The URL can be used to link to this page

Home My WebLink About92-2413 .BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2413B Date /, -/1-9d.- ~UILD~ E~ ~ Pmperty Owne, (..t~ ~ Job Address: 72:1..1 '4L Jt r Parcell.D. # 3~- - .;l.S- - .)../ - S~ - 0- ~ Sewer Conn Watl3r Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: aL~~ ~~ Radon Gas: ~ NO OCCUPANCY BEFORE C.O. FINAL 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 Permit Fee -30 - tTD Vl.AA (') r _" v $/""~ . Sigllature / //A';fb 0 \.JL...) ~~..-- Company Address Telephone# Valuation or Contract Price c2..5 l~tJ - cJV -" City License Registration # ;;2--.5"-1/ State Certified License# 1lI;.k M~~ ~~0) Ftr. Pre SLB Lintel ~CTRICAL ~ Pl:'DMsING ~ M~CAL ~ Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final FRM. Insul. CL WL 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. APPLICATI05 FOR PERMIT CI'IY OF ZEPllYRllILLS BUII.DDiG DEPAR'DfE'JfT OWNER'S MAKE P! /(-( m I(S C ~ ; ~rol(j (::<5 It//( PHOe 787( ~:3 ( 8'21 OWNER'S ADDRESS 7 d :2/ A- 5 '" ~ Ii Kf d "J;> fC JOB ADDRESS :s; Ii t11 t;- . _ 0:50 _ oooc:>CJ --O,,;J,l> LEGAL DESCRIPTION: LOT(S)3S--..J;.--,I-D BLOCK SIlfBDIVISIOINI (r-.Y~/1'"' PARCEL LD.';?S -~ $' -;)/-06Sb - DDcce - O;dGlJ WORK PROPOSm:.J:;-5ew Construction KAddition _Alteration _Repair _Install _Sign _!!love _Deaolish PROPOSED USE: X Single Faaily _KIF _, of U1nits _K/H _ec-ercial _Indust. _Swia. Pool Other _Restaurant &: Hea1t:h Depar~t Approval BUILDING SIZE: ~ x ~ '~'l~ I' K /.;).. Square Feet. Height , RESIDENTIAL : COKtIERCIAL : A'l'TACII (2) PLOI' P.L.DS &: (2) SEI'S OF BUTI.DING PLANS &: (1) SEI' RNERGY FORKS. ** ATI'ACB (3) SETS OF BUTI.DnG P.L.DS &: (1) SET ElNlERGY FORMS. ** *"'COFY OF CONTRACT 1UIQlIJIRED. PERKITS REOUESTED -X-BUILDTNG $ (J a 5-0 Valuation of Total Construction _ELECTRICAL AtIP Service Florida Power Corp. W.R.E.C. _HECllAHICAL $ Valuation of Kechanical Installation _PLUKBIBG GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Pralle _Steel Other FINISHED FLOOR ELEVATI05S: FI' . IS PROJECT IN FLOOD ZONE AREA? YES NO ........................*.............................................................................................** C05'I'KACIOR SECTION BUILDER OO!IPMY~jjr? (;) d!{!.:;"~ C~~t;~7 ~/7A C> f2. / _ J r /l/J State Cert. or Regist. 41 Signature j I1L.4-4::> ~,L".t:Z~~ City License Registration , E9-- ;;- ~ .....................................................................................................................~...* . ELECTRICIAN CO!IPANY State Cert. or Regist. , Si~ture City License Registration I ........................................................................................................................** PLmmER CO!IPANY State Cert. or Regist. , Signature City License Registration t .....................................................................~...................................................... KECllAlfiCAL COI!IPANY State Cert. or Regist. I; Signature City License Registration I .............................................................................................................................. O"I"IIF.R CO!IPANY State Cert. or Regist. , Signature City License Registration , .....................................................................*................................................** APPLICATION APPROVED BY PERKlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit 'may be subject to "deed restrictions" which may be lore restrictive than City regulations. The undersigned assumes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or CODtractors ~o, uQderta~e ~o(k, 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 misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advispd to contact the City of Zephyrhills Building Departlent, (8131 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 responsi~lr. 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 FEEg 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 Consuter 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 cOltenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and th2t all work will be done in cOlpliance with all applicable laws regulati~q construction, zoning, and land developtent. 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 aay apply to the intended work, and that it is ty responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to: f Departlent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland ~reas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departaent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treattent, Septic Tanks f US Environlental Protection AQency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A,etc,", it is understood that a drainage plan addressing a "colpensating volule' will be sublitted 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 pertit prevent the Building Official frot 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 cotlenced within six tonths of issuance, or if work authorized by the perait is suspended or abandoned for a period of six lonths after the tile the work is COlienced. One 90 day extension of tile, aay be allowed for the pertit Hith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each si1~ lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IKPROVEHENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YJUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", 7~[L/dt~ ~~ UJ;~~~ , SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19 ~ by STATE OF FLORID~ COUNTY OF S C! 0 The foregoing instrument befol-e me th i s ::n:t,ve J I STATE OF FlORI~ COUNTY OF rr AS (! 0 The foregoing instrument before me this :Tvve II (,JI'I / Il?ln~ known to me or who has was acknowledged , 1922:..- by and who did~id noi:/ , _ . rvl/ ~e tv:1/II/lnrS <!iIho is personally kn~to me Dr whD has pl-Dduced as identificatiDn and who did~ n~ take n Dath. !S gnature) S --J 7'l w{ E'S Ii. "'- TONe (Name Typed, Printed Dr Stamped) NOT ARY PUBLI C JAMES A. STONE Notary Public, State of Florida My comm. expires May 16, 1995 CC110274 ature) \ ~ mes A. 0T()AJe (Name Typed, Printed Dr Stamped) t;lOTARY PUBLIC :.. JAMES A. STONE Notary Public, State of Florida My comm. expires May 16, 1995 CC110274 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNERjJ1 j( oJ /J1 R:::,' C l, F F nRd C ~ j?'J R JOB LOCATION 7;;J d.. I ;:;.s h h. A;u c{ ~{f? , PARCEL I.D. # -g S- - :J.S' d. ( , C) oS 0- c:> 6000 -- C>d. C. () SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. l\\ \ \ \~ .~ ) .----- ALLEYWAY ACCESS FOR GARAGE OR CARPORT 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. c~ ~ ~ 0- '. -- -; S~_~_ P, . '~~p ~ S'i< ~ ~ C.L C/' Shed; ..,.' J LJ/I//.5 . / (W ~(!.reE E {IJ-.t~ ~ r .. FR T PROPERTY LINE l~"" (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE