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Home My WebLink About02-1294 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 1294 (813) 780-0020 Date 6-19-02- 435 BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. , ~.~fu~ 'tt<{~ - 3~ sf Water Meter: T.I.F.'s: Zoning: Descriotion of Work Energy Code: Radon Gas: C/AtVtA-ff e.-y I'~-fj V\~ 00vV'fOZ+' 10 S~OO{" ~W\ 1 qtlcl{i~ri:i NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price C:;C2aJ. t!ID Permit Fee 3 ~ - - f5ignature~r ~/~ ~~~ Company Address \- ~- r'\ Telephone# -? y-y - 7"3 ~ > City license Registration # State Certified license# o~~ Ftr. Pre SLB lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final BUILDING 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. CITY or ZEPHYRHILLS BUILDING DEPARTMENT j~~fd_fe_:jcf):2. IC~/ DATE RECEIVED tt?-I( -(]!L PLANS REVIEW' FEE l\r kI:L.~. CT~'X "It:l' FOR. l";E~'~}JIT OWNER'S NAME L lovd Hal"n t! s f JOB ADDRESS L/ 81/ (p 5u..Ut"1t?O(: ~. PHONE PASCO PERMIT SERVICE 813-788.5314 SUBDIVISION WJ;"~r'S Fk.. y~ LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # WORK PROPSE:D: DNEW CONS'l'RUCTION Os I GN PROPOSED USE:: ~SGL FAMII.Y DWELI.ING {OBTAIN FROM PROPERTY TAX NOTICEl PtADDI'l'ION o MOVE DALTERATION o REPAIR o INSTALL o DEMOLI SH o COMMERCIAL o Ml.1T:n - E'AMI L Y o INDUSTRIAL 0# OF UNI'l'S o SWIMMING POOL o MOBnE HOME o OTHER RESIDENTIAL: COMMERCIAL: CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL rllo ~eeh.rt:)on</ Md C:u/2Jr/- SQUARE FOOTAGE .L/ ~ 0 tit :? D HEIGHT 5 ~ p~ s. 'I go (1/!.) /Wfo~ v ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING P~S & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. DESCRIPTION OF BUILDING SIZE o BUILDING VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUC'rION: 0 BLOCK o FRAME o STEEL ?KL OTHER 14/ l{ b41.( I1H """-' FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO BUILDER SIGNATURE 0/ 'tV -:!fa~ COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ELECTRICIAN ****************************************************************** PLUMBER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ** ** ** *****,** * * ** * ** *** * * * * ** ** *** * * * * ****** * * ********** * * *** ***"* MECHANICAL SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CUNJ.J1'1'lUN,s Ufo i'.l!:HNIJ' A~'L,_AVJ.'l' A. iJOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to udeed restrictions" whfch ,may b~ 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 Sections" of this application for which they will be responsibl.e. If you, as the owner signs as the contractor, you are indicating that you, rather than the COlltractor, are responsible for the work. If the contractor wishes you to Sigll 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, F'LORIDA 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. 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 lneet 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 "AN or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engiIleer registered in the State of Florida prior to permit issuance. A per~it 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 Official froIn 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 pxtension 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 COMMF.NCEMENT MAY RESUI,T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IE' YOU INTEND '1'0 OBTAIN FINANCING, CONSULT WITH YOUR IJENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT". ~JU/ .fi~~ SIGN URE: OWNER OR AGENT ~~/#~ SIGNAT RE: CONTRACTOR STATE OF FLORIDA ~ COUNTY OF ~St:O The foregoing instrument was acknowledged Before me this ~ day ofJ/M\L. ,dl1JO:L by Lloyd )..J~"Vlt'~ (name of person acknowledged) o who is personally known to me, or STATE OF FLORIDA n COUNTY OF ra. $oW The foregoing instrument was acknowledged Before me this -1:i!::-day of ~~ , dlOO;L by LI D~ ffc::tu1e.s (name of person acknowledged) Gho is personally known to me, or ~Who has produced -p. L--. (type of identification) JQdid not t ke an oatil. ~ho has produced p. L . (type of identification) ~id not ake n oath acknowledgement Sig Name <~;~~::~-~';;-.':~-" : -' .' typed~~(~~ed ~-~:;~~/;:'-~C:}~~.: ~.'!. '1 '-,' ,"" in-~; ", .......j 0.1""5 t:!alltlpEitNi I "i ; "),. /OO~ iU ,,\\"""'; Name:?~#~~; .pi,i'~~~~;: d.f7:.I~~ped 5,2002 'f,U ":n nJ(~ i;"_"