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Home My WebLink About92-2094 BUILDING PERMIT Permit 2094 !3 , / -..3/ -Yol.. CITY OF ZEPHYRHILLS (813) 788-6611 ....TO .f., . Date c';;"u~ ~ P~G M~CAL S'W", Conn ~d (i:f Water Conn: ?,"p,rty Owne;.. · -...- L~ w.,,: Met", JobAddress:L5 f}_~~~ __ _ __ ~_) J'J.F,s, Parcell.D. # II-c:;l ~ -~ - 00/ t:) - ol..oF- - ~ eJ b :zsr- Zoning: Energy Code: Description of Work /6 X ~ ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 2- -z,y- DATE Complete Plans. Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector # City License Registration # ~ State Certified License# 7? 8 ..3 7< '=? d.-/ , Permit Fe~O"V Signature -X" ~~~ Compa~ ,- Address Telephone# Valuation or Contract Price -! --.s - ~ (:J - OV ~~. (.At..!I. ~-V~ ;2 J~3 (8 ~UILDIN~") EL~~ l-)3~L LJJ. Tp. Servo ~ Rough In PlbM.eING ~ ME~CAL ..... Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT R e {"{--'Ie f (1 P f"' fr: L-<'-( " I- tL.. d C) //.;;. IS APPLICANT /) a, v .- d 1 /'}3/ j/V/"cit"/~ / ~ r pt9rr C!~ rot r ) , )/l/[ d ~ -/. ',.. r J' Wt' ..-It" y (' f.-)Pt".60NE / / '77-?-O??~ ADDRESS OWNER ,C:; n. ~ e.- JOB LOCATION ~d tJ 7 G ~ / / ft I U C/ LOT SIZE_X LEGAL DESCRIPTION: LOT(S) in of- {; 17 BLOCK d 0> ?SUBDIVISION PARCEL I. D. ~F d / - ~ 6 ~ ~ / (!) c9 / CJ~~~CJ CJ - CJ 06 f} AREA SQ. FT. WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4F of Units ,____M / H ____Commercial ____Indust. ____Swim. Pool S/a ~ /~ 11~ C) 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 FOR~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ 6 () / ':;-3-0 -- Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _\\l.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** - CONTRACTOR ,,) (J ?t ~I S'v.--z :-/ It. Cr,9I'-'..r;:l; Company ~- ----/" ',., ,?? State Cert. or Regist. if ,"- - '^ ~l. City License Registration 4F ****************************************** ELECTRICIAN Company State Cert. or Regist. 4F Shmature City License Registration 1F ****************************************** PLUMBER Company State Cert. or Regist. if Signature City License Registration ;F ****************************************** MECHANICAL Comp&ny State Cert. or Regist. # Signature City License Registration :F ****************************************** OTHER Company State Cert. or Regist. # Signature City License Registration # APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .ay be subject to "deed restrictions" Nhich 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 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 laN, both the ONner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Departlent, (813) 788-6611. Furtherlore, 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 Nishes 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 laN - HOleoNner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and protise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work Nill be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no Nork or installation has cOllenced prior to issuance of a perlit and that all work will 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 cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Metland Areas and EnvironlentaIly Sensitive Lands, Mater/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environtental Protection AQency - Asbestos abatetent I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "cotpensating volule" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A pertit 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 pertit is COltenced within six lonths of issuance, or if