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Home My WebLink About92-2291 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2291;i{ 1- ~ :2 -9~ oQ L)' - Date --- .~ Property Owner: Job Address: ~ Parcell.D. # tJ.2.' :;JL~ - ::J. / -f)!)/D - ola 1)0 0 - 00/0 ater Meter: ~ '1/ 'I~ CJ7) b-/7-f:L Zoning: Complete Plan~, Specifications and Fee Must Accompany Application, C.O, All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or P::;;) Contract Price /J 000' .- City License Registr.'ion # .:>-7~ ~~ State Certified license# 7t!.. (~-6- ~-:/ Pe,mit F:~- Signature '. ~ company~(".-. ~..&-z-. Address Telephone# BUI~" --- PLU~ V"" Ftr. Pre SlB lintel FRM. Insul. Cl WL SlB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final &A5 L.I~i25 70 15J4.Jf) S... 2/("'11- Const, Pole Pool 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, ~~ I I ! / 7~P, -t / / . / I / // I / . / ~ I I . I I . I I . I I . I I NEw SIGN 'J 118.05 I r -. - -. - -. - -. - -. - -. - -. - -.:-- -. - -. - -. - -. . I I . I I r-----r-----------------. ~I: .: I I : EX, BUILDING : I I I I I ! · I I I ~ . II II .\ II . -. -:. -.~ ~.r~ '_. _ -~~~. II -i-'- f/ 1/ -/ 'I I ~ ) .,,/ I I I I I r-;~"-'fIM" 1(1'''1 ~ II J J ::= =:: efi~f'w1 I r6-0---~Jul I h~f- Lrnr -ro '. f V,..~J -II Li ) frr' JJ1 I --- -'-- -- ~_-.J I 1ttLA--rtF TO. -p f) , , f t ~t1 f.t-O Wtst. ~III ::=/=:: I I ~ I "'i ! I ( L - - - - ~ / --i- , / '- EX, CANOPY 'vi / GAS ISL_AND I I.IILJ~=::) / '!I \ PROPOSED GAS ISLAND_~ , I '- --- EX. UNDERGROUND TANKS 'vi /3- MEC~~ANICAL t .1 FUEL DISPENCERS / I 'I // i , I · · / I . / I' I I ' I / · ~- -~ f J LL . _ _ . _ _ . _ _ . _ _ . _ _ . _ _ . _ _ . "\ _ _ _ . _ _ .j_ _ . _ _ . _ ~ .'_ _ . _ _ . _ _ . _ _ . _ _ . _ _ . _ T ' 188.85 I \ / .. _/ L___~ \ \ '" "-- /" ~ -- - -- -- 1/" "tl}:. # . ~ .;f ~ f · ~ L_________________J PROPOSED SUPPLY LINE EXTENSION .' I~ I~ . I I EXIStING SIGN (TO fE RELOCATED) {j . ----- '" \ 1 I I ! I I ) / / / / PROP, AREA OF SIGN RELOCA TION ~. SIR. 54 f .; .... C) ~ II ~ ~ ~"-.--.--, . H <[ D ~ W ~ I--l :3 ;'---'1 , /;1J/pc.71P" /U f Fdt<- fJ // M' #'Fj I ~=) 5 EC,/l/JIl-'1 (!;:/ ,/ r /l !/1J/l-re~ 1)\ J km ~ J7/#r~~~7 ~ -? /--#7// r.:f ./ #1 //eo ~rJ/I 7 tJ//N?//7~ l!/ %~r,/}c /4;'? p . U-n ~ .;le ,2 /:0 ;~ ??/,OJ/~( 7 j~--.- V- c: ~ 1/--2:2-')'2- HRS Pasco Co, Public Health Unit Pollutant Stol'ag,a T anI< Pro~ram APPr.~OVED OatLtj .~~__ _'" _ ,Si~natur~ ,Z- ::ef~~ , W I- ~ A (I) z o ~~ (I) ~. > ~ - - - .__. '-<, ..~,. '" ...... . ~ ~ .~ r--=1 P-. ~ .E--i ~ rn C\l 0) . '0 0 en yo-{ en 0 0 0 d OJ ~ ~ ~ Ii. ~ 0 0 <If E-i ~ ~ rn ~ ~ . lLl Z . rn ~ rn <r: -r-i 0 0 E; -r-i E-4 to 0 0 -r-i Z -r-i rn 0 ::r: E-4 ~ f 0 'r-t ! +J 0 cd <> ~~ ~ 5 <0 0 ~~ 0... ~ ,... 0 0'" 5;) 0 c::....... 8 <U 0:::: "O~ rcj 5.., J .r-t 0 ~ "0 . 'C 0 0 ......... G: tH ig l "0 cd ~~ "0 H 8 ~ ~ J'C 0 . . ~ "0 "0 Bl~ ~rl 'So 0'" DATE1 4/6/92 DRAW'N BY, M.D.C, CHECKED BYI C,A.S. JOB NO.1 DW'G NO,! SHEET rn or [I] APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER () p.?;, t'Y-I u J-1'1 (J 7~ e:. q~ff\~k.-~ ~/~zrz.. 5 6 ~+\. ..o~ cl ;- (. (5/11;111-(.../. -r... -If-; II f K-~- APPLICANT ADDRESS - J~ PHONE V fC!A1/'L) 9~/-()097 JOB LOCATION Ihry ~ e LOT SIZE_X AREA SQ,FT, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D,# o-z Z<:2-/ODtO C>~~6o OolD WORK PROPOSED:~ew Construction ____Addition ~lteration, ____Repair ____Install ____Sign/Temp, ____Sign _Move ____Demolish PROPOSED USE: ____Single Family _M/F ____# of Uni ts . _____M / H _Commercial ____Indust, ____Swim, Pool Other _Restaurant & Health Department Approval . 