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Home My WebLink About92-2142 BUILDING PERMIT Permit 21428 ~- /1-9;2 CITY OF ZEPHYRHILLS (813) 788-6611- N<l Date ~LDING--:i) E~ ~ M~L Pmp,rtyOwn" -2"-AAA~ ~~ Job Address: ~ ~!:L.:)~~ ~ Parcell.D. # /:1. - ~b -,;).../ . () d..-? 0 - 0 OD 00 - 0 ~ /.3 Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: I /! Energy Code: j ,~~adot1as: Description of Work a~ ~.A'\..d ~ ~ --!l-t!:tAiJ NO OCCUPANCY BEFORE C.O. FINAL 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 :~;~~:;:e d}j:.r'/J ~ Company Address Telephone# Valuation or Contract Price 7;/"ZJ.o OZJ City License Registration # State Certified License# OJ.JYU!/'1_- C BUILDIN~.~ Ftr. Pre SLB Lintel FRM. Insul. CL WL ~CAL ~ ~ING ------- M~CAL '" Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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 /A ;;// {;~J (~ / { /)P ILl .(','~) /J,./ /) -:1/ L/. IfJ :l ~ L""5=:/ 'l? / /l C""/ (,./+ PHONE Hf. / <j~ 7 I, t:/ - ~/ ~,;.( ADDRESS ( OWNER JOB LOCATION LOT SIZE_X AREA SQ,FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVIS ION_...: PARCEL I,D.# WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp, ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units C------ ____Swim, Pool .____M / H ____Commercial ____Indust. 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 FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** **COPY OF CONTRACT REQUIRED. ~ ____BUILDING PERMITS REOUESTED $ Valuation of Total Construction ____ELECTRICAL _ME'CHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist, # City License Registration # ****************************************** BUILDER Signature ELECTRTCTAN Company State Cert. or Regist, # City License Registration # ****************************************** Signature Company State Cert. or Regist, # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist, # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist, # City License Registration # OTHER Signature APPLICATION APPROVED BY ~*******~************************** 'A~ o.A~or 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 lay be lore restrictive than City regulations. The undersigned assu.es 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 law, both the owner and contractor lay be cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, 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 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 FEE9- 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 docu.ent and prolise 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 co.pliance 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 perforaed to aeet 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 cotpliance. Such agencies include but are not lilited to: f Departlent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental 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 .colpensating volule. will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to perait 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 pertit prevent the Building Official froa thereafter requiring a correction of errors in plans, construction, or violations of any code, Every pertit issued shall becoae invalid unless the work authorized by such perlit is coaaenced within six lonths of issuance, or if work authorized by the perait is suspended or abandoned for a period of six lonths after the tile the work is cot.enced. One 90 day extension of tile, aay 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 COKKENCEKENT 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"KENCEKENT. JOBS UNDER $2,500 IN VAL~ DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT.. ,'7 :, /II i Gdr'~ ( ~~, ~;( . SII{ATURE: OWN OR AGENT SIGNATURE: CONTRACTOR STATE OF flORIDA ,:) S COUNTY OF I Q C: Q The foregoing instr.ument was acknowledged befc.re me th i s :2 ! /r~ ' 19.22L by 'I . ~. r~,\ \) Ct.ll \ C-:' '-.-' (} l0 Q (\, who is per,scona p ~ knowp to me ,Dr, whct has produced D R'\ \A, I I- \. 'd ; '1':)( as identification and who did/~' take an oath. STATE OF FLORIDA COUNTY OF . The foregoing instrument befol-e me this was acknowledged 19_ by who is personally known to me Dr who has pl-oduced as identification and who did/did not take an oath. {Signature.> /) / - , /i {/I ~- It' / / J (Signature) r():tLl.t<./_.' lJV'" jl LL<-lf:J:.t..,'h.. (Name Typed~ Printed Dr Stamped) ~ (Name Typed, Printed or Stamped) NOTARY PUBLIC c..0/~L~~",",l ;::'X/J'I"'S 0 .l<;~/Y NOTARY PUBLIC ... ...... .. ... .. ......~,\ \;1..; ........ .... '. Florida Power oo,,,o".Tlo,, " ~/ee (b/tt,tJ/I,v ADDRESS ~z.Y2. /~ CI TY ;;Ce'//iYfC/tItLS NAME ~ , , ~he pool propo.ed tor con.truction at the above addr... ~ ~ conflict with any underground or overhead facilities of Florida power corporation, provided that the pool is in.talled in the location .hown on the attached .ite plan provided to u. by the pool oontr.otor. - The pool propo.ed for oonstruction at the above addre.. DOES oonflict with. OVERHEAD UNDERGROUND - faoilitie. of Florida Power CvrporatiQn. Arrangement. have been made with us for relocation of the faoilitie. .0 a. to clear the pool area .hown on the attached .ite plan. ~P!~MT;;I~);z. Co.t for relooation of eleotrio facilitie. will be paid bYI OWNER POOL CONTRACTOR PRIOR to relooation of facilities and con.truotion of pool. 31231 HIGHWAY 64 . ZEPHYRHILLS, FLORIDA 34248 A florid' "rog,." ComPMlY 'J~ 0\ j~ . I ?sO - (pljJ~Cj PARCEL I.D. # I .I -, ~ - ZBPHYRHILLS BUILDING DEPARTMENT C ?t/A IV f/ t:. P. A (( I:: e.. ~. '5-1- . , I . JOB LOCATION CITY OF ;;-: I' A tv, C L !J- :? OWNER SHOW ALL EXISTING & PROPOSBD STRUCTURES GIVING DIMENSIONS & SETBACKS. ,/ ( \~ ltJ I . l ~~ l' ! 1 ho~s~ J UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET o A"1 k't!.- /L <..j. 1 . 1. SETBACKS FOR Rl, R2 ZONING 60' 2. SETBACKS FOR R3' ZONING 60' 10' ...P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE ~ .j~ 0\ j~ I~- G,~69 JOB LOCATION CITY OF ;;-: I' A tv, C L ~- 2 ZEPHYRHILLS BUILDING DEPARTMENT C ?fA/'A IV ~ ~ P'A((ce..~ :;-1- I OWNER PARCEL I.D. # I ""l-':' i . - ' SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. I { \~ / ItJ ----~ \ 1 l . ' l ~ ~1' ~ ". !k;i e.- --.J UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET o A -r kl/!- ~ <;"..J. 1 2. SETBACKS FOR R3 ZONING 60' 1. SETBACKS FOR R1t R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE