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Home My WebLink About93-3004 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _ 30048 Date .:l ~ 9 - ;( ? 9-0 . vi) ~ p~~ MEC~ ::~:;:,~:~e'.1~'7?Jii--""77?~ ~ -4 ,:):] Parcell.D, # Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Energy Code: Description of Work t:~ ~ Radon Gas: ~- , ,q ?' , I .., ~ FINAL DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C.o. DATE Inspector Permit F~~ Signatur UC~ Company _ _ Address Telephone# Valuation or Contract Price 99'~-:' o-v City License Registration # ;:;.. State Certified License# )j~~ 0Jl;//M. / ~ILD~ ~~ CE~ P~":' ~ MEC~AL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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. .' CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL I. D. # SHOW ALL EXISTIHG & PROPOSED STRUC'I'ORES GIVING DIMENSIONS & SETBACKS. 71j=> rY?<-T Up~ .~f ~f ~ c;;,?4.... .~ ~&~ ~c: 2- 7.1e~c; 'Y rf~ ;7 J1:r- ~I ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. i I I -f ~"_< f.---' i . I, F~ ,I I 9J f-' ~ v, "' ~ ~j0., {.:/ " ~ X_ G (\--= ;I~ __ --,,I) UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1f 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 0' FRONT PROPERTY LIHE FRONT PROPERTY LINE HERB~S MOBILE 'HOME AND" ALUMINUM SERVICE~ 3.3~== 15 LIZ ABE1"1-'" C]~ I~CLE Z ~P!:;'~~~:.~:;~~ F~ '<~ r; ~ ':>";,j:P7Y'f . AGREEMENT WI TH: -I-\.::B21'--'-R0:-"h...--'----'....--'"..-.. ,-," ",._-"- . .. D(HE: ,)~f,J.3L_"_".fS____..j.2._73____ STREET , .L<:LL-2,j----:fLe-Y4-Jb.l.l-'Lid-~-~. ------- ---JDB NAME. ..-.I{L-~-_----- CITY - ZIP: ~ ~-iJ.../:i.~!ls._._,--".:J._,~~_,d_____."".,_,"_ . .....""-- J DB LDCA T ION: -----"----- TELEPHONE: -----,-.-,-----,-.' ..,-..--....,"..,,--..-,-,.-fELEPHONE : -- THIS AGREEMENT MADE THIS K-.onY OF-L:t:.n-.----'---.--'-l'3.t:t.->-.BETWEEN HERB'S MOBILE HOME AND ALUMINUM SERVICE AND ,----------,--,,-----.-----,---.-+It:lSUF~ES THAT THE ABOVE NAMED COMPANY IS RESPONSIBLE TO ASSEMBLE AND INSTALL COMPLETE THE FOLLOWING ITEMS ! H<'M/ (- 7;_/.:?...,---LLlJ-L _ O.iL_SLd-e.__..", O.,E__Z/V~;_i,,_~t... ( / I g X~d (C tI 5 70 ~/j -e.. a., .,_,ZE!.._-I)J1 o L( J /.~:I-"._.._L6.g{;-7__;._,_____. ALL MATERIALS REMAIN TI~E PROPERTY OF THE CONTRACTOR UNTIL PAID FOR IN FULL. ALL JOB'S MINIMUM OF 50~ DOWN UNLESS ARRANGED WITH CONTRACTOR BEFORE SIGNING. ALL MATERIALS REMOVED FROM JOB BECOMES PROPERTY OF CONTRACTOR. ACCIDENTS OR bTHER CAUSES BEYOND HIS REASONABLE CONTROL. THIS SHALL CONSTITUTE THE ENTI~E CONTRACT. ANY WORK OT.~ER THAN SPECIFIED ABOVE SHALL BE EXTRA ABOVE THE CONTRACT PRICE. WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR - COMPLETE IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS, FOR THE SUM OF ." _ ---'"----,--,--, ".----.-,DOLLnRS ($_~_2--. ~) ,$ PAYMENT TO BE MADE AS FOLLOWS: _-!:i_22, J 'S~q_..l2cL'u!....!:':(_,___,sl._ c r( co h?1~1~ WITH BALANCE TO BE PAID UPON COMPLETE ION OF WORK f?Ah/l!,/C --e , ACCEPTANCE OF CONTRACT- THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO THE WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OU1LINED ABOVE. DATE OF S I GNI-HURE: __.._,_,__u_..._.._.._...______,_, --,---.,,_._.____.,___.___,_ nCCEPTANCE: --,-,.,.--,,,,_._-------19,--8 I GNATlJRE: --.-.,.-..__,__,_____..,..___"_.'"_.___,..._..___n________ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT !(e'-N ADDRESS /....1) T "'2-<, R-/C-J1 5 Le '<' r"1 (( / C ~' HcJLLaw 71 l PHONE I J-',=~ - 73 ~s OWNER I (c I'( JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I,D.~F lId-' c) v(, WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ~Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____1F of Units .