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Home My WebLink About92-2108 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit N"! 2108 Date :2-- C( - Cj3 2.--. ~ ; ~1t:\...n,",I~ICAL sewer Conn Water Conn: Job Address' Parcell.D. # Water Meter: T.I.F.'s: ~-=~5?/~ -~-~~~ Zoning: Description of Work NO OCCUPANCY BEFORE C,O. FINAL 'Z- 1'2,..- .1- 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# Permit Fe~.. Signatur ~~ Company Address Telephone# ~r Valuation or Contract Price 100 ..~ ~~ GJI,Q ~ l!-~rJP~ ~lfxlG --;- -.......-1..-:;:-. e.....~lllIIllill ::AL Tp. Serv, Rough In Meter Can Const, Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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 ($15,00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction, c, Repairs or corrections not made when inspection called, d. Work not ready for inspection when called. e, Permit not posted on job site. f. Plans not at job site, .g. Work not accessible, The payment of inspection fees shall be made before any further permits will be issued to the person owning same, . . CITY OF ZEPHYRHILLS BUILDING DEPARTl\'IEr~T OW~PAAAAA~ m~ ~ JOB ~olATION .,?O/ g-!4 41. J--r7L'& -' ;:.; LEGAL DESCRIPTION/SUB DIV. BLK. LOT Show all existing and proposed structures giving dimensions & setbacks. t< . 1t1!e~1 (/ >1 ~i &'5 ~ K S')()/ ~ J~pf ~I NO TE EXAMPLES 1 & 2) Street (j) @ \{ &0 , >i 1< too' ~ 8ef back5 fOf , I !5' 8e.+ba.<!ks fot oR_', Ii,;?, f/ 1?' 3 10 1\-.4 , ~ ClIJl H~ AOI1I ng EX is rfrl 'J Nofe ~ -" /0' . \0 10' \0 , q~ r"CI i e. ., " \1,r pa..t EK (.:s"ti J.1Cj /ifO' \~ PI""O P. o~ed. f.ro~ a(/eLf mu::.+ 1 1 I/ck! if(ol1 h19V€ I~' .'j'~f&s>f!.k:. "V f;(, 'i bel; 1:ih<r.:I lJ1c.'s f , "30' ~o .:sr~ s;'t.e < !OCf..I.J... <!3 IOVI. sf~e:l- __~ .. ,,___.__Et'!?f)t~, /01 sf sl re~ _ _'"'__ "~",""_' _.Ert:?.IJ._ -- .. 10 rf, st . APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLIC~~ 1Z1~ (/~ ADDRESS S I) 0./ ~..$X OWN~~ /(1~ ~~ JOB -:JCATION5IJO/ t:z:4 k. 3, Sj ~ /0 PHONE f)~:< - ?,? y ~ . LEGAL DESCRIPTION: LOT(S) PARCEL 1. D . ~F /0000 ~ LOT SIZE~X /)It? S? SUBDIVISION AREA SQ. FT . /~ jIJO , BLOCK 87{) () b ?... D 3-gg-- WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____# of Units _____M/H ____Swim. Pool 5~p, 5A.fl.) Other ____Restaurant & Health Department Approval ____M/F ____Commercial ____Indust. ( ) " BUILDING SIZE: I/J X '-I , , Square Fee t, /1"0 ~-/ BUILDING PLANS & (1) SET (1) SET ENERGY FORMS.** C'_ I" ?L Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF ATTACH (3) SETS OF BUILDING PLANS & **COPY OF CONTRACT REQUIRED, ENERGY FORMS.** ~ILDING PERMITS REOUESTED $ 760.. ~ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _\~.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** SECTION Company tate Cert. or Regist. # City License Registration # ********************************* ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Company State Cert. or Regist, # City License Registration # ****************************************** Signature OTHER Company State Cert. or Regist. # City License Registration # Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to 'deed restrictions' Mhich lay be tore restrictive than City regulations, The undersigned assules 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 may be required to be licensed in accordance Mith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (813) 788-6611. Furtheraore, if the owner has hir.ed a contractor or contractors, he is advised to have the contractor(s} sign portions of the 'Contractor Sections' of this application for wbicb 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 aay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the City of ZepbyrhilIs. 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 - HOleowner's Protection Guide' prepared by the Florida Departtent of Agriculture and Consuter Affairs, if the applicant is soteone 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 cotlencetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe infortation in tbis application is accurate and that all work will be done in cotpliance with all applicable laws regulating construction, zoning, and land developtent. Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or installation bas 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 tbat the regulations of other governlental agencies tay apply to the intended work, and that it is ty responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not litited to: f Departtent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treattent f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departtent of Health L Rehabilitative Services. Environtental Health Unit - Wells, Wastewater Treattent, Septic Tanks f US Environtental 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 'cotpensating voluae' will be subaitted 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 pertit prevent the Building Official frot 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 cottenced within six tonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of sixlonths after the tite the work is cOllenced, One 90 day extension of tile, lay be allowed for the pertit 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 tonth period, or the project will be considered abandoned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEKENT "AV 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 COK"ENCE"ENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT', ~ /)4 11 L1L1 At -,,' o~ I /I!ie- SIGNATURE: CONTRACTOR C~?h-ddl I STATE OF FLORIDA COUNTY OF The foregoing Ftrument was acknc1\I'lledged befol-e me th i s t~J) 'f , ~ 19 'j;c, by ~,vN / e.. il1 It ~ C IT-rq p beLL who is personally known to me or who has pl-oduced k:lJouJrJ as identification and WhO~/did not take an 0 ~?W-,,~ (Signatur) '^ /Vev,q. 0-.-., 1f' ~ (j (Name Typed~ Printed or Stamped) NOTARY PUBLIC STATE OF FlO~DA COUNTY OF r ~ <!..--O The foregoin~finstrument was acknowledged before me th~ ~,~' 19~ by ~tJAl;e., /ttA-e CAI~l fkLL who is personally known to me or who has produced k. rJ 0 w rJ as identification and WhO~did not ::::;~~~:~~~:?'1 ~.~ lJ<e..vA fFe Id (Name Typed, Printed or Stamped) NOTARY PUBLIC " r'n"iOA ""T('" ;:>ii"l Ie STIITE 0, n.d':! ~:,:.' ~:f:;:"'~~ :.~.-;-O;l EY? l;~i:;:,~ GU;I~~'l mTr\~Y PU3UC STIITE OF FLORIDA vy cn:i;,n::c':;;:N EXP. DEC,18,19~4 8:::;::m:tl HiRU GENERAL INS. UNO.