HomeMy WebLinkAbout92-2080
BUILDING PERMIT
Permit
2080131
1-;lY-f~
CITY OF ZEPHYRHILLS
(813) 788.6611
No
, .
Date
~ E~ ~ M~Al
Pmperty Own", ~ ~
Job Address: ~ ~ ~ eP ~ R--7
Parcell.D. # .:l. -.,2..' -~ / ' / -- Ys- (J - ~
Zoning: Energy: Code: Radon Gas:
Description of Wor-;- J-( t:~ ~
Sewer Conn
Water Conn:
Water Meter:
T,I,F.'s:
FINALJ~Z
C.O.
2-
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
City License Registration # :2
State Certified License#
Pe,m;t Fee ~ _
Signature ~~L
Company /
(
Address
Telephone#
Valuation or
Contract Price
9~-:trD
~Jt-f!2Zj-'
BUILDING
ELE~
---
PL~
--
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 ($15.00) 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 PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT C;;/~Y/~- COLe--
ADDRESS C;; r::;/h' &./~f~- ~ L1
hk~HONE
-
7~>f'~3495-
OWNER
JOB LOCATION S~O/ /~~E./ .P.tL:
LEGAL DESCRIPTION: LOT(S) BLOCK
LOT SIZE_X
AREA SQ. FT.
SUBDIVISION
PARCEL I.D.I~
;;L-;lh
a-/ - / -
7'S--O
~
WORK PROPOSED:_New Construction _Addition _Alteration
_Repair
/
-,--Install
_Sign/Temp.
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
_M/F
_IF of Uni ts
__M / H
_Commercial
_Indust.
_Swim. Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE: ~
x -2.~,
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.
******************************************
BUILDER ~
Signature
~::,
CONTRACTOR SECT~ ~
Company ~.rc....K!. S ~L, t/ ~'
State Cert. or Regist. 4F X ad se-14
Ci ty License Regis tration IF '2--
******************************************
Signature
Company
State Cert. or Regist. 4F
City License Registration 4F
******************************************
ELECTRTCTAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. IF
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY
7i:;~'~;;~""""'.""'"
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which .ay be more restrictive than City
regulations. The undersigned assumes responsibility for compliance 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 lay be
cited for a misdeaeanor violation under state law. 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 Zephyrhills Building Department, (813)
788-6611.
Furthermore, if the owner has hired a contractor or contractors, he i~ advised to have the contractor!s} sign portions of the
.Contractor Sections. of this application for which they will be responsib~e. If you, as the ~wner 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 permitting 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 applicant is someone other than the
.owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
.owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will be done in compliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby .ade to obtain a permit to do work and installation as indicated. I certify that no work or
installation has cO'lenced prior to issuance of a permit 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 lay apply to the intended worK, and that it is
.y responsibility tCI identify what actic,ns I lust take to be in compliance. Such agencies include bllt ~II' jwl limited to:
I Department of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks
I US Environ.ental Protection AQency - Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.', it is understc.c,d tho!, a dJainage plan
addressing a "Lolpensating volule" will be sub.itted which is prepared by a professional engineer feqistci~d in the State Df
Florida prior to perlit issuance.
A permit issued shall be construed to be a license to proceed with the WDfk and not as authority to viDi3te, cancel alter, or
set aside any provisions Df the technical cDdes, nor shall issuance of a permit prevent the Building Ufficiol flD. thereafter
requiring a correction of errors in plans, construction, Of violations of any code. Every permit issllvd ~hall becole invalid
unless the work authorized by such permit is commenced within six months of issuance, or if "olk authol lzed by the perlit is
suspended or abandoned fOf a period of six lonths after the time the work is commenced. One 90 day e~le~5JOII 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
apprD'ved inspectic1n must be logged during each six lonth period, or the project will be c(.nsidp.red dbt!ildC<iied.
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 Cm'll"lENCEMENT II .
S I GNATURE-------OWNEii-oii-AGENT------------- SIGNATURE_~~-_4;\-~o-.!.- '-
DATE_______________________________________ DATE__~-~C--~J-----L-9-q~-~-~---
~~~~:Y o~S A~~NT _____________________________ ~~~~:~C~~R T~!?~ jJ ~ _~/~~__
..L'_~"- Notary pu6ITe. Sfaf! ~ ""'"
MY COMMISSION EXPIRES__~t~~m.!".!.s.!i~n-~I!!~!..~.2l. 23.1991
MY COMMISSION EXPIRES
----------------------
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
/; ~ -' ,- ....---...;:;> /' .-
OWNER ~ V "/U , (,?7/ t:E-
JOB LOCATION dk y/ /h~.r / /.
~ c;J 77'/- .:? ?
PARCEL I. D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
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FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E-
R X
0 I
la' P S la'
0 T
S I
E N
D G
20'
FRONT PROPERTY LINE
1 0'
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
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