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 $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp, _W,R,E.C. ; _MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY 61+> <L5l~h~~(2r4 TYPE OF CONSTRUCTION: ____Block ____Frame _Steel FINISHED FLOOR ELEVATIONS: FT, ****************************************** s \>~ CONTRACTOR SECBON . Company ~ ~ )State Cert, or Regist, # City License Registration *******~********************************* BUILDER Signature ELECTRTCIAN Company State Cert, or Regist, # City License Registration # ****************************************** Signature PLUMBER Signature Company State Cert, or Regist, # City License Registration # * *** * ** ** ***** * *** * * *it * ** * * * * * * * * * * ,: * * * *'* ,: t, MECHANICAL Signature Company State Cert, or Regist. # City License Registration # ****************************************** OTHER Company State Cert, or Regist, # City License Registration # Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A., NOT-ICE OF DEED RESTRICTIONS The undersigned understands that this per.it '.ay be subject to "deed restrictions' which lay be .ore restrictive than C~~y, regulations. The undersigned assules responsibility for co.pliance 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 licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131 788-6611. Further.ore, if the owner has hired a contractor Dr 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 tha.t you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that .ay 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 - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs, If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the .owner" prior to co..ence.ent, 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 co.pliance 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 cOI.enced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is ,y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatment I Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks I US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone .A" Dr .A,etc,., it is understood that a drainage plan addressing a "co.pensating volume" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to pera.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 pertit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code,. Every per.it issued shall beco.e invalid unless the work authorized by such per.it is co..enced within six .onths of issuance, Dr if work authorized by the permit is suspended or abandoned for a period of six months after the ti.e the work is cOI.enced, One 9Q day extension of tile, .ay 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 inspection .ust be logged during each six tonth period, or the project will be considered abandoned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCE"ENT KAY 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 COK"ENCEKENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT', SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF , The foregc1ing instrument befc'l-e me th i s STATE OF FLORIDA COUNTY OF Th~,foregoing instrument before me this was acknowledged , 19_ 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 identification and who did/did not take an oath. (Signature) (SignatLrce) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC