HomeMy WebLinkAbout02-1651
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
BUilDING
ELECTRICAL
Property Owner:
Job Address:
Parcel I. D. ,
a~ Q})/~d
LfK;)CJ S'Ft
~
/ .
.~
St.
PLUMBING
MECHANICAL
1651
Date
//-If?'-O~
h CVvJVAJ--.
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Descriotion of Work
Radon Gas:
I /.~, .--- )-:fJ
I...LJ [(' I \.It::-.. ('1 I e-YlC'..P. LA.., O-OCt!
Energy Code:
d 9/0 I
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
City license Registration #
State Certified license#
&)t,JN/(
/j - --{l :{
DATE
Inspector
~::::'~~~4~ ~'-'J~
Company
Address
-)Qelephone# 7? 9 - ~:;;?%
BUilDING
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Driveway
SlB
Tub Set
Water
Sewer
Final
MECHANICAL
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;
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.
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BUILDING nlili'ARTWIllWi' 5335 ~tll S'l'RIllIil'.r ZlllPH'iRHII,I,S, :e'L ~3640
ibonMI813-78o-qoao F~xI813-780-00~1
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LEGAL DIilSL:ldP'I'W!l; LOT(S)
BL,OCK
SlIBPTVISJON
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PAIWIi!L In #
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WORK PhOj;lSU:IJ; [JNE~l CONS'I'RIJCTION
o ADDITION
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o REPALR
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o DEJlvjOI,I SIl
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BlHLTHNG SIZE
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SQUAREl B'OOTAGEl
IIElIWI'r'
RESIDENTIAL I
COlvJIIJlilRl!IAL;
A'rTACH (:2) J?LO'l' I?LAllS & (2) SETS OF' BIHLIHNl3 I?J,ANS & (1) Stil'f ~NlJIftrn' fj'Ol1ltlB I
A'I''J'AC~H (3) SE'l'S OF BUILnING I?LAHS I>: (1) SET ENWl(clY FORMS,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIClli.
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~~~ITa REQUI~TED
lJ l:lIJlUlING
$A 1tf(J, ,Q
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VALIJATlm~ Ob' TCJ'1'AL CONS'I'R{J(!'I'ION
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STATE CER'I' OR RlllCHS'I' 1# ~n____,_____~~..~_"._.____
CITY I?ROCiSSING H
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81 (mATURE! __.______________________
COHI?ANY
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CITY PROCESSING 1/ .---------------------..--.-,.,.___.-_
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COI'l P ANY .--.-___. .___.____.._._...____._____.
STATE CIllRT OR f{EGrST 1/ _____.______.__.____..___
CITY PROCESSING #
BTC:JNATIlRE:
HIllCUAIUCAI.
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COfVll?ANY___~______.~_.,"_______.._.__..__...__.._.,.
STATE C~ER'f OR RblGlIS'j' #
CITY PROCElSSING #
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SI(mATURE
CCJj<1PANY
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CONDITIONS OF PEPMI7 AFFIDAVI~
A. NO'rICE OF DEED RESTRICTIONS
. The ~ndersigned understands that this permit may be subject to "deed restrictionsH which
may be more restrictive than City regulations. Th,~ undersigned assumes responsibility for
compliance w~th any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner-has hired a contractor or contractors:to undertake work" \ti:ey may be required
to be licensed in accordance with state a~d.lo~al reg,l~tions. .I~ the c~ntractor is not
licensed as required by law,' both the owne,r and contract'Or 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 SectionsH 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 (CHAPTER 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 GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I
have obtained a copy of the abov~ described docume~t and promi~e in good faith to deliver
it to the "owner': pr~~r'. to cpmmencement. '
E. CONTRACT6R'. S foWN€R,{o fl" AFFTD1\VIT
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 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 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
*Departnlent 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 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 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 commenced within
six months of issuance, o~ if ~Qxk authorized by the permit is suspended or abandoned for a
period of six months after t~e'ttme the work is commenced. 6n~ 90 day extension of time
may be allowed for the permit with fee charge of $15,00.. .'Fhe extensitm 1l11.allbe requested
in writing to the Building official. An approved ins'pect:ion' 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 COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR I,ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid DUd not take an oath
Signature of person taking acknowledgement
Signature of person ,taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped