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Home My WebLink About92-2222 BUILDING PERMIT /'" 'D CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2222.E c3 - 20 -72.... P~ P,"p,rty Own" ~.(: r? ~~~....) Job Address: - - ot ,- J ~. Parcell.D, # / /- ,~fp - ;;J 1- 0010 - I S-2 00 ~ 0.1 OJ) Zoning: En~ Code: .' Aadon Gas: . Description of Work e'-..e-f i4N ~A.i! C:::::!f~/)1I!h)~~ Date ~._-' -------- ~ECTRI~ M~sewer Conn Water Conn: Water Meter: T,I.I=.'s: Inspector pe'm;tFee~~' '"". Signature ~~ .~~ Company Address Telephone# DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price ;4; City License Registration # /; 7 tf.~ State Certified License# BUILDI~' .--- ~<~L ~~~TRI ~. PL~- MEC\..iANICAL Breakers Ducts Insl. Compressor Final Ftr. Tp. Servo SLB Pre SLB Rough In Tub Set Lintel Meter Can Water FRM. Const. Pole Sewer Insul. CL Pool Final WL 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. .. \~ , " J\PPL"ICJ\T"ION 1."';,)'1<, l",:;:1U.t'I.T CITY OF ZEPIIYf<JII','JLS nUILDl.NG DEPJ\RntP1T , :. APPLICANT ..5 U,N S jj 1/1./ ~ ' C:;:,AL.70 "e LI ADDRESS ~ 8 S 2 q 5- TH :;~t:'V6-.A/VC:=- OWNER If 6-;U J2. / PC> H.J 0 /-/4 I /f./6N JOn LOCATION 385"2 q s- TIt A !AS . - LOT SIZE_' LEGAL DESCRIPTION: LOT (S ;_ 1 t:J - 1/ BLOGK/ -::."7 sunrlIVISION PARCEL I.D.il II -;;z.6" 21 - 0010 - I 52 D 0- 0 (00 ;:'ue.. PHONE ?-G8r 98:1/ '. AREA SQ. FT. WORK PROPOSEDI____NeW construction ~ddition ____Alteration ____Repair ____Install _~love _Demolish _Sign/Temp. _Sign _commercial _Indust. _swim.. rool ,._H/E LlpGlI'Q(l~ Other R ey't,otv*~o VI PROPOSED USE: ~Single Family ~M/F _~~ ofllnits . _RestaUrant & Health Department APproval BUILDING SIZE: RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS.-- COMMERGIA L: A TT A Gll (3) SET S OF n UILDING pLAN S & (1) SET EN ER GY FOIU!S."- **COrY OF CONTRACT REQUIRED. x Square Feet, _Height ff.RM1TS RF'.OUP.STED. _ELECTRICAL $ 300 Valuation of Total construction _BUILDING AMP service' K Florida rO\"er Corr. _H.R.E.C. _MECHANICAL $ _Valuation of Mechanical Installation . _PLUMBING TYPE OF CONSTRUCTION I ____Block ':...::.-c-Frame ____Steel .#' . _GAS ROOFING SPECIALTY _Other FINISHED FLOOR ELEVATIONS: FT. ~ONTRACTOR sy,CTTOli mJ1l.DER Company State Cert. or Rc~ist. 0 Signature Gity License Registration I ***********.**********************~******* E.:::::T~~'~ ~:1~bll 'p.p Vl VI i~~/II';2 no. k1 Gompany n Q,t1 " ; oS ~ :zJ~[Ljj", Ji Y1C l "\ .. ~.. - State Gert. or r>r~' ,,_~rJ -r,l"J?1i' ': ." , W<;r-- ~,' ~~ ,Gity License Rec.istpt,ion" - 6 r; ..:***#******************************;:**" ****************************************** Signature Company state Cert. or Rc~ist. ~- City License Registration U ****************************************** EJ ., 1MB F'.~ Signature Company State Cert. or Regist. 0 city License Registration ;, ****************************************** = tlE(;HANl CA 1. Signature _ *-.*~ * .,. .,. '* * * .,. .,. * * '* ~''''I* of< * * * '* * -It '* * '* -It i, 'i: i: .:: i: ,', .:: 'i: ;: i: ;: * 'i, {: APPLICATION APPROVED nY J.! C' ,,~" ,,,C JO 1),4", ), - PERHIT OFFICER, , '. ?--. . ......."".--. . . -.. '. Company - State Cert. or Regist. 0 city License Registration D QJHf'.R - 7r-;:-:--.---.--.-.----------- ..... . A. CONDITIONS;O~.,F~RMZT AFFIDAVIT NOTICE OF DEED RESTRICTIONS .'. " Th~,undrrsignrd undrrstands that this perllt lay be subject io 'deed restrlcti~ns' Nhich ~ay,be norD rrstrictivr than City regulations. Thr undersignrd assulles responslbllltf.;~or"colpHancl! with any applicable deed restrictions. , . ;fll ~- .' B. , UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIAILITI~S If the own~r has hired a contractor or contractors to undl!rtake work, 'they lay be required to be licensed in accordance with statl and local regulations. If the contractor is not llcl!nsed as required by IaN, both the OHner and contractor nay be cited for a .isdraeanor violation under state law.; .If the owner or Intended contract~r arr uncertain as to what licensing requirelents aay apply for the intended Hork, they are ad~ised to contact the City of Zephyrhills Puilding Departlent, IBI31 788-66 II. ' , , :- · Furtherlore, if the owner has hired a contractor or contractors, he is advisad to have the c~ntract~rls) sign portions of the 'Contractor Sections' of this appllcation fH which they will be resp'onslbll!. If yeou, as thee'Nnt'r sign as the contractor, y~u are indicating that you, rathar than the contractor, are responsible for the work. If the contract~r wishes you to sign as contractor that aay be an indication that he is not proparly licensad and is not entitled t~ pDr~itting privileges in tt,e 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 provi~ed ~ith 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 SOtCDne other than the 'owner', I certify that I have obtained a. CDPY of the above described docu~ent "nd pr~mise in good faith to deliver it to the 'owner' prior to co.~encement. " : '.. ~ ,~~~. : " : :' . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made tel c,btain a penit to'do tiork and install~tion as indicated. I certify that no work or installation has cOltenced prior to issuance of a perait and that all work will be performed t~ ~eet standards of all laws regulating construction, City codes, zoning regulations, an~ land development regul"ti~ns in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is IY responsibility te, identify Ilhat actions I must take to be in compliance. Such agc-ncies ir,clude bill :>Ie IIc.1 li~iled to: .' ' I Departmen! of Enylron~~ntal ReRulalion - Cypress Bayheads, H~tland Areas and Environmentally Sensiljv! Ldnds, Hater/Hastewater lreatmen~ . Southwest Florida ~ater ManaQemenl District - Hells; Cypress Bayheads, Hetland nreas, Altering HalercouTses I Arty Corps ~f EnQineers - Seallalls, Docks, Navigable Haterways Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - Hells, Hastewater Treat~en~. Septic Tanks US Enyironaental Protection AQency - Asbestos abatement I also certify that, if fill aaterial is to be used in Fl't,od ZClne 'A' or 'Ji,dc.', it is understc,c,d 11,,1 a drainage plan addressing a 'co/Jpensating voluae' Hill be sub.itted which is prepared by a professi~nal engineer r~qi5t~r~d in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the Ilork and not as auth~rity to yiol~tef cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Bui Iding Off\ci.l fr~~ thereafter requiring a ce,rrection e,f errors in plans; cc.nstructic,n, clr violations of any ce.dc-. Every per~it issued ~t.all bece'le invalid unless the work authe,rized by such perllit is cColUenced Hlthin six lIlonths eof issuance, e,r if HHf; a\ltl,co, )~ed by the perlit is suspended (lr abandoned for a period of six lonths after the tiJe the Hork is co~menced. One 90 day ~=le~5io'l of tiae, say 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 inspectie,n oust be leogged during each six Ilonth period, e,r the pre.jed Hi II be cc,nsidl'r!:d dbollde,j,fd. 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 Al'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A II NOT i CE UF COr'ir'1a~CEME!'lT". . (- .-/ k"/l'"'/ ,,( SIGNATURE__~~~!~_~l~~~______________ SIGNATURE~~~~"~~.~. ~~~;t~---- O\.-JNER OR AGENT CONTRACq])ff_____ // DATE ------------------------------~_._------ 09, CJ6 - 9/ DATE___~J:~_~~~~_~~________________ NOTARY AS TO (\ ' . ,^ ~ .' .....Gt.lt{ER OR AGENT _~U/D.d~a..~~-- Q~~ - ...,,0~r.RYPU8/... f"-";")" ~:''''T(';''':.: r.r: FI4~D~ *'1t "t "C'.,It ,.::~.;:'~~I.::I.-;~---..-~!:-'I :':,;I~..~'.~, "'f'~'.J,),,,~ * ~~~mlMMISSION EXPIRES 1';, .", ,.....J.' -"",. /";',,..:.;, ,,;,:.1:;) · ~i (/",":' 1)-- -".---<----------l---M-\]J. <;~;i~~:~j::) ,",..U " "...",. "'., . NOTARY AS Teh . A L ~I . CONTRACTOR _ ~.D.n_'::<..h~- -Y..J_ - ~(..:.'v~.j..J~c71-- :......."\,.'\ -":' ..... _..-- - " - r,<IJi/,'/( I_!" .:' \$:.,:,.. I.. .J nr:"'~!\ MY (;;;nffl'l,lSSION EXPIRIt.5 r;;,.:::;.d:~. ':::'<'i,~::..;;.Ci~'95 It..,,,p~l L'::'::.;-7.-.: ~J;7,,~IT1;:.-:-~j::~=;T.I-ILj. L:,\0. * - ~ .. . .. . .. ,/ -it ;t .. " . -\<\~:~> Go' ;"~,~:-~./ ~ J C r P. L :: -: ';' /i,? 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