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Home My WebLink About94-3777 BUILDING PERMIT Permit N~ 377~ Dol. I~ 1/2~ 91 CITY OF ZEPHYRHILLS (813) 788-6611 Water Conn: Water Meter: \ T.I.F.'s: Zoning: Description of NO OCCUPANCY BEFORE C.O. FINAL C.O. 01/20/94 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, DATE .. Inspector Valuation or Contract Price OV $S~'- ~/l~ <t- 4 PLU 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. i,.i:'PLIChTION FOR P2FJ'iIT CITY OF ZEPHYi1HILLS BUILDING DEPAR~MENT APPLICANT ~,. eo rz CeJ €- r:;. ('J :cO F ~ -e 1-.- )~ r1 '- L-d uJ .d- , . C; ~ f) (-;:;::,~ f> 1 ffC/lA-o u.J ft / . ' L OWNER SL-e~/.?'1 , GPet n 6.P - I PHONE ADDRESS JOB LOCATION x~ L.. C-e 0'1 II LOT SIZE__X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOC}C ___SUBDIVIS ION PARCEL I.D.~F WORK PROPOSED:_New Construction _Addition ,___--^lteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _IF of Units ,_M/H _Commercial _.Indus t ,__Swim. Pool Other _Restaurant & Health De;)artmeJ.i':-. !\pprcval BUILDING SIZE: x _,,_Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILD!NG PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING' PLAt-.!: & (1) SE'i' ENERGY FORMS. ~'* **COPY OF CONTRACT REQUIRED. PERMITSJ[ili2UESTED _BUILDING $ Valuati,yo. .:)f Tetal Construction _ELECTRICAL AMP Servic€. ____Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuatio~ of Mechanical Installation _PLUMBING GAS .ROOPING SPECIALTY TYPE OF CONSTRUCTION: ~Block __Fral!'.e ,_..__5 teE.l Other FINISHED FLOOR ELEVATIONS: FT. *********************~******************** ~TRACTCR SECTlON , BUTI.DRR lJ:.~ l3 I~:~ Company HR/?/'? r )14 14 tJ "'It- v FI ., <.- 7' I "1 Y7 State Cert'. or Regist. if R x. 0 ('J 5"''-/ &:../ Lf Signa ture=c- "- / ; I-S t. - - City Licens. R. g is tra ti on" ~~~ ****************************************** Signature Cc,.':[ .;.ny __ State Cert. or Regist. ~ City License Registration if *****************************************R ELECTRTCIAN Comrd-ny _ State Cert or Regist. # City LicenSE Registration # *********************k***~.****~********** PLUMBER Signature Signature Comp<>.ny _____ StaL~ Cert. 0= Regist. # '_.__ City LicensE: Registration IF ******************** &*.****R**~********** MECHANICAl Company State Ce~t. or Regist. if City Lic2nse kegisLration if 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 .ay be more restrictive than City regulations. The undersigned assumes 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 eay 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 .isdemeanor 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, (B13l 788-6611. 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 - HOleowner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er 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 cOlmence.ent. 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 compliance with 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 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 eay 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 not limited to: I Depart.ent of Environ.entaI ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitjv~ Linds, Water/Wastewater Treat.ent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks I US Environmental Protection AQency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be sublitted which is prepared by a professional engineer reqisteied 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 vioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issu~d shall becole invalid unless the work authorized by such perlit is com.enced within six Bonths of issuance, Dr if work authollzed by the permit is suspended or abandoned fC'T a period of six lonths after the tile the work is cOlilllenced. One 90 da'y e~t;;j,5]Oil of tile, lIay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An appro'ved inspection llIust be lc.gged during each six IImnth period, or the project will be cronsidered dbdiJdc'iied. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATUREL~____f]_~~___ SIGNATURE___i~J:1~-, , OWNER OR AGENT CONTRACTOR DATE__ ~~ -~71.r~L_-.-.---..