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Home My WebLink About92-2187 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2187/3 Date 3 -~~ 7;;t, ~u;:o,~ ~ P~ Pmpe"V Owne, ~Cjy~~_ ~ Job Address: ~J - K- Parcell.D, # ME~ Sewer Conn Water Conn: Water Meter: T,I.F,'s: Zoning: Energy Code: Description of Work /~ X ..J... Y ~ .J:7"A _ /- r NO OCCUPANCY BEFORE C.O. FINAL g - :15'-'1 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 \J P.em;' Fee a:i! rlf.- t -( Si,gnature ,.~ tlt\ Q. -p Company Address Telephone# Valuation or Contract Price -..5- 07J # o-v City License Registration # State Certified License# 0~:0 Ftr. Pre SLB Lintel FRM. Insul. CL WL ~L ------ SLB Tub Set Water Sewer Final p~ ~ ~~NICAL ~ Breakers Ducts Insl. Compressor 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. APPLICANT APPLICATION FOR PERl'lIT CITY OF ZEPHYRHILLS BUILDIN DEPARTMENT / (~'; "- / ~~:,c6 <~r?'O 6 ADDRESS PHONE ~~e ::>~~ ~ LEGAL DESCRIPTION: LOT(S) J~I PARCEL LD.iI 1\ ~ '1 i L WORK PROPOSED:~New Construction OWNER LOT SIZE 5"0 x.1J;./JAREA SQ. FT .1 ~ -CD BLOCK () Ll SUBDIVISIONJ.1 {Yf-"'1..J3.<J a-ck.:C -PJ;j }~19 JOB LOCATION ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. PROPOSED USE: ~Single Family ____Sign _Move _Demolish ____M/F ____# of Units ,~/H Other TJ (I '7 ____Commercial ____Indust. ____Swim. Pool < ':,1 5 BUILDING ____Restaurant & ht hIli) SIZE: ~~, Health Department Approval ~! ,~' Square Feet, ~?x I) .~~, Height ,...- I' ., .f RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & :2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDjNG PLANS & (1) SET ENERGY FO~~S.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED lBUILDING ____ELECTRICAL $ S(J1) Valuation of Total Construction AMP Service Florida Power Corp. _\-l.R.E.C. , . ____MECHANICAL $ Valuation of Mechanical Installation TYPE OF CONSTRUCTION~ ____Block ROOFING ,~_Frame ~_Steel SPECIALTY ____PLl~BING GAS Other FINISHED FLOOR ELEVATIONS: FT. *************k********~******************* QJNTRACTOR SECTION Company StatE Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ElECTRICIAN 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 Signature Company State Cert. or Regist. # City License Registration # OTHER 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 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 requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, 18131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 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 - HOleoNner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuter 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 cOI.encelent. ~ 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 laNs regulating construction, zoning, and land developaent. Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or installation has cOlaenced 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 aust take to be in coapliance. Such agencies include but are not lilited to: I Depitlaent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent . Sout .est Florida Water "ana elent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways I DeIartaent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I 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 that a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. ~~ A perlit issued shall be construed to be a,jicense to proceed with the work and not as authority to violate, cancel alter, or 7 set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frot thereafter r~quiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becote invalid unless the work authorized by such perait is cOltenced within six tonths of issuance, or if work authorized by the pertit is suspended Dr abandoned for a period of six aonths after the tile the work is co..enced. One 90 day extension of tile, lay be allowed for the pertit Kith 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 COHHENCE"ENT HAY 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 COH ENCE" T. JOBS UNO $2,500 IN VA E DO NOT NEED TO RECORD AND POST A "NOTICE OF COH"ENCEHENT". SIGNATURE: CONTRACTOR was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF . The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC OWNER JOB LOCATION PARCEL I.D. # SHOW ALL EXISTING & DIMENSIONS & SETBACKS. <) ~)Ju ( I' ~~~I A \ ,,-\)1 'I~ J0/ ~ ./ f\~ 1S~ ~ /b \', \ ( "--~ y ty ~ ~ \J/ },<6 / V q~ ~Jt UTILITY BUILDINGS ~' I MUST SHOW SIZE & .. ~, FOUNDATION INFOR- MATION. FR NT PROPERTY DEPAItTMENT (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, 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 f. 2Q SETBACKS FOR R3 ZONING ...... 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX .. 1 0' FRONr PROPERTY LINE j, l i y cr-r;t I' I vf" . 51' o( C ~":)-r."> 5 r\ f1 LL 12.> lC:. ~ l~ (ON Q2.r 1"f f.I'rF1PI6 5fll1t-L 8E- I-IlJfLU~ l/iUf Ct.-I(p) 'to 8N1M. /JJl, 4T