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Home My WebLink About94-4235 BUILDING PERMIT Permit N.~ CiTY OF ZEPHYRHILLS (813) 788.6611 ,423~ {/-/~.-7f Date ~~ ~.~ P<openyOwne' .~~~ Job Address: (3 R-..3 ::.$- - t1 ~ Parcell.D. # II - :J.6 - ;1/ _ b 0/ 0 - 6 G. G cJ 0- ~erConn Water Conn: Water Meter: T.I.F.'s: 0/-3 0 Zoning: Energy Code: 7- Description of Wo-;k ~ rJ. ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL /0- s- 9 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordart::'e with City Codes and Ordinances. c.o. DATE Inspector Permit Fee Signature Company Address Telephone# ~~~ Valuation or Contract Price ~ 7 Sf y. tTV City License Registration # 77 State Certified License# ( ~;:;;;d~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. 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. APPLICATION FOR PERMIT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT OWNER'S NAME tI~Ll> 5"/5 7 GItLL- t?Z ~ ~ J3 1> </:>" Cf; 1< 1!! t: CZ> I DO.. (, i:J/) LEGAL DESCRIPTION: LOT(S) ! (~ BLOCK SUBDIVISION ;;L.~ PHONE ZE,:2- (5)>-:3 OWNER'S ADDRESS JOB ADDRESS 0/,3 () PARCEL 1.D.' WORK PROPOSED:~ew Construction ____Addition ____Alteration ____Repair ____Install ____Sign Move Demolish PROPOSED USE: Single Family _M/F _# of Units _M/H Comercial _Indust. ____Swim. Pool Other BUILDING SIZE: ____Restaurant &: Health Department Approval tl- X }O, f? ~~ 5/1t-O Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ** **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED BUILDING $ J-7C1Cf 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. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BUILDER CONTRACTOR SECTION ~ /J . COMPANY g c)~5 T~ #(, dlf ~ d"1' S ~ State Cert. or Regist. , () ..v :5 T7t Ci ty License Registration # 7 7 ****************************************** Signature ELECTRICIAN COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** PLUMBER COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** OTHER COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this penit lilY be subject to "deed restrictions" Ibich lilY be lOre restrictive than City regulations. !be undersigned asSUJe8 responsibility for ~liance lith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the Dlmer bas bired a contractor or contractors to undertake IOrt, they lilY be required to be licensed in accordance lith state and local regulations. If the contractor is not licensed as required by lill, both the mmer and contractor lilY be cited for a lisdeleanor violation under state lal. If the OIfI1er or intended contractor are uncertain as to wbat licensing requireleDts lilY apply for the intended IOrt, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788.6611. FurtherlOre, if the Dlmer has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for Ihich they lill be responsible. If JOU, as the mmer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the IOrt. If the contractor lisbes JOU to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to penitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided lith a copy of "Florida's Construction Lien La1r - lbIeoImer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUll!I' Affairs. If the applicant is SOMODe other than the "01IIlern, I certify that I have obtained a copy of the above described docUIent and pralise in good faith to deliver it to the n01lllern prior to COII8DC8leDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infollation in this application is accurate and that all IOrt lill be done in COIpliance lith all applicable Ian regulating construction, loning, and land deve1Op1ent. Application is bereby lade to obtain a penit to do IIOrt and installation as indicated. I certify that no IOrt or installation bas cc.lenced prior to issuance of a penit and that all IOrt lill be perfolled to teet standards