NorK authorized by the perlit is suspended or abandoned for a period of six lonths after the tite the work is cOllenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of SI5.00. The extension shall be requested in Nriting to the Building Official. An approved inspection lust be logged during each six tonth period, Dr the project Nill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT KAY 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 CO"KENCE"ENT. JOBS UNDER S2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT ~ ~~ was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this - was acknowledged , 19~ by 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 PUBLIC ~,t I'S ';-,',,-, ,9 j31e!. r:) () I Bell PdfJ 7('JtC c.. d ~I c/'t ~ T e s; Ib. j ;} S- (1 tJ ? S' Ted I" C It I' ./ C d t.I 1'/2 / ~ / 6X6//tJ-/(J W,Vt-/./ ~ Irl-i,'/ /~ h.r-/,.c 1- r/~c..) 11"/ !;d,./ < / () X ~ tJ j,;' eJ eJ I (!.' ~ ' [ lAJ / 3 - d..5- ~ ? Ie ..c ;) / ~ ~ ) '.s I-,',A.' ;; ;3/cI. r:) () I B~II Pdd It'-c c., d r-I C/'t ~ -/e ~ I~ t d .s- (1 tJ ? s: J.- C ~ " r C Ie'" / C d cJ t'/c 6 XI> /1 tJ - / d W . "...., . I ~ w-t , . / /~ ~ r /, C 1- r/iC) 1",/ t'd,./ ( I () X .d tJ j';" tJ" I- e.' ~ ' [ w / ~ - d.o5-- ~ ? Ie ..r I / ~ / J> / ,c -k)'s 1-,',-.., j} j3/r!. oi () I B~II Pdd I~,e C-, d ~I C /'l.. ~ -/ e s: I~ j d S- d tJ ? s T C tJ I" C I~ '" /' e d iJ t /c / (, / 6 )( 6/10 - / t1 t,J I --, . I ~ w-t , . / /::- /~ ~ I, c. 1- r I~ c..; It" / t' d , . / < I () X d tJ /:: eJ tJ fe' R:.. { L-0 / 3 - t:::;L.5- ~ C /e ...r -> / ,,/' ~' _.~ SEe. / / I TWI? 2 "50, RNG. 2/ E., r",.} R,R. s"le " 1 J~A ro.cI Ma,.Nc;J'- , Z8.a:;,~ ':.~~:~.';.:-..:~. ~ 2q.30'~ ~;.' /?'-I' ,I: So. Avt:. 23.5" A.rPh, N. W. E. S. '< ~ Sea/III / "'.. 30' \~ \~ \~ \~ ~ A SURVEY OF: , Lots 6 and 6-A, Block 208, 'CITY, OF ZEPHYRHILLS, as ,recorded in Plat Book 1, Page 54, Public Records of Pasco County, Florida. , FOR: John Nesse1hauf DATE: June 10, .1985 ORDER f16221-ZH CERTIFIED TO: Sun Bank of Pasco County c. <a1(ed CJJellJ. and <.Auoci'tt3,Inr;. Sf. PtJf8f'3burg - ZlIpl1yrhil/$ Certified os to SurvtJy. I L . F1g;;;:~ ~. ~ 9/Z Florida Engill6.. Rflg'n. /V1,,' ' Dwll. by: J.l.J. M, ' Ckd. by: . I HEREBY CERTIFY THAT THE SURVEY REPRESENTED HE1tEOlI MEETS OR EXCEEDS mE MINIMUM S'L\lmAlU)S ESTABLISHED PURSUAtI'l 'l'O CHAPTE~. 21 HH-6. FLORIDA- AIlmfISTRATIVE coor~ ~c:....."... >,".....,.""", 'CC''!r.''','''i ~~,....'~ FROM Proposal Jd h /'r L, s:- t.-<-r . -;rt. c oJ "'/..r:/' J 7 .3 ~? Ir '-L ~ /~ c(y e 0 rc . < 'Z ~ /' t.. '/ /.::! t... '/ /...(' I F /. 71>). - d~70 Proposal No. Sheet No. Date / - ~ p. - 9~ Proposal Submitted To Work To Be Performed At /V/ J k' r:~., " l, It" .,.< Street SCl d? (). 11> / / ,8 /IJ / City ;Z ~ /) 1':.-/ A::!. A.. . . /' ~ State /=- /. Date of Plans Architect All material is guaranteed to be and specifications submitted for as specified, and the above work to be performed in accordance with the drawings above work and completed in a substantial workmanlike manner for the sum of Dollars ($ / S-;JCJ ~ ). with payments to be made as follows: W t ~,.,r ()~ ~p ~ /e . Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders,' and will become an extra charge over and above the estimate. All agreements, contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and ,Public liability Insurance on above work to be taken out by Respectfully sUbmitted~~ y ~ ---~ Per Note - This proposal may be withdrawn by.us if not accepted within days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date :::::::::tJ;1#~~ Accepted TOPS FORM 3450 C V LITHO IN U. S. A.