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Home My WebLink About02-0937 BUILDING PERMITN~ 0937 .-- CITY OF ZEPHYRHILLS (813) 788~6611 J.O' ~ ~s- -- --"~~_..._.~~......,-----. (Eli~TRICA~ Permit Date 4 - J- V2 . ~ ~- MEC~" Sewer Conn Property Owner: Job Address: Parcell.D. # Water Meter: Zoning: NO OCCUPANCY BEFORE C.O. Water Conn: T.LF:s: c:;- FINAL DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price ~ /; ~OO , City License Registration State Certified License# Ftr. Pre SlB Lintel FRM. Insul. CL WJ. .----.- .-p~~ o/<. 1f-19 -O''Z- ~Vt:Wd{) . -- ~~r Tp. Servo Rough In Meter Can Const. Pole Pool pre-jter 'nal 7'~o-0:2 I?L-l{ , '7 -30-112, .L intl~ c.o. DATE Inspector '7 ct;).. - If J <1 I:. P M t SlB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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: 'f:5*/ PI- 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. CITY OP ZEPHYRHILLS PERMIT APPLICATION BUILDXNQ DBPARTMBNT 5335 8~ STRBBT ZBPRTRRILLS, p~ 33540 Phonet813-780-0020 Paxt813.780-0021 DATB RBCBIVBD PLANS RJlVllIIf PBB OWNBR'S NAME n I~'" " I T p~, I. JOB SITE ADDRBSS 5 ~ '10- 0-?t:Y ;;{T PHONE CONTACT ? 'I ~ .. 'I J" t LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # SUBDIVISION WORK PROPSED: [JNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) D ADDITIqN ~ALTERATION D DEMOLISH D REPAIR D INSTALL DSIGN PROPOSED USE:~L FAM~LY DW~LLING D MOVE [JMuLTI - FAMILY 0# OF UNITS o SWIMMING POOL [J MOBILE HOMB [J OTHER o COMMERCIAL [J INDUSTRIAL o RBSTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK /C~ )tCaF S.~~/<'I VPJ.I~~E lJ~/rJ~WAt: HlUGHT ~ BUILDING SIZE SQUARE FOOTAGB RESI'DENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS oir BUILDING PLANS & (1) SET BNERGY FORMS. PROPERTY SURVEY REQUIRBD FOR ALL NBW CONSTRUCTION. ~BUILDING ?LECTRICAL [J PLUMBING D MECHANICAL PBRKITS. RBQUBSTBD (; 'J )f)e> VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION OGAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLQOR ELEVATIONS IS PROJECT IN FLOOD ZONE ARRAO YES 0 NO BU:rLDRR SIGNATURE. COMPANY ~' /I?(? STATE CERT OR REGIBT # ~ CITY PROCeSSING # *** *********** ************************************************** COMPANY STATE CERT OR REGIST # CITY PROCBSSING # SIGNATURE ................*.....**.*.....*.*.*....*......................... PLUllBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNJ\.TURE MBCllANlCAL ********..*.......*........................**.....**...****.*....* COMPANY STATE CERT OR RBGIST # CITY PROCBSSING # SIGNATURE .....****..**....*..*..*.~.....*.*.****.**........*......****.*** OTBIIR SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***..*****************.******.*.*****************************.*** a. NOTICE OF DEED RESTRICTIONS T~e 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 REB~ONBIBILITIEB If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with st~te and ~ocal ~~g~lat~ons. .If.~e contractor is not l~cenAad.~s required by law, both the owner ~~C9,ntractor .~Y be*:aited for a misdemeanor '" t'!vi'hlaotion under state law. It the owner or intend~d 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 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 .e an indication that he is not properly licensed and is not entitleq to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHA~TER 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 "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 AJ!'FIDAVlT h _4... #. ~~ .., ,,~ ie....~l!tl\at ..~f.~t\~~v.~tteb..;'Jb.,~Tti" appUtJt.toi\: is IIcf:urate and that all work will J ~b1~on~ ifi.damplrlnce wieh 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 an~~vjronmentally Sensitive Lands, Water/Wastewater Treatment ,'.., . *Southwest Florida Water Management District-Wells, Cyp~ess Bayheads, Wetland Areas, Altering Watercourses *Anny Corps of Engineers-Seawalis, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental ~rotection 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 ~compensatingvolume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to pennit 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 perndt issued shall become invalid unless the work author~zed by such pe~t 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 ex~ension.shall be requested in writing to the Building Official. An approved inspection ~ust 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 COMMENcI!:MENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICg OF C~NCEMEN~"~ . . .". SIGNATURE: OWNER OR AGENT' SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 1!L- STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this ~ay of------, 19 by (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and who [Jdid Diid not take an oath (name of person ackno~ledged) '0 who is personally known to me, or of identification) take an oath. Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or sta~ed