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Home My WebLink About92-2124 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 212419 Date 2. - / J...- '- .9 J... G~ ~. p~ MEC~ Pmperty Owne' ~ t 1'J1;yj zz:;;L Job Address: 3,p-. d....... / L? Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # Zoning: Energy Code: Description of Work,.....---~<.tZ A--'l'71 Radon Gas: NO OCCUPANCY BEFORE C.O, FINAL 3- .Jq::J. DATE Complete Plans, Specifications and Fee Must Accompany Application. C,Q. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector permitFee~9 ~ Signature . '?} Company Address Telephone# Valuation or a Contract Price L I . ~ u. diJ City License Registration # ~ 7-3 State Certified License# c;;!!~g:~~ . -BUILDING - . EL L__ ~G ~ MEC~ICAL "-... Tp, Servo 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 Ins!. 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 ($15.001 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT Atv;Y1,4 - Y; LL i?oo.~e e.s 5h/O /d+12r /Y}05S JOB LOCATION 3? '13;;), APPLICANT INL- Cjlh Sf- PHONE 78,) - ~ :J. '7 t./ ADDRESS OWNER i (J ..f/, Aile LEGAL DESCRIPTION: LOT(S) / -.J. - 3 PARCEL I, D. # j "'{ -?J S' f--""") C-- 'L" tf ~L, LOT SIZE_X BLOCK K' 7 SUBDIVISION AREA SQ. FT. WORK PROPOSED:____New Construction _Addition _Alteration ~Repair _Install _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: 55' X 52, J-300 Square Feet, j STtJLY 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. PERMITS REO~TED ____BUILDING $ 19S~ ~ Valuation of Total Construction ____ELECTRICAL _M~-CHANICAL AMP Service Florida Power Corp. _H.R,E.C. $ _PLUMBING GAS Valuation of Mechanical Installation )( ROOFING SFECIALTl TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist, # City License Registration # ****************************************** BUILDER Signature ELECTRICIAN Company State Cert. or Regist, # City License Registration # ****************************************** Signature PLUMBER Company State Cert. or Regist. # City License Registration # ****************************************** Signature MECHANICAL Company State Cert. or Regist. # City License Registration # ****************************************** Signature OTHER ~b Signature . 7f?~# ** *********** Company A-LCJn?/9- hI-€" Roo,t:e-R-S ::rA..JC- , State Cert. or Regist. # (.'cC()'i937t; City License Registration # ~7~ 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. which laY be lore 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 aay 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 lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the .Contractor Sections. of this application for wbich 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 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 Law - HOleowner's Protection Guide. prepared by the Florida Departlent 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 will 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 work 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 co.pliance. Such agencies include but are not li.ited to: t Departtent of EnvironlentaI ReQuIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways t Departlent of Health L Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US Environlental Protection AQency - Asbestos abatelent 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 yolute. 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 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, Dr violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is co.tenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be allowed 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 lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS 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 .NOTICE OF COMMENCEMENT.. ~~~~ STATE OF FLORIDA ~ COUNTY OF 6.... S C r'> The foregoing instrument was acknowledged before me this It..'bv.....r'}\1, 19,~ Lby --f1()~ ~ ('- \:- ~ h s.. ~ who is personally known to me or who has produced IJ \' \, ~ V ~ \' ~ "'- ~ ,-(" as identification and who di did not ta~ an os;:- ~ ~ ~lIe.~?~hU (SignatuJt,~tOMM:SSION EXPIRES MAY 19,1995 't!f bONOo) THRu AG.:;~T'_ ;,Oi.,RY El:l.o<1HtAGI (Name Typed, Printed or Stamped) NOT ARY PUBLI C g.E:A.e I(E: L NIW LT STATE OF FLORIDA COUNTY OF PA SeD _ . The foregoing instrument was acknowledged befr:.re me this /2TI-/ FEf319~ by L-E: OIJ R )JAIJL- T who is personally known to me Dr wh1 has .\ produced h OR 11/430 5::3w i;.~~D G 97..1 as identification and who did/did not take ~ oath. AD..d~r -' (SignatLr.-e) DD!JA oJ. .<; lJTI oD (Name Typed, Printed or Stamped) NOTARY PUBLIC NOTARY PUBLIC S My commIssIOn e'x ,TATE OF FLORIDA D.._-, Pires Jan 28 19 ......lOed thru Patterson _ 8 . ht' 95 ec Agency