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Home My WebLink About92-2081 BUILDING PERMIT Permit 20SW j--d-7-Ycl . CITY OF ZEPHYRHILLS (813) 788-6611 No , . Date c:9> ~ P~ M~ ::~:::,~s:~e'5f [-1~~~~ Parcell.D. # ) <.J - J-b .- J-I - 0 ~ 0 () '~ 0 (.) ,;;.. {} 0 - () (j 0-0 Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Energy Code: ~ Ra on Gas: "'! ." Description of Work /3 ..x 1./ D ,-;U. _ d /r.....t ~ / NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances, Inspector Pe'm;' Fee ~?~ Sign~'ture Ii r {5-;;7 ,A',' '/? Company Address Telephone# Valuation or Contract Price J 07J - {/z;J City License Registration # State Certified License# e/')...Jy\ ~ ^-- ~DIN0 Ftr. Pre SLB Lintel FRM. Insul. CL WL E~CAL ~ PLVMsING ~ M~NICAL '" Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Driveway lj-8-'tj'1.- 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 bl!>J,,6 Y r. c#vd; I / ADDRESS iJ 2s' t.I- I H u 6 ::') r OWNER 13iJb b Y 1'. (}H--ud," / I JOB LOCATION lJ-<K l./ 7 II v/' st. iv~-?OT PHONE 70~53l'Z- I'I't t-I P . SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4~ /4-2{,-Z-I-6rJOo- (> lJ7.. 00_ .::> a Dd WORK PROPOSED:____New Construction ~ddition ----Alteration ----Repair ____Install ____Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family ~/F _# of Units _M/H ____Commercial _Indust. ____Swim. Pool 4-I~~ 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. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature SiQ:I1ature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAl. Signature OTijEB 'p ~ Signature, --,--"~ f2; '? Company State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY ~*********~*************************** 11A\...f\1 fl'/) A~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait aay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they aay 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 add contractor aay be cited for a aisdeaeanor violation u~der 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 Departlent, (8131 788-6611. Furtherlore, if the owner has hired a 'contractor or contractors, he is advised to have the contractor(sl sign portions of the "Contractor Sections" of this application for .hich they lIill be responsibie. 'If you, as' theolner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor lIishes you to sign as contractor that lay 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 - Hoaeollner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "ollner", I certify that I have obtained a copy of the above described docutent and protise in good faith to deliver it to the "ollner" prior to cOllencelent. 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 cOlpliance with all applicable lalls regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do lIork and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all Mork lIill be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastellater Treatlent f Southllest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterllays f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" will be sublitted IIhich 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 lIith the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Offici~l frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the lIork authorized by such perlit is cOltenced within six lonths of issuance, Dr if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the lIork 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 lust be logged during each six lontb period, or the project will be considered abandoned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COK"ENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCE"ENT", SIGNATURE: CONTRACTOR STATE OF FLORIDA ~ S /' COUNTY Of _______~~___':_~________________ The foregoing instrume~~f~as ~knowledged before me this ~Z1!1~~ 19_~_ by STATE OF FLORIDA COUNTY OF ______________________________________ The foregoing instrument was acknowledged before me this ___________, 19_____ by __~Q~~~_______~Jl~_~____________ who is personally known to me or who has produced j{_~__~{___~L2~_~~JP~~~~~ \ as identification and who did/did not(E ~) tak~ an ..oai~ 1 __~d_-_-_____~--------------------- (Si9!l~ture)J rll . \ W/JA . .:;;.u 1T D/v ---------.-------------------------------- (Name Typed, Printed or Stamped) NOTARY PUBLIC NOTARY PUBLIC, STATE OF FLORIDA My commission E:xpires Jan 28 1995 Bonded thru Patterson - Be~ht Agency ---------------------------------------- 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 PUBLI C CITY OF ZEPHYRHILLS , , .. / B 0 h h Y C ,4 u,{ ;" ( I ./1 ,C''l /,1 7 ' / f) JOB LOCATION "-t' ?2.....", rr.U u OWNER BUILDING DEPARTM~NT ,j -I-~'; ,.,1" ' , (J/N,E-,,"~"'''', N'O'..;!\ ff'" , Hc.';(;! t:'~ PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES-GIVING DIMENSIONS & SETBACKS. rlpp /,- ~2- 9'2-, --7 Z') / / "/\, C;, lA- ' UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) f~ f~:'\ ,:/;) ,-, 'lr r,''': I:;" Cl .. :--v J...,'~v :,;~ i /- ~- '~- ,-(I,'i'l':.lSt1~N6-:--I" 6- ~ I : \ ~".., off ,~F\ .,(... \ ' i C i '- .: ' , " ! 0 i' 0 : ~ ! ! j' N ! l'.; ~ ! Hvo (l i' .r+"'" \ ~ ~";." , ~4t rit~ ~c j \ , . l'~ -Y' L ~.~ j:;:' ~ l; 1 I E & (( ! ',..., I ' \";"" V"t'" .. I"" I fl~f'. t ~ ~ 1 ~/t:)XI...;O l , "I V, I ~..l.G','I c,L-.")', : ! J r'- --r- ...-.,: ! 1.. l I I ; I " .. I \ ..lit ~.,_._._-~- ...' -"~'..... " ,.......~..~_._,---,.._..__._'---- -1 FRONT PROPERTY LINE STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' la' ,..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 FOR CARPORTS OR LIKE $TRUCTURES PLEASE COMPLETE TH~ FO~~OWING: (1) DESCRIBE WHAT TYPE: FREE' STANDING OR ATTACHED (CIRCLE ONE). /.-;'.. / J, ( 2. ) IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTUHE? L.tl;:-:? A It. J. /-IE/? j F .F!. >> r7,,7? /:1 r ./7V) /, ;-;:;-' ,;...//;/,.;0' c- .." . (3) DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN WHAT MANNE~?)