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Home My WebLink About92-2615 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 "",ro.' 2615 Permit 1., Date ~-~(-9'v .M rrl' . . "':'~b. 3eVlTer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. City License Registration # State Certified License# Permit Fee Signatur~ Company Address Telephone# Inspector Valuation 0' ~cr. i ~ Contract Price (S) cQ~r BUILDING 31iC;:r, 'II...AL ._--,~.,- IV~, ,AI~I;"'AL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~.~ 3 ~'PI I}n~~L'~ I'-I - V" €Ci<-..f, S,C-{ 0( NOTES: I. BOUNOARY ANO LOCATION SURVEY 2. ANGLES BASEV ON fIfLV ~EASURf~NT 3. nllS SURVEYOR IS NOT RESPONSIBLE fOR EASBENTS, RIGHT Of (c.IAYS OR ENCUMBRANCES Of RECORV NOT SH~ HEREON THAT HAVE NOT BEEN fURNlSHEV ro TIll S Of fl CE OR THA T HE HAS NO KNfXtILEva: THEREOf. 4. LEGAL J;t:SCRIPTlON fURNISHEV BY CLlENT (PHONE J . eec. 11 'T\\1p. 2cP tmc,. Z 1 A SURVEY Of: LOTS 1 ANO 2, BLOCK 190, CITY Of lEPHYRHILLS, AS PER PLAT BOOK 1 PACE 54, PUBLIC RECORVS Of PASCO COUNTY, fLORlVA. "..:,.lvY;:~' "". 1t~\< . ,"i~' ,..,...., . ',' ,\",. . ' 'c" '(11. ,-' ~~". /'" \ \ \ n. SC~~ I'a 20' .If) .' , 9"'ttS~~. O~l~ ~O;l ~??R( ~f: f fl ~"\lO\~G I \<S> \0 \.... \ 'I.. 'i' 'I 00 \1\0 . \ e($.e '(\'#. I '(\ \, ! ~o' .(. LEaNO P.P. : POWER POLE IP) = PLAT 1M} = J..EASUREV SIR = SET IRON ROO fiR = fOUNV IRON ROO ~ = OVEIl HEAV ELECTRIC " I ~\..\O "'~ \0\ \I p.. S"er ~\lt.i \' \~,~\\\-\ -t"L1~S SU o~::/o~$ \6 ~€.o ' \ '{"\ . €:.~t) ~Y' \" \J~~S~\-\\S S\~ 61ll R. 6RO\Vrl ~ ~SSOC1~T~S, 1nc. ~ THIS CERTIFIES THAT WE HAVE MAQF- A SU~VEY OF THE ABOVE DESCRIBED PROPERTY, THAT IT '5 Th'UE AND COR,RE9T TO THE BEST OF OUR KNOWLEDGE AND BELiEf AND THAT THIS PLAT IS. A TRUE REPRESENTATION THEREOF AND THE SURVEY AND THIS,?lAT CC'NFORM TO THE MINIMliM TECHNICAL STANDARDS~ SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS IN CHApTER 21. HH-6 FLA, AOMiNISTRATtVE CODE PURSUANT TO SECTION 472027.FLA StATUTES ../} , //,,) . ./ i ~-.../ {' '- ,~._~--_._~-' __T_~__..__ ______~___ BILL R BROWN, P LS 113555 DATE ~ -l/J - "l. FlO. BOOK ~I FlO. DATE 8 - Zt;, - ::n SURVEY FOR: .mbtRT' ns 38351 Hwy, 54 E, lephyrhllls. Florida 33540 (8l3) 188-6822/788-3077 P,O. Box 1173 Bushnell, Florida 33513 (904) 793-7400 +- c. o /~v 4.5' \\e~ \ 9\0 /0 o\\ei , \ \ SURVEYING ENGINEERING J08 NO. ~Z.1.58> PAGf l4 Z. \ /"~ \ APPLICATIOtil FOR PERHIT CI'IY OF ZEPIIYKHILLS BmLDlliG DEPARnIE!'NT OWNER'S NAHE (}avJd fJ 3'g3L/t/ SfI rn e 11l11~ 7;h~ 3 rcJ ;q.v mmm 7 'i~d. - 73)5 0WJiER. 'S ADDRESS Z e p h Y J1 HJ ) /j ,;:=c ~;3S <.j / JOB ADDRESS LEGAL DESCRIPTION: wr(S)~ <t-:).... BI.OC:K J9 tJ StmDIVISION PARCEL LD.' II - :J..b-/1J- 0010- I,gooo -0010 IiORK PROPOSED: _~ew Construction _Addition _Alteration _Repair t/ Install _Sign _!!love _Deaolish PROPOSED USE: Single Faaily _"IF _, of Units _M/H _<=<-ercial _Indust. _S.n... Pool 1arQ7e ~ther _Restaurant &: Bea1t:h Depart:aen1: Approval BUILDING SIZE: 12 X 30. 3100 Square Feet. 10 fT Height RESIDENTIAL: COHItERCIAL : ATTACH (2) PLOI' PLANS &: (2) SEI'S OF BmLDUiG PLiWS &: (1) SEI' ENERGY FORMS. ** ATTACH (3) SETS OF BUTI..DDK; PLANS &: (1) SET ENERGY FORMS. ** **COPV OF CONTRACT RIlQtlTIRED. ~UILDING PERKIlS REOUESTED $ Valuation of Tot:a1 Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECBMUCAL $ Valuation of Hecbanica1 Inst:allat:ion _PLUMBING GAS TYPE OF roNSTRUCTION: _Block ROOFING ~ Pralle. _Steel SPECIALTY Other FINISHED FLOOR ELEVATIONS: FI' . IS PROJECT IN FLOOD ZONE AREA? V'" YES NO ****************************************** COIM'I'RACTOR SECT'ION BUILDER CDl!f!