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Home My WebLink About92-2098 BUILDING PERMIT Permit 209813 /-~J-?:2... CITY OF ZEPHYRHILLS (813) 788.6611 :N~ DatE! ~ PLUM~ M~L P,"p,rty own"---~ - CkL. Job Address: .3 s--- _ _ 4:L-+t. Parcell.D. # :2 -.2..6 -tJ../ - I D - 0 - Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~ne~code: Description of Work, ~ ., Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL -J7-11- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o, DATE Inspector Permit Fee ~ - cri) Signatu~e e:k L ~ Company Address Telephone# Valuation or Contract Price 3 tJ'ti!J . t:77J City License Registration # State Certified License# cr- f'Y\..1:) .-"\.. C BUILDING ~ Ftr. Pre SLB Lintel FRM. Insul. CL WL P L O'MBl.W..G ............. MEC~CAL """ Breakers Ducts Insl. Compressor Final Tp. Servo Rough In 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 APPLICANT ''If:- 7;~.. ,..,( . I ADDRESS ..3 J' ~7 ::;-'2- - ;.~ /\' G E ~ A) D I iii /':: if? l~~:'/>') A)(~ PHONE 7..?:1- - y~// ~ / J" ./1 ~ ; // CA-l'.t'L.v.- I ."'v,,, OWNER.5 ~.----" I/~' 1,,[# '--'-~ ..-. ...--". . ) / /.IA~''i ~ \,:~ ,~..r . ..1"'~.'.>:., ....,._ ..,,":( JOB LOCATION ..:.'39"1 "5- ,:2..2//", /,," /. YLEGAL DESCRIPTION: LOT(S) \ '.,f ,"I' ."~' LOT SIZE_X AREA SQ. FT. BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED: Y~ew Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. PROPOSED USE: ~ingle Family ____Sign ____Move ____Demolish ____M/F ____IF of Units _____M / H ____Commercial ____Indust. ____Swim. Pool Other BUILDING SIZE: ____Restaurant & Health Department Approval it"! (1/ ~, 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. / ~BUILDING PERMITS REOUESTED $ J c:::ro- -- 0-0 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 BUILDER tJ t-t/ /r /' ,l.' Company <ZJ ,,c',, .d //,/ / State Cert. or Regist. IF Signature~.:et.d'td'.{i><( // ( 'L'~-t-4"\-. City License Registration if ****************************************** F.T.FCTRTCIAN Company State Cert. or Regist. if City License Registration # ****************************************** Signature PLlJMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration ~ ****************************************** OTHER Signature Company State Cert. or Regi~t. if City License Registration iF ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it '.ay be subject to "deed restrictions" which .ay 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 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 .ay be cited for a .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing reQuire.ents .ay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Depart.ent, lB131 788-b611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls! 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 wishes you to sign as contractor that .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 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 so.eone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the "owner" prior to cO.lence.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 regulating construction, zoning, and land develop.ent. Application is hereby lade 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 perlit 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 lust take to be in co.pliance. Such agencies include but are not li.ited to: f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "colpensating volu.e" will be sublitted which 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 with the Nork 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 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 perlit is cOllenced within six tonths of issuance, Dr if Nork authorized by the per.it is suspended or abandoned for a period of six lonths after the tile the work is cOI.enced, One 90 day extension of ti.e, lay be alloNed 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 .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", ,', vY A~/CMJ- SIGNATURE: OWNER OR AGENT / SIGNATURE: CONTRACTOR STATE OF FLORIDA comm OF PASCO The foregoing instrument was acknowledged before me this January 31 , 19~ by STATE OF FLORIDA COUNTY OF The foregoing instrument befcq-e me th is \fiaS acknowledged , 19_ by Geraldine R. Clark who is personally known to me or who has produced NY D/L 1/ C12045 25973 681354 26 as identification and who did/did not ~ ~~\ ~"'--9-^-~ -~ (Si.oQPb11-a l\.fiy fir. 5tarling (Name Typed, Printed or Stamped) NOTARY PUBLIC Kay W. Starling 5632 Gall Blvd. Zephyrhills, FL 33541 who is personally known to me or who has pl-c,duced as identification and who did/did not take an oath. <Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC NOTARY PUBLIC, STATE OF FLORIDA, My COMMISSION EXPIRES: APRIL 5, t 993, aONoac THRU NOTARY PUBLIC UNDERWRITERS. CITY OF ZEPHYRHILLS BUILDING DEPARTl\'IENT O'roJ NE R JOB LOCATION LEGAL DESCRIPTION/SUB DIV. BLK, LOT Show all existing and proposed structures giving dimensions & setbacks. t< >1 '\:J---... -- '.... ... -....S\ I~- \..---' 1 I , \, ----. , \ \ \ r'" ''0T i. ! 1 ~=: - NO TE EXAMPLES -' --- K Street ~ ~I 1 & 2) 1< too' >t @ ~~ &0'- >i , I !5' 8e.+ ba.<!ks fot 10 ~-.4 ~ dlf/ H~ E'K. is -Tr'p, 'J /0' . \0 10' \0 , 110' \~ El<i.:li.ti 1-1'} 1 1 Pro p.":, ~ol lidd. iHo" I 3D' ~O !) \ I 1...- V ,'-- t'r (i) 8ef back5 fOf 'R,', Ii,;?, f/ 1?- 3 , A 0 n I ng Nofe ~ Q~r"CJ1e. 0;" ~rfCl;.t fro..... at/elf mU~+ hC'Ve us' s.~fbec!..k.. 'u!;(,fi bci(fJh<t.~IS1<:sf '::'hc~ s;~e < jot:.I.\J- <3 {tc>V) . sf~e:l- EC?",t~,_ /0 If, sf $-1 re'1 _ _."'__'__._"h' _.Er'?':!____. '."'._ . 10 rf, st >