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Home My WebLink About92-2714 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<? 2714& Date /0 ., ,),/'"' Y::Z- ~ EL~ PL1:IM1ilIN(.; -MeCHANICAL Sewer Conn :::::,~,:~~'i ~ /;11:':/;t. ParceII.D.# /J-~6 -c:J-/- (JOIO - /CYCJO- 00/0 Water Conn: Water Meter: T_I.F.'s: Zoning: Energy Code: Description of Work R- .Y 10 .; /0 jJ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL d.-<7l- DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # State Certified License# 77 , :~;;~~~:~ &' Company Address Telephone# -) ~~ Valuation or Contract Price {7' s-'" t'TV '~~A/1~~ ~j/Jk PLUMBINt----. MECHA~ Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo 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. S lTE l'U.~1 ( RES ill EN TlAL \J:~ E (Hi ~-j ) AReEL I.D. I( -2~ (./ ;2/ rJ7J/o / (Ila 0 em /() SEe "" 'l' 1 ~" . . i I ~ ,'~ J Jj HOI'EHTY 1-1EASUHEJ-WNT 5b <; r:;; I i-t< <8'- ;UHRENT OWNEHS -----_._-------~_._~----'_._--_._--~--_.,.._- \11 drawings ahall b(~ dnl'.1l1 to uellIe lur Illl I'dru~j:J ,)C , c_, l,;j i 1 \ i: iCj,e~r I- ~ ~~t ('if> 7744 fit. '1 t. ..,. t..r (5V/l( t1 (' t{-f:./'6'<:""- ~ ~:.,- v f' ~i) /lri(!fa ;.. .ej 'n 0 /kt)-IiM _/ :; 1ft // / !,/J ( )..o~ ~ C> l----- -,--,-,-,--, - - J SHOW ALL EXISTINC AND PHOPOSED STr\UCTUf'J:-:S GIV lJiC DHi8iSl'JliS '\iiL :; _:L...\,,,, , ;,,;, AA'Y BODIES OF \-lATER AND J\OAJJ\-IAYS (INCLUDING tU..dES) MiJ/,CE!n 'liJ ';]i1 ,';:'), I.!., " . THE SIZE. YE.AR, ".N~ N!'.;-lE OF ~\O]HLE; SUCH AS 12' ;-: CCJ'. l')(\l. 'l.:~:~l",/v..~'. All "EASEMENTS", "RIGHT-OF-I,JAY" and "JURISDICTIU:"I!, 1.:.:,;-':" -"c<,;r :' ~: :Ti: f" .I.'; (RES lJJlSl'l A.L U:~ E (J!;~,j) ARCEL 1.0. I( 2,~ c ;2/ ~/o / 0900 ()tJ/u . , ~~ SC j n ~ 1"1 HO PEHT!' ~l E.AS \J iZl-j-j !,s: 5b ~~ I 9-r< ~'/ :UHllENT O\olNEHS \11 dra....ings ollnll [H' dr/l'.I;, tu ;;Clll(~ L:r Ill.l 1',I:T(;l:J 1);- ,,_,I_,j i~\l - '. . ____ _,_J SllO\ol ALL EXISTlNC ANU PHU1'CSI,::.. ST!,UCTURE.S CIV1JL; DU{U;Sl':J/;S i.i,L ~;:~~...I,::_ ''''''. ;:j:'~'--:: ,j: A:{Y BODIES OF \~^TER AIm l~orlj',U,yS I,H~CLU[JlliG /;,\,\1::5) !.l),]/CE';r ';,) 'Iii:- j;;i);iTlP.. l/i;'LCi\-:E THE SIZE. YEAH, A!i~ :ii.;\S JF :-\r)il1L.l~; S'JCl! :\S 12' ;-, C:J', ;'J(;;, i',.,~,). All "EASD1ENTS", "RIClir-OF-I,;',l" ;\iL] ",JlilZLSDICTI!;:,,\!. L_... '," ~ : .... '1' .a ~ _ ~ ~_..,' .~ ~ APPLICATION FOR PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT vo t-fr/' ~b1Io/a / -5 t <; S /'1 K g,-- PHONE 7?t~ 700<6 ADDRESS OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) J I ,...2 (0 ;Lf , '- BLOCK SUBDIVISION PARCEL I.D.~F ImIV /o9{}{) 'lJlJ ID WORK PROPOSED:____New Construction ____Addition ____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 BUJLDING SIZE: <:tl XIO c1-7) '?:>V Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S."* ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. ,,:-/, **COPY OF CONTRACT REQUIRED. ____BUILDING $ PERMITS REOUESTED i . c .aV i {;, 7 -5' Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. ~". ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION c-J Company ,20t{6~ t,-/7.i If} ~,--,..", ~ ,:, State Cert. or Regist. # ~ ~ ~ City License Registration # ****************************************** 4-CrJ t1lo/' () .y We' 77 BUILDER ElECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Si!!nature Company State Cert. or Regist. # City License Registration # **********************p******************* PUJMBER Signature Company State Cert. or Regist. # City License Registration ~ ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIi' OFfICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to 'deed restrictions' which aay.be lore restrictive than Citv regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake Nork, they lay be required to be licensed in accordance .lth state and local regulations. If the contractor is not licensed as required by laN, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensino requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, l81]} 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s} sign portions (,f the 'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contracto., 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 FEE9. 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 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 described doculent and promise in good faith to deliver it t" the 'owner" prior to cOlaencelent. 'I ( 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 i 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 perlit and that all work will be perforled to leet standards of all 12"5 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 cOlpliance. Such agencies include but are not liaited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Dods, Navigable Waterways f De artlent of Health L Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t Environlental Protection AQency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage pIa;; addressing a "colpensating 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 pertit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code,_ Every perlit issued shall beeole invalid unless the work authorized by such perlit is cOllented within six tonths of issuance, or if work authorized by the per~lt is suspended or abandoned for a period of six lonths after the tile the work is cOlienced. One 90 day extension of tiie, ~af be allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection aust be logged during each six lonth period, or the project will be considered abandoned. IIARNINS TO OIlNER:YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT I'IAY RESULT IN YOUR PAY INS TWICE FOR I"PROVEI'lEIHS TO 'IDUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINS YOUR NOTICE OF CO"I'IENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrum ~t was.~.~.nowledged before me this _"_ .. f-~, ~!~ by ./=._-_.._~~;~~~.~~~~~;< ,/; . who i}--~Y known to me Dr who has produced as identifiC. a~.~..9R.~. ')'/~r did/did not take an oa[t%t-t:::'" ~ lSignatLll-e} _ ~dk p~C:L'n Co. fL (Name Typed ~ PI- ~~.tR!L 0 -. !G\Q~ May 13. 1995 NOTARY PUBLIC MJ~m^p' /45cJ STATE OF FLORIDA ,f~45C d COUNTY OF / The foregoing instru ent was aC~~Dwledged befeq-e me this I " ---;-1~ Y)--- by lo'lho i produced as identification and who did/did not take an oath ~."// R (S i gna t.ur e) Notary Pub lC Pasco Co. FL -Mv 0 m~issieR E~iftS ~ay n \995 (Name Typed, j!"l'''ir~e or Stamped) NOTARY PUBLIC