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Home My WebLink About92-2810 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<1 281 f1I5 1 Date 11-d2 '3 - 9:2 Property Owner: Job Address; Parcell.D. # :J~lfjc. E~AL P~G.. ME~-. ~Wl j0Jd i;7. Sewer Conn C~~":~ Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work ~""gy Cod" d C. J' _-:~O~; Radzas: L;;;t ~-;j /'J'YU7d" ,,/{ f}. qt A/ffa NO OCCUPANCY BEFORE C.O. FINAL 'I2LI ~9"2- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE 7r /!./, {//h Permit Fee Signature Company Address Telephone# Inspector Valuation or Contract Price ~70' f)iJ ...-,,_., M L Ftr, Pre SLB Lintel FRM. Insul. CL WL Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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, Sire ~/uW 6 (j A..( 5 (f? ,;..( ~ 'p-Ife lO,Z f To ;(c coc/t77L 5~g, E'fJ5T7l\fq t> u/l.{ K.U 'To ~(.ouf71 :5' IfE- j) '3 2> -~ '- () If C(j tIr( I r~ IE' yrS 771"4 /f d r3 ( L-f:- /frJf1 {. ( fr>f7~ HaOfL(:. (-&Jf~ APPLICATION FOR PERNIT CITY OF ZEPHYRHILLS BUILDING OEPARTMENT APPLICANT :; uA-( 5"'tfr Il./~ M-c (C) fZ-y ?<65 ~ jK I{-r/~I PHONE ?gy' Cj5??J1. ADDRESS OWNER JOB LOCATION ~Y'll'l ~ (-(Ie c.s . tift /(/at!:SIZE4x4 AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. iF WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _4F of llni ts __M/H _Commercial _Indust. _Swim. Pool Other :~ _Restaurant & Health Department Approval BUJLDlNG SIZE: X_I 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 FORMS,** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL :~ _ME'CHANICAL AMP Service Florida Power Corp. _\V,R.E.C, $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUILDER CONTRACTOR SECTION C3' ,~A Company v(/~~ ~ a State Cert, or Regist, IF ~/( l~ City License Registration iF ****************************************** 4U!.Jf rV d If cUfC 11. Signature ElECTRICIAN Company State Cert. or Regist, # City License Registration # ****************************************** Si!!nature PLL'MBER Company State Cert. or Regist, # City License Registration # **********************~******************* Signature MECHANICAl Company State Cert. or Regist, # City License Registration 1 ****************************************** Signature OTHER Company State Cert. or Regist. # City License Registration # Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to .deed restrictions. which lay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance .ith state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a .isdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact .he City of Zephyrhills Building Depart.ent, (813) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} sign portions {;f 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 per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~. 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 - Ho.eowner's Protectlon Guide. prepared by the Florida Depart.ent 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 ti< the .owner. prior to co..encelent. oj, ,l 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 co.pliance with all a~p1icable laws regulating construction, zoning, and land develop.ent. i 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 .eet standards of all la~s regulating construction, City codes, zoning regulations, and land developlent regulations 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 IY responsibility to identify what actions I lust take to be in cotpliance. Such agencies include but are not li.ited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Ar., Corps of EnQineers - Seawalls, Docks, Navigable Waterways f De artlent of Health & Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f Environ.ental Protection AQencr - Asbestos abatelent I also certify that, if fill .ateria1 is to be used in Flood Zone .A. or "A,etc.., it is understood that a drainage plan addressing a .cotpensating volule. will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A perlit issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel altef, Dr set aside any provisions of the technical codes, nor shall issuance of a vertit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code., Every perlit issued shall becole i;jyalid unless the work authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the perrnlt is suspended or abandoned for a period of six lonths after the tile the Mork is COlienced. One 90 day extension of ti~e, ua, be alloNed for the per.it 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 period, 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 'iOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 TO RECORD AND POST A "NOTICE OF COMMENCEMENT". 51 (~? STATE OF FlORIDA f/1f3 . COUNTY OF ~ The foregoing instlument before me this If' 'Y~ , ( / was acknowledged , 1 9 !f.!L--. by STATE OF FLORIDA COUNTY OF . The foregoing instjlment vias aC~OvJledged befct\-e me this '1 '-:~ , 19 :?-. by (,f5Cd who is personally known to me or who has produced as identificat~~. nd take an 0 . k" (SignatLlr~gtarY Public Pasco Co. fl ~~~I\ E~iRs Ma~ 13.1995 (Name , lte Dr S amped) NOTARY PUBLIC who is personally known to me or who has produced as .identificat~.ooJYj . n take an [I ~ I - (Signature) Notal)' Public Pasco Co. FL (NanMytanal~i~MaY IS~ed) NOTARY PUBLIC o did/did not did/did not