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Home My WebLink About03-1835 ~{L, BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 (813) 780-0020 1835 Date ,-2-/.52. -03 (~~ E~... p~.,. M~--- PropertyOwne, y~ ~~~~Jc Job Address: C 7.. . Parcell.D. II //- .:;t,~ $/- tJO/P- /)':'5~OO - aD/V Sewer Conn Water Conn: - .~ - Water M~" ~ \....- Zoning: Descriotion of Wo FINAL -03 DATE NO OCCUPANCY BEFORE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or '=--- Contract Price ..., Permit Fee Signature Company Ad IIYo L~ City license Registration # ________ tate{:ertified L~ ~ elephone# - ?8{, BUILDING M Ftr. Pre SLB lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SL Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final 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 OF ZEPHYRHILLS PERMIT APPLICATION ~ BUII,IJUW DEPARTMENT 5335 sth STREHI'r ZIlIPHYRUIIJI,S, Fl, 33540 PhoneI813-780-0,020 Fa~1813-780..0021 -"7._.1'''7._ . <.. IJA'rBI R1ll01!lIVllID ~_ {~_",o.._~ PIJANS RHlVIBlW Jl'1ll1l_ ~.._.."L' __... Oi'll'''' '8 IlAN' _~TQ~,\_ ~~.I[Le~'-LQ;CiJ'- _(2 ~ Yl~'T-- PHONO CON'J'",'''. ~~~~. .... . '..~__ ,JOB S I'l'El ADlJRBlSSS'.2tr)..___ 3" r:..':!.__ s-t--________________h_____________.__________... IJEl(]1\L DElSeR I P'r ION: un (8) BfJOC'K SUBDIVISION w___._______~______ -- -.----------.... -._._.....4'____. PARCEll, III It -,._-----~._.~--------_.__._._-- -----.---.-- ~--..-.._----_..- -------------.------------- _._._~... - -- -,-- .----....- (OBTAIN F'ROM PROPER'I'V 'PAX NO'l'H'Bl) HORK PROPSBllJr [JNElN l'ONS'I'RUCTION [JSWN [] Arm I'r ICJN [J ALTERATION LJ RBJPA [R U ] NSTA!,!, [J MOVE [) DElltlOI,ISH [lr-1tJI.'I'I. FAI"lII.Y 0# OF UNI'l'S lJ MOB Ir.Bl II ot1 III [J INDUSTRIAL [J SN n1MINr~ POOL [] OTHi!JR PROPOSEIl USE: I [JSGl, FAtvlI!JY DWElLI,ING [J Cm/lfl1ElRl!IA {, 1lE18CRIP'l'IClN OF D RE18'I'AlJRANT & HEALTH DEPAR'n1EN'I' APPROVAL I'1ORK ,~~_~.~__ --'---__n_~___,____.____.__.._.___ 612 1.:>L..8-L-'----_ SQUAR. FOOTME __ --'i1'6-_ "OlOlI'f .,-I.6~___. A'I"rACB (2) PI,OT PIJAllS & (2) SETS OF BlJII,DINt] PLANS & (1) 8E1'I' E1NElROV FORMS, ATtACH (3) S~TS OF ButLDING PLANS & (1) SElT ENEROY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONS'I'RUC'I'ION. BUnnING SIZEl RElSIDElNTIAJJ I COMMBlR(!IAI'1 VBIJII'IJINO FERMITS REQUESTED $ -_.,~- VAI,UATTON OF '1'O'1'AL CONS'fRlJC'I'ION L1 ElLI!lCTRWAI, -.-----.------- AltlP SElRVICI!l [] FI,ORIDA PONER [J VI.R,E.n, I] PWI1BING U ItlBJCHANIC~ArJ $.-.- VAI,UATION OF MECHANCIAr. U1STALIJATTON [] GA8 fJ ROOFING f] SPEC!IAurv [I O'I'HElR 'I'YPEl UF COH8'1'RtJC!'1'TOH: [J BLOCK [J FRAt-1EJ [] STEEll, [J OTIIER FINISHEI) FI,()OR ElIJEVliTIONS ------~--- IS PRlXJECT' IN FLOorl zemEl AREA [J Y!!IS [] No Bt1UOI!lR SIGNATURE ~&, COltlPANY-=_~_._d~:~.__ _ ...'.___.__._____..._.___.. .__ S'I'A'I'BJ CEJRT OR REI(]18'I' # ._.nn___.._...._. .____.....___.,__.. CITY PROCESSING #____, ___..______.__.___._ .... "__..___ _'_ ml,BlC'rRICIAH S ImlA'l'IJREJ __"._ . ..------..-- _._,--~ --- -~---'--,..-,_._-._._-- --'---------- cor'1PANY _'_...________ _.___. _...___.._._.__.._. STATE e'ERT OR REtH ST II CITY PROCESSING II .---- ---_.-...~..,.,---_._----~.~_._._-._-.~. ---.- * k** ** * I< * * * * * **** * ** k* * * * * * * * ** * * * ***** * ************ *** ** * * ******* -~---...._-_._._- --...-------.--.--. ---_.._-~--- PI,UMBER ._.~_.......---....~~...._._--_.- -.--- (~OM P ANY --.-__..____________________.....__.,_....__..._____.,_ STATE CERT OR RE(]IST II _____~______.____,_.._.... CITY PROCESSING # 8IGNA'l'lJRE MRlC!HANICAl. *"****************l********************************************** ~--,~-- "'- .-.------------- ._--._----~---.......- ~-----------___4_______.....___~_____ CO/v(PANY__u STATE CElR'f OR RE(]I8T # CI'1'Y PROCESSING # --_. .'-...---.-.-..--..---..--.- - ____h_._,.._ SWNA'l'IlREl .---- - -~--...._-,--- -.-....---..------------- ***************************************************************** -------------.--..----.--.--.-- '.- .-......---- o'rUBlR SWNATlJREl (!or:lPANY S1'1\'l'EJ CEJRT OR -REQIST-r----------'---------....-- CI'I'Y PROCEJSSnm # ---"--_._.__._,__._.___ ~._-'-_._~-_._---_.