The URL can be used to link to this page

Home My WebLink About96-5963 BUILDING PERMIT 0 ~... OTY OFZEPHYRHILLS pe,mitN. . 596~4 (813) 788-6611 Date 7- P - 9f / ---... C~ ELECTRICAL PLUMBING MECHANICAL SeWEir Conn Water Conn: Property Owner: Job Address: Parcel I. D. # {T-1i;>tf~ Water Meter: 5iT, T.I.F.'s: Zoning: FINAl_ e.o. _ 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. Valuation or Contract Price ?2. oc;; O(J'- Permit Fee Signature Company Address Telephone# City License Registration # ~-3 State Certified License# (I... J( t:! 0 91/ t?f) G MEC Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Driveway '1.~s ttJ J59 b Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. APPLXCATXON FOR PERKI.T CXTY OF ZEPIIYlUIll.LS BUILDXNG DEPARTKEHT JOB ADDRESS ::tD tr\ tJ H lit f r ~P// /6.z:t1 sr. s/1fYJ~ PHONE 7rd~//to OWNER' S HAHE OWNER' S ADDRESS LEGAL DESCIUP'llON: LOT(S) BLOCK SUBDXVISXON " PARCEL X.D.' (OBTAXN FROM PROPERTY TAX NOTXCE) ~ V WORK PROPOSED:--=--Xew Construction ---Addition --.Alteration --Repair _I.nstall _Sign ---1Iove _Deaolish P~POSEDUSE: ~~eF_i~ ---1I/F _' of Units ---1I/H _~rcial _Indust. _Swia. Pool _Other --Restaurant &: Hea1th Departaent Approval DESCIUP'fiON OF WORK: fEfYJtJllaJJJ&- I~ " tJr I9SfJHJ/lf d-. /'fA.ALL Jr f/LJ/rH 1St> . CtJtJc~ J-~~J' BUILD:IHG SUE: x Square Feet. Height RESIDENTIAL: ATTACH (2) PLOT I'LANS II (2) SETS OF BUlLDXNG PLANS II (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILD:IHG PLANS &: (1) SET ENERGY FORMS. P~PERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED V'BUILD:IHG $ floolPt> Valuation of Total Construction _ELEcrIUCAL AIIP Service Florida Power Corp. W.R.E.C. ----.JIECllAlUCAL $ Valuation of Mechanical Xnstallation _PLUKBUIG GAS ROOFXNG SPECIALTY . TYPE OF COIISTRUcnON: _B1ock _FraIIe _Steel Other FD1I.SBED FLOOR ELEVAnONS: FT. XS PROJEct I.N FLOOD ZONE AREA'l YES NO .......................................... Signature CONTRActOR SECTION ~~.. "aiKPANY /JL:,'e /JLMY/. "..'" State Cert. or Regist.' ClCco..1 '1b~t) __________ City License Registration , JP~ ......................................*... BUILDER PoT .F.CTRICIAII COMPANY State Cert. or Regist. , City License Registration , .......................................... Sianature COMPANY State Cert. or Regist. , City License Registration f .......................................... PLUKBER Signature COMPANY State Cert. or Regist. f City License Registration . .......................................... MECHANICAL Signature COMPANY State Cert. or Regist. . City License Registration , .......................................... OTHER Signature APPLICATXON APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rbe undersigned understands tbat this pel'lit JaY be subject to 'deed restrictions' wbieb JaY be lOre restrictive than City regulations. rbe undersigned asSUles responsibility for COIpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they JaY 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 lily be cited for a lisdeleanor violation under state law. If the ower or intended contractor are uncertain as to what licensing requirgellts lilY apply for the intended work, they are advised to contact the City of Zepbyrhi~ls Building DepartJent, (813) 788-6611. - , Furthel'lOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the IContractor Sections' of this application for wbieb they will be responsible. If you, as the owner sign as the contractor, you are indicating tbat you, rather than the contractor, are responsible for the wrk. If the contractor wisbes you to sign as contractor tbat lilY be an indication tbat be is not properly licensed and is not entitled to perJitting 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 tbat I, the applicant, have been provided with a copy of 'Plorida's Construction Lien Law - HOIeOImer's Protection Guide' prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOl8OJle other than the Immer', I certify that I have obtained a copy of the above described docuIent and prOJise in good faith to deliver it to the lownerl prior to COlleDCBleDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all the inforliltion in this application is accurate and