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Home My WebLink About92-2155 BUILDING PERMIT .:;> ? ~.s7 ~-;J ~ 0u~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<? .;,L(:. Date :2. q- ? rQ.. 21558 ~, ~ ME~ Sewer Conn Water Conn: Zoning: Description Water Meter: T,I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL_1I.....Z6 - ~ 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 Valuation or Contract Price '2,000, () 0 .'t fJ"VlJ ~ V 7) Pe'm;' Fee r}:>c. 3~_1 D Slgr1ature -'----- __ _...:~"K--z;:::;.. Company Address Telephone# City License Registration # State Certified License# dWY\.e/\_ ~ Ftr. Pre SLB Lintel FRM. Insul. CL WL E~ PLU~~ M E C H A Nrc-A.t... ~ - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. 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. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT .. '.: _J ~ , ~I / ,- , /' 'I' - r~ ''J,,'''''' .l." u.1 It II;:. . J-;. OWNER JOB LOCATION (,/ /'/2 ;' r':' ,j- .t'Z/./,IJ,'/! i~ / t I j C, 1/" 1 "; t:... , p {J I) -r If j} iJ ~EGAL DESCRIPTION/SUB DIV. t:;' -l>~t ;-"r ( ,,- 7/!. /J -l/1.'....BLK. LOT 7 ..:..., ,- Show all existing and proposed structures giving dimensions & setbacks. >\ t< S'(fJE F;,;''L ]r-rr-" , ! I i 711( j' ff1 15 S ( r:> C' -/J1l. 4:l [;f/ 7.. r~ ie-/10 en ''f d.';; 0 - [; Iv' (L tit' l:.. L. 't f- IA If t,', 'J - -'~ - ... ~ 0 . 1(- g'. , . J,! _ " ,...1 ..., , ~ >< ,I. ~J\ '-.J .1 I I'+-() .....,~1- - IX' ' '~ G' I (1. ;l.:J ' / f :2. l) 't.' e x I .j 7 I Iii t. G ,L 0 (i: " , I . if t~ - ~ ... "'::' ~~ ~I K Street 1 &. 2) @ ~ 00 , 1'- 60' >t , I ~' 10 NO TE EXAMPLES (]) Be.! haCK5 for "R.l, "R-z. f/ 1?- 3 ~onln!J No+e ~ >i 8e+6a.<!ks (ot ~-.4- A CJj" H~ EK I::' 1'(1'1'] -' /0' \0 ' 110' \oP la' . \0 Q.,r~1e. Oi' l?urpCli.t jf"OHA. at/eLf mU:3f hC' ole us' ~',dbe<!..k.. '01;(,17 bcJ~I:ihr.:s /S1c:sl .:s~~ s;-e.e < loe{.\j... C3 {' tOf1 . Ell: (.:5.ti H'1 PrQ /"o::.eo1 /ldd i+(o" 1 1 I ~O '30' 10(1, sf . 10 rfr S+ . slre1 _ _",__ ,",_'c""" _.EY'9., .t"I,., _._ sf~eJ .__~ '"_,_____f..!9'Jt~-. "A' 1 t.: "" , ... Iq I ~ ~ I '''"' ~ .-") /.. It... 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'-1 '<_", ~ \~ - ~.k ~ -~~~ tJ ~ tv) ~ '-1 - "-'\ ." o ,~ !) . ~ \::!J t '~ : ~ } ~ ~ '0. --l. ~ ~~~ ~. ~~ .1 ~ . I' "l 'l I ~~V\ V)~ ~~ (.tJ li ! I J .--~ . , ~ I I , ! I I -L- .-----... . '--A /'~of"~""--- ,~ ~ ~ ~ L- '"'..k ....:at \- ~-.l.. ~ '" C"'r-, <.Xt> '>< \.:l -- L.U I .I i . , #. ~ . \ , '-','J , ' . ' APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT \tV 78y,103<1 APPLICANT #jlAt!'77E~- _) M17// ,//41 ,J / OWNER PHONE ?r'? ',3f"2;f ADDRESS ,...... C j 4 ,'f,' If I" f L' I' JOB LOCATION ,,',//2 f" /,-[;../7; / 7/)fl to T' /1 -. _.- ( /'t -1 r LEGAL DESCRIPTION: LOT(S) ;? ,L<)T SIZE.iP.!L-X fY, J- AREA SQ, FT, 9'/fj-{) /i"'i/ot:' K - 'of-) ., '7i-' BLOCK 2. SUBDIVISION /6 /J - / (:5 t11i/ PARCEL I.D. # /) '2 - 2 Cv '~"2 1- C'l / t t..'; " L;' () 2. ,l () - c.:> (J ') () WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4; of Uni ts _____M / H ____Commercial ____Indust, ____Swim, Pool 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 FOR~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED V;UILDING $ 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 Company State Cert. or Regist, # City License Registration # ****************************************** BUILDER Signature ELECTRTCTAN Company State Cert, or Regist. # City License Registration # ****************************************** Si2:nature 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 ~*********~************************ d'/1I1'.4(f "e /I.,dv,;J- , 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 Dwner has hired acontractDr or contractors to undertake work, they eay 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 what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 18131 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} 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 ZephyrhiIls. 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 Consu.er Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent 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 regulating construction, 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..enced prior to issuance of a per.it and that all work will be perfor_ed to teet 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 Ii.ited to: f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally 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 Treat.ent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterlal is tn be used in Fioud Zor.~ .~. ~r "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 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.it prevent the Building Official fro. 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 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 tile the work is coe.enced. One 90 day extension of tile, lay 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 lust be logged during each six .onth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEHDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""EHCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~ p ~ ~t;:;;, SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged befc.re me th i s 217/1 FEE, 19 -.:lZ by :PA:S{O STATE OF FLORIDA COUMT" OF The foregoing instrument befc,re me th is was acknowledged , 19_ by eMo ~. 5ANTiAJI who is personally known to me or who has who is personally produced r-L. D ~ S r:?3 G2/lf I /,4~;J - 0 ( if q" yroduced as identification and who did/did not as identification take an oath. 2:0~ y/ take an oath. (Signature) (Signature) known to me or who has and who did/did not C>oNA-G. Su V opj (Name Typed, Printed Dr Stamped) NOT ARY PUBL I Cklue8V ~l./oes . UO'JlIll~d n~ ~ 966'[ 'sz .uer $.lJIOX\1 UO!SS!wUlQ:). ..',....."......"""!' J(' ":JI'tIIC I,....._.~ "......~ (Name Typed, Printed or Stamped) NOT ARY PUBLI C