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HomeMy WebLinkAbout92-2086 BUILDING PERMIT Permit 2086 15 1-- 2 Cf.- Cf 2... 4t LOU 1-?f CITY OF ZEPHYRHILLS (813) 788-6611 "'TO ~., . Date G'J;2DINV ELE~ Pmperty Owne' FAA .f~~40- Job Address: 5'~tO / __~ PLU~ MECH~ Sewer Conn Water Conn: L~ Water Meter: T,I.F.'s: Parcell.D. # Zoning: Description of Work Energy Code: /7-X2o p~. Radon Gas: ~'w\r NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE 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 # State Certified License# 77 Permit Fee Signature Company Address Telephone# ~~ Valuation or Contract Price /116)) "(9 fS,~ ALu.vtl. Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 'J.-"~' Fina(.' PLUMBING Breakers Ducts Insl. Compressor. Final BUILDING SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 PEIDlIT CITY OF ZEPHYRHILLS BUILDING DEPARTr-lENT APPLICANT hl?5rr- 6,510 Pk S;:t7;eX ;JW I 'I s;rr:- (Ifv~ ADDRESS PHONE ,1 g :}"7 cf I:J- . OWNER JOB LOCATION LOT SIZE x AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____sign/Temp. ____Sign _Hove ____Demolish PROPOSED USE: ____Single Family ____M/F ____i~ of lIni ts , ,____M / H ____Commercial _Indust. ____Swim., Pool Other BUILDING SIZE: ____Restaurant & Health Department Approval I). X t70 fUFf'O '&'~'fJ Square Fee t, , Height RESIDENTIAL: COM!-1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOIU1S. ** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.H: **COPY OF CONTRACT REQUIRED. :ff.RMTTS 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. ****************************************** ,c' . ~ /1; "f( ~/d9;?WRACTOR SECTION nUIT.UER 0d14 <> '''L~ ItUI /..", ,~tjompany ~ ~~. State Cert. or Regist. iI_ Signature :- Y-~ .<)-t<<~: City License Rer.istretion " - ** ************************************** 77 ~ Si!!nature Company State Cert. or Regist. !I City License ReGistration !I ****************************************** f,T.ECTRTCTAN Signature Company State Cert. or Regist. ~ City License Registration !I ****************************************** PLUMBER Signature Company State Cert. or Regist. !I City License Registration ~~ ****************************************** MECHANTCA1. Signature Company State Cert. or Regist. 0 City License Registration ~ OTHER *******Vl**J*~*;h:*~;*1:**J1::;:;'~;********** APPLICATION APPROVED~Y __~i'~_tL,,- p-rJ~ PERl'lIT OFFICER. CONDITIONS OF,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tht ,undtrsigned understands that this perDit lay bv subject to 'deed restrictions' which ~ay b~ oore restr,ictive than City regulations. The undersigned assules responsibllitf;for, COlpllance with any app)icab)~ 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 il not licensed as required by law, both the o>>ner and contractor ~ay be cited for a lisdeneanor violation under state law., If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent' (813) 7Sa-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 respe,nsible for the w(,rko If the c(,ntracteor wishes ye,u 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~ 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 Consuler Affairs. If the applicant is soeeone other than the 'owner', I cedify that I have e.btained a, copy of the above described document "nll prc,rrli"~ in g(,od faith to deliver it to the 'owner' prior to cOI~ence~ent. :l....:.: " E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ Hill be done in coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby ~ade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has cOlmenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws regulating construction, City codes, zoning regulations, anrl land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply' to th~ intended Hork, and that it is IY responsibility tc. identify Hhat actions I lust take to be in compliance. Such ag~"cies include bllt ~l e not linited to: ... I Departme~t of Envir~n~enial ReQul:tion - Cypress Bayheads, Hetland Areas and Environmentally Sensi live Lands, Water/Wastewater Treatment . Southwest Florida Hater ManaQe~ent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses f Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Haterways f Departlent of Health L Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~en~. Septic Tanks f US Environ~ental Protection AQency - Asbestos abate~ent I also certify that, if fill material is to be used in He.od Ze,ne 'A" c.r 'A,etc.', it is undHst(,(,j tl.~t a drainage plan addressing a 'cospensating volule' Hill be sublitted Hhich is prepared by a professi(,nal engineer regist2icd in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a c(,rrection e.f errors in plans; constructie.n, (,r violations of any c(,de. [very perlllit iSSIlI~j ohall beec,I(' invalid unless the wc,rk authorized by such perlit is ce"llIIenced wi thin six 1II0nths of issuance, c,r if lie,) \; alltl".. I ,ed by the perli t is suspended or abandoned for a period of six _onths after the tiJe the >>ork is commenced. One 90 day e:IEnsiDII of tile, say be allowed for the per~it with f~e charge of $15.00. The extension shall be reque5t~d in >>riling to the Building Official. An approved inspecti{,n /:lust be logged during each six month period, or the prc,ject Iii II be cl,nsiderr,d db,;l,de.;,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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A II NOT I CE OF COMMENCE!1ENT". ,/-::::: SIGNA TURE _________________________________.. OWNER OR AGENT ''''~:?':, ;p"""" --/ - .;;;::--------------- CTOR ~ DATE________L~~-/~2~-------------- ~~~~~~C~~R:~____~~~-- MY COMMISSION.. sx~ Public Pasco Co. FL My tommlsS1onExpiieS May 13.-1995- DATE_______________________________________ NOTARY AS TO OWNER OR AGENT " -----------------------~---~- MY COMMISSION EXPIRES______________________ - S IT E PLAN PERr1IT # (RESIDENTIAL USE ONLY LEGAL DESCRIPTION: SECTION TOWNSHIP RANGE SUBDIVISION OR OTHER LOCATION DESCRIPTION: /9 K-;~------ ~ S- 10 REAR ( 11 re- sr FT. ) ,e.{ - VJ l- . ...... l.J.. 0 0 fTl ~ ~ J ff() , .. h & <;8tJ ~ ........ UJ C ...... "'T1 V) ~ -i &( :; f7,.jf1 ~ f-.-.. r-6 It t;, ~ tL <jJfr.) Show all existing and proposed structures giving~ensions and setbacks. Also, indicate any adjacent bodies of water and roadways adjacent to the property. Indicate size of mobile homes such as: 121 x 60., 24' X 361. FRONT EXAMPLES S IT E PLAN PERI'lIT .. ( RES IDE N TI A L U 5 EON L Y LEGAL DESCRIPTION: SECTION TOWNSHIP KhiJGf SUBDIVISION OR OTHER LOCATION DESCRIPTION: ------'~~- ." 5 S- 10 / 9 sr; REAR ( /? t<!- s r FT. ) Iql - . l- Ll.. ~ ", '.,1\.. ' f~ ,,~ "~-- J5()' 1 ,D l/) . ...... o fT1 <;~ ....... &.. ( ~ 'T711/t, r6 ttc '1 -; LU Q - V) FRONT ifO tL 54 ff. ) Show all existing and proposed structures giving~~enSions and setbacks. Also, indicate any a~acent bodies of water and roadways adjacent to the property. Indicate size of mobile homes such as: 12' x 60', 24' X 36'. EXAMPLES 1 ~::: ~ ~'ft;:y),^" ;" i l i i ~ 1 1 /. , ~ ~~ ,xi ~-'1CI>o .~ SUN STATE ALUMINUM, INC. 37528 Hwy, 54 West ZEPHYRHILLS, FL 33541 (813) 788-7308 i '1 CUSTOMER'S ORDER NO PHONE H______'_ 1- - -iq/ L N~:~~ ?fVt;$~~~)~,~ , ::ElSS c:s -S \ ~ \,-T '" CS~'- I" 'll "oJ '\ ,- '-, -'-'--~..-..'l--'--~'--,..-..--' . ,~6'_E.b:\,~, G SOlD BY ! CASH ,1~,']('2.i:) ~)(. i QE,I ,~~~NT :d:":;'~:"', '... j 5cstsa , , I nl~C:D I 3al~ : ! ~~ "-..--- --"._~-----~~- \C2- -p. , , I I i i .i ~I~ I 18Zo:oo ~ I I ULJ t : 1 J.. ~ ,~~ Interest of llf296 per month" after 30 days TAX "~I-- , TOTAL All claims and returned goods MUST be accompanied by this bill. PROOOC'T 610 '--If: 'JI il ' . f1(1n~' '., (.11 "