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Home My WebLink About92-2743 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<l 2743$; 11-~~<J'2. Date ~ ~ ~~ Water Conn: :::::,~s:~" ~~:i! 1~~ a~~ ~h~ ;~:e:,Metet /I-P~- :C2/- 0010 - Old, OLJ- OD/}'l) Zoning: Energy Code: ? ~ Radon Gas: If }; Desc,iptionofWo'. ;:f, I ~ (' ~ ~~;..J? ~~ 44~ ~' ~ Sewer Conn Parcell.D. # NO OCCUPANCY BEFORE C.O. FINAL ) / - / '1- L DATE Complete Plans. Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or ~ Contract Price Y () t). - Inspector Po,mit FO~ c:2 O. ~ . Sign'tuto ~~ j)-d~.v~ Company _ Address Telephone# City License Registration # ~ ~rtmOd Liconse#_---- . tU-n .;./> BUilDING ElE~ ~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PlUM8J.N6 ------ MEDj ^ ~J1CAr- - Ftr. Pre SLB lintel FRM. Insul. CL Wl SlB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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. OWNER DEPARTMENT PARCEL I. D. # 11",~(,"'~l-€n;JIO -tililoJ- /;){# Iv SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. /1 ,)~< tf{~': }vI t k-. ~'.~' ~~~. ;.' II r 1 \ ~ '~-fb '('''',1 <<(! . ~'" ~:. ~ ;~ ~ ~! 1t>.t_Jt 1 ) . I'" i: ~~"... : ': .!, :.. r sc':~f1 i \ . I ~I ~it._""'""~'Iof>'""",""",.I"-, '*.~' r(~ /. ; 'T_, ~ !+CJ u -11 '"C t I I rMnf'J:J' UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. I ,\ j t, ~j'~- 11('~ ~ .... ,!J.,~..<,~. '.,,',A.....~ MAl r ~', ~, ..... - C~ ~~: FRONT PROPERTY LINE It.! ef. '~ (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' la' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE 2. ~ETBACKS FOR R3 ZONING ,~ 60 I , la' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRONT PROPERTY LINE APPLICATION FOR PE~~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT cr "~J (\, S~';" :::::s:1f!~ r-:JL:;;-. ~ PHONE~/3* ?RF':.q~' JOB LOCATION3/f1/()3 /tl ~, LOT SIZE_X AREA SQ.FT. LEGAL DESCRIPTION: LOT(S)[/lttlfIJ:J. L"r/' ?~~cf I~SUBDIVISION . PARCEL I. D, ~F /I-;Jc;.. d2/ - c..-d /0 - C; I (,(}O -'~ 0 ') <..) WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish ____Commercial ____Indust. ____Swim, Pool ,____M / H ;: ~e,e,; Other . PROPOSED USE: ____Single Family ____M/F ____# of Units ____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. 'f.VJ'r'i, ~. ~M t V BUILDING ,:-! $ q()c>. PERMITS REOUESTED j'f::... Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ..S'" I ,.-: A" l-; ,~ii'''t .,/ III 'l. ".......4""1 I; CONTRACTOR SECTION Company n .' State Cert. or Regist. # '. (,.;t....'t..<'t,l~ City License Registration IF ****************************************** BUILDER Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** PLL'MBFR Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist, # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait aay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ow~er has hired a contractor or contractors to undertake work, they aay 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 aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furthermore, 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 per.itting 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 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 to the .owner. prior to cO'lence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOtlenced prior to issuance of a pertit and that all work will be performed to leet standards of all laws regulating construction, City' codes, zoning regulations, and land development regulati~ns in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is Iyresponsibility to identify what actions I lust t.ake to be in cOlllpliance. Such agencies include bnt ~iP. liCIt lilllited to: I Departaent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensjtiv~ tdnds, Wat~j/Wa5t2water Treat;ent I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departaent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatment, Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbit a drainage plan addressing a .coapensating volule" will be subaitted which is prepared by a professional engineer registti~d 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 viojate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficial fro. thereafter requiring a correction of errors in plans, construction, or violations of any code, Every permit issll~d ~ha)l becole invalid unless the work authorized by such per.it is cot.enced within si~ lonths of issuance, or if work authorIzed by the pertit is suspended or abandoned for a period of six tonths after the tile the work is cOlmenced. One 90 day ~~tenSJDii of tile, may be allowed for the permit with fee charge of $15.00. The e~tension shall be requested in writing to the Building Official. An approved inspection aust be logged during each si~ tonth period, or the project will be considered dbaiidoned. 