HomeMy WebLinkAbout92-2654
BUILDING PERMIT
Permit
265415
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CITY OF ZEPHYRHILLS
(813) 788-6611
N~
Date
~ -= 01J (;)b c CJ1)
~~~CTRIC0 P~_
Property Owner: (7 J~ AI tl1i~
Job Address: 3 ?-It.33 - .....f>-..d.. ~
Parcel 1.0. # J / -~ h - ;;lJ - 0 0/0 - / Y b () D - 0070
Zoning: Radon Gas: /.
M~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Description of Work
FINAL / / -/6 --Q),
NO OCCUPANCY BEFORE C.O.
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
~-
Permit Fee .
Signature ~/~
Company
Address
Telephone#
Valuation or
Contract Price ,5;' Y ?'7J '" CTo
City License Registration # .2 --5:.-7
State Certified License#
i~ OJ /d})EWVL
rJ"),. Jyt 17 ^-
ELECTRICA.\;;
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
Compressor
Final
Ftr. . Tp. Servo
Pre SLB ~ough In
Lintel Meter Can
FRM. JD-I5-9~ 6 tJI: Const. Pole
Insul. CL Pool
WL Pre-Meter
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF ZEPHYRBILLS BUILDING DEPARTMENT
OWNER C/lbrJ..(S A rflNS
JOB LOCATION '3 ?i' 33 S e /! Vt .
PARCEL I. D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACkS.
(NOTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E
R X
0 I
la' P S 10'
0 T 1 0'
S I
E N
D G
20'
FRONT PROPERTY LINE
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
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2. SETBACKS FOR R3 ZONING
60'
la'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
.("...:b."V.:'/,'l/ ft. t.!?h.?W';'/
ADDRESS 39) '/ &c'cKt/'7 /2 cl tflAt~;{ Cdf
cAb r/t .s ''''U/~S
JOB LOCATION '39-$>"33 Sztl AIC. LOT SIZE 00 X /30
21;1'/66(0);/ PSt.-/ t~/L)r/j
LEGAL DESCRIPTION: LOT(S) BLOCK/~6 SUBDIVISION
PARCEL I. D. # 1/-:2 6-~/-OO/ O-/'7~ClO-~o ?O
APPLICANT
PHONE .56' J;2 3f' t
OWNER
AREA SQ. FT.
WORK PROPOSED:_New Construction ....iLAddition _Alteration _Repair _Install
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: _Single Family _M/F _~~ of Units ._M/H
_Commercial _Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE:
X
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
_BUILDING
$ S'YO'O ~
Valuation of Total Construction
_ELECTRICAL
,I'
_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.
******************************************
BUILDEROa/VQ/c/ /<' /5;oVVN
Signature ~~ ~&--
CONTRACTOR SECTION
Company 00/V4'/.:"/ /t. 4row:;/
State Cert. or Regist. #/(!<.OJ3.,o.S71
City License Registration 4F . ~
******************************************
ET.ECTRTCT AN
OtM/V-e yo
Company
State Cert. or Regist. #
City License Registration #
******************************************
Sismature
PLUMBER
----
Company
State Cert. or Regist. 4F
City License Registration #
******************************************
Signature
MECHANICAL
,,---
Company
State Cert. or Regist. #
City License Registration 4F
******************************************
Signature
OTHER
..-
Company
State Cert. or Regist. #
City License R~gi
Signature
\PPLICATION APPROVED BY
"1.",~')"Ofl to ~}I,,!:>
.t!:.<** **
~PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DE D RESTRICTIONS
The undersigned understands hat this perlit 'Iay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersi~ assules 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 owner and contractor lay be
cited for a lisdeleanor violation under state law. 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, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 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 - HOleowner's Protection
Guide" prepared by the Florida Departaent 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 pro.ise in good faith to deliver it to the
"owner" prior to cOI.encelent.
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 developlent.
Application is hereby aade 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 aay 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:
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 ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f uS Environaental Protection AQency - Asbestos abateaent
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 pertit issued shall be construed to be a license to proteed 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 frol thereafter
requiring a correction of errors in plans, construttion, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such pertit is cO.lenced within six lonths of issuante, or if worx authorized by the perait is
suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tiae, lay be
allowed for the perlit Mith 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 OWMER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
C~"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEKENT".
e
SIGM~
~
a~g~
SIGNATURE: CONTRACTOR
known to me Dr who has
STATE OF FLORIDA -'~
COUNTY oF7'/ERAI/lA/fJO _
. The foregc. i ng ins trument ~Jas a?);o~J I edged
be:-=l\-e me thiSL,.~;t // , 19 by
b/J did J? 8.f/112<J /J
who is personally known to me or who has
produced
t. . -
a h.
STATE OF FLORIDA
COUNTY OF . PASCO
The foregoing instrume~t was a~knowledged
bef(ll-e me this. ~FPT 1~", 19...92- by
...c' ....
c.;;:==-
and who did/did not
"--;-
(Signatur )
6
(Name Typed, Printed or Sta~pp.d)
NO;r.ARY PUBLIC
NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP. OCT.28,1994
BONDED THRU GENERAL INS. UNO.
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