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Home My WebLink About91-1676 ... STATE OF FLORIDA City'of Zephyrhills PASCO COUNTY Permit N'~ ~per:;'i BUILDI~';13~7~~~6~~MENT ~~~ ELE71CAL PL7BING ~EC~ICAL CJrJ, -f) l D~ } Property Owners Name: ~~_ cXM.- ~I> . j /( r\ Job Address: '5 q / / q r01-~ l... 12--. ~ /7J~' ') Sub.Div. ~ .r- /7,,- l__).' - 1676 Date2-" 2 6- r I Legal Description: Lot tp 1/ c) Blk. Energy Code Readout: Zoning CI: Description of Work /~1 Complete Plans, Specifications and Fee Must Accompany Application :~:~~~:~::2~ COMPANY ADDRESS TELEPHONE # Estimated Cost: ~ 9' if 1 All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # Ftr. Pre SL lintel FRM, Insul.CL WL ING MECH~CAL I SLB Tub Set Water Sewer Final Tp.Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge oftwH IS I ~ 00) dollars shall be made for each~.Tr4-Je (/6';~) (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, -~ Ll --w- _ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT S~V{~'<'\...;~, G.U~~ ADDRESS 3')\\ <1'Vo.>C~ "\:),'\\{0 OWNER S~Q.\f~~ Ct. ~ \\\.~<2.. K, \..s.uck~ JOB LOCATION39\\Cj '\)CU\~ '1)'f'\\fe- LOT SIZE\\\) ~ AREA SQ.FT. I LEGAL DESCRIPTION: LOT(S) Cj ~ \ 0 BLOCK SUBDIVISION 2q~' t\J\1s, PARCEL I. D. f~ Rt:> 5 ) 'Vo..Je.- S<::J '. "'PR 1=>~ c...~') Fl . ~ I.\: I 3S 7 WORK PROPOSED:_New Construction VAddition _Alteration ~Repair _Install PHONE "i. ~~~ .232.2- _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ~single Family _M/F _# of Units ,._M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: ~ 3 X Z 9 , 3'11 Square Feet, (\ ~ ')(; \ ~,t.AL'-\:I..()~'J. \ ~)C,.\~ ~~>-nV\,\) RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OY BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY **COPY OF CONTRACT REQUIRED. Height & (1) SET ENERGY FORMS.** FORMS,** -LBUILDING ~#;2.0!") (;) $ ~()()~~ PERMITS REOUESTED Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp, _W,R.E,C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS V ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** (s '\ CONTRACTOR SECTION . BUILDER el~..J :S~Q..l{'~ ~ . b c.k:::J Company nil. tt ~ State Cert. or Regist, !~ Signature~L7AJX/, ~ City License Registration it **** *********************************** Signature Company State Cert. or Regist, # City License Registration # ****************************************** F.T ,F.CTRT ClAN Company State Cert. or Regist. # City License Registratio,n l~ ****************************************** PLUMBF.R Signature Company State Cert. or Regist. # City License Registration # - ****************************************** MECHANICAl. Signature Company State Cert. or Regist, # City License Registration # OTHF.R Signature , . *::J;~~*********.***'k* * ,',** ******** ( ,j~ .'\ '. , ,,-.........J ,,' ..r.." .....V. ......,1..",. '.' ;. Y',~ W"""~""-.l~j ,.... PERMIT OFFICER. , APPJ,.,~CA;rION. t}~fJ\QoVED BY . ~ 'o(i "\,:-~,; j :.('.~ ;'~", ~,.;:..:~",..; ......i ..~". CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The undersigned understands that this perlit lay be subject to "deed restrictions. which lay be lore restr,ictive than City regulations. The undersigned assules 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 contr~ctor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 aay be an indication that he is not properly licensed and is not entitled to pereitting 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 - HOleowner's Protection Guide" prepared by the Florida Departlent 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 doculent and promise in good faith to deliver it to the "owner" prior to COllencelent. 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 developaent. Application is hereby aade to obtain a per_it to do work and install~tion as indicated.. ,1 certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will te performed to meet standards of all laMS regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern_ental agencies lay 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 bllt il e not liaited to: .... I also certify that, if fill laterial is to be used in Hood Zone "A" or "A,etc.', it is understc10d thot a drainage plan addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer regist~ied in the State of Florida prior to per.it 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 permit isslled ~hall becole invalid unless the work authorized by such per.it is coa.enced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six lonths after the tiJe the wDrk is co~menced, One 90 day e~tensioll of tile, lay 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 lust be logged during each six lonth perilld, or the prclject will be cc,nsidered dbdlldoned. 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". SIGNATUR~~~------ DATE_______~~~~G T NOTARY AS OWNER OR AG NT_ SIGNATURE ~~ aate,Jet.l-e FIo S_~"",~ -~, rida. ~ 22. f99~ ~ CITY OF ZEPHYRHILLS BUILDING S\'V~-'f~~, ~ k\:~~~ K. ~\)cK~ JOB LOCATION ~C) \ \ ~ 't>ro-K l)r\'\IQ) . . . ~J-H3S, OWNER PARCEL I.D. # DEPARTHENT SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. \ 4t4 ' ~1"'s.1 33' \0' UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. rsJ2I' ~I "I" lSJlI\ SoT IN", \ 5' ;2C' '1-\ 11'_1- \..:---\ . 'P"''; - -- I \!~, 't I , I ~ elt\""'N~ I -- _ --' t)(lSillJ c;. 25' \\c:/ (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, RZ ZONING 60' 10' P E- R X 0 I \ 10' P S 10' 0 T S I E N D G 20' FRONT PROPERTY LINE 20/' FRONT PROPERTY LINE \44/ 140' I 1 2. SETBACKS FOR R3 ZONING 60' - 10' 10 · EXISTING 10' PROPOSED 20'SGL FAH 30'DUPLEX 1 O' FRONT PROPERTY LINE ,..s'" C- j,-\,"( > ~W-lt ~ \'6' ,/'-~ II' 2-f~ ...-.. / h 0 .,c.. . ~@L)(~ 0Cl;J(L lto /)j t tJ fY-cd<' plS'f \ '2! 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