HomeMy WebLinkAbout03-1833
BUILDING PERMIT
Permit N!!
CITY OF ZEPHYRHILLS
(813) 780-0020
1833
Property Owner:
Job Address;
Parcell.D, #
Date
2-//-2J~
~./
M~~rConn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
DescriPtion of Work
~code:. .
~ H:r.A (.r"
J~
Radon Gas:
A~
{J4I(1/[t? ~j
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
- 1- 03
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
~~~~~re
Company
Address
-......-
e ephone#
Inspector
Valuation or
Contract Price
City License Registration # ,;:i.1!3f'
State Certified License#
7fSf5-53Jlj
BUILDJNG
-----
C ....iLECT~I~AI ~
PLUMBJ.N6-'-
---
MECHANICAL.
-
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo SLB
Rough In ./ :;-'(- IJ 3 iIflJ lilt'! Tub Set
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
Final / '-1'1, 03 ((LV ~/-r.JO
Breakers
Ducts Ins I.
Compressor
Final
Driveway
REINSPECTlON 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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(MNEJR'S llAMEJ_L__iase_.___Li. -:-f-...D--_(~~nQ0.-:':-:1.~\bJ-L ____._._____. _________ PHONE CON'l'Ar~'I' \;:..\"',.j PERMIT SERVICE
-- - --{ -. _c.:::~ J --h--'-8-13~788:5314-'
,JOB SITE ADDRESS .3:r~~---8.:J~g,:t61?.tjA)~_____'__'_____.___n__.___________._ W_"___._
.-- D~
LEleJAL I.lHlSURIP'I'lON : LOT (S) ___..d-~____ BI"OCK _________._ SUBDIVI810N .t;:.m_e~~J..f>_~._______
PARCEl!, I/J It (OBTAIN FROM PROPElR'l'V 'I'1\){ N01'ICIJJ)
/;,;J. 17
CITY OF ZIlJPHYRHILL8 PERMJ:'!' APPI,ICATI:ON / ~ ':<_I/_~
BUII,DING DBI?ARTMlllN'f 5335 8th S'fREElT ZElPHYRHII,I,S, 11'1, 33134~ '------
PhonaIB13-780-~020 'axIB13-780-0021
DA'fIll RBCBlIVl!Jo
PI,ANS RlllVIIllW FBI
---- -._.~- _.~" -- ~..._.".. .
HORR PRnpSElIJI [JNBm ('ONS'l'RUCTION
.~._--- ..----.-.----------...-----.------------.---.----..------..-..---------...--.- .--.......---.----.--
R:[AD/JI'l'ION
[JAl/I'ERA'I'lON
[] REJPAIR
LJ INSTA!,I,
[JSHm
[J ~10VE
o DEMOI,ISlI
PROPOBEll 08E: I ~r.;IIJ FAt-lILY DHELIIIlm
[Jt1UI,'l'I .. F Mil II, Y
[J# UF lJNITS
[J SHH1MING POOL
(] MOB!l,El !lo111!)
LJ OTHER
[] COI1MlllRC! JA I,
[J INDUS'l'R I AT,
o RS1S'I'AURAN'[' & HEAI.T!r DBlPARn1ElN'I' APPROVAl..
IlEJ8CR.rP'I'IUN OF NORK _._e.lec;..t'r_~c.. ~L.JJ2Q0,.,_~Li:~Q~________..._
BlJIr,D.rN(l SIZE] ___J!:J X.~L________ SQUARE FOOTAGE _..31~_____
.--.---------..-.---------.... -..---..-. '.- -..--." -~
REB IDEll'T'rIAT, I
(~O~1MBlRCIAT, :
HEl IGH'I'
A'T'TACH (:2) PLOT PI"AllS & (2) SElTS OF BUI! dHt-H1 PLANS & (1) SElT ElNE1Rnlf FORMS,
A'I"liAC!H (3) sEi'rs OF BU!LTJING PLANS & (1) SElT ElNERny FORIIIS.
PROPBlRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
'-'-""-'--- --.--.-....----
v~
FE~TS REQOESIED
-31 j~
[] Blln,lJING
$------.---.--.-. VALUATION OF TO'l'AL CONS'rRUC'rION
M BJI,mCTRHJAI.
--'---'---'-"--C.. AtIlP SERVICE!
o FIIlRlDA POHEJR
o W.R,EJ.c.
[] PI.tJ11B ING
U I1B:CH1\.NTC..!AI..
[] (JA8
[J ROOFING
$----...-----~- VAT...UATION OF t-1a:ClIANCIAL, UIS'1'AIJI,ATTON
U SPECJ!AUry
[) OTHER
'l'YPHl OF CONSTRUCTION i (] BLOCK
~ FRAt-1Ej
[] STEJEL
.1&.. OTHER du VY\.( nu ~
F'INISHElTJ FLOOR mT,EVATIONS
-----.--..-.-.----
IS PRCJtfEC'l' IN FLoo!J ZONE! AREA 0 YP.lS
o No
Bun..l1l!lR
B1r,BlC'rUC!A
***** *** * ****** *** ******* ** * * *** ***** *** * * * * ** * ** **
C()IIIPANY_____._.___~_____.._______.__ ._______._._ ____..______._
STATE CEiJRT OR RElI3IS'J' # __.._______.____...._____.
CITY PROCESSING fL_..______ ___________.
81GNATUREl
-_..,...._.~-'-_....._------~----_.._-_.__._--_.------
- P 1, t1MB'B1 R (;0t-1 PAN Y _________.______-:-_____________.____._________________
STATE CElRT OR REI3IST # ----------.--.---.---...__.h__..
SIlmA'l'l1REl CITY PROCEJSSINI3 #
*********************************************
COl1PAN Y B215r../J1!;:-C2_ 6?~~<::;.____ ____._.__
STATE C'ElRT OR REllnS'l' # ~/~~
eI'n PROCES8Ilm #~.2~~'==_~-~~'_ __~~.~'.~~--=~=
S 1 Gl!J\'1'IJREJ _'... .
MBl(!HANICA1, C;cJHPANY ______.___._..__.___.________._ __ '__.. __h'
STA'T'El (!ElRT OR REGIS'I' # _________.__._.___._.____.._.._.
SWNA'l'UREl CITY PROCESSING #
--. .-.-.----.--- .-.------- -._h._ __._____._____._....._.___ _____.._ _____..._____ .____.___.____. _...___._
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-.--.-___h___________._____...___._.____ _____..____..__._____. _..__.__._
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OTIIER
-~- --~~-----~--_.-
--~---__o.-_____._..
Co/,1PAHY
STA1'E1 r.!EiRT OR REGIST r------------------------.-..h.-
CI'I'Y PROCEJSSING # --._________.___.__________
..--------
SWlIA'l'IJRRl
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--.-----.-.- .._.._--_._----._-_._~- --- '--'.~.--- - ~--
CONDITIOI'-JS OF PEPJ'.1Ir:\ l:-..5'::.I;JAV~~'"l'
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands thq.t th.Ls p~urtit lllay b,= subje::ct to "deed restr.ictions" Hllich
may be more .refjt.r-ict.ive than city re9uli:ltions. '1'::1'" lInd"rsi9ned assumes respollaibil:ity for
oomplianoe with any applicable de6d restrictions,
B. UNLICENSED CON'I'RAC'I'ORS AND COll'l'RACTOR RESPDtWIBIJ,['l'IES
I f the ov,mer has hired a contracttn or cDntractors to undertake work, they Ulay be requir'ed
to be Ii censed in accordance t~ith state and local reglllations. If the contractor is not
licensed as requ1red by lav~, both the aHner and contractor may be clted far a misdemeanor
violation under state laH. If the owner or intended contractor are uncertain as to vlhat
licensing requirement.s may apply for the intended work, they are advised to contaot the
Ci ty of Zephyrhills Building Department, 813-788--6611.