____M / H ____Commercial ____Indus t , ____Swim, Pool Other BUILDING SIZE: ____Restaurant If / >0 X <f ' & Health Department Approval ( ') S~I J.-... '-I (( Square Feet, .L_ Height RESIDENTIAL: COMMERCIAL : ATTAGH (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 ~UILDING V ELECTRICAL $ qc;o,oc) Valuation of Total Construction AMP Service Florida Power Corp. _H.R.E.G, ____MECHANICAL $ Valuation of Mechanical Installation _PLlJMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ( . GONTRAGTOR SECTION ". BUILDF.R ~ L v ~ Company de", a :; /') L 't ~ ~ . State Gert. (or Regist. iF If?. ~ 0 t7 - . IC( Signature(:. ~ . G ~ Gity License Registration 4F -7.- ****************************************** Company /~(~I h t-t/I1r"'v-) State Gert. or Regist. 4F Gity License Registration 4F ****************************************** ELECTRICIAN 0 L.LJ y( l2- (l ;(tl7 / I J1 Sismature - ~A'I / PLUMBER Gompany State Cert. or Regist. iF Signature Gity License Registration if ****************************************** MECHANICAL Company State Cert. or Regist, if Signature City License Registration !F ****************************************** OTHER Company State Cert. or Regist. 1F Signature City License Registration if APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit lay be subject to 'deed restrictions" which may be lore restrictive than City regulations. The undersigned assules responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 ~ay 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 Department, lB13l 7BB-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 permitting 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 - Homeowner's Protection Suide" 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 document and promise in good faith to deliver it to the "owner" prior to cOlmencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information 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 lade to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a perlit 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 governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ale ~ot limited to: * Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds, Water/Wastewater Treatment * Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arty Coros of EnQineers - Seawalls, Docks, Navigable Waterways * Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks * US Environlental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Fle.od Zone 'A" or 'A,etc.', it is underste,od that. a drainage plan addressing a "colpensating volume" will be submitted which is prepared by a professional engineer regist.~j~d in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to vioi~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficial frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every periit issued :hall becole invalid unless the work authorized by such perlit is cO.lenced within six ionths of issuance, or if work authol Jzed by the per.it is suspended or abandoned f(ll" a perie.d e.f six lonths after the tile the work is cOI1IilEmced. One 90 day edE..sioll e.f tile, Iliay be allowed 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 month period, or the project will be considered dbdj~O"ed. 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 "NOTICE OF COMMENCEMENT". SIGNATURE SIGNATURE ------------------------------ ---------------------------------- OWNER OR AGENT CONTRACTOR DATE DATE ----------------------------------- --------------------------------------- NOTARY AS TO OWNER OR AGENT NOTARY AS TO CONTRACTOR ----------------------------- ----------------------------- MY COMMISSION EXPIRES MY COMMISSION EXPIRES ------------------ ----------------------