of all lil1l8 regulating construction, City codes, loning regulations, and land develOplent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverD.lental agencies lilY apply to the intended 1fOIt, and that it is IY responsibility to identify Ibat actions I lUst take to be in COIpliance. Such agencies include but are not liaited to: t Departlent of EnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and InvirolllelltaIly Sensitive Lands, Water /Wastelater Treatlent t Soutlnfest Florida Water Manaqelellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t A[If Corps of Inqineers - Sealalls, Docks, Mavigable Waterways t Departlent of Health' Rehabilitative Services, InvirODlental Health Unit - Wells, Wastelater Treatlent, Septic Tanks t US InvirODll!lltal Protection Igency - Asbestos abateleDt I also certify that, if fill laterial is to be used in Flood Zone nA" or DA,etc.", it is understood that a drainage plan addressing a DCOIpenSating volue" lill be sulllitted Ibich is prepared by a professional engineer registered in the State of Florida prior to pellit issuance. A Perlit issued shall be construed to be a license to proceed lith the IOrt and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a penit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOle invalid unless the IIOrt authoriled by such penit is COII8DCed litbin sillODths of issuance, or if IIOrt authoriled by the perlit is suspended or abandoned for a period of sil IOnths after the till! the IOrt is COII8Dced. One 90 day l!Itension of tile, lily be allOlfed for the penit lith fee charge of $15.00. Tbe l!Itension shall be requested in Iriting to the Building Official. An approved inspection lUSt be logged during each sil IODth period, or the project lill be considered abandoned. WmUG 'fO (MfER: YOUR FIILURI 'fO RICOHO I MorlCH OF COIIDCIIIID' lilY RESULf 1M YOUR PIYIMG DICE FOR DIPROVIIIII!S TO YOUR PROPBRft. IF YOU IIDlID 'fO OmAIM FIIIDCIMG, COISOLT WI'IH YOUR LBIIDER OR D IrroRDY BBFORB RICORDUG YOUR DICE OF COMMBMCEHD'l. JOBS UNDER '2,500 1M VALUE DO lor ffDD TO RECORD UD POST I "MorICH OF C<IIIDCIIIEKf.. SIGJIlfURI: (MIIR OR IGBlI! SIGJI1!UR1: COURAC'fOR STAfB OF FLORIDA coum OF The foregoing instrument was acknOWledged before me this , 19____ by STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC SITE ~ PLA~ ':i ~ti J II PlRMIT II ~ LEGAL DESCRIPTION: ( RESIDE NTIALUS E ONL,I )- '.' I ( ~.2( 0-0/0 0(6 (]/j ,0/30. ,~, ~'" ;. SEC'UON SUBDIVISION OR OTHER LOCATION DESCRIPTION: I . 1>. .~3 ca- TOWNSHIP '" RANGE ). ~ -f L/ r-e. 17/.i :..'~ ;,;' :'" '!: '.:'J /3.' ~ ,', REAR ( FT. ) . I I> ,- <:(0 I#,>~ (L'f ? () /l R/ p~ V) '5. tta - c ,." ,...... -yo ~ .---- i ~ , .:... }O \::) ~ - , t- L&.. \......... \fd ~\ ~-- ~ ........ I.LJ 0 - V) FRONT ( '+ t<.. FT.f! ":t . . -... .' . / I fl(f I ,I Show all ~xisting and proposed structures giving dimensions and setbacks. Also. indicate any a~jacent bodies of water and roadways adjacent to the property. Indicate size of mobile homes such as: 121 x 60'.241 X 361. EXAMPLES !iOU~.L~_~S TRl!~TL9J'! PROPOSED ADDITION MOR T I F HOMF <; FTI lP 0# ~ -,. -- . ~~ SUN STATE ALUMINUM, INC. -g. & 37528 Hwy, 54 WeM \...,. l ZEPHYRHILLS, FL 33541 .0 (813) 788.7308 NAME CUSTOMER.S ORDER NO. ....DDREss 2- b~2-8 DATir} {O ~ -:;7ff=pIi~__~......~~~ SOLD BY OTY. '-'-'--.--...---'-...- -_..._--_.~ ._____-'t'~/~&,,_._________ _.__.____ i__ I 4---- I -+--- I ---r-'-- I r---'--- ----'-__L._.. I -,--,.----- -1--'--- J _ __.____..L_____ I -----L-. I --l--- I I Interest of Ilh96 per month after 30 days. In - Ule--eveAt-Jt .-- becomea Aec:eal'~ -- to Illlce t~1a account with an attorney or agency' for 'llelleetieA, -1jWe--.asree to-pey- collection, in din reasonable attorney fees. TAX TOTAL All claims and returned. goocta MUST be accompanied by this bill. ~qjsw PlalUlUlO . 4 ~