The URL can be used to link to this page

Home My WebLink About02-1387 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 1387 Date 8 - 7- o~ BUilDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcel 1.0. /I Zoning: Oescriotion of Work k 3'8'" 33-.. ~ c~ Sovi-J, JlII e. . Water Conn: Water Meter: T.I.F.'s: 1?;n:~ Radon Gas: 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 Valuation or Contract Price .2, ~ . .-,C:-l .. crv Permit Fee )::signature Company Address ),felephone# {8I~)~z4-q161 City license Registration # State Certified license# {)w t\H" Tp. Servo Rough In Meter Can Canst. Po Pool Pre- Fin / / SLB Tub Set Water Sewer Final Breakers Ducts Ins Com Final BUilDING ELECTRICAL PLUMBING Ftr. Pre SlB lintel FRM. InsuJ. 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. i OWNER'S N'AME Ic.r C G12Cm rJ JOB SITE ADDRESS 363?8 ~U.1H ~I CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th STREET ZBPHYRHILLS, FL 33540 PhoneI813-780-0020 FaxI813-780-0021 DATB RBCBIVJlID ______________ PLANS RBVIBW FBE PHONE CONTACT(8/~)bZ4-14b4 ZEPHY'Kf-fll1 '); FL, 3~,S-4 L LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: [JNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) [J ADDITION o ALTERATION [J REPAIR [J INSTAJ~L [J S IGN PROPOSED USE: ~SGL FAMILY DWELLING [J MOVE [J DEMOLISH OMULTI -FAMILY 0# OF UNITS [] SWIMMING POOL o MOBILE HOME [] OTHER [] COMMERCIAL [] INDUSTRIAL BUILDING SIZE o REJSTAURANT & HEALTH DEPARTMEN'f APPROVAL TEJtt:-bFF ~ JIUSTFrU f'0f},.) ~H 1J()e:,.L~ 120bF SQUARE FOOTAGE )750 HEIGHT DESCRIPTION OF WORK RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUIJJDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELEC'l'RICAL AMP SERVICE [] FI.ORIDA POWER [] W.R.E.C. [] PLUMBING [] MECHANICAL $ VALUATION OF MECHANCIAL INSTALJJATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONS'l'RUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES [] NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCEJSSING # ****************************************************************** BLBCTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MBCHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTI~E OF DEED RESTRICTIONS Tile undersigned understands that this perml t may be subJ eat to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed Lestrictions. B. UNLICENSED CON'l'RA.CTORS AND CONTRACTOR RESE'ONSIBIfJITIES If the owner has hired a contractor or contra.:::tors to undertake work, they may be required to be licensed in accordance with state and local regulat~ons. 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 contrac1~or 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. TRANSPOR'1'A'rION IMPACT FEES AND UTILITY CONNEC'rrON FEES D. CONSTRHCTUION LIEN LAW (CHAP'!'ER 713, FLORIDA S'rATUTES, 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 aocument and promise in good faith to deliver it to the "owner" prior to corrunencement. 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 corrunenced 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 jurisd.t.ction. 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.", 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 ~he 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 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 conunenced 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 corrunenced. One 90 day extension of t hne 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 'fO OWNER: YOUR FAII,URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUI.'r IN YOUR PAYING TWICE !!'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR IJENDER OR AN A'l''!'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POS'!' A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by "_ (name of person acknowledged) Dwho is personally known to me, or acknowledged ,19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged 19 (name of person acknowledged) [1ho is personally known to me, or o who has produced (type and whoD did Ddid not of identification) take an oath. Dwho has produced (type of identification) and who Ddid [}:lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment! Name typed, printed or stamped Name typed, printed or stamped