The URL can be used to link to this page

Home My WebLink About92-2323 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 ~D. UZJ J..5-, (..{) -.5 -.S ~ d-O ~~~ Property Owner: :zL~ dJ4 Job Address: 6/?"R' 7... '':1-''--'Ant;j /JLA... ParceII.D.# 3-;lb- ;;1/- 'f.j>- 0- 036 'c) Permit N~ 23238 Date ~ - - Jy' - 9 ':J.... ;20. o-v ~~;'~~sewer Conn ! ;l ? tf;. ~ .' Water Conn: ~p--- Water Meter: /6.....5'-. J1) T,I.F.'s: ~..;'~<,-- cT7J Zoning: ~ Code: Description of Work /JI J.. )t'Yv-+> Radon Gas: ~J?f-~ NO OCCUPANCY BEFORE C.O. FINAL C CO ~)'. omplete Plans, Specifications and Fee Must Accompany Application. . . All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration #, ?('b State Certified License# Inspector Pe,m;t Fe~ ~X 0 . ~~ Signature(../~_~7v" A----- Compan~ v Address Telephone# Valuation or Contract Price A;/A .. -1/c. ?P Breakers Ducts Ins!. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 rea 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 -4 . /'/ --I A/ I /;'? I APPLICANT /j?~~'Lf' (1a-/../lb/ ~ /t.;/.A::S-/JA " y/UflA/ ADDRESS b'/t,/J ,,(!/LJ6li/.~ ~/ ;Z-?;tJH.~~~, 6:;.33:::'-/1 PHONE J/g 7% Z-7Z7rf, OWNER -a~U/l.f ~&JQa/oJ r7 .' a=p'//d~&' _ JOB LOCATION 6/,/". A!~.LJhad'7'f-/A-. Z~/tI LOT SIZE~x/Oc.> AREA S~. .ISO'" LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION /?fll1,-/d- ~'JOC- PARCEL I.D.# S --;26 d/- /3 -tJ -0.3(.:,(.7 WORK PROPOSED:____New Construction _Addition -,--Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: .~S ingle Family _M/F _# of Units' *-M/H _Commercial _Indust. _Swim. Pool Other ____Restaurant & Health Department Approval 2X' X/:,'--( / I GiJ-- 9/ ; BUILDING SIZE: Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. 1., * **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ~BUILDING ..LELECTRICAL $ Valuation of Total Construction /57) AMP Service Florida Power Corp. -K.W.R.E.C. I ~MECHANICAL $ *' PLUMBING /300 Valuation of Mechanical Installation GAS ROOFING SPECIALTY 4/ocllL. ylu.<.....Q..ther TYPE OF CONSTRUCTION: _Block _Frame ____Steel FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~/H CONTRACTOR SECT~N ~1..?ta ~. ~// ~ Company /' - /!, ( ltZ <J-di ~ State Cert. or Regist. # City License Registration IF _=5:50 ****************************************** Signature Signature Company {/ /7 V0~4I--?/Y-u z;,f.4.J <::-- State Cert. or Regist. # City License Registration # q 9 ********************************* Company /[/.../ ftJ7-' ~/A ~0 . / State Cert. or Reg1st. # City License Registration IF /07 ****************************************** company~~"'b-~/,,c?;VL> t::~ --:.4b .CL- State Cert. or Regist. # City License Registration ~F 7? ************************************* OTHER Company State Cert. or Regist. # City License Registration # Signature APPLICATION APPROVED BY PERMIT OFFICER. c-.I ,,!)' t\\ ,'-. ~ -.J ~l'-... ~ 1',,= !'--.", ,.., \. .. V) 't. '. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 'lay be subject to .deed restrictions. which lay 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 owner has hired a contractor or contractors to undertake work, they aay 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 lisdeleanor violation under state law. 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 Departlent, IB131 7BB-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} 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 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 protise in good faith to deliver it to the .owner. 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 worK or installation has cOltenced 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: I Depart.ent of Environaental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of Enqineers - Seawalls, Docks, Navigable Waterways t Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection Aqency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood lone .A. Dr .A,etc.., it is understood that a drainage plan addressing a .coBpensating volute. will be sub.itted 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 perBit 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 per.it is cOB.enced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cOBlenced. 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 inspectiDn .ust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYE"ENTS TO YOUR PROPERTY. IF YOU INTEND'TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKK~C~~~~r; JOBS UNDER $2~500' YALUE DO NOT NEED TO RECORD AND POST ~ "NOTICE OF COMMENCEMENT.. _~ ~ c~ ~f~_ ~IGNATURE: OWNER OR ABERT C/ ~IGNATURE: CONTRAfTOR STATE OF FLORIDA ~ COUNTY OF Y tJ.4{I.-/) Th~,foregoing ins~rument befc.re me th i s '7nA~'- / (J was acknowledged , 19~by STATE OF FLORIDA ~ COUNTY OF t' IUJe-t) . The foregoing instrument was acknowledged befc'l-e me this ~ J ' 19 12-- by JJEl.-Sn t-J RY t-J A....l who is personally known tCI me- 81'" ril".. I.a~ produr-Qr! 3~ idg~tifiE~tic~ and who did/did not take~:;5~~ 4 ~ (Signature) ~ ~Tt-\ LEE.....I J - ~ii'>.ll'1: ~\ N (Name Typed, Printed Dr Stamped) NOT ARY PUBL I C Notary Public, State At Large, Florida. My Commission Expires April 2, 1995 NEL.SD~ 'K'1tv/Ai..J who is persc.nall y ~mown to me fir ~ll=le I=la:s p r 8- eh:u: f: rl a3 iel<=1I1.i ri...6tie.R and who did/did not take an oath. , ~ (Si~~9-' k AT\; LE E:..J .,3. "BQ.c,...J N (Name Typed, Printed Dr Stamped) NOT ARY PUBL I C Notary Publie, State At large, Florida My Commission Expires April 2, 1995 .:~S I :TE.:~"~p LA N. - (R'Edl'b'~'NTI~t:':LjSE' ONLY) # P f:lIU_~L ' N um P.i:P... 'S-;u',~ ,;ll- /3 ~ tJ- i?3t. 0 .--- .' . SUBDIVISION OR OTHER LOCATION DESCRIPTION: .....~., ~iO&gA)~:r t1e. . j I I I ---1-----.-.-- i --1-........'.'.'.-..' I I i I I I I ! u_ "1- ..-..-- I ~ I i I , Z. E F H It R R I D G If D ~, F)HASE " UNIT I '''i'' I I I I I ,i i7(j; " .------_. -_-\.___%-_ _ ..,_Z~'____ ....j... \b I"""" I )( ! . /ci-/' I, . I I . {Vl08lLe . .,,! tkJ ;tit:, i ----...----- -..------.~.__. _L_....:-._____________ ,I , I' ' IJ'I./1" . -U,f?p(Po DR.. 1'0 s1'" - I ! I ' I I ! I :'6/~' 7,; ;f} LJ6Pd.A; y, . d:~3t' 1 I ,