Furtherlno!::e, if the oHner has hired a contractor or contractors, he is advlsed to have the
cont,ractor (8) sign portions of the "Contractor Sections" of this applioation for which they
will be L6sponsible. If you, as Ule owner signs as the contractor, YQ4 are indioating that
you, rather than the oont.ractor, are responsible for the Hor-k. If the contractor Hishes
you to sign as contractor that may be an :indication that he :is not properly licensed and is
llol entitled to perm:itting privileges :in the City of Zephyrhills.
C. 'l'RANSPOR'l'ATION IMPACT FEES AND UTIl,I'l'Y CONNECTION E'EES
D. CONS'l'RIIC'rUION LIEN LAv~ (CllAP'l'ER 713, FLORIDA STA'l'UTES, AS AMENDED)
1 certify that 1, the applicant, have been provided with a copy of "Florida's Constr\lction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the \lawner", I cerify that I
have obtaineci a copy of the above descr:ibed document and promise in good faith to deliver
it to the "owner" prior to COlTUllencement.
E:, CON'rRAC'l'OR' S/OWNER' S AFFIDAVI'l'
I certify that all the information in this application is accurate and that all v~ork will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Applioation is hereby made to obtain a permit to do Hork and installation as :indicated. I
certify that no work or installatlon has conunenced prior to issuanoe of a permit and that
all work will be performed to meet standards of all laHs regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that .Iunderstand that the regulations of other governmental agencies may apply to
the intended Hark, and that it is my responsibility to identify what actions T ll\llst take to
be in compliance, Such agencies include but are not limited to: *Depart:ment of
Envirollmental Regulatipn-Cypress Bayheads, Wetland Areas and Environment.ally 8ens.j.tive
Lands, Water/WasteHater Treatment
*Southwest ~lor:ida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engilleers-Seawalls, Docks, Navigable Waterways
*j)epartment of Health & RehabU,itative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U,8. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or "A,eta.N, it is
understood that a drai.nage plan addressing a "compensating volumeN 'Hill be submitted Vlhlch
is prepared by a professional. engineer registered in the. state of Florida pri.or to permi t
issuance.
A permit issued shall be construed to be a license to proceed with the Hork 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
cor~ection of errors in plans, con~truction, Or violations of any code. Every permit
is~u~d shall become invalid unless the work authorized by such permit is oOlJullenced within
six months of issuance, or if work authorized by the perm!.t :is suspended or abandoqed for a
period of SLK months after the time the work is conunenced. One 90 day eKtension of time
may be allowed for the permit with fee charge of $15.00, The extension shall be tequeated
in writing to the Building Official. An approved inspection must be logged during each' si K
month perioci, or the project Hill be considered abandoned.
WARNING '1'0 OWNER: YOUR FAII,uRE TO RECORD A NOTICE Ob' COMMENCEMENT MAY RESUL'I' IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'rAIN In NANC:;IN q, ~qNQUI/I'
WITH YOUR LENDER OR AN A'I'TORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMENT. ,lOBS UNDER
$2,500 IN VALUE DO NO'!' NEED 'I'O RECORD AND POS'l' A "NOnCE OF COMMENCEMEN'I"',
-SlGNA'l'URE: OWNER OR AGENT
SIGNA'I'URE: CONTAAc'roR
.
.
o Hho has produced
(type
and who[] did Odid not
of identification)
take an oath.
STA'I'E OF FLORIDA
COUNTY OF
The foregoing instrument WaS aoknowledged
Before me this --------Pay of-----, 19
by
(name of person acknowledged)
aho is personally known to me, or
o Hho has produced______ _____
(type of identifioation)
and Vlho Odid DUd not take an oath
STA'l'EJ OF FWRIDA
COUNTY OF -----.
'l'he foregoing :instrument was acknowledged
Befor'e me this ____ day of 19_
'by __._
(name of person acknowledged)
Owho is personally known to me, or
8ignatur:e of person taking acknowledgement
Signature of person taking aoknowledgment
-
Hame typed, printed or stampdd
Name typed, printed or stamped