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Home My WebLink About92-2852 BUILDING PERMIT Permit 2852;J Date I~ - /f-9/1.. . :5S~. ~ CITY OF ZEPHYRHILLS (813) 788-6611 N~ ",. ~ 12---- _ ~ P~' ME~ SewerConn ::~:::,~:~e' ~~t2~#(~~,( 2-bllo-~)- oS-i) Zoning: r'ergy Code: ~ Radon Gas: I) " Description of Work ~ /e /!tU<k.. (_ ~ IJlryJ (.J..eJ>6 ~ Water Conn: Water Meter: T.I.F.'s: Parcell.D. # :i,rjJ'4.$ A~ FINAL /l- I~, - /-? DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price <-3,.:2fJO' . O-D- ~ou Permit Fee . , -- Signature ~ ~~ Company Address Telephone# City License Registration # c2 f/9 ~ State Certified License# /!.~ /~D 2.ho/f7 6?a4l1 ~jW B LDING ,I s.c&5fr ELECTRICALrr/~ P~ /'" MECH~' ~ 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 ($15.001 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. .. -# "-''<1'''''"' ... )_ ,),;;(!".:) ",-~II- HI vJT/))D rCMPFt..sD ! - 3~, .x ~v jVl fl-WV.R W / v'S ~ ~~-~ J .~ ~ f" -1 ~-g ~ ..:J_ wIn r%~ ~ s:~ U \x : - ~ u; ~ -J . r ~. - '- -.9 ~ C ~ ......... 0 JI v w >- ~ ~ \'J ~ ~ 'v Ule .\" ~ ~ ~3 ~ - ~ -"> , ~- \.J -. .>- ~ -r '[) "'- ,[J ~ ~ >'-- ~ Lll r.t ~ 0/ .- J ( t J jl:J(l1 W(l\A/L1,/(11ff (p/l (IS;' J- ,3JlbJ 61f- Hi wTNO iffl;\{>iR.ED J- 3& ,K~D fVIJ-J-JX>v.R w/';s ~ J ~ ~ f" -l J ~D ~ ~~ U 00 , ~ G) v , -.J . r ~b ~ ...Q ~ ---.:J 0 C) o C ><;- ~ ~ \Jj <:5 ~ w fl ~ ~)C ~ 8 r_ CJ -- ~ -t- ~ :!J P'- ,D ~~ Y-- 11l rt ----.. ~ 01 - J t )1b(11 W(lVl/ /A,J(ll-(l 'f/l Q> ( , , ~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER B~~ \rS AI u h1 ;1')U vY) A~~[~ ~~3~~ ReI JOB LOCATION ~ 'Jis9d Pt'IJ'('~~t- eel I t.. tV! Y' LEGAL DESCRIPTION: LOT(S) BLOCK APPLICANT ADDRESS PHONE 7'2J.- ~~1I77J LOT SIZE 50x.15. AREA SQ.FT. ()701 PARCEL 1. D.lF SUBDIVISION WORK PROPOSED:____New Construction ____Addition ____Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish ____Commercial ____Indust. ____Swim. Pool _____M / H ~~~ Reot'\1 Other PROPOSED USE: ____Single Family ____M/F ____IF of Units ____Restaurant & Health Department Approval BUILDING sIz~istr\n~ -0 L~ey\ .fuJ^1 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. OdWOO PERMITS REOUESTED 4ILDING -l.L.-ELECTRICAL $ Valuation of Total Construction 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. ****************************************** () ,- ~ l CONTRACTOR SECTION r1 h J..t "",C{'Y'OI, 0A\r Company 'J)~ Y'.5 . IC? ' State Cert. or Regist. IF "-Jt-. IJ c~ City License Registration ...................~..*.....*....*.....*. r-" ~f (1 r. ':2 1/ ompany State Cert. or Regist. IF ity License Registration ******************************** &brvU 2;;co (:) IoD1) IF .)~9 BUILDER Signature ,51 , IF Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature COlI}pany St~te"Cert. or Regist. iF City iicense Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. IF City License Registration IF OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. "'lil'Fi.r w ,..,. *" - CONDITIONS OF PERMIT AFFIDAVIT , , . A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penH laY be subject to "deed restrictions" which !lay be lore restrictive than City regulations. The undersigned assules responsibility. for ~olpliance lIith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ollner 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 ollner and contractor lay be cited for a aisdeleanor violation under state lall. If the ollner 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) 788-1,1,11. Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the .Contractor Sections. of this application for IIhich they lIill 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 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 Consu.er Affairs. If the applicant is so.e6ne other than the "ollner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the .ollner. prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all lIork lIill be done in cOlpliance lIith all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a per.it and that all work will be perforMed to teet standards of all lalls regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended lIork, and that it is IIY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but ife not lilited to: . ..."'" I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treat.ent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterllays I Departlent of Health ~ Rehabilitative Services, EnvironMental Health Unit - Wells, Wastellater Treatment, Septic Tanks I US Environ.ental Protection AQency - Asbestos abatellent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood thit a drainage plan addressing a .co.pensating volulle" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to vioiate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perllit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued ~hall becole invalid unless the lIork authorized by such perllit is COllenced within six lonths of issuance, or if work authol lIed by the per.it is suspended or abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e~tensioii of tile, aay be allolled for the permit 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 tonth period, or the project will be considered dbdiidoned. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND PQST A "NOTICE OF COMMENCEMENT". ))L.$ ft {,5'L( ~ 8"6~ -I/o -/~S' ~ SIGNATUR~~~-'-~- SIGNATURE___________ ___r3_~________ OWNER OR AGENT CONTR CTOR MY COMMISS EXPIRES____JA~.~lONE----- Notary Pubhc, State of Florida My comm. expires May 16,1995 CC110274 DATE~----~~:-~~~~~T-------------- Tefl.,S'Nt/.411y /)'JVowi-/ 'TO /ytc::' ~~~~:~C~~ ~~ __________~~_~---- EXPIRES JAMES A. STONE -1WtaryMttc:-stamlil' Florida My camm. expires May 16, ,995 CC110274 MY COMMI DATE_________~~~:-~~----------------- T /J~ _ _______it___________ ------ -~ t;) l fI:Y~OF Z~HYR~ILLS BU~ ING DEPARTMENT OWNER I !/~ .. V'.~~~ JOB LOCATION (Od-l . rf ~ \ 5+ ( 6q'tS1C!( ;l - r%> .- ,:;J I ,- [J5 ,- 0 )1/f- Pc;Vt-) PARCEL 1. D. # SHOW ALL EXISTINGi& PROPOSED STRUCTURES-GIVING DIMENSIONS & SETBACKS. -'0 ( L~ s.""'~ I I GC VJ01'4, V1J~) ~ l'~+(;JV3 I- I =-I .if{1 ,~+<: 9 0'1 X h I 15/ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATI ON. ;::::) <; 9'-i k;) ~a;(]JaJj --- ) ~ I I . . r l--<bJc} (NOTE EXAMPLES 1 & 2) STREET FRONT PROPERTY LINE ~Eqr r 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' ..P E- R X 0 I 10' P S 101 0 T S I E N D G 20' 1 O' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30lDUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE fOR CARPORTS OR LIKE STRUCTURES PLEASE COMPLETE THE FOLLOWING~ (1) DESCRIBE WHAT TYPE: FREE STANDING OR ATTACHED (CIRCLE ONE). (2) IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE? (3) DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN WHAT MANNER?) (4) GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT: (5) GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: (6) COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT PLAN. tiJ' f::Y~OF Z~HYRHILLS BUILDING DEPARTMENT OWNER II~ ..1". t!!1d JOB LOCATION ~ - Pe;~\.'Jt- (()Q'k-SlC!(' d - r%> ~ dl--lQ5--Q I1lf PC1V~) PARCEL 1. D. # SHOW ALL EXISTING> & PROPOSED STRUCTURES-GIVING DIMENSIONS & SETBACKS. --0 ( L? UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATI ON. e Vl10W' <;~;; J F'GO tI s.~~ I -f{01 ':+<;; -9 00 X hi 151 ) <61 I +<; l~bdd (NOTE EXAMPLES 1 & 2) STREET FRONT PROPERTY LINE reqr- t 1. SETBACKS FOR Rl, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' ,..P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 O' FRONT PROPERTY LINE FRONT PROPERTY LINE FOR CARPORTS OR LIKE STRUCTURES PLEASE COMPLETE THE FOLLOWING: (1) DESCRIBE WHAT TYPE: FREE STANDING OR ATTACHED (CIRCLE ONE). (2) IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE? (3) DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN WHAT MANNER?) (4) GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT: (5) GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: (6) COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT PLAN.