tbat all wort will be done in COIpliance with all applicable laws regulating construction, loning, and land developaent. Application is hereby Iilde to obtain a pel'lit to do wrt and installation as indicated. I certify that no work or installation bas COIIenced prior to issuance of a pel'lit and that all wort will be perfoIJed to leet standards of all law8 regulating construction, City codes, loning regulations, and land developteDt regulations in the jurisdiction. I also certify that I understand tbat the regulations of other govl!Illlelltal agencies lilY apply to the intended wort, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sueb agencies include but are not lillted to: t DepartJent of Envirolll8Dtal Regulation - Cypress Bayheads, Vetland Areas and BnviroDlentally Sensitive Lands, Vater/Vastewater rreatJent t Southwest Florida Vater ManagBleDt District - VeIls, Cypress Baybeads, Vetland Areas, Altering Vatercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Vaterways t Departaent of Health & Rehabilitative Services, Bnviranaental Health Unit - VeIls, Vastewater rreatJent, Septic 'anks t US EnvirODlental Protection Agency - Asbestos abatBleDt I also certify tbat, if fIll laterial is to be used in Flood ZOne 'A' or 'A,etc.', it is understood that a drainage plan addressing a 'COIpensating volute' will be subtitted wbieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. . A perlit issued shall be construed to be a license to proceed with the IIOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pel'lit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid unless the work authoriled by such pel'lit is co.enced within sillOntbs of issuance, or if work authoriled by the peIlit is suspended or abandoned for a period of sil IODtbs after the tHe the work is COIIeJlced. One 90 day l!Itension of tile, lilY be allowed for the perait with fee charge of $15.00. rbe l!Itension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillOnth period, or the project will be considBled abandoned. VAlUlIHG '0 OIlHBR: YOUR FAILURE '0 RECORD A NOIICE OF COIIEMCIIfBH! MAY RESULr IN YOUR PAYIlfG !VICE FOR IMPROVIlfBH!S ro YOUR PROPERlY. IF YOU IIft'BID ro OB!AIJI iIlmNCIKG,. CONSOL' VI'H YOUR LlXDBR OR 111 A!!ORMEY BBFORE RECORDING YOUR NOIICH OF ClIIIIEIICIiIlm. JIIIS II I 500 IN v~ ~ IIll'I RID ro IIIICIIIlIlIJID POOr A ~J SIwrURt: MrJlAC'lOR. srArB OF FLORIDA eOUM!Y OF fJlJ-5 CU The foregoing instrument was acknowledged before me this ~U.L'I /, 192.k by .4 L-R~lPT ....S I M...<::" who is personally' MOwn to me or whe has Pf'oJu~t:d as idantifieatiOB and who~did B6t take oat. sr.ArB OF FLORIDA /J. coum OF rA~{'''./-; The foregoing instrument was acknowledged before me this C\ 7lu..Y /, 19 9 ~ by J4 Ll3EJ<, -5 JUS :. who is personally known to me et' wbg has- --Pl'sdueed as idaRtifieatian take an tho (8 "",,~ '11#( .... n ..... ;J1I; ~t OF f\\1 KATHLEEN J BROWN My Commission CC449029 Expires Apr. O2,1Q99 """, "11#( .... n ..... ~.; "" IIf f\o. KATHLEEN J BROWN My ComrnIselon CC449029 Expn. Ap. 02. 1999 SITE Pl...AN (RESIDENTIAL USE ONLY) PARCEL 1.0. SEt: '1 'W i' RNG SUliD liLUCK LOT l'ROPEHT)' HE.ASUREHI::NT CUIUlENT OWNlmS (["0 H tJ )/tlrr DATE 7- J-tJl. d to scale for nll parccls or lots five acrcs or le~s. All drnwings sball be rawn ~.,.. 'WIll ..;; b p ,- ~ .....' R6/l10i/t:/tVir /"5:' Ils.P/fAt.'1: ~ f(EPlffc-i /r ji///ff p .- ,-~ cLA J:3 iV/rl/- CO#c.~t: 14- -.) b II ra;~E,e.( ~ ?}1/iI-'J ;V I:r !J,S: - ' IJ -( ~y./j1/ lJ~/Vi--.tJ C..j l}t...fL. f ~ R.u ~, Sd/I / b I!1- S7. SHOW ALL EXISTING AND PROPOSf.D STRUCTURES GIVING DIJiE.NSIONS AND SETBACKS. ALSO, INDICATE ANY BOVIES OF WATER AND ROA.lJWAYS (INCLUDING NAMES) ADJACENT TO TilE PHOPEHTY. INDICATE THE SIZE, YEAR, ~~D N~~E OF MOBILE: SUCH AS 121 x 60'. 1981. FLEET~OOD. 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 .,.....: .-.60" PROPOSED ADDITION l'ALl: I.. to' MOBILE HOME SETUP "A".: ,-. 10' ,.., 16011./ . .. ;. 10' 20' . 10' )2.!l' GaG. ~ - 0 0 Q (.10'1". 7.!l' 2 - - . HO".' . ... ... .. . 70' P/L ROAD ""Me ~O' ~O' ~ - 0 0 '" ..... 2" (.,1.,ln, ... - ..... ShO' .. . ... :! - . 00' ROAD ""Me ... :II .. ~ o 7." .. o k - ... 11"".. 7'" ~ 70' ROAD lu..e PC95035005