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Home My WebLink About92-2608 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2608/t1j f' ~.16 -1''.2. Date ~ ELE~ P~ Pmperty Owne, f;A _<:;- ~ ~-~ Job Address: 3"7 -s <. ~ ~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel 1.0. # Zoning: Energy Code: Description of Worr-P ~../~ -/-..7L Radon Gas: !~-L7 ~-4- NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or " . /A Contract Price /// / .rr City License Registration # 3~-1 State Certified License# Inspector // Telephone# SLB Tub Set Water Sewer Final p.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel 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. II - ~ G S c:::: ~ ^.!J', +, ;- ~ ~ ~ 0 0- l.J) 0 5 ~ ~ ~ ~f~ 0't .......~ ~ \' ~,' (,) ~ , '''lA~+~ ~\ ~,,'\: (\, \ ~ . :;,~ I~ ~ (' ~, ~,~ 10' ~'!\ " f-l ~ ~ r,', ~(\ ~ < ~:.~S~~~\ I r ~'~ r~' I\~~ Q". I ~., '~~ ~ ~ '\ Ii I" ~" \. (\~ \,\ I' jl A,.' X \ ~., "";, ~" ~ ",' ': 1)/ < r-(" '\ . ~ ~0,. !!~: ~ ~ 1\\ '" r i I\~ir \\ ~ ~.' \," , I i"p~ ~. .~: ,0 r " kl,\ ~ ~ () ~ if'J ~ ~\ 'ti " \'1 f ~ ~ 'N ~ (\ ~. - ~ r .......... 1 ~ ~~ ~ ".!) ....... ~ 0'0. r2~ ~::-b A <> ~ 111 4 c...: ~ '~G 1 ji' ~ g o-J '--tJ --/.. - ~ 1::) ~ ~ fD 'tr l\ -- ;- '\:j > , ~ ~ ~ ~ ? -Q.... ~ .:::::- r:. .a ~ ~ ...... ~ ~ '; .. r-.... ~ <::; ~ ~ ~ ............. '" ~ "'tl ~- " --- -.- V) o ~ ~ (f) '\ -< kffi ~~~~ ~ netS-< ~\ :<g~ , ." -t (f) ,--."r-:J:o Ii: ~ ~~o I ~. -m::o I 0,"~--o '1'\ -00 il ~\~~~ I ii' rA ::J ,1 ~ ~ ~ -; .., " :y ~ ~ -: ~ (II - ~ ~ ~- -01 ~ '"11 I r ~ 0"- C \. ~ "i-. l) ~ ""'- ~ p ~ ~ n. ~ 0 <:l .,. ;t ~ ~ .,. ') f r \J r ::!--- ,~ f. ~ ,,- APPLICATIOIII FOR PERKlT CTIY OF 2Il:PHIKH II.T.,!i Bl'TII.DTIiG DRPARnIE!iT . / ;;YfSTt1 f~~~ ol f/rF 6?3 '. .... \;" P (<1 ( -r v () J to Sf /9 &.b-E:. I OWIIER'S ADDRESS ,1/ 7-#:{;' 'A.l, /S'3A s /- 7? "'tP/ cfI' /.5 J.It- A: ve , 2=rJ '( r f-J/ / is LEGAL DESCRIPTIOlI: UJI'(S) mmm tf' ( :J ~ f' 77 -c.l.. b tl.':l OWIIER'S RAKE t:"J _ . r JOB ADDRESS ~SUBDIVISIOR PARCEL I. D. t WRK PROPOSED:_5ev Construction ~tion _Alteration _Repair. -X:-Install S' - 19I1 _!!love _Deao1ish PROPOSED USE: Sing1e Faai1y _ff/F _' o:f Units _K/H _~rcia1 ._Indust. _Swill. Poo1 Other _Rest:aurant 5: Bea1t:h Departaent Approval BUILDIIIG SIZE: x ~e Feet, Height: RESIDENTIAL: cottKERCIAL : A1TACII (2) PLOI' PLAlIS 5: (2) SEIS OF BUILDDiG PLUS 5: (1) SET ENERGY FORKS. ** A1TACII (3) SETS OF BUILDDG PLUS &: CO SET ENERGY FORKS. ** **COPr OF CONTRAcr RlJQUIRIlD. PI!'RlPIT1"S REOOESTED _BUILDIIIG $ Va1.uation o:f Tot:al. Construction _ELECTRICAL AtIP Service F10rida Power Corp. W.R.E.C. -,---1fECIIAIIICAL $ Yaluation o:f ffechanica1 Installation _PLUKBIRG x CAS ROOFDiG SPECIALTY TYPE OF COIISTRUCTION: .K-B1ock _F1raIile _Stee1 Other FllIISHED FLOOR ELEVATIOBS: FI' . IS PRO.JEcr llf FLOOD ZOBE AREA? YES NO ***************************************~** COIIItI'RACI'OR SECTION BmT.DF.R Signature COIIPANY St:ate Cert. or Regist:. I City License Registration , *****.**.....******************************** RTJI'..crRICIAIf SiPll::llture amPM.I' St:ate Cert:. or Regist. , City License Registration t ****************************************** PLUlBER Signature COIIPARY State Cert:. or Regist:. , City License Registrati~ I **********...**~*****v**~********~*~**** KEalARICAI. Signature aJIIPANY St:ate Cert:. or Regist:." City License Registration I ****************************************** 0T1IF.R COIIPAln' ~ n 'itI h~ ~fl St:ate Cert. or ist:.