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Home My WebLink About92-2278 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2278 tj ~-/?-Y;L . Date E~_ P~ ME~ :~::~,~:~etdf}1iL~~~~ Parcell.D. # .2 _ d.-b --;J..../ - 6 tJ..s-o .~ 0 cY to (.) Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work.~~f?A/l .JL...r-7~- . Radon G~:, ~ 1 ../ ~-" ,,;Z;~ (f j/'.d> -I- .d4~ .1'l- FINAL DATE NO OCCUPANCY BEFORE C,O, Complete Plans, Specifications and Fee Must Accompany Application, C,Q, All work shall be performed in accordance with City Codes and Ordinances, City license Registration # State Certified license# 79 r Inspector :;~..~.. ~.~.kB2-..~ ~~ Address Telephone# Valuation or Contract Price ) 0 d-.3.. "r-v ./ ___~ i07~ (J1~Mv1 ~) ~ Ftr, Tp, Serv, Pre SlB Rough In lintel Meter Can FRM. Const, Pole Insul. Cl Pool Wl Pre-Meter Final ----- SlB Tub Set Water Sewer Final '~ ~ MEot-A.NICAL ~ Breakers Ducts Insl. Compressor 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. APPLICATION FOR PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT -SU~ $"\C)~) OISL-~ 3T~ ~"N\ l ~~ ~c>>L- Sq. "2 ~,~~ PHONE CsU!L~~.} ~ ( ~~ - I ~0F:-,> ADDRESS OWNER -:-n-D~ ~V") '~\.kCU 0.~e JOB LOCATION lo \ ?> <g CD(,()~D n k LEGAL DESCRIPTION: LOT(S) PARCEL I.D,~F ~-:L ~ ~ ~ 2\ BLOCK LOT SIZE"55 XIs. AREA SQ,FT, SUBDIVIS ION..t))C <5, \:iJ.Q 1'<\ ~e . OOSD ~ o (X) 0 (J -- WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp, _Sign _rlove _Demoli-,h PROPOSED USE: _Single Family _M/F _lfr of Units ,_M/H _Commercial _Indust. _Swim. Pool Other :} _Restaurant & Health Department Approval BUJLD1-NG SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S, ,',,', ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ;d, **COPY OF CONTRACT REQUIRED, PERMITS REOUESTED ~BUILDING $~O::B .~ Valuation of Total Construction _ELECTRICAL _ME=t!HANICAL AMP Service Florida Power Corp, _H,R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS _ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BUILDER ............ ......... .... Company ~w ~<2: ~--- ~ State Cert. or Regist, iF Signature ~/ City License Regi~tration iF ~ ****************************************** {)\..)..jJ'fIf' 11 EIECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLlJMBER MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** Signature . . Company State Cert, or Regist. # City License Registration # OTHER APPLICATION APPROVED BY ~*~~***~**~* ****~***~*~~~~~~~~~~~~~~ - - a /?t-('" B ,-eLl ",f<-.- 'l- PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to "deed restrictions" which .ay 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 ONner 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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, l813} 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions {if the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contracto., 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 per_itting 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 Depart.ent 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 ti' the "owner" prior to cOllencelent, 1. .I E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor_ation in this application is accurate and that all work will be done in cOlpliance with all a~plicable laws regulating construction, zoning, and land develop_ent. I Application is hereby .ade to obtain a per.it to do work and installation as indicated, I certify that no work or installation has cOI.enced prior to issuance of a per.it 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 .y responsibility to identify what actions I lust take to be in co.pliance, Such agencies include but are not lilited to: I Depart.ent of Environ.ental ReQulatiDn - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water KanaQelent 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 .aterial is to be used in Flood Zone "A" Dr "A,etc,., it is understood that a drainage pIa" addressing a "colpensating volu_e" will be sub.itted which is prepared by a professional engineer registered in the State of Florida priDr to per.it issuance, A per.it 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 