HomeMy WebLinkAbout92-2237
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<!
2237.8
DatE! S -6). b - ? ;L
~
::~::,~.:ne'7 m.d.-ra:~r(~
Parcell.D. # -3..5- ~ .;;l..5;' - d).../ -. 0 (") S--r;- 0 D 00 '()
Zoning: ~nergZfode: r ", Radon Gas:
Description of Work ~ 0 4- .9 X /-0
EL~
~
ME~L
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
o..3'~S.--b
NO OCCUPANCY BEFORE C.O.
FINAL j-
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
77
,
Permit Fee
Signature
Company
Address
Telephone#
itjt!7;~L&
Valuation or
Contract Price
I t177J - crv
-
~;::~
~
~
~ING
~
~ICAL
.........
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
APPLICATION FOR PE~~IT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
!f1Jf-f1~~ ~'~Y
'7Hol $fC#V2> ~
lief/II/!- /ILL 1--6-€-
PHONE 7r;;;l.. a<P--f.
ADDRESS
OWNER
JOB LOCATION
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ~F
....,r.:::
,..)/
d':::-
CJ..- ( -
C/)O
dJooo
d350
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_l'love
____Demolish
PROPOSED USE: ____Single Family
____M/F
____# of Units
.____1'1/ H
____Commercial
____Indust.
____Swim. Pool
Other
, ____Restaurant & Health Department Approval
BU1LDING SIZE: ~X~O , Square Feet,
/
'S.
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S.':O':
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
____BUILDING
$
I ()OO . II)
Valuation of Total Construction
____ELECTRICAL
;ff1
____MEt:HANICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
BtJILDER
CONT~~~~:n~ECTION 5{/A(S77f-~ ~=d If ~,fdl(
I~,/f G,rl: State Cert. or Regist. iF 7
~ _~ City License Registration iF ~.
~f
**************************************~***
Signature
ELECTRICIAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
Sionature
PLL'MBER
Signature
Company
State Cert. or Regist. #
City License Registration 1
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
OTHER
Signature
Company
State Cert. or Regist. #
City License Registration #
APPLICATION APPROVED BY
*************************
PERl'lIT 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 cOlpliante Nith any applicable deed restrictions. '
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance Nlth
state and local regulations. If the contractor is not licensed as required by laN, both the ONner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-b611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractoi',
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Nishes you to sIgn
as contractor that lay be an indication that he is not properly licensed and is not entitled to pertitting 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 LaN - HOleoNner's ProtectIon
Guide" prepared by the Florida Departlent 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 promise in good faith to deliver it te, the
"owner" prior to cOllencelent.
1 E. CONTRACTOR'S/OWNER'S AFFIDAVIl
I certify that all the inforlation in this application is accurate and that all work will be done in eOlpliance with all
I a~plicable 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 leet standards of all lans
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
I Departlent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treat.ent
I Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I De artlent of Health L Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I Environlental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", 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 perlit issuance.
A perlit 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 ~erlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code., Every pertit issued shall becole invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perffilt is
suspended or abandoned for a period of six lonths after the tile the work is eOI.eneed. One 90 day extension of tiie, ~av be
allowed for the pertit 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 abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO 'lOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
co::::':' . JD~ UNDO ",S T 'EED TO RECORD ~~~
was acknowledged
, 19_ by
STATE OF FLORIDA~
COUNTY OF ~~GJ
, The foregoing ii~trument
befc.\-e me th i s H1t- 02 (0
STATE OF FLORI~
COUNTY OF IJ 5' Cd
The foregoing instrument
befol-e me this
!.'Jas ac kno!.'ll edged
, 19~ by
who is personally known to me Dr who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identificat.io~~.a who did/did not
take an oa~K ~~.
(Signature)
(Si gnatUl-e)
(Name Typed~ Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Notal)' Public Pasco Co. FL
My Commission Expires M<!\ It I;:~
- .- ~._------~ ~ !.
S IT E
PLAN
PERf1IT #
,LEGAL DESCRIPTION:
SECTION
(RESIDENTIAL USE ONLY
.? <). ~:l '5"" :2-( 00 '? C) (J() dd (' () :~ >U
TOWNSHIP
RANGE
SUBDIVISION OR OTHER LOCATION DESCRIPTION:
f:L/.2- *~~ 1iL.
Ac I' t(,f tIr LL4() C-
l-
lL.
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t
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-, 70 Sq tiP
q k.lcfdt.. 9y(() 5'~
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0
fTi
----.
& (s 77<1t?,
fItrt("
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-!
..:.....
REAR (
FT. )
.........
100
........
I.LJ
Cl
.....
V')
FRONT (
Ita' FT.)
Show all existing and proposed structures giving dimensions and setbacks. Also, indicate
any a~jacent bodies of water and roadways adjacent to the property. Indicate size of
mobile homes such as: 12' x 601, 241 X 361.
EXAMPLES
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STATE ,:;'_UMINUM, INC.
3752S/y 54 'N!!,'
lEPHYRh . S Fi. 3354 J
(813) '88.7308
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30 ,jay> TAX
TOTAL
All claims anc' turned goods
MUST be accorrp nied by this bill.
C(JR~t}lk> lf01{
Pr((JI.ICT 6]0
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