The URL can be used to link to this page

Home My WebLink About92-2033 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2033 8, I Date 1- 7' - ;? ;;L ~ ELE~ PLU~ 'mpeny Owner -!!f-r~ ~~ Job Address: ~'S ._ _ __ - _ 9 ~ ~ ParceII.O,# IJ-~-;;J./-t!)CJ/t)- d.-CJCJc!JO - aol..!:,- ME~L Sewer Conn ~ater Conn: Walter Meter: T.I.I=.'s: Zoning: ~ne~y Code: . _ Radon Gas: _ _ DescriptionofWork_~ 4 ~L;t-...#Y\ ~ ~(j ,d~ NO OCCUPANCY BEFORE C.O. FINAL 1/.../.1/ _/j-v- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE :~;:;ttR~~ ~ ~~ Company _ Address Telephone# Valuation or Contract Price JYoo..cH;J City License Registration # State Certified License# ~ {BUILDINGY ---------- E~L ----... PlDMa1.NG --...~ '-.,. ME~ICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. .g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. , APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT M {2 r V }'Vl --rh~ WIt {o$ 0 ).''" ADDRESS. ~~~ I~ I OWNER t /( /iZ. t.--- JOB LOCATION 5 1 2 ~ I Y fA ~~, PHONE 1f'2. - 7~q4 LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) PARCEL 1. D. IF v J 1- z. b - 2- ( . /}i) i 0 BLOCK SUBDIVISION WORK PROPOSED:_New Construction ')DOCD L){) I~~ ~ddition '_Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _# of Units ._H/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: Jl'r' X ,24' . Square Feet, Height RES ID ENTIAL.: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. ,H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ ~ ~, {)6 .- Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _\-l.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company _ State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration ~ OTHER Signature APPLICATION APPROVED BY Jlf::r';;~'~~~""""'*'*"""*' PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands ~~at this perlit lay be subject to "deed restrictions" which lay b~ lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart~ent, (813) 788-6611. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} sign portions of the .Contractor Sections. of this application for which they will be responsible. If you, as the owner sign 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 lay be an indication that he is not properly licensed and is not entitled to p~rmitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION 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 Guide" prepared by the Florida Departlent of. Agriculture and Consumer Affairs. If the ~pplicant is sOleone other than the .owner" , I certify that I have obtained a copy of the above described dOCUMent and promise in good faith to deliver it to the "owner. prior to coa.ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cospliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby aade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a pertit 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 /tV responsibility to identify what actions I /tust take to be in cc.mpliance. Such agencies include bill ~II' BCIL I imited to: I Departaent of Environ.ental Rellulation - Cypress Bayheads, Wetland Areas and En....ironmentally Sensjtiv~ l::lnd~, Water/Wastewater Treatlent * Southwest Florida Water "analletent District - Wells, Cypress Bayheadsf Wetland Areas, Altering Watercourses I ArlY Corps of Enllineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat~ent, Septic Tanks I US Environlental Protection Allency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "Afetc.., it is understood thit a drainage plan addressing a "colpensating voluie" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to vioj~te, cancel alter, OT set aside any provisions of the technical codes, nor shall issuance of a permit pr~vent the Building Ufficiol frolll thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issllud ~hall become invalid unless the work authorized by such perMit is co.tenced within six months of issuance, or if wOlk authol lied by the perlit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~ttfiSIOIl of tile, 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 lust be logged during each six to nth period, or the project will be considered dbdildoned. 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 LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMMENCEMENT". SIGNATURE SIGNATURE ------------------------------ ---------------------------------- OWNER OR AGENT CONTRACTOR DATE DATE ----------------------------------- --------------------------------------- NOTARY AS TO OWNER OR AGENT_____________________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ---------------------- MY COMMI9SION EXPIRES ------------------ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ADDRESS PHONE OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~F WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____~F of Uni ts _____M / H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel .Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Signature Company State Cert. or Regist. # City License.Registration # ****************************************** PLUMBER MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** OTHER Company State Cert. or Regist. # City License Registration # Signature APPLICATION APPROVED BY ~***********~************************ ~ -' (\- tJ'u-w- PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it '.ay be subject to 'deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assuaes responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (913) 788-6611. Further.ore, 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 responsible. If you, as the owner sign 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION 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 - Ho.eowner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the "owner', I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the 'owner" prior to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do MOrk and installation as indicated. I certify that no work or installation has coaaenced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in cOIpIiance. Such agencies include but are not li.ited to: . Depart.ent of Environaental ReQulation - Cypress Bayheads, MetIand Areas and Environ.entally Sensitive Lands, Mater/Mastewater Treat.ent . Southwest Florida Mater "anaQeaent District - Mells, Cypress Bayheads, Metland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docts, Navigable Waterways f Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks . US Environ.ental Protection Aqency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or 'A,etc.", it is understood that a drainage plan addressing a 'co.pensating voluae' will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it 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 per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid unless the work authorized by such per.it is co..enced within six .onths of issuance, or if worK authorized by the per.it is suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of ti.e, .ay be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENC~ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PRoYE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMKENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NoTICE OF CO""ENCE"ENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER DR AGENT ~~OFOF FlORlt~~2~ ~ The foregoing ins~ru~nt was~cknOWledged before me this 09 , 14 by r-- r\i\ ~~-.i I~ R.0 HeM f~N who is personally known to me or who has produced JIA 'r:~)t..lVe.u ~ as )identificatiand who' . n taR an oa1jh. . /~ ___. , I STATE OF FLORIDA COUHTY OF The foregoing instrument befc.re me th is was acknowledged , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBbIC (Name Typed, Printed NOTARY PUBLIC NOTARY PUBLIC. STATE OF' f:"LO~lmI'; MY COMMISSION EXPIRES: JULY 4. 199'2. PONtU:O THRU NOTARY PUBLIC UNDERWRITER" - ...J o V\ ~ ~ ~a ~d ~~ ~.J. ~1:. ~ .j) ")<.. N h-, " --, ---...... L.." ' _ I~ -I i -~I I:i - - ~-_..~--4. -.----- ~I-. . -- J - .'l '-0' ----I. i I i I __I I I c...., <>'-' -:.., .., '>-. -\ ~ t~~~ - \) '-J (/\ r,:, \" \' ..\.o !- < , l- ," \. '~ -- ..... ~ - -( 1 .Q <l,--" .1. -<:. ."-~ ' -, ~, <;t ~ C\ '^ I ~ '- ... ..J ~ :t """f'- ~ "- J ....... ~ cQ. "- \- ~ .J 0 6 l)Q ) IY) ,.... 1 .. i 1 I l ""- r -L \'-. >J 01 C'/~ ! .... ct <;"( \.J ~ 'co Q, (J.- \-~ c) CJ L (;j " ('\ CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER /VI e:. r V J h {7 -Th u r>'1. ~ 50..\..- JOB LOCATION ~' 5' J:3 4- /q '!h S":.{-, PARCEL I. D. # y.---/1 ~ z... (p .2--1 - t; () I D - J-O ()i.HJ 0 () 15- SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ~ 1 '/ I " ( \Xl '" ~ : '} /" L' , l..' '7 L. u I.... . .r~ ':1 -.... _'__ '\J~ \ 7~ '~~<I-' -,. \('~ }'~ ,~ ~\ I.r ' ( J~~ l{1:L- Ir- J;- )-q UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE, ( (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE 'FRONT PROPERTY LINE