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Home My WebLink About01-0164 ... BUILDING PERMITN~ . 0164' CITY OF ZEPHYRHILLS Permit ,:3-- ~-O I (813) : _ 11 7RtJ -00.:2'0 Date .~ . ,,-- 15 BUILDING Property Owner: Job Address: Parcel 1.0. # ~. Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL ~-::3p --t/ / DATE / Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Permit Fee ~ Company Addre~s ~~~~one#) St ') -ooe-.L ~~ DATE Sf2 (;~~/b:. Inspector Valuation or (') Contract Price ~ /7'0 - City License Registration # /17 State Certified License# ~?~7 . BUllDI Ftr. 3ZJ -/J / 1i!- Pre SL I ELE~-- - ~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Lintel FRM. Insul. CL WL 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 Twenty Five and 001100 Dollars ($25.00) 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 rOR PBlUaT CXTY or BBPHYRHXLLS BUILDING DBPARDO:NT DATIl RIlCBIVBD" ~ If Ie; ( PLANS RIlVIn .... '" . 1 OWNER'S NAME ~ (,' L J l1S JOB ADDRESS :5 ') *5 Df') I'Yl J ~ 8 tIl-/j LJEf1...15 k'5' # j J? E PHONE " IJ. :9- B 2: 6 ? SUBDIVISION 1'1 LEGAL DESCRIPTION I LOT(S) BLOCK PARCEL ID It WORK PROPSEDI ONEW CONSTRUCTION ~ITION , IORTATHI!'ROM PROPRRTY,TAx NOTleR' QSIGN PROPOSED USEI~FAMILY DWELLING o MOVE DALTERATION o DEMOLISH o REPAIR' ' , d INSTALL : I , . I ~ l' " "'~ II. I : I', tJ COMMERCIAL OMULTI":'FAMILY o INDUSTRIAL Off OF UNITS f" ' '1' 0 MOBILEHOMB: f, o SWIMMING POOL tJ OTHER , , CJ ,RESTAUAANT & HEALTH DEPARTMENT APPROVAll '.,-J, I ,i ~ ' r; DESCRIPTION OF WORK b;( ) <f ...s c..R. CE ()J I<rro n , 'rl;l ~. J' 1 . H,:_ t' . ',~ " ,t ,'~l.'. '_''';'''' . ......,. .,,'1."- 'I ! ,. '\.I :, . /' 'HEIGHT'.,./t).. ..Cb.- BUILDING SIZE 6.x. . ry SQUARE FOOTAGE 8-? RESIDENTiAiJt COMMERCIAL. ATTACH (2) PLOT PLANS ,'(2) SETS OF BUILDING PLANS, (1) SET'ENERGy'FORMS& ATTACH ("3), SETS OF BUILDING PLANS , (1) SET ENERGY FOJ:U.fS. .;:.. ~".: PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ,~! r ; , 11/,\ 'PERMITS.REQUiSTED 1".' " pit' I.'.:: b,' \ .1 '! : I I: \ r " I! 1'.'1:"'1 IHi:.', ;,', "Ii ,I. 'r ; . , " r ...~. ' o BUILD,ING [j ELECTRICAL $ '2.) 90' VALUATION OF TOTAL CONSTRUCTi6k . ,", 'j .-, 'J,I' .AMP SERVICE 0 FLORIDA ~OWER' ,0 f '~I ,I :'1("" ,I" ",'iII', 'Hl ~ 1./, 1',,!, ~I I r "I I ~ I , l ), . ~ t E, ~ p.~ """" o PLUMBtN,:~, . D MECHANiCAL $ ,:q,,~~, ~t 1~,~q~Fp~G ,,tl SPECIAtTY" ' TYPE OF CONSTRUCTION: 0 BtOCK ,,". "!r.' .".. i'! , 1\' 'j . I ~ ) ! ' ~.' I . j t' , r , _ ~ r . 1 1. .' : '.VALUATION OF MECHANCi:Ai. iNSTALLATION:/l\')" : I',! I 'I ! 1" . ,-,. _ 1_.'. i I FiNISH~~;~~~R ELEVAT:t.ONS , l '. ,I:i.i~,"" j' :'f l,~ I '., ~J~'.I"I" 0 OTHER f tJ FRAME 0 STEEL _,l,' IS PROJ,ECT "I' II .. ,I, , t'.' "1 I :.\ . . iI, If. ~ '1' i j, I'!, ! 'I tr6THER ' , " . "d "p" ;',1 IN FLOOD ZONE ~tJ'; Y~S' , ~ '! . ' "'."',Fiil,j!.. J h.:' : , ~I' ' ",-,.' .,-" . \ t D,NO . : ~: [: i::: ~:: i: i: i; i:::;::' :' ~ i:: i i i i: ~.: i::~:::::, i i; i ~ i [:'!::: i i i i::::::;:::::: i: ~::::::: i:::: ~:::::: i::: j:: r ;::: i::: i::i:::::!:::::::::: i: ~:::: n:: i i:::;::::':::;::: i:'::: i::::: i:::: t! t:;::::: ii: i ii: :':: i:::: j:: i ,,'Biji~'~~::..:......f~. ".~.:~'.... ..-".~'."" . ....; /'. . ~~~~~J!:;~;~t~J.~~;i'~'J " i ': SIGifATtJRE Ila~ ,-,_~ CITY PROCES~i:NG ft " ''',__Jl .: .',' ',,',11:,,' , . "', \ t "U H iU ",..,I, ''''''' :::'" ~ ,\+"* * * *** U ** * ** **** '" ",,I, *. '" ,1,*. ~I~ ~"'~ "'** u. {;:t~:l~ .:' l r,' ',\ I , ~ I. : : . q',' t ' 'i).~'-'-;. Jl r 'I.' ~ memem ". SIGNATURE COMPMY STATE CERT OR REGIST . CITY PROCESSING It i. . ~ . , . ~_, . ,\. '~.I 1 A''''';;*A*'*'*'''''**~*......**.*.************~'.*..'*.'''"'**.*.~*'~** . ,i .'1' ,'f ,'" it', ~ Y 'I' ! " COMPANY' STATE CERT OR REGIST.ff CITY PROCESSING # ^ ! :1','.' I, . ; .'H' /. l'LUIIBD SIGNATURE . '.:',;,~ 1,.'" * A". A *,t. * *. ..* *... A "'. * *;;.... *.. * * * * *. * * * * * * *. *' * *;;. * *. * * *....... * * *;;. -I, *... COMPANY. STATE CERT OR REGIST#. CITY PROCESSING # '....) ': YIICWICAL SIGNATURE ****'**A'A.."A.'*'~**************************.****..