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Home My WebLink About92-2548 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 254&$ Date !-~ -9:L N~ ~ ~.., ~ ~~erconn P,op,rty OW""~~ :ldAi~ ~ Job Address: ~~~ - -------"-- Parcel 1.0, # //-d-6~0l-/' 00/0 - cJ/;)..C)O - O~lJ Water Conn: Water Meter: T,I.F.'s: Zoning: .P.~~<....,=d :;/ NO OCCUPANCY BEFORE C.O. FINAL .;2 - ;;l ~ ~ 73 DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. - All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector :~;~~~qdL~ Company Address Telephone# Valuation or Contract Price ---5: if 0 cf-. oz;? , City License Registration # State Certified License# /~=-- .~4IA &n/'/~/.Ii' r~1 ~~) EL~A~__ F". b'/~4;-- JttI Tp. S." Pre SLB I; 'l Rough In Lintel Meter Can ~< .,d/i:.' - ~/ () ''PHJMBING ----. MECJ>l.ANICAL ------- Breakers Ducts Insl. Compressor lFinal SLB Tub Set Water Sewer Final 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 ($15.00) 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. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER-Fe.E:b~ Lk- A ft-fv('.) on. 6A-R-0MA A :5'~ JOB LOCATION 643::)?:)* STR-ee:r PARCEL I.D. # ~\\ ,- 2..(,-2'- COlD -01'200 -6"2.1-0 SHOW ALL EXISTING & PROPOSED ~TRUCTURES G,VING DIMENSIONS & SETBACKS. (06 " ~,~/ ~ ~ , T ~~'~ ';Q J t \f > / '1t7~v -.f~ 31 ( p-><- I 5(~ f( ~S'. {c;~ I \~' l '\ \46 l4' )' \ \ \ ALLEYWAY ACCESS FOR GARAGE OR CARPORT 15 FOOT SETBACK REQUIRED. I ~i''1.J~q--J FRONT PROPERTY LINE UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1- SETBACKS FOR Rl, R2 ZONING 60' 10' P E R X 0 I 10' 'p S 10' 0 T 1 0' S I E N ,0 " G 2. SETBACKS FOR R3 ZONING 60 '- 10' EXISTING 10' 1 0' PROPOSED /~ 20'SGL FAH 30'DUPLEX FRONT PROPERTY LINE FRONT PROPERTY LINE APPLIChfiOB FOK PERKlT CI'IY OF ZKt'UIKH II.T.S BUILDIliG DRPAKnurJftrl' OWNER'S RAME re.'E1D e-~ A OWHER'S ADDRESS ~4'~lJ f3I::6 ~ft1'Y!~ A-7 1jIht!e 'I eBZi2 I..EGAL DESCRIPTImI: LOT(S) II f 27.... BI.OCI{ \20 SUBDIVISIOl!ilTaeNofZtZP"yQ.hdrs P,~ PARCEL I.D.f~l.:.l'OIO- 0"0-00 - OZIiJ WORK PKOPOSED:_Bew Construction ~tiOll _Alteration _Repair, _Inst:all AIJ~.Jit~PIIOe-7BObIf:q 5~ JOB ADDRFSS _Sign __!!love _Deaolish PROPOSED USE: >< Single Faaily _KIF _, of Units _K/H _ec-ercial _Indust. _Stria. Pool Other _Restaurant &: Health Depart:aent Approval BUILDDiG SIZE: x Square Feet, Height RESIDEHTIAL : COItIIERCIAL : ATTACH (2) PlOT PLAliS &: (2) SEIS OF BUlLDDIG PLAJ!iS &: (1) SET ENERGY FORKS. ** ATI'ACH (3) SILTS OF BU.iLDIIIG PI.MS &: (1) SET ERERGY FORKS. ** **COPY OF COJrrKAct JUlI1(DIRED. ""ERKTTS KEOUESTED _BUll.DDfG $ Y'aluation of Total Construction _ELECTRICAL _AKP Se~ce Flori,ja Power Corp. W.K.R.C. --1tECHABICAL $ Va111Jation of Kechanica1 InstalJ.ation ~DfG GAS ROOFDIG SPECIALTY TYPE OF COlfSTRUCTIOB: _Block Fra.e _Steel \c.l:tJD ~o02cl~ Other FIRISHED FLOOR ELEVATIOlNlS:~CfPlel.le~ PKO.JECT IN FLOOD ZONE AREA? YES NO **************************t:*************** COWI'KACIOR SECTION COl!IPMUY State Cert. or Regist. I City License Registration I *****t************************************ RmT.DF.R Signature SiPl1::1ture COl!IPMY State Cert. or Regist. I; City License Registration I ****************************************** ELECTRICIAN ~AJ!iifl': !!!:3!::e (".p........ _ or Regist. I Gi~ License Registration I **********************~******************* n.gmER Signature CO!'lPAiIY State Cert. or Regist. I City License Registration I ****************************************** KEa:IAlIICAL Signature flT'ffRR r ~ IXIIIP&'IY_~ (!oU'~ ;f)tat~" f'..ert. or Regist:., " City k.icense RegistratiOn. , ********* 'I'H1:*********.'.t******************* . Signature y /,?~ / I' 0 APPLICATION APPROVED BY PERIITT OmCER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait 'lay be subject to .deed restrictions' which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a rontractor or c~ntractnrs to undertake work, th~y aay be required 'to be licensed in accordance with state and local regulations. If the contractor is not 'licensed ~s r~quired by law, both the owner and contractor aay be cited for a aisdeaeanor violation under state law. If the ONner or intended contractor are uncertain as to what licensing requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611. Further.ore, 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 ONner 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 aay be an indication that he is not properly licensed and is not entitled to perlitting privileges in-the City of ZephyrhilJ~. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECT10N 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 Departlent of Agriculture and Consuler Affairs. If the applicant is soaeone other than the .owner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the .owner. prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in coapliance Nith all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as injicated. '1 certify that no work or installation has coalenced prior to issuance of a per.it and that ~ll ~ork will be perforled to aeet standards of all laws regulating construction, City codes, zoning regulatiolls, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies aay apply to the intended work, and that it is ay responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not liaited to: I Depart.ent of Environaental ReQulation - Cypress Bayheads, Wetland Area~ and Environaentally Sensitive Lands, Water/Wastewater Treataent I Southwest Florida Water "anaQelent District - Wells, CYP"ess B3yheads, Wetland Areas, Altering Watercourses f Anv Corps of EnQineers .. S~d''J1l5, Docks; Mll\l'i'Jab~,!! Wat~r"7jY<' f Denartaent of Health & Rehabilitative Services. Environaentcl He~j!:~ unit - Wells, Wastewater Treatlent, Septic Tanks I US Environ.ental Protection AQencv - Asbe,tos abatelent I also certify that, if fill aaterial is to be used in Flood lone "A' or 'A,etc,', it is understood that a drainage plan addressing a .colpensating volule. will be sublitted which is prppared 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 perlit prevent the Building Official froa thereafter requiring a correction of errors in plans, construction, or violations of any code., Every perlit issued shall beco.e invalid unless the work authorized by such perlit is cOllenced within Sl~ aonths 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 r.o&.enced. One 90 day extension of tile, aay be allowed for the perait with fee charge of $15.00. The extensiDn sh~l' hp iequested in writing tD the Building Official. An apprDved inspection lust be logged during each six lonth period, or the project will be considered abandDned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"ENT. JOBS UNDER $2, 0 IN VALUE DO ~n. NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTqR STATE OF FLORIDA II COUNTY OF {/ ,4-:5 ~ 0 The fc,regoing i~trLlment wa,;; ad,nc.h<ho<dged before me this - 9{~f:.r 5, 19~ by / 'H .', ,Y~ eJ '€..R-, (', Ie. . ,-c.;h~uJ who is personally known to m~ or who has produced !~-'R. : I) e R..:S Lie e IU 6 e... as identification and who did/did not t an oat/) BT~TE OF FLORIDA CQUiTY O. The Toregolng Instrument [ccfore me th is was acknowledged ! 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. (Siyn~t -'ll1l ., (Nam~ ~ pedt Printed ~~OTARY :=-UBLJ~ . (Signature) (Name Typed, Pri~ted or Stamped) NOTARY PUBLJ C Zorary PUbllC, Stale of Florida at lar y Comm~);r;', F.~!';'l!S July 5. '993ge APPLICA.TIO~ F""R PRtlKIT CI'IY OF ZItP.IfYKf..:rr.LS BUII.DIliG DEPARn'IEIn" OWHER'S 1WIE~e-tLLL1- ~(.)oR- ~J:t~e 7SObI87 OWliER'S ADDRESS 6'4 ~ Bt!-' Sliker JOB ADDBESS A~e ~ LEGAL DESCRIPTIOIM: LOT(S) ~U 2-7- BID'X--1.2Q..SUBDIVISIOlNl_~ of ~~tQe; PARCEL I. D.:f :# \ \ - "210- 2.1 - a::1IO- 01'200" 0 2.10 ~e ItS WORK PROPOSED:_5ew Construction ~tion _Alteration' __Repair _Tm;:ta11 S. - 19J1 _Move _Deaolish PROPOSED USE: ~ Sing1e Faaily _KIF _, of llInits _M/H _ec-ercial _Indust. _S~. Pool Other _Restaurant &: Health :oepan:.ent Approval BUILDING SIZE: x Square Feet. Height RESIDEHTIAL: COttIIERCIAL : ATTACH (2) PI.OI' PLAIIIS &: (2) SEI'S OF BUlLDDiG PLUS &: (1) SET EHERGY FORKS. ** ATTACH (3) SEI'S OF BUllDIIIC PLMS &: (1) SET mmRGYFORKS.** **COPY OF CORI'RACT BIlQIDIlUlD. PERllfTTS REOUHSTED _BUILDING $ Y.a1uatioo of Total Construction _ELECTRICAL _AMP SeLwict:. Fl0.L:~da Power Corp. W.R.E.C. ~CAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF COIISTRUCl'ION: _Block Fra.e _Steel V-tt:oPl'ITlooa:::.k.. X Other /" tl\~~I-RV02L FIIIISHED FLOOR ELEVATIOBS: I f FT. ,- IS PROJECT lli FLOOD ZONE AREA? YES .:L 110 *********************~*****w************** aJIIiI'I'RACIOR SEC1'ION COIIPAMl'l State Cert. or Regist. " City License Registration , ****************************************** RUTT.DF.R Signature SiPn::lture COl!IPMY State Cert. or Regist. , Cit:..V License Registratioo , ********************~********************* 1ff.F.cTRICIAli CUIl'.DY 5..~re Cer!" ,)Y' Regis!:. ,,_ Gity License Registration I *********************.'..,,****************** . PLUKBER Signature COl!IPABY State Cert. or Regist.1 City License Registration f ****************************************** KECHAlUCAL Signature 0T1JF.R S~rore Lip COl!IPAJMY.J(e"~ (l.of4C(l.<Z\<' W 4 State Cerl:. or Regist. :f '/ CH:y License Registration I - c- ..u~..... :-~..uu._.uuuu . /t':.7~~ , /6 << APPLICATION APPROVllD BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands' that this perait .ay be subject to "deed restrictions" which lay be aore 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 c\ntractors t~ undertake work, they I~y 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 aay be cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to cuntact the City of Zephyrhills Building Departaent, (B131 78B-6611 . Furtherlore, if the owner has hired a contractor or contractors, he is advised to'have, the contractor(sl 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 respol';ible for the work. If the contractor wishes you to sign as contractor that aay be an indication that ile ii> jjj); proper;; !~;::~Il;,i!ti and IS not entitled to peraitting privill'Qes 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 - Hoaeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soaeone other than the "owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/DWNER'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 devElopaent. ' Application is hereby lade to obtain a perlit to do work and inst~.lation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perait and that all work will be perforled to aeet 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 IY responsibility to identify what actions I lUSt take to be in co~pliance. Such agencies 'include but are not lilited to: , Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Wat2r/Wastekater Trcatlent , Southwest Florida Water "anaQele~t District - W~11s, ~y~res5 Ba'f~F~15, Wetl~nd Areas, Altering Watercourses .. Any Corps otEnq'!-'Q~ - b;""'H.." Dods, ,m,:~;'11~ ;;ii~~; if",::; , Departaent of Health L RehatHitat!v!! ~f',r\/J.!;e!, l:.l1vironal!_nt;l_~f':::'J'1 Uil1!. - Wells, Wastellater Treataent, Septic Tanks , US Environaental Protection AQeJ.cy - Asbestos abatelent I also certify that, if fill aaterial is to be used in Flood Zone "A" Dr "A,etc,", it, is understood that a drainage plan addressing a "colpensating voluae" 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 "ith the Mork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official froa thereafter requiring a correction of errors in plans, constl'uction, or viDlations of any code. Every perlit issued shall becoae invalid unless the work authorized by such perlit is cOllenced within six aonths of issuance, or if work authorized by the perait is suspended or abandoned for a period of six 101lths after the tiae the work is cOllenced. One 90 day extension of tile, aay be allowed for the perait 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 lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC~"ENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CUNSUlT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCEKENT. JOBS UNDER $2,500 N VALUE DO NOT NEED TO RECO~D AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR l' STATE OF FLORIDA tI COUNTY OF 'ff'S (' ~ .___ ~~;;;r~~' ~~; 5 ' 7k;~7;:J;"~ 9$i '~~-';9~d ;--fi' eeA e e (C k~ If . (;,h1H:-() who is pers~,nalfy~nOwn to me or who has produced .lJ.P.sc)~.c...'~ /../ce.u-se/ as identification and who ~id/did not ~~~:::4::7 (Nain~yp~d, Printed or Stamped) NOTARY EUBLIC :'i;~: Jf Fl~RIDA COUNTY OF : ;,,,- i.:.'rt::'gul;-,g l"",tl-Ullpn'i: was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. . <Signature) (Name Typed, ,Printed or Stamped) NOTARY PtlBLIC Noraty pu~. Slate of Florida at lar e My CommISSIon EKPires July 5. 1991