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Home My WebLink About91-1653 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Permit)l9 1653 S 7-/~- 'f I _~D.oO Type of Permit ~ BUILDING DEPARTMENT 1-813-788-6611 PLU~~Ec~te ELE~ Property Owners Name: tr'\ft~LO.J ~,~ Job Address: b 0 '2..l Ii ~ S+. oOb~ro -Oral, D Legal Description: Sub.Div. OZ-rLf...-U-ol4..C) - Lot Blk. Zoning CI: Description of Work fit! V1'4;LY fiN e..6- G,t Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: '600., ~o All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # BUILDING Ftr. Pre SLB lintel FRM. Insul.CL WL Driveway Fee. 'LO.O 0 , ~ SIG~ATUR€M~ "\V6 COMPANY ADDRESS TELEPHONE # Tp.Serv. Rough In Meter C Const ole P Pre-Meter Final Breaker Ducts sl. Co ressor Fi Relnspections: When extra inspection trips are necessary due to anyone of the foIlowing reasons, a charge of t_ (Sj I O.Q9) dollars shall be made for each... T)- ~ d- e- (Is,; t:JlJ ) (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. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL 1.0, # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. ~ f '\ -- ...~ .L --r" \ vJCO& ~\0C'( ~ ~+-', . --------- .------ . ----- ~ V-, ........ A- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. 4D-7 FRONT PROPERTY LINE 75: (NOTE EXAMPLES 1 & 2) STREET 1, SETBACKS FOR Rl, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I ; la' P S la' 0 T S I E N D G 20' 1 A' la' 10' EXISTING 10' PROPOSED 20'SGL FAH 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE .. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT f!- / -) E2:.~ ;__) t/\ .._--.~. ,-'" ,."",. -'''''; JOB LOCATION 0^ ~7----t l~-f'/l, sy LOT SIZE2Cx IL.-\AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.i~ 1//0;1-;<' - 2-/- () I q I 0 \..' Ceo, 00 -- 06 ,. 0 ;V1/f-rl- (f)y1 it" I ''J (r" L--.., t I >' r::J-nJ. ..C_ . (i- 57 PHONE /. C' ~ .( v.. - /" ; '-/ 'f APPLICANT ADDRESS " OWNER ....-- WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~~;tall ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____i~ 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 FOR}lS.** **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED ---- ~UILDING $ J. /) 1/ ~.., Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _"l.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBHtG GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. n City License Registration # ****************************************** BUILDER Signature Si!mature Company State Cert. or Regist. n City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist. 0 City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAL Signature OTHER Company State Cert. or Regist. # City License Registration # Signature APPLICATION APPROVED BY *~~~~.*..~**'*******., PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.' NOT I CE OF DEED RESTR I CT IONS' The undersigned unders~ands ~ha~ ~his per.i~ lay be subjec~ ~o 'deed res~ricti~ns' whicn may be more res~rictive than City regulations, The undersigned assumes 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 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 lay be cited for a .isdemeanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing requirelents lay apply for the intended work, ~hey are advised to c~ntact the City ~f Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the c~ntractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If y~u, as the ~wner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the c~ntract~r wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled t~ permitting 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 applican~, have been provided wi~h a copy of 'Florida's Construction Lien Law - Homeowner's Protec~ion Guide' prepared by the Florida Depar~len~ 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 document and prolise in good faith to deliver it to the 'owner' prior to cOliencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be d~ne in c~~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a perlit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a pertit and that all Horl: will be performed to meet standards of all l.ws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is ,.y responsibility to identify what actions I llIust take to be in crlmpliance. Such agencies include bllt ~1 emIt 1 iili ted to: I Department of Envi,oo~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlllent I Southwest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses I ArlllY CorDS of EnQineers - Seawalls, Docks, Navigable Waterways I Depart_eot of Health ~ Rehabilitative Services. Environmental Health Unit - H~lls: \jasteHater Treat~e~t. Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Fle,od Ze,ne "A' or 'I\,etc.', it is understr,e,d th,l a drainage plan addressing a 'colpensating volule' will be sub.itted which is prepared by a professional engineer feqisl~,ed in the State of Florida prior to permit issu~nce. A pertit issued shall be construed to be a license to proceed with the wor~ and not as authority to yiol~le, 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 issued ;hall becole invalid unless the work authorized by such permit is commenced within six months of issuance, Of if work authorized by the perlit is suspended or abandoned for a period of six tonths after the time the work is commenced. One 90 day e:tE~5jDII of tile, aay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectie,n l!Iust be le.ggedduring each six lIIonth period, elr the pre,ject wi 11 be (e,nsidered dboiide,ned. 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 COMMENCEMENT". SlGNATURE~~_~------ DATE__~__:?~(~~___-__--_-_--_-_____---- I NOTARY AS TO 4 OWNER OR AGENT__ __ --- -- ------- > .... '''''''0.' .., no,,'. MY COMMISSION EXPIRES__ML~m~~~~~~~~~~~~!_- SIGNATURE______________________________ CONTRACTOR DATE___________________________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------