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Home My WebLink About92-2496 BUILDING PERMIT J. D ,,-- ~ ~ ~D C~ ~- P<O~rty Owne' {fj;~; 73 ~ Job Address: 7, Parcell.D. # / /-.-:l.- - ~o- 00- ora.~l) CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<1 249G{2 7-1'!-?~ Date ~L Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: FINAL::)1. ~92 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. .-/ Permit Fee Signature Company Address Telephone# Valuation or ~ ~ - ~ Contract Price ~ 00( b ' City license Registration # 710...&-?- State Certif:"2tcense, Gfyzvn- iJ1: . ~ ~~;- ~. ~60 ~- -M[e""~I\lIL.AL Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In ~ ~V Meter Can ..,. '/ Const. POlo[; V lb Pool ~(7D Pre-Meter Final SLB Tub Set Water Sewer 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 inade 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. SITE i!!.!.~; (l{F.S [VEtil'] j,;, '.' , ' ,.i'" "J;'. A.RCEL I. D . SEe T\~ [' iUJC ; LJ ; ~ ;) 'ROPEHTY N~SUHE!1ENT ~Q--_?~ K 17 S7 :UIUU':.NT OImE.HS ,11 dra....ings nlwll be druvn to uCilll~ lur 1111 jJ;j'Tl~j:; .;. ~) L j ,~], \ ~~ 6(5714fr f6Lt C AI<- fdq /0 rt ~ ; j , riV(j"rroe- , (0 5;~T 01' ~12Y?D 5ftt) I , 50-1. '(9 €'f~ 71% UII.( (( ~~ I j Iff?) S!iO\~ ALL E.X I S Tl NC id i U.;y BODIES OF hATl:R AI! mE SF E I '{ E.AH. /\~E) p~\;~)~ 'F.liC'l.;.,___ (; 1_ ',' ~ ~, _; i 'l':,.; ; ~\[iJ..J.Y,"l!!\ 'i St.. 1 ~~ 'L..l.l '~\ ',~' ,\,",... ~-; /,~,~ ~~ ':.:'~: :.~'-J l) I LE; :~, U ell L . ) ,': ;. All "EASEMENTS", Il{IGliT-OF-I,:i\Y" Jild "JUJaSD} c1': . 1 .' ~ . 1 : , ~.. '- APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT OWNER ~D '3c{ (a t> U-r ,c-6 j Y- /7,( ;;n- Ifh 0 1:'5 /71<- c; '/ PHONE 7x)-- ,? J -3 '3 ADDRESS JOB LOCATION LOT SIZE /(;'J X I SO AREA SQ, FT. LEGAL DE~g~JrlION: LOT(S) ~'.D.!~ WORK PROPOSED:____New Construction fI BLOCK SUBDIVISION 1/ I I -:26 ,~I Ou!() ,2I00U O~(J _Addition _Alteration ____Repair _Install _Sign/Temp, _Sign _Move ____Demolish PROPOSED USE: _Single Family _M/F ____IF of Units ._M/H ____Commercial _Indust, _Swim, Pool Other .~ ____Restaurant & Health Department Approval BU1LDING SIZE: 1.2- X 9A\ .~, c2Vo Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S,** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED $ ?Dh ()'l _BUILDING Valuation of Total Construction _ELECTRICAL .f _MECHANICAL AMP Service Florida Power Corp, _W.R.E,C, $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION ~~~' Company State Cert. or Regist, # _ :: _ = City License Reg i ~ Lra lion " ****************************************** BUILDER 7/ ElECTRTCTAN It( Company State Cert. or Regist. {f U. (')6D 4k C/o City License Registration ;,= SO Signature ****************************************** Company State Cert. or Regist. # City License Registration ~ **********************~******************* PLL'MBER Signature Company State Cert, or Regist. # City License Registration ~ ****************************************** MECHANICAL Signature Company State Cert. or Regist, # City License Regist;ration IF, OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait aay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assuaes 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 hith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a aisdeaeanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departlent, (8!31 788-6611. Furtherlore, if the OMner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions {,f the "Contractor Sections" of this application for Mhich they Mill be responsible. If you, as the owner sign as the contractoi", you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to SlgO as contractor that lay 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 FEE2. 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 - Homeowner's Protect1on 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 promise in good faith to deliver it t" the "owner" prior to comlencelent. .{ ( 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 f a~plicable 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 cOllenced prior to issuance of a perlit and that all work will be perforled to meet 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 governlental agencies lay apply to the intended Kork, and that it is my responsibility to identify what actions I aust take to be in cOlpliance. Such agencies include but are not lilited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I D artlent of Health L Rehabilitative Services Environmental Health Unit - Wells, WasteKater Treatlent, Septic Tanks I Environlental Protection AQency - Asbestos abatelent I also certify that, if fill latprial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage pla~ addressing a 'colpensating volume" 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 ~erlit 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 perlit is com.enced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six .onths after the time the work is co..enced. One 90 day extension of time, ~af be allowed 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 month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COI1I1ENCEI1ENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO ",OUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COI1I1ENCEI1ENT. JOBS UNDER $2,500 IN3~..Jl1!J!QI NEED 10 RECORD AND POST A "NOTLCE OF COMME~[:El1i~T"~ _ ~~> ~ ~~?~/' 5IGNAT~~~ ./ : CO~~~~TOR was acknowledged , 19 ~ by STATE OF FLORIDA COUNTY OF ~ ~C ~ . The foregoing instrument befctl-e me this 15 JULy I STATE OF flORIDA /. COUNTY OF Ilf-S (D The foregoing instrument before me this /5 JULY vJas acknovlledged , 19~ by who is personally known to me Dr who has produced as identi fiCi::lticln~.'.J who did/did not take an oatfl..~ ~ [-)( -Lc C/ . e..- (Signature) Notary Public Pasc o. ~ C_mission E~ire!i May \3. 1995 (Name Typ d, PrInted or Stamped) NOTARY PUBLIC who is personally known to me Dr who has produced as identification and who did/did not take an oath~re G-n~. (Signatul-e) Notary Public Pasco Co. FL (Name Ty~U~P~~~~x~~s~~Jae~S NOTARY PUBLIC