- t Si1!naU ____~ eUy License Registnotico . ( * * ***~*aAAAAA********************* c.... '~7D9 3{i'/ ' APPLICATIOII APPROVI!'D BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICT~ONS The undersigned understands that this penH 'lilY be subject to "deed restrictiol~5" which uy be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas hired a contractor or c~ntraLtors to undertak~ Ilorkl they lay be required to be licensed in accordance with state and local regulations. If the contractor is not ';l!cen5~} 3<, n:qt'ired by li:~!, both the owner and contractor lay be cited for a aisdeaeanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they ~re advised to tont,att the City of Zephyrhills Building Departlent, (813) 788-6611. . Furtherlore, if the owner has hired a contractor or contractors I he is advised to'have the contractorls) sign portions of the "Contractor Sections"' of this application for which they will be r~sponsible. If you, as the owner sign as the contractor I you are indicating that you, rather than the contractor, are r~spcn5ible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly l~censed and is not entitled to peraitting 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 - Heleowner's Protection 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 des~ribed docuaent and promise in goed faith to deliver it to the "owner" prior to cOlaencelent. E. CONTRACTOR'S/DWNER'S AFFIDAVIT I rertjfy that all the inforlatien in this application is accurate and that all work will be done in cOlpliance with all applicable 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 Dr installation has cOllenced prior to issuance of a penit and tlat all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and Jend developaent regulations in the jurisdiction. I also certify that I understand that the regulations rf other governlental agencies lay apply,to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: ~ Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent ~ Southwest Florida Water ManaQelent District" Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses ~ ArlY Corps of EnQineers - Seawalls, Docks, Na\;~able Waterways I Departlent of Health L Rehabilitative Services, E~vironlent'.l Health Unit - Wells, Wastewater Treatlent, Septic Tanks ~ US EnvirDl!!!!~1lt31 ProtectiDn 'lnenCy - Asbestos abitelent I also certify that, if fill laterial is to be use~ in Flood Zene "A" Dr "A,etc.", it is understood that a drainage pian 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 wit;. the work and not as,authority to violatel cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or vlDlations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cO'lenced within six lonths of issuan~e, or if work authorized by the per.it is suspended or abandoned for a period of six lonths after the ti~e the work is CO.ienced. One 90 day extension of tile, lay 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 lonth periodl or the project will be considered abandoned. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT'. " SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowl~dged before me this __________, 19____ by STATE OF FLORIDA who is personally produced as identification take an oath. known to me or who has and who ~id/did not (SignatUl-e) ~~ (Name Typed, Printed or Stamped) NOTARY PUBLIC .4;t/1~t:,;; PA!R1C.lA ~ ~ARRlNGTON ~*/i1\..:; M, COMMI!>>IO.~ (I CC 178637 ~;,~.:~} EXPIRES; Fl!llruafy 9. 1996 ''it.9i'i.J$-'' Bonlisd Thill W,,13IY Public UndltWlllM