The URL can be used to link to this page

Home My WebLink About03-1982 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 1982 Date 1/- tT,. t1 3 BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcel 1.0, , 7k~ S9-~ . ~~ Water Conn: Water Meter: T.I.F.'s: Zoning: oescriDtion of Work ~?~ Radon ~as: ::J_ __ () 1:2.'5' 19 y~ /~ FINAL 5-;2. ,.03 DATE NO OCCUPANCY BEFORE C,O, Complete Plans, Specifications and Fee Must Accompany Application, C.O, All work shall be performed in accordance with City Codes and Ordinances, DATE I2'--Y Inspector Valuation or c- Contract Price Permit Fee 35' "'\ ~~~b City License Registration # State Certified License# /,/V1 ,ASignature Company Address yelephone# ~~)<1~-'-l..n~L/ ~_ Oee. Ftr, Pre SLB Lintel FRM. Insul. CL / WL ELECTRICAL SLB Tub Set Water Sewer Final I ! MECHANICAL Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final~/ s- 2 - 0 3 ?U, 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, U\'INElR f 8 I1M1EJ ____~~{).. -L.JL ~--'?__ __ _ ________ ___ _____ __ PHONBl CON'I'AI ~'!'_____._,____=__ '"u____. ,1OB 8I'1'8 ADDRESS _______S9Q__~__~" A. ... -.UJ~-e.l~~lClJQl_~ _________._______ --_on CITY OF ZEPHYRHILLS PERMIT APPLICATION BUUDING l)I1JPAR'I'MElN'r 5335 8th S'fREl1J'f ZlIlPHYRHII.IJS, P'L 33840 PhoneIB13-780-~020 FaxI813-780-0021 lJA'rB1 RBCI!IIVll!n --~--, ,..,- ~ '"'- ~""":. h__.__ PI,JU1S RIllVIJlJW B'1lI1l1.'---'____ L! ~ LEGAL J)ESURTPTlOHr LOT(S) B !J()(! K PAROElI~ III It -------.- SUBLlIVISHlH -'_._------....'..._--,.................-._~-_.._--..- WURK PROPSElfJ I UNElW l.'ONS'1'RtJCTION ---~-----...__.------_._------~----.._---.-___..n______________.__... _.____...._._.___.____.._. (OBTAIN FROM PROPEJR'ry 'I'AX NO'I'ICBI) LJSIGN [} ADDI'I'ION o AUrElRA'I'ION [g-1fEj P A I R U INSTAlJ!, o MOVE 0 DE~10I,I811 Clt1tJLTI.. FA!vIILY 0# OF UNITS r~ !I,E1 1l0r1E o INDUSTRIAL []SWIMMING POOL [JOTIIER PROJ,lOSEJn USEI: [~J FAMILY [)WElL,r~Il1G [} CCJt1I'vlEiRt!IAf, IJEl8CRIPTION OF HORK CJ RIll8TAURAN'r & IIElAIlTll DHlPARTt1EiNT APPROVAL Rq~ ~~'L-_..lf.. ~ A ..~~__..'"____._____________~_ BU Ir,nING Ell zrn -------.------- SQUARE F'OOTAtJEl RlllBIDBlN'I'IArJ I f..'OI'-1MllJR(!I Ar,I _._._--~---- HElHm'r A'I"rACH (2) PI,oT pr~A118 & (2) SETS OF BUI! ,DING PLANS & (1) 8E1'I' E1NIllRr]\, FORMS, A'I'tACH (J) SE'rs OF BUILDING PLANS & (1) SElT ENElRclY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, -~_._--~..:----_.-...- I>lIlRMITS RBlQt1BlSTED C1 BllJI,IJINr] [~ELBlC'I'Rl(JAl, $------- VALUATION OF TOTAr~ CONSTRuc'rION -___1~~___----'- Ar"P ~ElRVrcEl 0'" FLORIDA POWER [} W. R . E1, (). [J PWMBING o I1Bll!HA.Nlc';Af, I $--.---, - VALUATION OF ~IIHlCHANCIAr, INS'I'ALI,ATTON [] GAS [] ROUFING [J 8I?ElCJtAI.'!'Y [) OTHER TYPE OP' CUH8'I'RtJC'1'IOliIl [) BLOCK o FRANE [] S'I'EJEJI~ [) OTHEJR FIlHSHBJIJ FI,OOR E1I,ElVATIONS ------------- IS PROLfElC'I' IN FLoon ZONE AREA 0 YElS o No BllILIJBlR -.'--..-------<----~.....- -----.-------.---- C'O~II PAN Y __...__________.____.______..___.______._ _____,_______. ..._ STATE e'ERT OR RElGIB'!' # ____..________._________-'-.______ CITY PROCElSSING L_. _____._____________..._._.__.....__.... BlGNA'I'{JRHl mr,BlCl'I'R!CIAH S]t~ITA'!'{1R~b~__________ ****************************************************************** PI,UMBI1JR *k**************************************************************** COHP ANY -.~~.~_J~l'fft.,i~L_.._________ _.____p__ STATE: e'ERT OR RElcHs'!' #----~-~l'\.~.______,__ crry PROCE:8Snm ~--1.l{':ts..._________._._ ___._______ ._........'-'O____._~...__-......._ __ ---------- COM P ANY -. -------.-------c-----_________.___..__.______ ________ STATE e'ERT OR REiGlST # _________________p_ CITY PROCESSING It 8 WNATl1R El MBlC!HA.NICAl. ****************************************************************** _..__..._--_._~--_.__.._---.----._,---~-----~- ------~_-.-.__..__._--- COlvJPANY______ STATE (!I!lRT OR RI!lGIS'r # CITY PROCESSING # --".....--..--------....-....--- - -~.,-_._.- S f(..lNA'I'UREl ----._------_._-_._--~---------_.- OTHI1JR ***************************************************************** ------..--- .',---.......--- ---__..._40_______..______ (!otIlPANY ______._______________ STATE CERT OR REGIST It CITY PROCESSING # ----------..-----.-------- - SWH1\'1'1JREJ -.......--.----- ***********************************************************~***** -~-------_. _"___4__._____.._._____ _..__.____~___ CONDI'rIONS OF PERMIT AFFIDAVIT A,. NOTICE OF DEED RESTRICTIONS The undersigned understand::> thqt this permit may be subject to "deed restrictions" which m~y be more restrictive than City regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions, B. UlnICENSED t;ON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBILITIES If tile 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 laH, both the ol-mer and contractor may be cited for a misdemeanor violation under state laH. 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 Zephyr'hills Building Department, 813-788-6611, FurtherU10l.-e, it 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 whicll they Hill be responsible, If you, as the owner signs as the contractor/ YQij are indicating that you, l'ather 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 liaellsed and is not entitled to permitting privil~ges in the City of Zephyrhills, c, 'l'RANSI?OR'l'A'rrON IMPACT FEES AND UTILITY CONNECTION FEES D. CONS'l'RUC'l'UION IJIEN LAv~ (CliAP'I'ER 713, FLORIDA STATUTES, AS AMENDED) 1 certify that I, the applioant, have been provided with a copy of "Florida's Constrllctlon lien Law - Homeowner's Protection Guide" prepared by the Florida Departmellt of Agriculture and Coneumer Affairs. If the appllcant ie someone other that the "owner", I cerify that I have obtained a copy of the above described Qocument and promise in good faith to deliver j t to the Ilowner" prior to commencement, El. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'r I certify that all the information in this application is accurate and that all Hork will be done in compliance with all applicable laws regulating construction, zoning, and land devi?lopment. Application is hereby made to obtaln a permit to do work and installation as indioated. I certify that no I-wrk or installation has commenced prior to issuance of a permit and that all work Hill be performed to meet standards of all laHs regulating construotion, City codes, zoning regulations, and land development regulations in the jtlrisdiction. I also certify that I understand that the regulations of otller governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I mllst take to be in compliance. Such agencies include but are not limited to: *Department of Envirollrl)ental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensl-tive Lands, Water/Wastewater 'rreatment *Southwest florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses .Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Departn~nt of Health & Rehabilitative Services, Environmental Healtll 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,ete,", it is understood that a dralnage 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 aa authority to vlolate, cancel, alter, or set aside any provisions of the technical codes, nor ahall issuance of a permit prevent the Building Of~icial from thereafter requiring a correction of errors ill plans, con~tructionf or vio~ations of any code, Every permit iSliued shall beoome invalid unlesB the work authori:z;ed by such permit is cOlllIllfmoed within SlK months of issuance, or if work authorized by the permlt is suspended or abandoqiid for a period of slx months after the time the work is commenced, One 90 day eKtension of time may be allowed for the permit Hith fee charge of $15.00. The extellsion shall be reques~ed in writing to the Buildlng official. An approved inspection must be logged during each six month period, or the project Hill be considered abandoned, WARNING TO OWNER: YOUR E'AILURE '1'0 RECORD A NO'rrCE OF COMMENCEMENT MAY RESUW' IN '{OUR PAYING TWICE !fOR IMPROVEMEN'rS TO '{OUR PROPERTY, IF YOU INTEND TO OB'rAIN FINANqINq,CQN~UL'r WITH YOUR LEHDER OR AN A'I'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'r, JOBS UNnER $2, SOD IN VALUE DO NOT NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'r". SIGNATURE; OWNER OR AGEN'l' SIGNATURE: CONTRACTOR B'fA'rE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before llIe this ____ day of __, 19_ by. (name of person acknowledged) Dwho is personally known to me, or STA"rE OF FLORIDA COUNTY OF The foregoing instrument WaS aoknol-lledged Before me this ~ay of-~-, 19....:._ by (name of person aaknowledg~d) C1ho is personally known to me, or of identification) take an oath, Owho has produced (type of identification) and V/ho Ddid DUd not t.ake an Oath D who has produced (type and who[] did Ddid not Signature of person taking acknowledgement Signature of person taking aoknowledgment l'Iame typed, prlnted or stamped Name typed, printed or stamped