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Home My WebLink About92-2156 BUILDING PERMIT Permit N<l 2156/3 ate ;L - ;<6- ?;c C:LD'N0 ? .~~ Property Owner: :d" .. Job Address: ~I ~ ~~ r Jlr Parcell.D. # :l - c2 6 - ;;LI - S - tJ T,I.F.'s: Zoning: Energy Code: Description of wO;;:~-<J/..r1 f41'lJ _ ~ .P v'A1 _ .AA'J7}'y.-,... Radon Gas: L1~ :,' C -(A""- <>-, j~lAT4. ,~ ,--R-A-t-/ ;;Z>,--, if NO OCCUPANCY BEFORE C.O. FINAL -.3- C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector p~r~it Fee ~ t., - Signature ~ Company Address Telephone# '?-Z) I~h~ Valuation or Contract Price / f / r~ eTn / City License Registration # /6 () State Certified License# o Ai jJ 0 fu/}-n CBUILD;N~, Ftr. Pre SLB Lintel FRM. Insul. CL WL EL~CAL -------SLB ~BING ~ ~ANICAL ~ Breakers Ducts Insl. Compressor Final Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final Tub Set Water Sewer 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 PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT . IkE /fu ft}. ADDRESS 38 S"L/5 'PfJLf1I CR..tJl/~ I}R. Z -H/LL~ !?OGclZ.- fYYLE ,1,44'"' s IbE /7)/# ,!>AeK ' JOB LOCATIONIP!'1J:,LlIlI#Ersr; Z-HIL'-< r/A. LOT SIZE~X 5'i' r AREA SQ.FT. ;)0(;> J:J5"~ ;=},4. PHONE . /' tf.;). -;(b/6 OWNER .. LEGAL DES~RIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# 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: 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 FORNS.** **COPY OF CONTRACT REQUIRED. /BUILDING PERMITS REOUESTED $ / 9/ S', PO Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY II J n" 1//11/ fi. /If) /ANJc)/V S '-VI' Other TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUILDER /lll r /)#/f// tEL- S ~~ CONTRACTOR SECTION 4/" L"'" /} Company /T(..,- c- Lu r'? ., State Cert. or Regist. IF C/CCO City License Registration # ****************************************** .? 7"6 ? t:? //l,O Signature ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature 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 APPLICATION APPROVED BY ~******~*************************** '7 d <...J2AA}v:r " PERMIT OFFICER. CONDITIONS OF P~~M1T AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay 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 lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as requir~d by law, both the owner and contractor lay be cited for a lisdeleanor violation under state IaN. 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, (813) 788-6611. Furtheraore, 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 lay be an indication that he is not properly licensed and is not entitled to peraitting 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 Departaent 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 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 cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perait 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 wili be perforaed 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 governaental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I aust take to be in cOlpliance. Such agencies include but die IlOt liaited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treatlent t Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental 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 tllal a drainage plan addressing a "co.pensating volute" will be sub.itted which is prepared by a professional engineer reqisteied'in the State of Florida prior to per.it issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to vioJ~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a p~r.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issll~d ~hall becole invalid unless the work authorized by such per.it is cOllenced within six lonths of issuance, or if work authorIzed by the perlit is suspended or abandoned for a period of six lonths after the tiae the work is cOlmenced. One 90 day ~~ttnsioll of tile, lay be allowed for the permit 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 dbaildoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAiN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2 I E DO NOT NEED TO RECORD AND POST A "t~OTICE OF COMMENCE SIGNATURE_~~~____________ SIGNATURE DATE_____~~_~~=_~~_____________________ ~~~~:yO~SA~~NT_~~~~_______ My COMMIcSION EXPIRES NOTARY PUBLIC STA'l'B <F FLORIDA ;:J "1u \,.V1'J't[S$I01NCXP.CftHlY-147~ ,JDIDBD !B1W GBIIBRAL DIS" UIID. ..... DATE_______~_::~~-_~_~_______________ ~~~~:~C~~R~~fL/lLl!Z~ ~-._~. IIO'lARY PUBLIC s~-~.r~ MY COMMISSIO EXPIRES MJ eottaSSIOII EXP. JULY 1~~ &DIIED""'fBlUt IIIW.... ~ . " cJ- :;2 t T!:!- 38645 Palm Groye Drive Zephyrhlll.. Florida 33540 2-2616 (~\ I bJ j1./ 1}11.~ ~ . , AN;) PAR t I s;~: s~t',:;(; ~ t? t< S fir.. )( =;& ~ l.... .I _$ ~g: V ~ (' f t} ~ 7/ ~ ~ " ? c f ~. [t 4C/tR Y " q _~<'- ')(.---71--:'a-. v ~-- U/~y/ / -~ I- - 1 " l) ;wj//' ::t ~ L l-J <: J - dl/ I'H) eLl, I J'- 11<2- / - ' L pC f' /,.... ..wShll,v(:s ,~:. . .._-c. .-'~ (/DOI/rs ". .. (' agrees to pay Ll ON COMPLETION PERMIT ~CE TAX TOTAL PRICE DEPOSIT BALANCE r'.-" -- ~"'tJ:::~ CO.D. 79 / g aI.-- , , I '!J_'I'y' OF Z~P~JUU~LS ~UILD~NG. nEPARTMEN~ OWNER JOG-ER.. PrJ...E - JOB LOCATION ~1'Ii. )../tt/A/,c rS7: LEGAL DESCRIPTION/SUB DIV. ()1J!(~/tJE. /'1//-1 }l19,(K f BLK. LOT Show all existing and propos~d structures .giving dimensions & setbacks. ~ t< ~O' >1 r (p " t f) DO IIJC- /l1,/IJY'i- W//lJf)tJW~ ~ ///11 s,;u)...~r~ IJ ~OOr P/fAlcJ. S LES 1 & 2 CD gel htlg~~ for R-' I ~~t f ~~3 . ~G"'n!J Nofe : Q~ Y.;f ye. fIJi' e.,l"pcu.t fl"'O'" ai/elf ,.,u~t 1119l/e us' $'!.t~k. U f;/' 'i /,0; l:J hr." /I1t.'S I ~~ s;t.e ~ foCRJ.... ~f~. 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