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Home My WebLink About92-2265 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2265 L3 Date ~ - /3~ 7.;2.. c:~~ ~ ~ ME~L Property Owner: J11 jJ,iu /17 ~~~ Job Address: t, ~ 0 S- - / d. ..::t;;{ ~ Parcell.D, # ;L - ::J-b '. ;;)-/ - t:7 0 ~-() - CJ CJ 0 <:) C)- 0 al 0 Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: () Energy ~d~.: ./ ,Radon Gas: . Description of Work -(~~~~ -<1/7,4 ~1 /~...afZ_ NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances, Inspector _/y /A / City License Registration # b 0-3 State Certified License# Permit Fee '~=. ~ Signature~074 ~_ Company Address Telephone# /'( f:<--- ~/'1c2:b Valuation or Contract Price -- PLU~ --. ME~CAL - Ftr. Pre SLB Lintel Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL SLB 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 ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT /J~,{/ U/A<E~LE;f /2IlA, ADDRESS4(PGJ..l7 I?Road? #AcR/A/G.~/'h'd OWNER ~~ t/ ,f-/!e...~1 JOB LOCATION~OO~ ~/07 -Z'4 Q- ZBPH)'-f#/L~$- LEGAL DESCRIPTION: LOT(S) J . /J-T eXCAvfr/,#6- A'I!JA(/ PHONE <;-6 7- 7" 7~/ 7~OO' LOT SIZE sA x ISV AREA SQ. FT. f~ 7~ BLOCK SUBDIVISION d,4~ PAIf k . PARCEL I.D.4F~.;t -,<1(; -;< /-t:J~.s-o -d.n.eJ 01') -dO/ (J . WORK PROPOSED:____New Construction _Addition --,--Alteration ____Repair _Install _Sign/Temp. _Sign ____Move .k:::J>emolish PROPOSED USE: _Single Family _M/F ____# of Units' ._M/H _Commercial _Indust. _Swim. Pool Other ____Restaurant & Health Department Approval BuiLDING SIZE: '15./ X .;/0 , R 0('''' /6K Ii . Square Feet, /0 7(, ~ . ',_I' .2- 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 $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. I ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN Company , State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature f, Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # .Q.THER Signature APPLICATION APPROVED BY ********~~*'*********************. ***** ~/~~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF PEED RESTRICTIONS The undersigned understands that this peraitaay be subject to .deed restrictions. which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance with any applicable 'deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake Nork, 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 aay 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 Departaent, IB131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 - HOleowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. if the applicant is sOleone other than the DONner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the DONner" 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 perlit to do work and installation as indicated. I certify that no Mork or installation has cOllenced 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 lust take to be in cOlpliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Metland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departaent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatelent I also certify that, irfnr.at~ria1'is' to be usedlif Flooll Zone "ft"or "A,etc. "j-i t'iS""tlne~rst-oott--thBt'a- -drai'h1fj~'p4art' '"-" -.. adtlressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the state of Florida prior to perlit issuance. ~ 'i/!;i ; i" . :I' '\',' ,//J/../:YT.FI /, . SIGNATURE: OIlNER OR AGENT A perlit issued shall be construed to be a license to proceed with the Mork 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 becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, Dr if Nork authorized by the per.it is suspended Dr abandoned for a period of six lonths after the tile the work is cOllenced. 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 lust be logged during each six lonth period, or the project Mill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND'TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO"KENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO""ENCEKENT.. ~b~k~ , SIGNATURE: CONTRACTOR' '") , <' ( '~/ /! Cl //', .J ft.,,' c~- .--- STATE OF FLORIDA COUNTY OFT A...Sf'.-O Th~,foregoing ins~r~nt befc,re f'Ile..this,~ . .'*.. _ J, ~ v was acknowledged , 19 C[--z- bY STATE OF FLORIDA COUNTY OF Y ft:.. ~.t\ . The foregc. i ng instrument . _ befc~re ~e: th is ://} .?" '?..ot-..... ~_,~........,... who is personally known to me or who has produced as identification and who did/did not take an oath.. 's:J ~ - 0 ~~> (Signature) . \.. '?-- ~ L -\::- \.. \.. ~... (Name Typed, Printed Dr Stamped) NOTARY PUBLIC was acknowledged '... l:.q~ by who is personally known to me or who has produced p..a-.... 'L4!'-S o-....-s -- as identification and who did/did not take an oath. . ~ (Signa~' ~ r"'" - ::;;"... ~~t:> '\.~- (Name Typed, Printed or Stamped) NOTARY PUBLIC NOTARY PUBLIC. STATE OF FLORIDA. MY COMMIS~iON EXPIRES: August 12. 1995. DONDED THllll NOTAI.Y PUBLtC llNDERWI.lTEI.S. NO'-ARY PUBLIC, STATE OF FLORIDA. MY COMMIS:o/iON EXPIRES: ,\ugust U. 1995.. 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