The URL can be used to link to this page

Home My WebLink About03-2004 BUILDING PERMIT Permit N2 CITY OF ZEPHYRHILLS (813) 780-0020 2004 Date '/-- /t-03 , (/~ ~9'JUCAL ~b.UM8fNG M~ Sewer Conn ~ Water Conn: "'operty Owne, Ii 'i4itaA~ Q l2J/Lji' ;1lilh.6'~ Wafe, Met., Job Address: 51'::23- 11 - $C ~ T.I.F.'s: Parcel 1.0. , 11- rl2/~ - .:21-- DO /0 -- /tl..1 DD - D07lJ Zoning: DescriDtion of Work - I:n~;~;d~ LJOOPE))dO"Fr~j~' /-,t=65 ,,/~i)FT (vJ NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector City License Registration # Certified License# Permit Fee ~)J" Company Address T~on~j \', 'J; . Valuation or Contract Price )'} ') <-) ,J J ..) PLU ME~ 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 twenty-five and 00/100 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. NOTICE City of Zephyrhills Code Enforcement BY ORDER OF CODE ENFORCEMENT GENE BROWN Code Enforcement Officer Cio/ of Zep~rhills 5335 8GH1H SIREET ~. R. 33542-4312 lB.. (813) 780-0020 FAX (813) 780-0021 SUNCOM 514-9618 EmaI:~us IT SHALL BE UNLAWFUL FOR THE OWNER OR OCCUPANT OF A RESIDENTIAL/COMMERCIAL BUILDING OR STRUCTURE, OR PROPERTY TO UTIUZE THE PREMISES OF SUCH PROPERTY FOR THE OPEN STORAGE OF ANY: Address: 5-&l~ 3 !?;/I C"- ~ I, Date: At, 0 y~ 0 ~ DINOPERABlE MOTOR VEHICLE DREFRlGERATOR DGlASS DSUILDING RUBBISH DOEAD TREES [l]TRASH [jJ . J-eu" i/ ~ tV , DICE BOX DSTOVE DBUllDING MATERIAL DWEEDS [KJDEAD TREE TRIMMINGS CK]GARBAGE 7), s 2t:p.;",,~ / ~./elJ ; N / g I' ,j;Ler4; ,~ S/ S/lcD (2 (' JJU 11 t:N fI -%' -\ ,/ ~ rl~n uJy ,'71 d- ~~ v ~ ,9- ~ v f\\OY 'l).s' ~t:'A,4 J A' , UPON NOnCE FROM THE CODE ENFORCEMENT OFFICER IT SHALL BE :THE DUTY AND RESPONSIBILITY OF SUCH OWNER OR OCCUPANT TO KEEP THE PREMISES OF SUCH PROPERTY CLEAN AND TO REMOVE FROM THE PREMISES ALL ITEMS LISTED ABOVE., ~s,C'.i '0, / ~,tr((;.r ~.)., oj e f' ",..-.? ~ ~^" CODE ENFORCEMENT OmCER ~~ 3NI"I U1I3d01ld .J.N01lA 3NI"I A.L1I3dOlld .J.N01IA .0 t X:!I'Idna.oc WVJl 'IDS IDe a:!lSOd01ld lOt DNIJ.SIX:!I .Ot I .01 I De' lot -- ~I-' '\ D a N :!I I S J. 0 S d lOt I 0 X H :!I d .01 .0 t .09 DNINOZ CH 110.3: S~,Jvaili:!lS . "7 ... DN1NOZ /lI1!) n '~ I09~ ell 'lH HO.3: s~,Jva~:!Is "1 (2 ~ T S:!I'IdWVX:!I 3J.ON) ~s; ;f~ .L33H~S :!INI'I XJ.H3dOHd J.N01l.3: " NOIJ.VW -HOJ[NI NOIJ.vaNnOJ[ ~ :!lZIS MOHS J.snw SDN1G'IIna X~I'IIJ.n ..., "' -La1 'ScLt1 . SX:lV8J.3S IJ SNOISN3HIO ~NIAI~ S311CLL::>flll.J.S 03S0dOlld IJ ~IH.I..SIX3 7"IV MOIlS 1\\1 /' fu- J " - "j,H I tJ) # ,'G'1 'I3,JHVd NOLLV,JO'I aoL' H:!INMO J.tUIH.I.1IVd30 ~NIO"IIng S7"IIffilAlld:!lZ ..:10 LLI.:> mOZ/8 litO ...0 100=qqS~1 Z~U1J:~9Z=UM..L~11 =::lgS(,dsu.p::l.rnd/lp.rngS;W0:"AOlJO::lsud.1gS~U1ddu//:d>>q I -- II :5b II 08S~ / L817~ II 2:0 II 986~ I 1000'~17$ II aM I "... __.__po. so I 686~ I 172:80 / 6 ~ 8 ~ 1000'~17$ I a\f ~S80 / SL6~ Z~ I 066~ I I Junow" I ad,{.l a6Bd I )fOoa L1JUOW I JBaA I d ~ON31 S3>10.lS JauMQ sno!AaJd ,(JOJS!H salBS SaJnlBa.::l BJlX3 ON SaJnJB9::1 BJ:PC3 9~17'~~$ 009 I S\f8 II ~ I OS8$ 8Z~ dSn I Z I 09L$ 017~ d:5h ~ MaN JSO:) "Ida~ Jaa::l "bS C UOIJd!J:)sae aun OO'~ sLlJBa l!Un MOPU!M :)" auoN JBaH auoN lan:l auoN ~ 6U!JOOI::l pooM yoS JO aUld J,. 6u!JOOI::l auoN ~ IIBM JUI IIBM pooM JO pJBOS IIBM J,. IIBM JUI uO!l!sodw08 pallo~ AO:) JOo~ d!H JO alqB8 JJS JOo~ auoN ~ IIBM :PC3 a6BJaA\f J,. IIBM :PC3 (Z JO ~ :PJB8) IB!lUap!sa~ ^I!WB.::I al6u!s - ~O 3Sn ZZ6 ~ Jl!na JBaA - tioIJeWJOitil6ti!pl!r1a WZ.lS8V\1 II apo:) uiwoj II v II Ann". BW9::1 II HZ08 II BeJ" XB.l II Z~'O I seJ:)" UOIJBWJOJUI PUB1IBUOIJ!PP" 10SS'17$ II 00'~ I S9' .::IS o'ooo'LII Z800 I SV\108 3~0J.S II ooz~ 2:0 IOS6'Z~$ I 00'~ ~ .::IS O'OOO'L 00 SVlJ08 3~0J.S G:i ~o enlB^ pUO:) d uoz UOIJd!.l:)see eun (z JO ~ :PJB8) I!BJee pUB1 ~98 8d 9L6~ ~o ZOL 'Z$ anlB^ elqBxB.l ~z ~ >l801S 18NI O~-L SJ.01 17S 8d ~ Sd 000'9Z$ - pBalsawoH SllIH~AHd3Z .::10 A..L18 ZOL'LZ$ sawoH Jno aABS (SElU!l V JSJ!.:!) UOIJd!J:)sae~al ZOL'LZ$ Juawssess" IBJO.l 017S~~ 1.::1 'SllIH~AHd3Z 0$ J.S HJ.8 ~Z17S SaJnlBa.::l BJlx3 sseJpp" IB:)!S,{L1d ZOZ'O~$ 6u!PI!ns ~~Z17Z17S~~ 1.::1 'SlllHHAHd3Z OOS'L~$ pUB1 J.S_H.L.Q SZt~ ~ - pUB1 6\f " 33J.sn~J. a a~\fH81~ SI.::I.::II . (SIBJOJ) Juewssess" s~s.~"PP'!l6U!I!BW-~-"~'- ~.::lS 'aoYlO 'SaJOlS ~.1. ") UOIJB:)!p'SSBI:) (Z JO ~ :pJg~}-6:tOO=OOl2:~-O~OO-~Z-~~ ~ .// 01 le:)JBd ~"" ~ saxeiluanbU!iaonuaJJn:S-=-OOnBWIDJU"1 JOl08l1ojxBJ.aas (: I ~ :sPJB8 laOJBd JalHO saxBJ. alBlnofB8 5!lBWa4o-soLijpl!r1l:n58Z!lBJaUa8 aeV\l M04S UleB\i lj:::U89S l!eJElO 19:1Jed : lpmes SpJO:l8C! : ElWO:l19M ZJO I glJUd 100 :p.rn:J OLOO-OOIZI-0100-1Z-9Z-1 I :10J uoquuuoJuJ P::l.rnd ~1NElRI SHAMEl. //' ~----_._.._-_._~_._--~--_..~-"""---_. ,roB SITE ADlJRBl88 ~_._~If cZ3~_Qcr~5~_._________._________________________ ._..... __~_._ CITY OF ZEPHYRHILL8 PERMIT APPLICATION BUnnING DIllPARTMBlN'f 5335 8 th S'fRBlBl'f ZllJPH'iRHILI,S, P'L 33 e4a PhoneI813-780-0,020 ra)C1813-780-002J. LI _j,'0~O~ DATH RIlI(1I!1tVIlID --.:r~~L'6~ ..._c:? pums RmVIBIW 1'B1B1_'-______.:: _._. .....---.--------- PHONBl CON'l'Af~T ---- ----.-_.____.._._ .0_"_, _ .____~ l.,EGAL DBlSCRTPTION: LO'f(S) - CAAilii"i,- ~iL:: :21.- -qf/ ~ O.t2/Q ~ lP;q, 0- ~ 0 1D ~._!O~TAINFRO~!~~~~~~.TAK_u~,,~I'" J_ WURK PROPBllllJ I [JNBl~l C'ONS'l'Rl1CTIOH [l ADIJrTION (JAI.,'l'ERATION [J RElPAIR LJ INSTAl,!, B UJC! K SUBlnVI8JON -_.~-_._--- -..-------..-..----.....--.-. ._-~- []SJGN [J MOVE rJ DEMOI,ISII PROJ,lU8EJIJ USElI rlsr.!!!, FAMILY DWELT,IllG (Jt1UI/I'I - FAMIl,Y []# OF mUTS OSWIMMINI1 POOL [] MOBIr.Bl IKH1Bl f.] OTHBlR fJ Oot1MIII RC! IA I, o INDU8'rRI ATJ o RalS'rAURANT & HElALTH DBlPARn,1ElNT APPROVAL 11BlSCRIP'rION OF NORK ., ----.-..-..,..---,---.-.~~--- '----__._._._4_____'""-- __n__ _._.._ _..___ __ Bl1I!.fHNn flUE SQUARE FOOTAGE >--. --------..---- HElHJH'f RI!lBIDBlNTIAt'I A'I"l'nCH (2) PL,OT PIJAI1S & (2) 8ElTS OF BtJII,DIN(] PLANS & (1.) BElT BlNElRt1Y FORMS, (!OMMBlRC!IAT'1 A'r1;A(~H (3) SElTS OF BUILTJING PLANS & (1) SEl'r ENElFWY FORMS. PROPBJRTY SURVEY REQUIRI!ID FOR ALL NEW CONS'!'RUCTION. ~ERMITS REQUESTED [] Btln.]JINf~ $ -- ""---~------- ~ -.. VAL.tJATION OF TOTAl, CONS'fRUCTIoN L1 IllLBlCTRHJAI, ----~__ At1P SE1lRVICEl o FI~RInA POWI!lR o W,R,E.(1. (J PWMBING o 11B1UHANIUATJ $-----~ -- VALUATION OF ~o1B:C'HAN~I]U, I11STAT,1,ATtrm lJ (JAB rJ ROOFING [J El PElrJI A1/1'Y o OTHER 'l'YPlll OF COH8'I'RUC'rION I [] BLOCK [J FRAMEl (] STEElL [] OTHER FINlSHElTJ Ff,OOR ElIJElVATIONS _._------ IS PRO,JElCT IN noon ZONE ARIllAn YIllS 0 NO BttunBlR #7-,_/ l :;2?_'~./r 81 GNATURffi ~_2-1-,=<./k/:-:.~-,- ~~-==:::_ , / CDr1PANY STAT8 CffiRT o~ REGIST CITY PROCESSING L._ -----u.-~-_________u """"""**"'*"**"**"""'**"**""'**"""*'*'*'*'**"*' t/Ir.11IC'TRIOIAN S I mU\'I'UREJ_._~_ "--.-..- ---_. ----..--------. --------....--.--.-.---- cor'1p ANY ______________ __.________._~_______._ ____~ ST1\'1'8 e'ERT OR RE~TS'l' It CITY PROCESSING # '----'-_0__._- _ ._....~____._._ ,.._.___._ _. __ ***********~*************'******'*'*****'**"""*'****'**'*"*'" ----------~-_.._---_._.__.---- . -----.~_.,~..._- P f,UMB B1R <10[\1 P ANY ___.___.___________________.______.___.._______ STATE CI1JRT OR REI1IST # _______~~.__._~_____. SWNATllREl CI'fY PROCEl88ING # -.-.~......_____.4___.....___...._ -----'~-_._~-.-.-----.-__ ,~_._,_... _.__..________0____._.___.______ """*'*"*"""'*"""""""""**""*"""'""""""" MBlOHAlU CAr I ---------..----.--......--..--- COMPANY _______________~.__._________.._.._ _ _.___ STATE CElRT OR REGIST # Cl'l'Y PROCESSING # ---~~---._~----....._-----~--_._---------. SWNA'I'tJRffi ..----..-----.-. --------- *'**"**"'*'****"'*"*""'*""**"""*""""'"*",...,*'* OTltlll!l C<1t-1PAHY ----.-~._----_.._-_..._--~-...~......._._- STATE CERT OR REGIST # CITY PROCESSING # S IlH1ATURE -------~_.__._---_.-----_._. -----_._-'----~------,- ******'***A***A*'**'*'*'*,*****""*"*",,,,,*,**,,*,**'**"*'*' -_._-"'-._.._-""---'----------+--..~_._-_......- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsU which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with anx 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 misdemeanor 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 portions of the "Contractor SectionsU 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 wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. 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 "owneru, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owneru 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 agencies 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 Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, 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,etc.", 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 permit 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 from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended 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 project will be considered abandoned.. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTu. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STl;\TE OE: FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid ~id not take an oath Dwho has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped