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Home My WebLink About92-2210 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 22108 Date 3 -/6 - Ybl-.. ~UILDIN~"~ ELECTR~ PL~ MEC~L Sewer Conn Water Conn: ::::::,~,:~:'f:?~ ~~ Parcell.D, # _ ~ ~ /fr- /?-r;;l"O Zoning: 7Ener~y Code: ~don Gan Description of Work tl./~ ~~ t:'J -r-~ Water Meter: /la/3b II ~~/7-73 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 Permit Fee ;L 0 ~ crtJ SignattJre O~ C? ~n~J\_ Company -V Address Telephone# Valuation or Contract Price 7~..t:rD City License Registration # State Certified License# c,'J)4. /Yl ~A ~ILDING 1-;; Ftr. Pre SLB Lintel FRM. Insul. CL WL ELECTR~ ~ PLU~ ~ ME~CAL '" Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. - ,. CITY OF ZEPHYRHILLS BUILDING DEPARThffiNT O'r'JNE~ci.~~\ ~,~\C\.~$\\\ . JOB LOCATION ~l\'d.-~ C\l.h ~~ :1r~("i 1B LEGAL DESCRIPTION/SUB DIV. BLK. J 3h LOT'Iz}8-AU ;1 ~~o Show all existing and proposed structures giving dimensions & setbacks. ~ 15 i >1 tloe G-A\V\G.E ~ E NCf. +JIi' zt/ r . 3Q' . I '7 'i:.Cil'O':>;:_$ .s1R\JC0lR~ IY5' 0. b_' I i..JD i rEWt! I 4'8'~ l~--- O~L. ., r, . ~~~' F 1. 3bi . QC'r"c':J1e. 0;' llJrfcli-t it"O~ aI/elf mc.J~+ hC't/e /6' s'\!.f&s;ck.. 'U f;;; rr br/( b? hy os /S1c:S f .::sJv.,~ s; 't..e tf foe,," j... ,c:, :r toVl . .. F~!CE \ q i l~,;_ ,FRON K Street ~ qTH ST .., 1 & 2) I, bO' >t @ 1< &0'- >i , 15' 8e+ba..C!ks (ot 10 ~-:4- ~d'f'J.1~ EX. i.:s T(~1 'j /0' . \0 10' \0 , /10' \o.P EK""~Ti ""'1 1 1 Pro p. 0:. ecJ I1dd. i+(ol11 I '30' ";..0 NO TE EXAMPLES CD SefbacK5 for 'R.l, "R.'~ f/ 1{- 3 , :Zoning Nofe ~ S!rt::>e-J- Et9"t~,.. /015f $lre~ _ _",__ '_''-'' _Er"t?, tL __ , . 10 ~ st ' ...... .- ... .. .......... . -... :...-. .: .. ... ...... ~ ....... Florida Power CORPORATION fA-m ~(J~t4y StI w q 1>+ sr: 2lFfJJf'Ktl11t.L$ NAME ADDRESS CITY ./ The pool proposed for construction at the above address ~ NOT conflict with any underground or overhead facilities of Florida power corporation, provided that the pool is installed in the location shown on the attached site plan provided to us by the pool contractor. . The pool proposed for construction at the above address ~ conflict with: OVERHEAD UNDERGROUND facilities of Florida Power Corporation. ~; Arrangements have been made with us for relocation of the facilities so as to clear the pool area shown on the attached site plan. /~ POWER CORPORATI Cost for relocation of electric facilities will be paid by: OWNER POOL CONTRACTOR PRIOR to relocation of facilities and construction of pool. 38231 HIGHWAY 54 · ZEPHYRHILLS, FLORIDA 34248 A Florida Progress Company APPLICATION FOR PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~C\.~--\-i G Q,. \ \C">\:(\ 0..'-\ . ADDRESS ~~~() C'\,\b. S~ \ 2.<2~~ \(~~\\3 OWNER \\~~~\\~\.~ \ JOB LOCATION' C\,\n- ~ .\Z~ ~Vh\\\sLOT SIZE_X LEGAL DESCRIPTION: LOT(S) 12 I ~ - fJU_/~20BLOCK J36 SUBDIVISION PHONE 1~~-~ "1~~ AREA SQ. FT. PARCEL I. D. IF WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ~Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units ~swim. Pool_ ~ Q,(;)''-.J \.;:; Approval ~ f!-a u N ~ _____M/ H ____Commercial ____Indust. Other ____Restaurant &-Health Department 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. PERMITS REOUESTED ~BUILDING ____ELECTRICAL $~~ Valuation of Total Construction AMP Service Florida Power Corp. _\~.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 BUILDER Company State Cert. or Regist. # Signature City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist. # Signature City License Registration # ****************************************** PLUMBER Company State Cert. or Regist. # Signature City License Registration ;F ****************************************** MECHANICAL Company State Cert. or Regist. # Signature City License Registration if ****************************************** OTHER Company State Cert. or Regist. # Signature City License Registration iJ: APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peraitlay be subject to "deed restrictions" which aay be aore restrictive than City regulations. The undersigned assuaes 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 1icensed 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 uDder state law. . If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they 'are advise~to contact the City of 2ephyrhills'Building Departa~nt, (813) 788-6611. " Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 Zephyrbills. 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 - Hoaeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuaer 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 thalall work will be done in coapliance 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 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 coapliance. Such agencies include but are not liaited to: f Departlent of Environaental ReQulation - Cypress Bayheads, Metland Areas and Environ.entally Sensitive Lands, Mater/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departaent of Health & Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatetent 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 subtitted which is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A pertit 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, or violations of any code. Every perlit issued shall beeole invalid unless the work authorized by such perlit 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 tile the work is cOlienced. 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 tust 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""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROYE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ';40,~-~.c" C. ~0--- SIGNATURE: OWNER OR AGENT <:J ~ SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument was acknowledged before me this March 13 , 19~ by STATE OF FLORIDA . COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by Patricia C~ Galloway who is personally known to me or who has produced as identification ta" an oat!}. who is personally known to me or who has produced as identification and who did/did not take an oath. (Si a u e) Margie M. Thompson (Name Typed, Printed or S~amped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC r Wotary Public, State of flor3c" My Commissi:m Expires Jul'i 25, H'-;J$ Bonded Thru Troy Fain. Insurance Inc, - i "./ ! 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