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Home My WebLink About91-1575 STATE OF FLORIDA City of Zephyrhills j~~ Type of Permit (W"~ (:BUI~~"I~ c-~~~~~RIC~ PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 15754 Date ~- /() -71 P~ ME~ Property Owners Name: ~~~.~~~ sub.DiVj1_';;jp_~/_ oooo~ eJo;:ieJO-0080 ~(J J,~ 7YI#~ Job Address: Legal Description: Zoning CI: Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application ><===-~ Fee+ 5~ & SIGNATURE' ~#O?~ .;,~ COMPANY ADDRESS TELEPHONE # Estimated Cost: E. j 9 [) (). ~ . All work shan be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # (UtJJ-n.t0 BUILDING P~ ..- t) t<m-vi. SLB Tub Set Water Sewer Final MEC~L /,/" ~ Breakers Ducts Insl. Compressor Final ELECTRICAL Ftr. Pre SLB Lintel FRM. ~-1.. '1 ~" ~ Insul.CL WL h- 'L'i.-4' ~ Tp.Serv. Rough In c.,~l,7-ft I Meter Can Const. Pole Pool Pre-Meter Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of' J (( 19.QO) dollars shall be made for each~.lrd.. d e. (;S:d1?) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER t>>/l/!$ #~L (. 5/j/lJ F JOB LOCATION tu/~ref!. ltIoh,Y"'" HO#1.e ;,'u/(' $~i:S!lI1LL O. >.~ t.>~F'I#-~t?3 fZ;iL; p.s .5.1- , ~e-.f'/'/7i2-H,LlS"' FL, 2), L E{G, H- L E/C;/! APPLICANT PHONE :715,;2 - .3 3 / ';~ LOT SIZE~X 7D AREA SQ. FT. "?/f,O LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. 4F /c..f-;).. w -:J..l-OOD 0- 00 L. b 0 ~ OD OV WORK PROPOSED:~New Construction ~ddition ~Alteration _Repair ____Install _Sign/Temp. PROPOSED USE: ~Single Family _Sign _Move _Demolish _M/F _4F of Uni ts __M/H ____Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED VBUILDING V ELECTRICAL $ 3 f/DO D () Valuation of Total Construction ~ AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBIN'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame ____Steel _Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** J\UILDER (:~c) bn7J~ CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** Signature ......" . FT .FCTRI C1AN(O W72PAJ Signature Company State Cert. or Regist. # City License Registration # ****************************************** Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # - ****************************************** MECHANICAL Signature OTHER Company State Cert. or Regist. # City License Registration # Signature APPLICATION APPROVED ***** PERMIT OFFICER. Y'""'" - ."'- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions. whicn. ~ay b~ mor~ res~rictive than City regulations. The undersigned assules responsibili~y for cOlpliance with any applicabl~ deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay b~ requir~d 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 Z~phyrhills Building Departl~nt, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have th~ contractor Is) sign portions of the .Contractor Sections. of this application for which they will be responsibl~. If. you, as the own~r 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 aay be an indication that he is not properly licensed and is not entitled to per~itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION 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 D~part.ent of Agriculture and Consumer Affairs. If the applicant is someone other than the .owner", I certify that I have obtained a copy of the above described docum~nt and promise in good faith to deliver it to the "own~r" prior to cOllenc~lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will b~ done in compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicat~d. I certify that no work or installation has co&.~nced prior to issuance of a perlit and that all work will be performed to meet standards of all laws r~gulating 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 IY responsibility to identify what actions I lust take to be in compliance. Such agencies include b1lt ale not li.ited to: I Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewat~r Tr~at~ent, Septic Tanks I US Environlental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A. or "A,etc.', it is understood that a drainage plan addressing a "colpensating volule. will be sub.itled which is prepared by a professional engineer registered in the State of Florida prior to perlit issu,ance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to yioJ~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issuud ;hall becole invalid unless the work authorized by such permit is co..enced within six months of issuance, or if work authorIzed by the pertit is susp~nded or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~t~nsioll of tile, lay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to th~ Building Official. An approved inspection must be logged during each six tonth period, or the project will be considered abalidoned. 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. J08S UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". - 5 I GNATURE...2li:!~LL=~A:.~<;;4:"/------ -. OWNER OR Atf~T, 7 DATE__~~~~L'J?_:_~~________-__-____-_----_ NOTARY AS TO /~ /J #LJA---r-~ P OWNER OR AGENT ~L-'1l:i7UL.c:), ~?- MY COMMISSION EXPIRE~OTARY PUBLIC, STATE OF FLORIDA rvry co1i1riiissT6inrxPiTesJail. ""Z(i,"1"9 9 5 Bonded thru Patterson - Becht Agency SIGNATURE ------------------------------ CONTRACTOR DATE ----------------------------------- NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------ CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ' OWNER .~~jl$.#A~/~ n- &b./I JOB LOCATION 4- 90'1 go LL i I-J S .s:r PARCEL I.D. # SHOW AL~ EXISTING ,. PROPOSED STR'JCTURES-GIVING DIMENSIONS & SETBACKS. .n;:J ~ -/<!Y 1/ 70 ~ (1;x 91D lJ I :30 ",-k. ~~t~1 UTILITY BUILDINGS MUST SHOW. SIZE & ~QU~PA'IO~ IN,OR. MATXON ..~ I j Af)'-ag \ ~'f ~,,"'S, . RIi [), 110 " ,~ l' :-~I~:.is:t;1~ Q>- 0.....--1 l. ~~l ~ '. ~~ .~t [tvlWeu." ~ X...... ' l> pJ. r~1S 1iI-'J :~-i ~ ./~ 4: ,?~-Tl 0 V";t-""l/oli i 5 DR co/l.-e r-flFl. ~,-r \. frM! f.:til> f li'lOOM l e;:rj~GJ TO ~,.~~. aJ 61-\,5;h~$ , Lu.'. ~ rUt7W'{2 FLooV'; }..? t/y "# jg/ t.,y 0.v ~RONT PROPERTY LINE " (.NPTt'$XAfifFt1..ES 1 & 2) STREET 1. SE'tBACXSFOR.R1, R2 ZONING 60' 2 , SETBACKS FOR R3 ZONING 60' 10' 1101 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 20' 1 FRONT PROPERTV LINE FRONT PROPERTY LINE fO~ C~RP06TSOB'LIK~ :;TRUG'J'URES PL~f\.SE COMPLE'J'~ THE fQ~LOWIijG: (1) DESCRIBE WHAT TVPE: FREE' STANDING OR ATTACHED (CIRCLE ONE). (2) IF ATTACaED, HOW IS IT TO BE FASTENED TO STRUCTURE? (3) DESCRIBE POST SPACING fie FASTENING (IF TO CONCRETE, IN WHAT MANNER?) (4) GIVE DIMENSIONS or CARPORT LENGTH, WIDTH, & HEIGHT: (5) ~J:VE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: . (,;6) COHPLY WIT}{ REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT P:LAN~ . ,