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Home My WebLink About92-2097 BUILDING PERMIT Permit 2097~ /-s/- Cf'P- CITY OF ZEPHYRHILLS (813) 788-6611 "-ro ..t.... . Date! ._e.-..., C~~ E~9-RtcAC ~G propertyowner:C{)~ ~~~ 7rJ~L - LL,< {'I ~e. 'J. Job Address: '-' ~ ~ r.b ,B"7 -f.::; c-:2 - (/L/J"< - . Parcell.D. # 1/-/2~-..:z.. / - DOln- ..;20700 - 0 ~/r-S- , , Zoning: Energy Code: Radon G19: j Description of Work ~ I X f? I V) l?(J~:iL t:...6 k. ~ I ,j......J {) Ol~ '- j}-I!~ IJ (./ NO OCCUPANCY BEFORE C,O. _.~-' M~AL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE . /)5 kJ Permit Fee ~ - Signature ;,/ ~ ~ ~ Company Address Telephone# ~ Valuation o~..:r I t., 0 .. @.. Contract Price --- City License Registration # ......--- State Certified License# ,/ eJ urnvJ BUILDING ELE~AL ~ Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final PLU~ ~ MEC~ --- Breakers Ducts Insl. Compressor Final 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 ($15.00) 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. . . CITY OF ZEPHYRHILLS BUILDING DEPARTl\'IENT '. . OWNER .....JliT V I 1) JOB LOCATION 3f S 3 'I LEGAL DESCRIPTION/SUB -::rPtM..~S Mh,( El- rl,14!P AJ E DIV. BLK, LOT Show all existing and proposed structures giving dimensions & setbacks. NO TE EXAMPLES (j) 8ef back5 fOf 'R,', Ii,;?, f/ 1?- 3 , AO nlng Nofe ~ Q~r"CJ1e Cia l?urpOi.t fl"'OW{ at/elf #of1U.3f (,t!) lie /6 I ~..ef&s><!..k.. "U f; (, 'i b';' b? h<r. ~ /S1c:s f -=>hc~ s;t.e tf loct\J- .?3 {IOV/ , t< 10' : I '35 C()1TAGE: 38 S 3'1 J.~ , I-g 'AD Pl>S eJ> ((: - I, '4 l. c..uri..iTfS jlUt..J/AJb HDv..se: E:'X 1ST IN G . \0 , la' \o? K Street ~c.{ 1 & 2) @ ~ &0 . 1<- too' >t , I !5' 10 o ~ , 110 EKi.::s"t'i 101'1 1 1 , r;..0 S!rt-:>e:r E..tc?'Jt~, /01 sf Ex is rfM '} - Pro pc:>::.eol /ldd i+(o" "30' /0' $-1 re '/ .._,'__"_.'''"'_' _.Er"'?.IJ_____, / 0 rf, st > >1 , 20 ~D' ~I >i 8 e.+ ba.<! ks fot' ~-,4 ~ diU H~ APPLICATION FOR PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ])1\tJ l D ADDRESS Tt b D 3 OWNER .DAv \ D JOB LOCATION Jg.f; 3 'f 1AMa YDuNG ~~M. E:l~ .l1J.}) MDIZE l-- ]).4.. 2 . H 11..f..,S MeR e: L..- AuE PHONE 7'1.2..- i7bt.{ ., LOT SIZE~X 90 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION AREA SQ.FT. bJ 00 Z Ell II "A.. H 'LI..S PARCEL I.D.~F II.... ~ - 2J - DOL 0 - J...D1. DC - C.1l S- WORK PROPOSED:-2l-New Construction ____Addition ____Alteration ____Repair ____Ins tall ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units .____M / H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: ~ I t/ X 8 , JL Square Feet. '7 foo~ 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. ~UILDING ____ELECTRICAL PERMITS REOUESTED $ J 509Q Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ~Frame ____Steel J " FINISHED FLOOR ELEVATIONS:? ~ ,0 the l' ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ELFCTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLlJMBFR Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Gert. or Regist. # City License Registration # ****************************************** OTHER Signature Company State Cert, or Regist. # .~.-;~!<.d"~"J'.'~,t, Y,?i::;::;::::r..:: II .' t.PYJ-~4~. . ~~~((]; PERMIT OFFICER. APPLICATION APPROVED BY ~ au ~ " - CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understandsthit this perait.ay be subject to "deed restrictions" which laY be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake work, they say 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 .ay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to lI~at licensing require.ents .ay apply for the intended work, they are advis~d to contact the 'City of Zephyrhills Building Depart.ent, 18131 788-6611. Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have t~e contradorls} sign,portions of the "Contractor'Sections" of this appl{cation 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 wishes you to sign as contractor'tbat .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~ 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 Consu.er Affairs, If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "owner" prior to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in.co.pliance with all applicable laws, regulatinqconstruction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated, I certify that no work or installation has co.aenced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: I Depart.ent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Env~ron.entally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it 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 per.i t,p~event. tile Sui Iding Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code, Every per.it issued shall becoee invalid unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six .onths after the ti.e the work is cot.enced. One 90 day extension of ti.e, .ay be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"HENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPRoVEHENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COH"E ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", SIGNATURE: CONTRACTOR STATE OF FL~A COUNTY OF ~SCD The foregoing instrument was acknowledged b of or e me th i 5 ~"'''''~ 31 , 19..z!l.. by bJi ~ ~, __Ox-.e ( who is personally knewn to me or who has produced f'\c'\--~ ~c.. ~\--N0fS ~le.... as id .ntification an wh id/did not takan oa h. STATE OF FLORIDA COUNTY OF The foregoing instrument befc'l-e me th is was acknowledged , 19_ by who is personally known to me or who has p,-oduced as identification and who did/did not take an oath. nature) l (2 / A __ y\(j\J Q ___ \ Q V uc.. 6 (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC fk';~rr P,IHk, Sf(lh d rloriJ!t fI'ly C')1',;;,::.;;.,: SD, 1995 2ond",J Thru Tre'y fqjn ..Insurance loe.