>>AJtfi State Cert. or Regist:. 4# Signature City License Registrat:ion , ****************************************** ELECTRICIAN CO!IPANY State Cert.. or Regist:. , Si~at:ure City License Regist:rat:ion I ****************************************** PLOKBER CU!lPAXY St:ate Cert. or Regist.. , Signature City License Registration I ****************************************** KECHANICAL CU!lPANY St:ate Cert. or Regist. , Signature City License Registration I ****************************************** OTRF.R CU!lPAJiff Stat~ Cert. or Regist. , Signature City License Regist:rationl *********************~******************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTiONS The undersigned understands that this perlitlay De subject to 'deed ~estrictions' which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESF:pNS.I B I LIT I Ee. If the owner has hired a contractor or contractors to undertake work, they may 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 tisdeteanor violation under state JaN. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 responsible for the work. If the contractor wishes you to sign as contractor that tay 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 FEE2. D. CONSTRUCTION LIEN LA~ (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 Departtent 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 document and promise in good faith to deliver it to the 'owner' prior to cOllenCetent. 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 applicable laws regulating construction, zoning, and land developlen!. 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 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 lay 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: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treattent f Southwest Florida Water "anaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abatelent 1 also cedify \iJat, if fill ia~i::.~;;l i; t" :,;: ;.._:: .: :.~::~J ::-,:", ';.. or 'i\;e!c.", i.t is U:l~f'r~t[lod that a drainilge plan addressing a 'colpensating volute" will be subtitted whic~ is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A per.it 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 permit 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 per.it is co.menced within six lonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six tonths after the tite the work is commenced. One 90 day extension of time, lay be allowed for the per.it with fee charge of '15.0" The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during ?oich ~ix .~nth peJioo, v' 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 COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT". f}au.dOm~ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged 19_ by known to me or who has and who did/did not '~~ho is pel-sonally prDduced as identification take an oath. and who did/did nDt who is per5ona~ly produced as identification take an oath. :.~nCI\l'H1 tc. m~ c.j. ',.:h,.-. h2.~~ . (SignatLll-e) (Signature) (Name Typed, Printed NOTARY PUBLIC c,,- Stamped) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC