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Home My WebLink About92-2554 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<.! 255413 -- :7 ;l. Date J-IO ~DIN~~~ ~ P,"perty Own" W~ Z y ~ Job Add,..., 3Z' - - tJ1,PA __~h~f_~ Parcell.D. # Sewer Conn Water Conn: Water Meter: TI.F.'s: Zoning: Energy C;ode: Description of wo;;-- K ~ A.A/J <10 -d 7~ Ra~n/: 7 d /L<:.r-e--<<~ NO OCCUPANCY BEFORE C.O. FINAL j"--- Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# , ? ';)..S. - Permit Fee :2--5--" Signature ....::::5'"~ Company Address Telephone# o-i) Valuation or Contract Price 1/) J:], cT7;> - 4'l Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway J1f""'fl-bJll 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. Cunningham Constyuction 2004-A Foyt King Rd. Da(':le City~ Fl__ 33525 ******************************* I:::: U ''I'' I I'll (', ''I'' E ((:H),:t) ~::-J:21-0'::J5~,:; ******************************* : Cu'",t c'mer' : 1'1 F: ;;:': 1"1 F~: ~i F' E I\~ N \( 39777 MEADOWOOD ESTATES ZEPHYRHILLS" FL 33540 (813) 782-3757 HOME E~;t IfTlatF::I:J:: '1143 , ------------------, DElt e: 0f.3/ 05 / :32 ,----------.-------.--..------.-.---------.--..---------------.---.-.......---.----.....---.-......... Claim Numbey: 627-0797-083 Claim Date: 08/04/92 ESTII'\(-iTE D(~iTE: ,0El/OC/':):? P f':! f {,? 'r f? 1"1 C P :: ~:::, () 1"'1 1'1 "'J :----_._------------------------------_._-------+--------.--.-.---...-.-...,..----.--..-....----...--------------.--/ : tIDJ'Uf.-3TER: SOr\lt\l\" DEP(.iLJD(, ALLSTATE INSURANCE CO. F'. o. DoX 210=:: NEW PORT RICHEY, FL 34C56 (800 :i/)'i:,,--'?23i::. (813) 841-912C FAX # \--------------------------------------j CONCRETE DRIVEWAY DAMAGE (L., I CiHT I NG) PdL., 1"I(.T!::::F'I {-'ii" ;~, LriBDI:;:: (...J I I._L. BE FUI?N I SHED FOP (iL.I., I TE=J'1::':; L I ::::;TU) F"( i c:: Co? L. ll: Dc!,=,c)r i pt :i, on Qu~nt. vim Per vim Building '. J IGHTING DAMAGE TO DPIVE TEAR OUT CONCRETE SI,AB r: (J N c: F' E 'TE:; L.r'd:~ ( .:.1" ) :I. "7 E:" ~:.:.:: ( ) :::; C.) r . ..;.. J. '/ F5 " ~:~: () ~::) C:"~ F" ""; :f 1.;).0'::) , , ..:... '-', ~::.' 4i:) :i. " 1 ;::::; 4 L I Cil'lT I I"lei D':~I\'IACiF TU DF::[ VE Elu,!:,!.: (.t ,(,1 C::: :l. 1 .. ::~~7 t:::- ,.1 f; 7 8 ':) DUMP FEES & GENERAL CLEANUP BU I L,[) I N(3 F'I.::::PM I TS BUILDERS PROFIT (10%) BUILDEPS OVEPHEAD (10%) 1 1. 1 1 E~("~CI'I E~('ICH EJ'IC:ll E:r,CH :J. )' ~.:.::; " () () () :~:~~:.1.. ()()(i 1. 01" 1. ::::0 1 7~:,i" 00 Z'.i.oo 101.13 1 (> 1. 1:::: :1. ():l " :1. ~':::() 10 SuhtotEll 4n:~: . 2f,. 1'1F: ~( t1F.:S PENNY E~::.,t i mElt: c:. H:: l:l.4J :Il Df~SC '(' i pt i 011 ..._....__...__..___.____.___..__..._.................__..___._._._._.___.____._......____....__.......M.__..__..__..._..........._........_.........................~....-.......... .... ...................... -............---.... ......--.---........ ..-.....--.------,.-.. P"lqf::' .:_ O\,\i'.\lIt" F"( i C (,? u/m PeY u/m Building SUBTOTAL, ..._.._____________.__..__.._.__.....____..__.......____.......__....____.____..._._____._....__..........._.._.......M............___.....................____..., ......_....._...._..._..__........_...... ................-----........-.----.--..--...----...-.--.--...-........-. :1.2 1 :~ " 5~::: (=.iP('~I\~D TOTr':iL ..._ __ RO_ _.. _._ ._ _._ __ __ .u_ ..... _... mO" __ _ _ ___ ~._ ':t.:, 1. :21:3.53 .._ .__ M"_ __ ..._ __ . .- ..- .- .- -- --. APPLICinOh FOP PEf'l'iIT CITY OF ZE'c'YRHILL3 BUILDING D~rA~THEN~ APPLICANT c U #,uI{Jb#"'''' Co/f/ &'72 () m~;(/ JYIty> .01 7"'-/ I ADDRESS ~ A- r~ ;t/Al/;> /l b. JYlA.+ 1111<-5, PeA/id Y JOB LOCATION 39177 /fIeA-t:8'V Lv~.t> ~. PHONE 521-0'p5"'6- OWNER LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLC~K SUBDIVISION PARCEL I.D.4fr O/~ 0 - 000f)6.... 