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 NEED TO RECORD AND PiJST A "NOTICE OF COMMENCEMENT". OWNER OR AGENT SIGNA TURE ______...Jl..L_________________ CONTRACTOR SIGNATURE DATE_______________________________________ DATE NOTARY AS TO OWNER OR AGENT NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES MY COMMISSION EXPIRES APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT t:f-. '.?~-:C,....l ~/,-~,. .; i t:' PHONE ?/.3 - ? Jig;-... /3?~ ADDRESS OWNER - JOB LOCA ION / () I (..,; LOT SIZE_X AREA SQ. FT. t"'..L J.J- ?-y 9 Iv LEGAL DESCRIPTION: LOT(S)C~ /b fA.1:f BLOCK / t; SUBDIVISION , PARCEL 1.D.# 1/ -;2(;,...;2./ - Od /0:"'-0 l~dO -C/O) c.J WORK PROPOSED:~New Construction ,____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish ____Commercial ____Indust. ____Swim, Pool ,____M / H P'ui~ . Other PROPOSED USE: ____Single Family ____M/F _4~ of Units ____Restaurant & Health Department Approval BUILDING SIZE: X_, Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. ~G ~.90 crt-. $ 0, PERMITS REOUESTED It)! J () f" \ /Wli fC ,Ri/N) Valuation of Total Constructioq. l! /r.).~l ____ELECTRICAL AMP Service Florida Power Corp. _\-l.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 Company State Cert. or Regist. # City License Registration # ****************************************** BlJ1LDER "- Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist, ~F City License Registration # ****************************************** PUJMBFR Signature Company State Cert.. or Regist. # City License Registration # ****************************************** MECHANICAl Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned 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 aay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, botht~e' owner and contractor may'be cited for a misdeleanor 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, (8131 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 .ay be an indication that he is not properly licensed and is not entitled to permitting priYileges 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 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 deliyer it to the .owner. prior to cOllencelent. 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 develop.ent. Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or installation has co.tenced prior to issuance of a perait and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but ile not limited to: I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatment I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departaent of Health ~ Rehabilitative Seryices, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks I US Environaental Protection AQency - Asbestos abatelent I also certify that, if fill lat~rial is to be used in Flood Zone "A" or "A,etc,", it is understood t~it a drainage plan addressing a .colpensating volule. will be subtitted which is prepared by a professional engineer registered in, the State of Florida prior to perlit issuance. A permit issued shall be construed to be a license to proceed with the work and not 'as authority to vioj~te, cancel alter, Dr set aside any provisions of the technical [odes, nor shall issuance of a permit prevent the Building Ufficial from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issll~d 3Dall becole invalid unless the ~ork authorized by such per.it is coaaen[ed within six lonths of issuance, or if work authol lzed by the permit is suspended or abandoned f{11' a period {If six lonths after the tile the work is cOlilllenced. One 90 day i!;d"i,siCIi! of tillie, aay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An approyed inspection must be logged during each six lonth period, Dr the project will be considered ~bi~~oned, 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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NG'j ICE OF COMMENCEMENT". --~ SIGNATURE_____________------------~-------- ( OWNER'JlR AGENT ~...o;;';;;""'" ~/ /' ,,/- / SIGNATURE______+~~~----------------- CONTRACTOR DATE_______________________________________ 00.,,:0"')._- 0 0, ~~yo~:~~~~T~~)-------------------------- MY COMMISSION EXPIRES______________________ DATE NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES