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Home My WebLink About92-2035 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit No . . 2035 fd Date / - I 0 - r tJ.... GGI~~ EL~ P~ ME~CAL PmpertyOwn", ~~ '- & Yn~ Job Address: ~ ~ / ~ ParceII.D.# 11-:J.,6-,;J../-t!JO/6 -67YOO -00/0 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~y Code: Description of Work ~ 1?" X R" / Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL J- I 3J DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C,Q. DATE Inspector Permit Fee Signature Company Address Telephone# UR~PJl; Valuation or Contract Price 6.3 o. trb City License Registration # 7,7 State Certified License# 4- ~ ;;rJ;: O.h . .'LM..t:J - ~ -------= ~ > ~ (~BUILDING ELEC L _______ ~ .... M~ICAL ---- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) 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. APPLICATION FOR PERl-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTHENT JOB LOCATION 1It~~ ~;2~ ~ S ,f1t~- ~/~Tdr' i 71<-- S'-t- PHONE ~ 73~ APPLICANT ADDRESS OWNER LOT SIZE 9tJ X (([~ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I, D. iF If t2G r:J.../ t)O/O 07Vo6 0010 WORK PROPOSED:____New Construction ____Addition ____Alteration _Repair ~nstall ____Sign/Temp, _Sign _~love ____Demolish PROPOSED USE: ~Single Family ~M/F ____iF of lIni ts . _____M / H ____Commercial _Indust, ____Swim.. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: ~x ~ 9~ , Square Feet, Height RESIDENTIAL: COMl-IERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.H **COPY OF CONTRACT REQUIRED. PERMTTS REOUESTED ____BUILDING $ ~~' Valuation of Total Construction _ELECTRICAL AMP Service Florida Powcr 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, *********~******************************** cr ~ . CONTRACTOR SECTION DllTlJlF.R 2>(f1f~ FJ'<.cJIt1<(fI"'. Company K >> ~ , State Cert. or Rcgist. il Signature l ' (}j~-.e,. City License RcglsLr,lLinn il ****************************************** 77 Si!!nature Company State Cert. or Regist. 0 City License Rcgistration 0 ****************************************** ELECTRTCTAN Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAl, Signature Company State Cert. or Regist. 0 City License Registration a OTHER APPLI CA nON APPROVED BY ::;;:1:;:;:;:;r" #.~ ~::,:.:;-* '."" ,en"" e, * PWlIT OFrr CER . CONDITIONS OF,~ERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS " . Th. ,undersigned understands that this perlit lay bl sub3ect to "deed restricti~ns' Hhieh Nay b~ Dore restr,ictive than City regulations. The undersigned assules responsibilltf;for, compliance with any applicable deed restrictions. ..' ; B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the owner has hired a c~ntractoror 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 ~Hner and contractor nay be cited for a lisdemeanor violation under state law. If the owner Dr intended contract~r are uncertain as to what licensing requirelents lay apply f~r the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, (813\ 799-6611. Furtherlore, if the OHner 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 Hill be responsible, If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Hork, If the contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed ~nd 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~ FLORID~ 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 Departlent of Agriculture and Consuler Affairs. If the "pplicant is sote6ne other than the 'oHner", I certify that I have elbtained a, cDPy of the above described dClcument and pre,rrli~e in ge,od faith to deliver it to the "OHner' prior to cOI.encelent, ;1"',.;.: E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all w~rk will b~ done in co~pliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby ~ade to obtain a permit t~" do Hork and install~tion as indicated. I certify that no work or installation has cOll~nced prior to issuance of a perlit and that all work Hill be performed to roeet standards of all laMS regulating construction, City codes, zoning regulati~ns, anrl land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies r,ay apply'tel the intended Hork, and that it is ay responsibility tc, identify Hhat actions I must take to be in compliance, Such agencies include bllt ~1 e m.t li~ited to: ... I Departle~t of Envir~neenial ReQul:tion - Cypress Bayheads, Hetland Areas and Environmentally Sensitive ldnds, Hater/Wastewater Treatment . Southwest Florida Hater ManaQe!ent District - Hells; Cypress Bayheads, Hetland Areas, Altering Hatercpurses I Aray Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environmental Health Unit - Urlls, HasteHater Treat~e~~. Septic Tanks I US Environ~ental Protection AQency - Asbestos abatement I also certify that, if fill aaterial is to be used in FlCood Ze,ne "A" e,r 'A,etc,', it is understele,d t1.,1 a drainage plan addressing a 'compensating voluae" will be submitted Hhich is prepared by a professional engineer regi5t~red in the State of Florida prior to permit issuance, A perait issued shall be tonstrued to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a cClrrection (.f errors in plans; ce,nstrudic,n, c'r violations of any c(,de. Every per,~it iS5111,j ~hall beee,1(' invalid unless the HC<rk authorized by such penit is celnenced Hithin six months clf issuance, or if lH,d: alltl,[1\ ),ed by th~ per.it is suspended or abandoned for a period of six lonths after the ti~e the Hork is commenced. One 90 day e:le~5iDI\ of tile, aay be alle.wed for the perfllit ~Jith fee charge of $15.00. The extensicln shall be requested in \1Titing tel the' Building Official. An approved inspectie,n ~ust be logged during each six Mnth perieod, Cor the prc.ject Iii II be ce'nsid~rfd dbdlldc.ned, 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 Al"TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~-/7/~/ . 5JGNATURE~"-' __~____u_-- TOR DATE___~__~~-'_~~~-~- ------------ NOTARY AS T ,! - CONTRACTOR_~'_~_---- -~~------ ".. J.1ntuV D.'b\ic PaSCO CO, fL MY COMMISSION '-XP~~~ ru. U USi 'My ComnitsSi"olI f;xpttes -May- r . SIGNATURE ---------------------------------- OWNER OR AGENT DATE ------------------------------.--.------- NOTARY AS TO OWNER OR AGENT ----------------------------- MY COMMISSION EXPIRES ---------------------- S IT E PLAN PERr1IT # (RESIDENTIAL USE ( ( :;>-c: J- I () (j I 0 TOWNSHIP . LEGAL DESCRIPTION: SECTION ONLY 67'fdl) Oal c} RANGE "SUBDIISION OR OTHER LOCATION DESCRIPTION: .,,' ~x 17~ S'; ? 1fr '- ($. REAR ( FT. ) r '7 5 lOser uP ~ /tAl c rfol? P I-f- FM S 1ft) - . VI I- >-< LL.. 0 1TI b rs n4tf I~ tf~ ILfD ....... I.IJ Q >-< " V') -l . FRONT ( ~o FT. ) . : '", ',- .~.: ShOW all existing and proposed structures giving dimensions and setbacks. Also, indicate any a~jacent bodies of water and roadways adjacent to the property. Indicate size of mobile homes such as: 121 x 60., 24' X 361. EXAMPLES S IT E PLAN PERMIT # I ~ ( RESIDENTIAL (( ;u:: J-I TOWNSHIP USE ONLY 0(;10 67'1dV 00/ () RANGE S'r .1' I .,:..,:.'.:;: ,;~,-.~}fi.:,.. ~"";;;4!' .,,, ....'. >' :",~'!. 'fIIti';',";'.',.', l',_ :- -". ',' - " : r" ""', " "',\.ii(' ;",';";'1' '. f"1i1,,' 'i:~~,:.~~" ,"':'::7~~~' IfFi1, j',~ .'..~.. " ,:J;,?f(' ."~,.I;~A~ REAR ( FT. ) -6 :or ~ ~ :; 7?fScr uP ~ -MI C rfot.. fP-t - FAD 91ft) - . ~ tn .-. o I'T1 b rs n4tf 1--' If e, IlfD - ) ?;:t4' :"'~ ."1~: .. ~1. ~ . -;ii" l.LJ C ..... V) ..' .;':t <;",:~ii "''4'' <'~~. " -i ":'-:,/; ~ .:t .~ , ."''t ;'i:'l. ~d~ S '.}ex1sting and proposed structures giving dimensions and setbacks. Also, indicate a~ a~acent bodies of water and roadways adjacent to the property. Indicate size of mo~11e'~s such as: 121 x 60', 24' X 361. FRONT ~() FT. ) ? , " ~ EXAMPLES u " .. "-" ~~~, ; ; .,. ~.. --tRle," ~ SUN STATE ALUMINUM, INC. 37528 Hwy. 54 West ZEPHYRHILLS, Fl 33541 (813) 788-7308 qu-' II :.~~~~ AMO'-'NT '. 'I' L .. ~ f x/} I (J~c/.__. - - ~.e_/ f,-rtfl?'1 . -~ I 51~ !()' ~ 3S-1 7Cf_, I' C;50170 I , , .':.1 '\'; .-~_.I:~:~--j" -~';""'i.""'J .:j,i,);~( Jf~.<...:.." ~f_jJ; . 1:'~' . -~'~J:j~-'- ~A ..L<- .,":l~lt!i., m~o d", TAX I --.j------ --1- .---- TOTAL A I claims and returned goods MUST be accompanied by this bill. ~ilO ,-;T!J 0 Cl i " J rW.nR/ '((1 &tl/