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Home My WebLink About92-2056 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit Nt! 2056& I - /0-c;a Date ~ EL~~ PL~ ME~AL Sewer Conn Pcoperty Owne' ~ti ~ Job Address:~lf - ^- ' Parcell.D, # Water Conn: Water Meter: T.I.F.'s: Zoning: ..a L En.ee~r y Code: b ' X h -' Description of Work _ _ &It- _ __ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL - z.-O -,2- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, c.O. DATE Inspector M Valuation or Contract Price Permlt Fee ~~~P:e 1,1 CO - 00 .-- Signature Company Address Telephone# City License Registration # 77 State Certified License# ~-' M -;;h, ~L~ oA<~ C BU~~ E~L ~ ~BING ~ ME~ICAL "-.... Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 ($15.001 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 PERI-lIT CITY OF ZEPHYIDnLLS BUILDING DEPART1'1ENT JOB LOCATION t!n126/1,(cr fft/IV/VCl j~c;O)- '? -r--&/ ~ r(lJt+t~ ts kit (.., PHONE . 7sr-'" 1069 APPLICANT ADDRESS OWNER LOT SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. i~ II ~ r2-1 ODIO ~rocJ1j O;LI { WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install _Sign/Temp. _Sign _~love _Demolish PROPOSED USE: ~Single Family _M/F _it of Units ,._M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: 6 X (p , f,~- Ffh3 . 5'1r4) Square Fee t, 3la Height RESIDENTIAL: COill1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'1S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORHS.** **COPY OF CONTRACT REQUIRED. rERMTTS REOUESTED _BUILDING $ 1'9J 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. ****************************************** nllTLDEE S;dA/S~ It? 'l::= CQNT~~;~~n~EcnON iY / /-f /, " State Cert. or Rcgist, II Signature ~ .fA); ( {; .' City License RcgLstr,ltion iI ****************************************** '11 Si!!nature Company State Cert. or Regist. II City License Registration 0 ****************************************** E1.ECTRTCTAN Signature Company State Cert. or Regist. !I City License Registration iI ****************************************** P1.UMBER Signature Company State Cert. or Regist, 0 City License Registration II ****************************************** !-lECHAN1CA1. Signature Company State Cert. or Regist. 0 City License Registration 0 OTHER APPLICATION APPROVED BY "fl * * * * * * * * ~ * * * 1c * * * * * * * * * * 1c 1, ;, ,', ;, ;, ,',;, ,', ,~ ;, * ;, ;, 11.A1~~' "A~ ",..' .. PER~lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The.underslgned understands that this perllt lay be subject to "deed restrlctl~ns" which ~ay b~ DDre restr1ctlve than City regulations. The undersigned ao;SUllll!S responslbllitf;forcolpliance with any appllcabl~ deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the owner has hired a contractor .or contractorl 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, b~th the ~Hner and contractor nay be cited for a .isdeneanor violation under state lall.. If the Ollner or intended c~ntract~r are uncertain as to what licensing require.ents lay apply for the intended 1I0rk, they are advised to contact the City ~f Zephyrhills ~uilding Departaent, (8131 788-6611. Furthermore, if the ollner has hired a contractor or contractors, he is advised to have the c~ntractor{sJ sign portions of the 'Contractor Sections' of this application for IIhich they lIill be responsible. If y~u, as the ~wner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the H~rk. If the c~ntract~r wishes y~u to sign as contractor that lay be an indication that he is not properly licensed ~nd is not entitled t~ 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 C~nstructi~n Lien Law - Ho.eowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is s~eeDne other than the 'owner., I certify that I have e.btained a. cripy of the above described delcument and prc,rr,ise in g(,od faith to deliver it to the 'owner' prior to co.~ence~ent. : 1. .: '. ':~ '. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all w~rk will be done in coapliance with all applicable laws regulating c~nstruction, zoning, and land developcent. Application is hereby ~ade to obtain a perlit to' do work and install~tion as indicated, I certify that no work or installation has cOlllmenced prior to issuance of a perlit and that all w~rk Hill be performed to meet standards of all laws regulating construction, City codes, zoning regulations, anrl land development regulations in the iurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is my responsibility tel identify Hhat actions I lIlust take to be in complianc!:'. Such agencies include bllt ~Ie m,t lillited 10: ... . J. ...,. t Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi live L~nds, Water/Hastewater Treatment t Southwest Florida Water ManaQe~ent District - Hells; Cypress Bayheads, Wetland ~reas, ~Itering HatercOUfses t Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways t Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - Wrlls, Wastewater Treal~en~. Septic Tanks t US Environcental Protection AQency - Asbestos abatement 1 also certify that, if fill material is tD be used in Ht,od Ze,ne "AR tlr "I\,elc.', it is underst(I(,d Ihilt a drainage plan addressing a 'coapensating voluie' will be subtitted which is prepared by a profe5si~nal engineer registeoed in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the work and n~t as auth~rily to violile, cancel alter, or set aside any provisions Df the technical codes, nor shall issuance of a permit prevent the Building Uffici.l fr~fi thereafter requiring a c(,rrection (.f errors in plans; cclnsiructi(ln, (,r violations of any c~de. Every per~it iSSIII!d :::hall bec('le invalid unless the wC<rk autheori2ed by such permit is ce'JIlllenced within six 1Il0nths ~f issuance, (,r if 11(,1\: au ti,l" j,ed by the perlit is suspended or abandon!:'d f~r a period of six lonths after the tlJe the Hork is c~mmenced. One 90 day e:tE~sioll of tile, aay be allowed for the per~it with fee charge of $15.00. The extensi~n shall be requested in Hriling t~ the Building Official. An approved inspecti(,n /!lust be l~gged during each six Ilonth period, {lr the prc,ject Iii 11 be ([Insidered dbciIJO(,r,ed. 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 RECO NO POST A "NOTICE OF COMMENCEMENT". SIGNATURE-",":;/A- ...-:?/'/.". (~ER~OR-AGENT------------- DA TE_______-----!/L~jf~_---.------.------- NOTARY AS TO ~y If~ OWNER OR AGENT ---~~-:..n.: "-' -~~-'--~- Notary ru asco \...0. n.. MY COMMISSION EXFMYOmmi~i9nJ~l?i!eJ.M~L3~!~~-- RACTOR DATE_~____~~-t6~j?~------------- NOTARY AS TO 1"1 Y // ~ - CONTRACTOR___~-~---- " epUblic Pasco Co. FL MY COMMISSION ES E~.~~A~~3 ~--- My omm\SS\on- n,,.\\,,,""'IUJ r S IT E PLA'N PERMIT # .~ (RESIDENTIAL US E ! ( :;LG ;~ / 00 (<.) LEGAL DESCRIPTION: ONLY cft:; ( (/3 11 ~J.-! / . SECTION TOWNSHIP SUBDIVI~ION OR OTHER LOCATION DESCRIPTION: ":;J':.1,'.\'" -/ . '. :t;' ">,' . :-> '?' 6 0 ,~ RANGE ~~ a~ REAR ( FT. ) s ,,- C> TZ '5.'.t,r U p 2--.."- &t M ( frof2.. I - tf~ 1O\{0 ::, ..--. . VI I- ...... LL. CJ ITl ..--. t-'f (s I\.{ c.., ~ u '- (0 - UJ Q - .." ell -i . :.)[) FRONT FT. ) Show all existing and proposed structures giving dimensions and setbacks. Also, indicate any adjacent bodies of water and roadways adjacent to the property. Indicate size of ~~11e homes such as: 12' x 60',24' X 36'. EXAMPLES // //~ ;'.-' -' ... ~ ~i . _.' ~ 1lO.f/' \C1i ""tlllCJ. f....~ SUN STATE ALUMINUM, INC. 37528 Hwy. 54 West ZEPHYRHILLS, FL 33541 (813) 788.7308 CUSTOMER>S ORDER NO NAME ADDRESS MDSE. REro. PAID OUT I I PRICE ,I" AMOUNT I //._ ' , ~a:~~ ;p-':,--t?u' .~~ L(761 ! b )i6 /J,' tv--c;.,\. /~ /' Ayl~-~, lit. Vb-~f :Ii 1fVJ . 6 0.50 I rull {Ute! t'1p~1 ~. Interest 01 11/2% per month after 30 days RECEIVED BY t ./ All claims d returned goods MUST be accompanied by this bill. ,-yt) Ii, l / , Jt'Wf//..: ; {j (; (( PR(X)JCl6JO