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Home My WebLink About92-2043 BUILDING PERMIT Permit 2043 13 1-/3-12- CITY OF ZEPHYRHILLS (813) 788-6611 No , . Date ~ ~;RI~ ~ ME~ Sewer Conn Watl~r Conn: Property Owner: lY\"E..1..--- To~ ~~~ Job Address: 3tJo'1.. 7 b frV, Parcell.D. # r2. - 2~,. 2.}- 00 'LA- - 001 Df.) - (Xi () Water Meter: T.I.1'.'s: Zoning: Energy Code: Radon Gas: Description of Work A-i\ \) lJ'T1U --r~ F'{ noM Qh =1 F/, NO OCCUPANCY BEFORE C.O. FINAL 3 - C,Q. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee (g () t 0 Signature ~ .$~ Company Address Valuation or l Contract Price 1/ tJ 00 ~I'. City License Registration # State Certified License# Telephone# bV~ruL ~.J)..60 BUILDING ~ cO O~h)" ~ 2-0.. , ....r 9 ,,0 OVlN R.,1.. 1_0. PLUMBING Ftr. Pre SLB Lintel FRM. l.J \.,. .~....... 0: II Insul. CL WL SLB /- ~O.~2- Tub Set Water Sewer Final ~ Breakers Ducts Insl. Compressor. Final ELECTRICAL Tp. Servo Rough In z.. -ll.t . ~L... "" a Meter Can Const. Pole Pool Pre-Meter 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT -j('uJj~ ~ ADDRESS /p'c. 8&>)(. Clef:2 Jj~ OWNER !Yl.e1j-~ {J~ 0 A . JOB LOCATION :1 QO-tl'1 .1.5:>.1 ? PHONE 7 f ~ - /oCj,f? (p tIl ~ LEGAL DESCRIPTION: LOT(S) LOT SIZEtoO X JJ$& AREA SQ. FT. '11 ;5Jt SUBDIVISION S ,./.;) ~ 11..1 u.J . Sw Dr ;J E rnB ,:J.. . f>Cj I (p I/l. ( e K c. fA.) too ~I b F - QO 100 - (:) D 10 I\J 1..3 ~. (0 PT I C K'C . BLOCK PARCEL I.D.# l:l- .J.~ -021 ' DDOlA WORK PROPOSED:_New Construction -X-Addition _Alteration _Repair _Ins tall _Sign/Temp, _Sign _Move _Demolish PROPOSED USE: ~Single Family _M/F _4F of Units ._M/H _Commercial _Indust. _Swim. Pool << " ~ Other BUILDING SIZE: _Restaurant & Health Department Approval I I (J g' X L;1.. , 7 ~ Square Feet, 4i II 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 -LBUILDING ~ELECTRICAL $ Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL .-C.-PLUMBING $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ~Frame _Steel /t FINISHED FLOOR ELEVATIONS:J... FT . Other ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ELECTRICIAN Company State Cert, or Regist. # City License Registration # ****************************************** Sil!nature 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 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 aay be lore restrictive than City regulations. The undersigned assults 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 laM, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as t~ what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI3) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 perlitting 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 proaise in good faith to deliver it to the .owner. prior tD [OIIeOClllnt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. . Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has coa.enced prior to issuance of a perait and that all work will be perforaed to aeet 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 governaental agencies lay apply to the .intended work, and that it is .Y responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not lilited to: . Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent . Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US Environlental Protection AQency - Asbestos abatelent . j also certify that, if fill laterial is to be used in Flood lone "h" or "A,etc.", it is under~tood that a drainage plan addressing a .colpensating volule. will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such per.it is cOllenced within six lonths of issuance, Dr if work authorized by the perlit is suspended or abandoned for a period of six .onths after the ti.e the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit 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 lonth period, or the project Mill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKEHCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKHENCEKENT.. ~~//~/ ~. SIGNA URE: OWNER OR AGENT , SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF 'P ASCO The foregoing instrument was acknowledged before me this J3""", 19 '1~ by STATE OF FLORIDA COUNTY OF The foregoing instrument befc.re me this was acknowledg~d , 19_ by who :bEes who is personally known to me or who has produced as identification and who did/did not take an oath. me or who has (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLI C ,UTARY p.U~UC, STATE OF FlORJDA My commiSSion expires Oct 2 1992 ''''''''~~j thru Patterson - Becht Agerlc' e ~ -~'"-'''_.''' . M~ " --...,l,u,_.",.. ....,.#.'-......-...~.._~_w._- I --....- :r .il -~--- ..., T · .2 -_. ...., ~~ I I ~7.j!c l j I ~ {Jt c'" '" '" . 1'- '~ q~ J f. ;!>- /i\ I ~ q>- J [J , j r~-' -1! I I i i fL oor j 2KI<..~ -:.:i --\- tn t I s tV vv'... ~ ~- o CITY OF ZEPHYRHILLS BUILPING PEPARTMENT OWNER "'"YYu i J-mu [)..P"~L JOB LOCATION '3 q {),;( t1 Co d CltJ-IL.. PARCEL I.D. # i:J.- .cJ~ - cRJ - {;)~IT -D~ IOO-cOOtO , .~ SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) N f . S ~ T B Ii C J<... ..f~.1't /folH",:. '''''3-~ .~ ( 'V S-r., ({.. f\ ~ G- .o~ , P \0 f f t\, ~ . 1 ~ \ ----,..). .33 - .\ -' - .. " \~ l -,; I ~ ~ i \J " ~ \ ~~ ~ 331 g-t ~ 1 ~ ~4\ S ~ r CftCt:: FRONT PROPERTY LINE STREET ~ t.{ 1. SETBACKS FOR R1, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE ~ ~ 1'1 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE .. .,;r.> ,. ,~.'