0630 WORK PROPOSED:____New ConstrucLion __Additio"" ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Hove ____Demolish PROPOSED USE: ____Single Family _H/F _# of Units ,____M I H _Commercial _Indust. _Swira. Pool Other _Restaurant t Health Department Approval BUILDING SIZE: x ,_Sq'""dre Feet,_ Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS QF BU~LDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1; SET ENERGY FORMS.** **COPY OF CONTF~~T REQUIRED. P-.ERMI TS 1. .r,illIESJEll _BUILDING $ ValuatiLn of !~tal Construction _ELECTRICAL AMP Service _ _r'~c( "'9 Po\'7er Corp. _\oJ.R.E.C. _MECHANICAL $ Ve,luation~,f i",echaniu?l Installation _PLUMBING GAS ____ROOFING __________SPECIALTy TYPE OF CONSTRUCTION: ____Block _Frame . _St<;el ,Other FINISHED FLOOR ELEVATIONS: .FT. ***********************~.*.0'~**~********* Signature CONTRi.CTOJ'. 5E'T'''''J~ Ce.11pr:'1~Y __ _'_'_' Sta": Cen or Rsgist. IF Cit/ Lice" e Registration iF .J') :J~C:- ********************~****..***k*~******* BUILDER ELECTRICIAN Company _ .___._. State Cer' or Regist. # City Licen~e Registration # **************k*****."****, ~************* Signature PLUMBER Signature Cemf 'iny __, Stat~ Cer' or Regist. # City Licert~e Registration # *******************.f ~****~~.~***~******** MECHANICAL Signature Comr ~ny __ ._ Stat~ Cert. cr Regist. # City License Reg~s~ration # *****1.'* * **** * ** * * *** ,; ~ * if **. *. i:';: i: ,': * * * * i: * i:,~ i: OTHER Signature COlilp?ny _____,. St&t~ Cert. or Regist. # City Licerd~ Registration # ******************~~,~** ~*************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peraitaay be subject to 'deed restrictions' which lay be lore restrictive than City regulations. The undersigned assu.es 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 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 ONner and contractor lay be cited for a aisdeaeanor violation under state law. If the owner or intended contractoo are u~certain\as to what licensing requireaents lay apply for the intended work, they are advised to contact the 'City of Zephyrhills Building Depart.ent, 18131 788-b611. Furtheraore, if the owner has hired a contractor or contractors, he is adyised to have the contractorlsl 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 Nork. If the contractor Nishes 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 - Hoaeowner's Protection Guide' prepared by the Florida Depart.ent 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 to the 'owner' prior to coaaencelent. 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 Nith all applicable laws regulating construction, zoning, and land developaent. 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 perait and that all work will be perforted 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 governaental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environaental Health Unit - Wells, WasteNater Treatlent, Septic Tanks f US Environaental Protection Aqency - Asbestos abatelent I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan addressing a 'coapensating 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 perait 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 cOllenced within six lonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six lonths after the tiae the work is cot.enced. One 90 day extension of tile, lay 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 aonth period, or the project Nill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT lN 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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befcq-e me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknDwledged 19_ by who is persDnally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed~ Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed Dr Stamped) NOTARY PUBLIC