*******.,,*,. , 1 OTRBR COMPANY STATE CERT OR REGIST It . CITY PROCESSING It SIGNATURE . ***********,.***************************************...****...,,* ('\. \.J) f\V, o ~, '\.'< (' V'\ \.-V1H)'~ H.:.> vc t1:.tl\1",LLJ. 1.~J.;,"J..L.'i..!.':.r....1. A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permdt may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibilit~ for compliance with any applicable deed restrictions. B; UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a udsdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign ~ortions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you; rather than the contractor; are responsible for the work. If the contractor wishe. you to sign as contractor that may be an indication that he is not prope~ly'licensed and is not entitled to permitting privileges in the City of zephyrhills; . C. TRANSPORTATION IMpACT FEES AND UTILITY CONNECTION FEES 01 CONSTRUCTUION 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 Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~ownerH, I cerify that I have obtained a copy of the above described document and proudse in good faith to deliver it to the ~owner" prior to commencement., 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 development; Application is hereby made to obtain a permit to do work and installation as indicated, I certify that no work or installation has commenced prior to issuance of a permit 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 governmental agencie$ may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of , Environmental Regulation-Cypress BaYQeads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment' ' *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Armf Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health , Rehabilitative Services, Environmental Health Unit-W~lis, Wastewater Treatment, Septic Tanks *U.S. Environmental protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or ~A,etcl", it is understood that a drainage plan addressing a "compensating volume" will be 'submitted which is prepared by a professional engineer registered in the State of, Florida prior to permit issuance. ' A permdt 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 t~e Building Official from thereafter requiring a correction of errors in plans, construction; or violations of any code. Eve~y pe~t issued shall become ipva~id_unles8 the work authorized by such permit is'COmmenc~d'~ithin six months of !ssuance, or if work authorized by the permit is sus~ended or abandoned for a period of six months after the time the work is commenced. One 90 day'extension of time may 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, or the p~oject will be considered abandoned. . wARNING TO OWNERt YOUR F~LURE TO RECORD A NOTICE OF COMMBNCEMEHT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT "ITH YOUR LENDY OR AN ATTORNBY BBI"ORB RECORDING YOUR NOTICB 01' COMMBlICIMBHT i JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". , SIGNATURE s CONTRACTOR SIGNATUREs OWNER OR AGENT acknowledged , 19_ STATE OF FLORIDA ' COUNTY OF The fore~oing instrument was Before me this . day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this ~ day of, by . (name of person o who is personaily acknowledged , 19.....:.- " acknowledged) ( known ,to me, or (name of person acknowledgedf o,ho is personally known to me, or of identification) take an oath. o who has produced (type of identificatipn) . and who Ddid DUd not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped '. " .R;; \ ~,)\.. I J ~ ~l\J~l{t~l{~ :3 7r.f1) iJtif43'E5 t-I (1'0[, (; (1aI o.~ I~ Ii) , , . SQ. FEET PRICE " MAIN OR UVlNG "DC.. $ OTHER AREA UNDER ROOF $ OTHER VALUAl10N $ BUILDING: $ 45/ 00 CREDIT: $ ELECTRICAl.; $ PWIIBING: "$ . MECHANICAL: $ <g~ RADON $ I ;j <<-f '- I TI F'S :1 $ tJ Irr ~ LI---<&'i ./~." I SCREEN ROOM 1-2' NEW FOOTER B 2x3 .045 POSTS HOUSE EXISTm SLAB 14' 1: >aT II 3" COMPOSITE EXISTING HOUSE PANEL ROOF WI SHINGLES 6' ---I SDE ELEVATION ~ ~. ,r\~~E.u . ,(.",,, ~~J ;~n -'-:~ ,. . .1._ r ,"r' r ", \'0 . .J ,,0 ~ .