED FLOOR ELEVATIONS BUILDER COMPANY STATE CER~ OR REGIST # CITY PROCESSING # SIGNATURE .~w*******.*****.*.*~**************..**********.*.*...******~***** ELECTRICiAN COMPANY STATE CERT OR REGIST # CITY PROCESSING n SIGNATURE **************************.*.***************.******.*.************ PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE - MECHANICAL *****************************..***************.*.***************.. COMPANY: STATE CERT OR REGIST n CITY PROCESSING # Sl:GNATURE OTHBR SIGNATURE V~ Ba+F~...-- *~****..***.*.*a****..*~.*******..**w*w*.**~*.**.*..*.._**..***** COMPANY~kj.N. of Pkr-.-JtA. STATE CERT OR REGIST # CITY PROCESSING # c::z 9 dZ 0 ****......**....***w**************.._*****************._..******. f~ 'd Z880'ON SllIHHAHri:j7 10 AII~ Vl~U:7 Inn?'~ 'JeW CONDITIONS OF PERMIT AFFIDAVIT A. ~OTICE OF DEED RESTRICTIONS Th@ undersigned understands that this pe,rmit 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 undert.ke work, they ~y 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 of Zephyrhills Building Department, 813-788-6611. Furthermor@, 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 (CHAPT~R 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "~lorida'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 th@ "owner", I cerify that I have obtained a copy of the above described document and pramise in good faith to deliver it to the "owner" prior to cormtlencement. 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 Inade 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 certity that '1 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: *Departrnent of Environmental Regulation-Cypress Bayheads, Wetland Areas and Envirolunentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-WellS, Cypress Bayheads, Wetland Areas, Altering Watercourse$ *Army Corps of Engineers-Seawalls, DOCks, Navigable Wate~ways *Department ot Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Ag@ncy-Asbestos abatement I also certify that, if fill ~terial is to be used in Flood Zone ~A# or ~A,etc.#, 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 iss\.1anee. A permit issued shall be construed to be a license to p,~oceed 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 permit prevent the Building Official from thereafter requiring a correction of error~ 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 ot 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 approv@d inspeotion must be logg@d du;ring 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 ~AYING 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 ANP POST A ~NOTICE OF COMMENCEMENTN. for r-/X.p SIGNATURE: CONTRACTOR STA'rE OF FL~:r:t.~ COUNTY OF r"jJ~ " , The foregoing instrument was acknowled'Jt!d Before me llhis ~ day OfTOI"II.~1f , ;'..QJJ~ by C~.... u..A~,..i.oi"\ I (name of person acknowledged) ~who is personally kno~l to me, or STATE OF FLORIDA COUNTy OF The foregoing instrument was Before me this day of by acknowledged , 19 o who has prodUced (type of identification) ]~hO~d~d not take an oath. Signature of person taking acknowledgement j)~~P) A - (2 ~J~ Name typed, printed or stamped (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and who Od1d O::I.id not take an oath Signature of person taking acknowledgment Name typed, printed or stamped t '11 7. R r. n ' 0 N ~llIW~AW~~7 ~n j I l~ l\1..l~7'7 Inn7 '0 'JPIAI