per_it prevent the Building Official froD thereafter requiring a correction of errors in plans, construction, Dr violations of any code,. Every pertit issued shall becole iuvalid unless the work authorized by such per.it is cO.lenced within six _onths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six lonths after the tile the worK is cOI.enced. One 90 day extension of ti~eJ ~dj be alloNed 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 .onth period, or the project will be considered abandoned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYIN6 TWICE FOR IMPROVEMENTS TO ',OUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN6 YOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT., ~~~~ SIGNATURE: OWNER OR AGENT was acknowledged , 19 _ by STATE OF FLORIDA COUNTY OF . The foregoing instlument before me this ~ I 7 STATE OF FLORIDA COUNTY OF The foregoing instrument before me this vias ac knovJl edged I 19.2.:2- by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has pl-oduced as identi f~' c. at~' cln nd take an oa. ~ ~' (Signature) Notary Public Pasco Co, FL (Name Typed 1M;f.1Cf/NW~~,_E~~~ p.l'" NOTARY PUBLIC 10 did/did not (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC Jrnpnsul Page No. of - Pages ,e-\..\ 1tJ-S1'''t-._ .'t--'0'~ ;, .--.. .{ # -{.~i!1it1;j~$ ~, ~ !l.' ~".......- ~~~, -r ~ "j! < l'<,.'l ",q l '\." "-" \I';'.. ~ ~__. >.'....~ ",,;' . ~ ; .. .. S .....t, "l 37528 Hwy 54 West ZE'")!-;\' 'l..l S.. fL C ;.i i ~';/, ! r..,:" ~. "! 1 ;g13j 788-7308 PROPOSAL SUBMITTED TO ~Tr a-~\..-:f;, "~--', STREET 1 ",,'':<''';-...-/ ( " " \. /, ,. ,,-A..'::), i\~, \,)\ ~ \ -.---~) ~ - CITY, STATE AND ZIP COOE \""~l' 1'-\. ~ p~9r ( D JOB NAME c./""-) -7 (j I I S2- \; Q- '"/.- ~'.':'J , " \ ARCHITECT ~._,-....,~ f -L JOB LOCe-O~ . ' ~"-\\-- S (,.L>i 1"'j,..J '(I\j \ \-::. \" JOB PHON E DATE OF PLANS We hereby submit specifications and estimates for: - . \ ~ -:t2.l---".A_ 0_.tJJ ", \~ 'X L.-U ~ "-.r-Ju\~C) "- '--':;' C \.Si..5:L:\:, ~C),.._, . '-,"",-- "l.'f -, ,-t-- l.~' ---. 0-')>~Q\.~~ L::..~~ \.....,.~\,:=; --~ " 0:-~\--C\)"^:::..." ~,.~ "') ~ J ') . <-..J\ '-J , "' j' \ .'-.. ,.. \ )"'{\ \::; .), ~ -'-'1> ~. \ (')".J'y" <;'" )1 , .-../ " ~ (5;)'\' "', :,C;~f (_ .....', ~0 \ ~ ~)'::-;T) '-_>""" ; '.2. 1..../ ..." -"\ d ---., ~ /'- J ,J /'. , i , " \ '\ -~'~ " ... "- '-<;1;,., 1lIIIr 'rnpnnr h~eby , \" \'. \~~. '~~"~~ Payment to be made as follows: """~, to furnish material and labor - complete in accordance With above specifications, for the sum -----:- ",,-- -:- ',;,) CJ ~l 90 -..... ~ )_~ },,----... . ---- --- dollars ($ ..J /. 6Z1" of: .........-- . <:;;",.i;"~ ,---, , "-.~ ). All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. -.-.-" Authorized " .:~.:::::=::~.;.::::;:::: --"~ Signature.... f/ _~ . .. -=~~~r~~s~I'may be withdrawn by us if not accepted within '') days, Atttplantt nf Jrnpnllal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. _ i>:>/"' Signature-i.}'/ !'>"'-, --- ~-"'";..."" . -~ ./ jt, .~. ,.'~ -J - -\..--...... --. ~---.- Date of Acceptance: Signature PRODUCT 118-3 jNE:BsJ.lnc" Groton, Mass. 01471. To Order PHONE TOll FREE 1 +800.225.6380 ._-~_.- .- r--- S IT E PLAN PERr~IT # (RESIDENTIAL USE ONLY LEGAL DESCRIPTION: SECTION ~2 TOWNSHIP L-'--o RANGE 2\ SUBDIVISION OR OT~ER LOCATION DESCRIPTION: ~\4L(::Y' ~ ,\\\.:t\ P REAR ( FT. ) ,JLJ-_. /f:7/ L---' L.:J \ ...... I ()-(-. do. ~ u.. -s<....~ ~ '0 tS)J~ ( . " GXIS\N u0~ tAN I! I./) ....... o fT1 I~ ........ - .. '" LLI , . 0 ..... Vl ...." -l 10 FRONT ( 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 60', 24' X 36'. EXAMPLES \J. ) .... ~ .'\ . ~~:( <::1'-' \1_ ~ \:J:l ~ ~ ~~ <::>. ,... ~ "f\ ') T.. ~ ~ ~ ~T - -- I h - I ! i : I \ ! i j) i IJ i , i Lj! 1 --.- '-'~-----.' ~~ ~ ~" ~~ ~. .-......t.. --- - - -\-~.- \ \ (/. . / , ; ~ t "- :i' ~ '" -~ -S ~ ~ IJo ... ~1;J ~/\ ~ ,/ ~ ~ ~~ VI ~ r ~ ~ I ~ I ~ I ~i ,~ c. 1\ --.... ~ ~"\ 'l<, ~~ ~It- . -\ ....) "" ~ 0 ~~) \A ~ t~. !I'\ . , tI \J' '" ~i '~ \ ~ \4 -~~ ..... 1'\ 1 ~;;: "\ <:: '. IN ~ ~ I x:. t", ~_"'O ~ ~ ~t ~ ~ VI .,~ \ \ ~ &- \ ......~ ~~~~~ l'~ t~,., 1" t'. .~ o~~. ~ ~ " ... ~ 3\~ ~ \I) (\ l ~