__. ***********************************************************7***** ---------""-- "- ._._~~.._-----~---~.,-- ._~~------- CONDI'l'IONS OF PERMIT AFB'IDAVIT .1\. NO'l'{CE OF DEED RES'l'RIC'frONS The undersigned understands thijt this permit may be subject to "deed restrictions" which may be more restl:iative than city regulations. The undersigned assumes responsibility for compliance with any applicable deo::d Lestriction~. B. UNJ,ICENSED c'ONTRAC'l'ORS AND CON'l'RAC'l'OR RES PONS lBII,I'l'IES If the oHner has hired a contractor: or contractors to undertake work, they way be required to be licensed in accordance Hith ~tate and local regulations. If the contracl:or is not licensed as required by law, both the o~mer and contractor may be cited for a misdemeanor violation under state laH. If the owner. or intended contractor: are uncertain as to Hhat ljcensing requirements may apply for the intended wor:k, they are advised to contact the city of Zephyrhills Building Department, 813-788-6611. Furthermol.'e, 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 u:sponsible. I f you, as the mmer signs qS the contractor, you. are indicating that you, rather than the contractor, are responsible for the work. If the contractot' wishes you to sign alJl contractor that may be an indication that he is not properly licensed and is lIol elltitled to permitting privi.leges in the City of Zephyrhills. c. 'l'RANSPOR'l'ATION IMPAC'l' FEES AND UTILITY CONNECTION FEES D. CONS'l'R\JC'rUION LIEN LAW (CHAP'l'ER 713, FIJORIDA S'I'ATUTES, AS AMENDED) 1 certify that I, the applicant, have been provided Hith a copy of "Florida's Constr\lction lien Law - Homeowner's Protection Guide" prepared by the Florida Depar'tment of Agriculture and Consumer Affairs. If the applicant is someone other that the "o~ler", 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 conunencement. E. CON'rRAC'roR' S/OWNER' S AFFIDAVI'l' I certify that all the information in this application is accurate and tllat all Hork will be done in compliance with all applicable laws regulating constr'uction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. 1 certify that no ~wrk or installation has conunenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating COllstruction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies loay apply to the intended work, and that it is my responsibility to identify what actions I ilIust take to be in compliance. Such agencies include but are not limited to: *Department of Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Bensttive Lands, Water/Wastewater Treatment *Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waten.ays *Depat'tment of Health Co Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks . *U.3. 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 tllat 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 jssuance. 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 is/jued shall become invalid unleS5 the work authorized by 5uch permi t is oOilunenced within six months of issuance, or if work authorized by the permit is suspended or abandoqed for: a period of slli months after the time the work is conunenced. One 90 day extension of tillle may be allowed for the permit with fee charge of $15.00. The extension shall be tequested in writing to the Building Official. An approved inspection must be logged during each I:d K month period, or the pt.oject Hill be considered abandoned. WARlUNG TO OWNER I YOUR FAILURE 'fO RECORD A NO'l'ICE OF COMMENCEMENT MAY RESUW' IN YOUR PAYING TWICE Ii'OR IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU INTEND TO oB'rAIN FINANqWq, ~qN~Ul}I' WlTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2, SOD IN VALUE DO NOT NEED 'I'O RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'r". SIGNA'l'URE: OWNER OR AGENT SIGNATURE: CONTRACTOR s'rATE OF FLORIDA COUN'I'Y OF- The foregoing instrument was acknowledged Before me this __ day of __, 19_ by _____ (name of person acknowledged) Owho is personally known to me, or STA'l'E OF l!"LORIDA COUN'fY OF The foregoing instrument was acknowledged Before me this ------sjay of----, 19 by (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of idelltifiaation) and Hho Odid DUd not take all oath o who has produced (type and who[] did Odid not Signature of person taking acknowledgement Slgnature of person taking acknowledgment Name typed, printed or stamped Hame typed, printed or stamped