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Home My WebLink About92-2395 BUILDING PERMIT Permit 23955, Ie -:1-9;2. CITY OF ZEPHYRHILLS (813) 788-6611 N<l Date -------~ ~ ~_._.p~....- ::~:::,~:~e' ~J ~r2ff45 Parcell.D. # :g~. ~S - .;2/- 0 D -C;-O - DOO 00 - 0 ~ 00 ~ Rjldon Gas: ( iO/L/L8<iJf57 ~~er Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: _ (p / v.. 3 t.,. ,:), FINAL .2 - 2 Description of Work NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Valuation or i..-") .~ Contract Price . 0< 00 Permit Fee Signature Company Address Telephone# C;ty Ucense Reg;s'..';on # 19 md~ t ~e";t;ed Ucense# :;'6J::ij ~~ E~-' - PLUM~- ----- ME~"- - Ftr. Pre SLB {p -$'-ft-- 6. U Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final 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 PERI'lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT fit'. . Air~ ~ " 7/C--! ^-. J:7'€r- ..5 ADDRESS Lo..nrkl/"'t!...1r- PHONE /53 -$7~ I OWNER ..5o~-e- JOB LOCATION ..s;;"...... -e....- LOT SIZE~X/.;2.S"AREA SQ,FT.q37J LEGAL DESCRIPTION: LOT(S) 01600 BLOCK00oo<J SUBDIVISIONA0b PARCEL I.D.4F 3S-~..2.J-~/ -00.50 .-o(OOOO-~OD v/I lOt.(} 'f' WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install _Sign/Temp. PROPOSED USE: ~single Family _Sign _Move _Demolish _M/F _4F of Units ._M/H _Commercial _Indust. _Swim, Pool Other _Restaurant & Health Department Approval BUILDING SIZE: ~ 3b'~/I 9--. / 9 Square Feet, Height X. , 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 . ,~* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED LBUILDING c>O $ AOO .=- Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp, _W.R.E,C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block _Frame _Steel CoN'..~rf!..,. ~Other FINISHED FLOOR ELEVATIONS: ~/c.r 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 Company State Cert, or Regist, if City License Registration # ****************************************** MECHANICAL Signa ture . OTHER <;"'~~ Te, Signature_ . ~ t:Z~, , Company II~ fJ ~ #'l. rf. A-t t/ /'-"1... Ie "1..t/, s ~D State Cert. or Regist:. # RJLI.'tJ ~<-/R/Lf City License.Regis):.ration '# .....L Cj - . . ~***************************************** APPLICATION APPROVED BY PERMIT QFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit may be subject to "deed restrictions" which ~ay be more restrictive than City regulations. The undersigned assumes responsibility for compliance 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 may be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncert.ain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart&ent, 18131 788-6611. Furthermore, if the owner has hired a contractor or 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 that you, rather than the contractor, are responsible for the work, If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting 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 Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to cO'lencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a permit to do work and installation as indicated. I certify that no work or installation has comMenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~le not limited to: I Department of Environllental ReQulatic.n - Cypress Bayheads, Wetland Areas and Environmentally Sensitj,le loinds, Water/Wastewater Treatment I Southwest Florida Water "ananetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatmen~. Septic Tanks I US Environlental Protection Anency - Asbestos abatement I also certify that, if fill laterial is to be used in Flc,od Zc.ne "A" or "A,etc.', it is undersh,[,d tli~t. a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer reqist,2ied in the State of Florida prior to perlit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to yioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit iS5U~d shall become invalid unless the work authorized by such pertit is co.tenced within six months of issuance, or if work authorlled by the pertit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~te~SID" of tile, lay be allowed for the permit 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 tonth period, or the project will be considered dbdl~oned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNA~~ !!:~ - OWNE~~AGENT OATE--pu-Lif,,-t-!-7--a-;;/:------- NOTARY AS TO ~/' . /J /J /J OWNER OR AGEN _ ;r:~~------- otmY PIffilJC:t ~ ?jf Fforraa- MY COMMISSION EXPIRES_~rf~~~~2~~ill@~~ID~~l~L SIGNATUR~~--d)-~ - CONTRACTOR OATE_-b2~-4.ji?~--_-------- ~~~~:~C~~R TO _-,!f1~~~---- ~. ~ HoutY 'Poti11c:, State 'Of m:~~? MY COMMISSION EXPIRES_]IY~~..:.1"~s~i~n_~~~:..:2::.=-3. ,. 1'-'ni-:Jn", ~[. \ r , ... 1 ,_ /7.t< (<J]..s fv1 1-1 ~ 3 'i '- {S~ L... l '2- ~ /.! ~(~ 2-€-rh.lIt..H tff5 FLA No. ALl/^-"?, , Cl"-c.-t-...c 3 1 ':>'Y' 0' Date Sheet No. Proposal Submitted To: Work To Be Performed At: Name Street City State Phone ~l r1- ~ /'.1\. It. J i- ft! \{ c( d If ~_'1..- -z.~;.( 7 ;1.. H, ({ r ;J,i..FA V(I/AGf I-'.Jl F rt.. .\ \'7 r(, 1/ -<.. F'--1 I I I I I -.J Street City Date of Plans Architect S 1t.A./} of' State We hereby propose to furnish the materials and perform the labor necessary for the completion of L I AI (T.4LL t, ')l.. 3C, ~. E )( T~ /'( I, O"I'{ o l'/ S I tJY' --.. ()' !-.. D ~, IZI v '< l..v f\ 7 All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Do!lars ($ ""Z.- () O. cJd J. with payments to be made as fOI~. s.: . _ J-//I 7 }"l"~ 1'( 7 cJ f--I C (J NI l~-L--f' 7/ ();../ Any alteration or deviation from above specifications 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 upon above work. Work men's Compensation and Public Liability Insurance on above WOI ' to be taken out by Respectfully submitted Per Note- This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL 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. Signaturef ~ Signaturede ~ cJ:!". (2~- ~) Date TOps9FORM 3850 DUPLlCA TE LITHO IN U.S.A SITE PLAN (RESIDENTIAL USE ONLY) PARCEL LD. 3) SEC '1-) - TWP /)..{ RNG oc,f'o SUBO o(>()OO BLOCK 0600 LOT PROPEHTY MEASUREMIiliT '7 5'" ~ 11-.5- CURRENT OWNEHS /Vtl", frV') }ge 7'oQ,rj . , DATE (,,/3 /?::l / b 11 be d to scale for all Parcels or lots five acres or less. All drawings s a rawn -?5'" "IS ..- /: X t ~ Tt'A J ~J"'C... ~ ,/7 '_I ~ ""..) ..... G)(16~ ;' ~",/~T,',., ttv-, 'II... v-c.- '1 t 30 _ ",t.J.., .5---?- dfiiA"_ Lo k cf..-,,,, v.e. V' ftc)- SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE M'Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY. INDICATE THE SIZE, YEAR, ~~D N~~E OF MOBILE: SUCH AS 12' x 60'. 1981. FLEETwOOD. All "EASEMENTS". "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans. DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE HOUSE CONSTRUCTION 't.LC: 1-..0' PROPOSED ADDITION ,eAlC: ,.. eo' MOBILE HOME SETUP ICALl: ,.. 10' w :I oC z: o oC o ~ ,a., (60 II.) - oJ 10 ' 20' . 10' 32.~' odd. - - 0 0 2 [","n9 7.~' 2 - - . HOU'. . ! " ~ 20' P/L ROAD NAME ~O' 4D' 7.':1' ~ - o II'l '" [ 2:'>' . " ;; .. .., ~ UI,lIn9 Shad o on ..., . ... . 20' 110' ROAD NAME ROAD NAME S i tepl;lll: CP.