~~.'c1__~___----- DATE___ ~~~_~__.___~_sr_~~_C___) ?T~'::k L..,;~,)J. (5 i. P'lSt( l- ~#j}//J A, / J Lf.-J/r NOTARY AS TO ! ;J I~ ~.J(-, - /J NOTARY AS TO t/#' Jl . ~ /' /~ OWNER OR AGENT ___~;;)1~L;..____--- CONTRACTOR....".~<!;{/:.<!-:..<!%.f2_dLQ4s:-L___- MY COMMISSI~~IRES_~~~t-SEAt--------- MY COMMISSI~~~.~~~~ES_~o~~Cr~S!AL----- ,. I!I~ GLADYS L. BUSH ~~~~ \ Gl.ADYS l.. BUSH i ) My Commlulon Expires I My Commission Expires Ot:t. 7, Hl96 \ 1 Oct. 7, 1996 ~"l~ Comm. N9. CC 234022 ....~,., d!!,..... Comm. No. CC 234022 -.... ... *"..~~.., t-11:::.. t- 0( .L:~~'::::::> I' I L.J ,C..' .L l_ t.=.. ""1 LJ .....IIt::'~ '--.11'-1 .LJ' f- , L.. L-' .... J_ ''-1 LJ ,...., b 1:.::: I~ V .1, L~ I..: ._....___~_.__.___....~ __ . ...__.___.____...___.._M..______..___.................... __....._.._.."',.,... .'.....~..... 3'3..::: 1.:::; LIZ RBE 'I-t--I .:.:.:.:]~ r~L::l_E Z EJ='t- IV Ht-.ll LLS., r..-LO r~ 1 lye:}. 335L.~ 0 I TELE;:[':~I-tDI""'~;=' - (a:1:3) - ,r' ,~ - ~ /~/ C/' -7/97 \ . AGREEMENTW:THI~~~+Z- i'<{;r~----- 1l/l"Y/.Ct't~c I /1 95/ STREET ''''.2eq;r--~c,~~L-----------J(m NAME, -----------------,,--- ,-;/1, ~:/' C$ ~}m 5,j-l.1 C ITV- ZI P ~-~ ~~--7 A ~- c ~ ___2.._ ------------------ ,/OB LOCnT ION I -r1:-! ,,-- '/ j///,~ . Cl~ ;' THIS AGREEMENT M()ti~ THIS LL__..onv bF-~~:,{/j::.-~~-,..19..L...~~TWEEN HERB'S _MOBILE HOME AND RLUM I NUM SERV I CE flND -...-- ---,--..+-...--....-......--,-O.loUHES 1 HA T THE nBOVE NAMED COMPANY IS RESPONSIBLE TO ASSEMElL AND INSTnLL C(~MJ:" EfE THE FOLLOWING ITEMS . ..~" /'- --:-' - /..;;r . ~ ::J ~ . . ..' /1 . .' ..... ~4--?!f-_gd~2v!..__--U-E-~&"'tc~/~c_ --;kf!f~.a>u(J ---;-/ // - (1--- -- a _ ~ ~ . ,//v/?l----L4L..4s:/f.___ / ~I ~,xL.___..,...___.._..............,..._._..._.__...__..____.._.____ ? d Y'Z tf.;~~ ~~. U J-.,---- (:~ /~ / _!!.....~___ 2________~______ ,__....."_.._... .__..... __,__..____ ALL MATEFHALS REMAIN litE PFWPl::RTY OF THE CUNfHnC1TlH UNrIL pnID FOR IN FULL. RLL JUB'S MINIMUM or 50~ DOWN UNLESS ARRANGED WIT.t CUNfRRCTOR BEFORE SIGNING. ALL MnTERIALS REMOVED FRO~ Joe B~COMES PROPERTY OF CONTHACTOR. ACCIDENTS OR bTHER CRUSES BEYOND HIS REnSONnDLE CONTIWL. THIS SHRLL CONSTITUTE THE ENTIRE CONTRACT. ANY WORK OlHEI~ THnN SPECIFIED ABOVE SHALL BE EXTRA ABOVE THE CONTRACT PRICE, WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOfl .. COMr'LElE IN nCCOROANCE WITH THE ABOVE SPECIFICATIONS, _FO~_~~__:M_~II_'____DtJLLAIlS ($J'f'.f~..:..... oz1 ) ~~ PAYMENT TO BE MflDE AS FOLLOWS 1_2 X(;I t ,__..___,.___..______._...__..________ .._---_._'_.._.....__..........._...~-~.::----..._-_..... WITH BALANCE TO BE PAID UPON COMJ:'LEn::ION OF WORK 2. 72.. .f--VV . - ' . RCCEPTANCE OF CONTRACT- THE R~OVE PRICES, SPECIFICATIONS AND CONDITIONS nHE SAT I Sr-AC TORY AND ARE HEftEBY ACCEPTED. YOU nRE flU n lOR I ZED TO T,HE WOHl{ A!:l SPECIFIED. PAYMENT WILL BE MADE AS OU1LINEO nUOVE. " SI13NmURE._X.J~Gr_____.. ._________~_ ___ DATE OF nGCliP T flNQfi I .....~ ~. ,...................._.~..."'.....l ,......g I gNnTU ~1Ii . .....". .""......',.."....~.......... ......... .... .....- ...... ......-..- ..~_._. ... .....-.......,~.....__._,~~.__ ,- SITE PLAN (RFSIDENTIAL USE ONLY) PARCEL LD. SEe TWP RNG SUBD BLOCK LOT PROPERTY MEASUREMENT CURRENT OWNERS IWl'E All drawings shall less. ~ tr- " ~ ~ ?\~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~\t~;~ \ ~ ~ ~ \J \ ~ ,) ~, I 11' ~ I I I ~~. ~~ ~ /.8 )W' ~~/."l ~~~ ~'~ - , ~2~ ~A ~~ ~ P\1" ~ rJ o '" ~ ~0 ~'~ ~~ SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE ANY BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY. INDICATE THE SIZE1 YEAR, ~~D N~~E OF MOBILE; SUCH AS 12' x 60'. 1981. FLEETwOOD. All "EASEMENTS". "RIGHT-Of-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans. DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE HOUSE CONSTRUCTION 'tAl-I:: 1-.60' PROPOSED ADDITION "ALE: ,.. .0. MOBILE HOME SETUP ItAl.l: 1-. 10' ro.r(60".) w :I c( z ~ 7.5' o II: - oJ It:!' 20' I 10' 32.1\' add, - ~ 0 0 Q EII.""O 7.1\' ~ - - . kou.. . ... ... ;; .. 20' P/L ROAD NAME !lO' 40' HClu.. 7::" ~ .: o on o<l ul.llng Shod o on o<l . ... ;; .. ... .. . ~ .. 20' !lO' ROAD NAME ROAD NAME s i tepl;lIl: CP.