The URL can be used to link to this page

Home My WebLink About94-3778 / ~D ~- BUILDING PERMIT Permit N ~ CITY OF ZEPHYRHILLS (813) 788-6611 _37786 !-1.f2 -Cjf Date Zoning: P~ M~ewer Conn Water Conn: Job Address: Parcell.D. # '" Water Meter: T,I.F.'s: NO OCCUPANCY BEF FINAL C.O. 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 ".,L. /f~ Signatur Compan Address / Telephone#l.----- 7rclr 7/ 7'7 cy- ELEC PL MEC 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 ($15.001 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. APPLICATION FOR PE~IIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT /'Jo re.~ 7 8 L -e -€-.0'" I , f)n fL Tt: ( 7\ 0 13 (3 11--1 \ JOB LOCATION ",>L ~~P1 J~d LLOW14J LEGAL DESCRIPTION: LOT(S) BLOCK rz ~ r? HI iLS H' .t:f: cJ f' Cd LO - / PHONE ADDRESS OWNER # 70 ' LOT SIZE_X AREA SQ. FT. SUBDIVISION PARCEL I.D.iF WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _4~ of Units ._M/H _Commercial _Indust. _Swim. Pool Other _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 FO~tS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ 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. -~ ****************************************** CONTRACTOR SECTION ~ I L- BUTJ.DER "- IIW ~ V->. ~ - Company II ~. ~V1 }-1 :$ a. , ._ I State Cert. or Regist. if Ktlt7 ",.-; f-I q Signature - \ ~ ~ City License Registration if 2-- ****************************************** S hma ture Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. if City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. if City License Registration if OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. ,- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit tay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cotpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake NOrk, 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 owner and contractor lay be cited for a misdeteanor 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, 1813} 788-bbll. 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 perlitting 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 Department 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 coetencelent. 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 compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do worK and installation as indicated. I certify that no worK or installation has cO.lenced prior to issuance of a perlit and that all work will be performed to leet 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 governmental agencies lay apply to the intended work, and that it is /lY responsibility to identify what actions I /lust take to be in compliance. Such agencies include bill ~ie not liilited to: . Depart_ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent . Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic Tan~s . US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understc.(.d tli~t. a drainage plan addressing a .colpensating volUMe" Hill be subtitted which is prepared by a professional engineer feqist.~lj!d in the State of Florida prior to perlit issuance. A permit issued shall be construed to be a license to prDceed with the work and not as authority to yioi~te, cancel alter, or set aside any prDvisions of the technical codes, nor shall issuance of a permit prevent the Building uffici~l from thereaftel requiring a correction of errors in plans, construction, or violations of any code. Every permit issll~d ,hall becole invalid unless the work authe-rized by such perlit is cOllllenced within six lonths of issuance, (Ir if \'I(lrk autl,["lZ[;d by the perw.it is suspended or abande-ned fe-I' a perie-d of six tonths after the tile the work is commenced. One 90 day e=IE~5JOI' of tile, lay 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 must be logged during each six month period, e-r the project will be considered dbandoned. 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". ATE "'-'-- _ LJ / C4 c U DATE j .(.~ ' -L I I C; 't ~/ D -- --------C~:L;."b-q-f2~-7fy7h-)------ --f'------ ---<-;1'(JZHT5ijT:t:-/3v::S~j NOTARY AS TO i/I.. J! I ..j! y; . // NOTARY AS TO f'h? -;/. ~/.1 . L OWNER OR AGENT~~~~~~~~~~----- CONTRACTOR~~~~_~~~L_------ MY COMMISSION EXPIRES ....... ---------------------- ....~~..... OFFICIAL SEAL ! ~ \ GLADYS L BUSH : : My Commission Expires \ : Oct. 7, 1996 .. . ....~f~ #!,.-- Comm. No. CC 234022 ..f1~~:~... MY COMMISSION EXPIRES ....**.. ------------------ ...~ Put....... OFFICIAL SEAL o," '""t' 'l. : ~ .. GLADYS L. BUSH . : : My Commission Expires .. .. ':. : Oct. 7, 1996 ..~f~OFF~~-- Comm. No. CC 234022 ............. ~5(J ~~.~~ ~ff/7/7 L?-~ U/ A-f/?/ / t 7~ ?Y /3K7 ~~/ ~P' / &cru/?7 -pd ~tfd~.J)) ~ t/Pt(! .9/ ~~ · {Lt/7Y M;? ,~# Per Y;t J-- 22-5)'"-( d .&,~ 7fCl .t-4/I/I1) ..LdzJ ~ 7V x&~ SITE PLAN (RESIDENTIAL USE ONLY) PARCEL LD. SEC T\oIP RNG SUBU BLOCK LOT PROPEHTY MEASUREMENT n to Bcale for all parcels 0 DATE CURRENT OWNERS All drawings shall acres or less. ~ !ll ~ ~, ~ ~ ~~ ~ ~ t, ~ ~ ~ ~ "- ~ ci "i) >< '- (1) ~~ ~Wt ~J..~?l7D; ~ ~h'"a ~ ~~~~~ ~h~ ~ '- ~ SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE M'Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY. INDICATE THE SIZE, 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 'tAll: 1-."" PROPOSED ADDITION SCALE: ,-. .0' MOBILE HOME SETUP l'ALl: ,-. 10' roor(60ll.l \oJ ::I c( z ~ 7,~' o Q: - ~ 10 ' 20' I 10' 32.0' odd. - - 0 0 Q (.101'00 7,0' ~ . HOU" . ... ... ;: .. 20' P/L ROAD NAME 00' 40' - - 0 0 .., '" 2:1' Ellollno ... '" - Shod .. . ... ... .. .. 00' ROAD NAME Hc"u.. 7.5' ~ . ... ;; :zOO ROAD NAME sitepl:JIl:Cf'