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Home My WebLink About97-6634 BUILDING PERMIT N! CITY OF ZEPHYRHILLS Permit ' (813) 788-6611 Date 1/- 9'- 9 7 66341) ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: :~::,~:~~~ r~~A/.1~ ~ Parcell.D, # Water Meter: T.I.F.'s: Zoning: Description of Work ..LZYcode: Radon Gas: NO OCCUPANCY BEFORE C,O. 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 Pe,m;t Fee ~. o-.J SignaturJ:>< cU Gf~--c Company Address Telephone# Valuation or Contract Price 7P/. c/D City License Registration # 7 IJ State Certified License# ~-~/~~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp, Serv, 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 ($15.00) 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. SITE plJ..N (RESIDENTIAL US& ONLY) , . j PARCEL I.D! t' n SEe J-~ TWl' . ;L/ RNG 0660 . SUllD (j O! 0 0 ilLOCK LOT CUIUtENT OWNEHS V16eh~ ~/~/ 8/tJ- -r'lU~ PRorEHTY MEASUREMENT DATE be draun to scale for all parcels or lots five acres or less. All drawings shall - t ;;::: I I(Vc>lIt)ll ~' (lJ 56'( tJP l/.; r h-- 'it- 1; ?,e rljj) 8~ -- 5( " SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DDiENSIONS 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. o -I -< C:>6 .... ~ ~~~ ~~ ~ .......0 (l\ ~k~ F:"-.. ,1) .'-J" :r-- \ -I ~ .... \~ 0 t~ l> lA --- -- ilJ.. ; ~. , 3 . III ) 1 l>> ) ) 3 0. U" ~~ (i>' C; 0.) 0'(1) -<0. 710 Uio q<6. ::::1Il !(-" \~ \? ~ ~_./ , ~./ ~----_:~. ~ ~-\ 1) Jl fi (l\ G\ "'N)~ ~g - f)~ id ';:l ~ ~ ~ ---,.. '-'----_.__,____, - n____, ,-,,: I ~D:l~!et~ &// ~, ! 1--" ~ ~ ;? 7C:;;;? C! c:rl/ -/- 30/ (p ')<\/' V~I ; I :" ~I .. _ ~ I , U~1 ~ I PURCHASER SIGN H,ERE . ::: I X.-;Y;(/ /( {- ? /L ,,/ ..// .r'/ :a Canlholder acknowledge. ...&tIp! 01 goOd. ~r ...""ceo In the I amount of the Total .hown hereon and aonHta to perfonn the obftgaUons aet forth In the Cardholder'. agreement wfth the I..uer. I d?r67999: ~U~ SlATr ALUkINUH, ZfPHYRHILLS, Fl --; /,._, 7/"/1 /?,yc. INC FOUO/CHECK NO. SALES SUP IMPORTANT: RETAIN THIS COpy FOR YOUR RECORDS L l "0 > <5 o c -< ~ ~' ~ ~ r--:> S013SY-Y. SERVER ....Q~~." .. .s"c,-;. ~ a> '" c <> '" ~ ~ ~o ~ ">"'GI."" CLERK \ \ \ >! a..! O~ 0; a:1 W: ~; 0' ...' ~ I i I -' APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER' S NAME biLL ~L~ ?;>C(f,3o Cf/7I7JU'/ ~) / Et1~ PHONE OWNER'S ADDRESS JOB ADDRESS 14 J /J t<<.JV- LEGAL DESCRIPTION: LOT(S) BLOCK .2/ ()o()D SUBDIVISION c:l1/l0coBLU6 FROI\ PROPERTY T~ICBl --Alteration _Repair _Install PARCEL LD.# 2-.C( 2? WORK PROPOSED:_New Construction _Addition _Sign -.Jfove _Demolish . PROPOSED USE: _Single Family -.Jf/F _, of Units _M/H _C0u8ercial _Indust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: y() I 1)5' ~ 11- A7rJc'It7JR BUILDING SIZE: C:. X <;S'. [f^l: Square Feet. b~~~ ~ //U). 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ . dO PERMITS REOUESTED ~ ~,~;' 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 _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BUILDER CONTRACTOR SECTION ~ ~.:::? COIlPAIiY S' O.v ')' /'7<t-'rfl-. P./ ,._---- ~~ State Cert. or Regist. # \. -- -:-~ City License Registration' l__-- -.......................................... AH'AJ I( / /L/ () if '76 Signature , - ,--.- ELECTRICIAN COMPANY State Cert. or Regist. # Si2Dature City License Registration # ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** MECHANICAL COMPANY State Cert. or Regist. # Signature City License Registration t ***********~****************************** OTHER COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penlit lay be subject to "deed restrictions" which lay be lOre restrictive than'City regulations, The undersigned assWles 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 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 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 DepartJent, (813) 788-6611, Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 !s not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection Guide" 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 doclllent and pro.ise in good faith to deliver it to the "owner" prior to couencl!lent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent, Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or installation has cOllenced prior to issuance of a per.it and that all work will be perforJed to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in th~ jurisdiction, I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in coapliance, Such agencies include but are not liaited to: t Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health << Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US Environaental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc,", it is understooL that a drainage plan addressing a .cOlpensating volWle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to pertit. issuance, . A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code, Every perlit issued shall becOle invalid unless the work authorized by such perait is cOllenced within six aonths of issuance, or if work authorized by the perait is suspended or abandoned for a period of six IOnths after the tile the work is cOllencEd, One 90 day extension of tile, JaY be allowed for the perait 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 lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO}lM~;' _ _ _ /-~ 5 _~ _ ~~--~ C . . .' .....-...' .-...:~~,"- -.::::------- ~"r:.L:.-.-' ..- - / SIGNM'URE':~:aR:'AGEHT - S~GNJ\TU~~: CONTRlICTOR-- STATE OF FWRIDA !? COUK'l'Y OF f/ ,-If S' CO The foregoing in~~w.s ,~wledged before me this . , 19 . by STATE OF FLORIDA /~ COUNTY OF P" #3' CO The foregoing instr~ent was acknowledged before me this c.t; 'rf- ' 19.-2.,L by who is personally known to me or who has produced as identification and who did/did not take an oat~if ~ (Signature) who is personally known to me or who has produced as identification and who did/ not take an oath. ~~ t.,~.. ~ -cJ.( ~9 (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC KEITH CORREIA MY COMMISSION' CC ~1418 EXPIRES: May 13. 1999 Bonded 11lIII NoIIIY PubIc lJnclIIWI\IlIII (Name Typed, Printed or Stamped) NOTARY PUBLIC .li\V~" KEITH CORREIA !~ .:.~~ MY COMMISSION' CC 451418 ,:~l EXPIRES: May 13. 1999 ::l IIondIId Thnl NolIIy Publ1c lJnderwIttIrI