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Home My WebLink About91-1754 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 17548 9-s-:- 9/ Date ~ P~ MEC~ Property Owners Name;Z;,L" j( ,41 ~ Job Address: ~ /:J.? (':".A...i!L4 -Q-. Legal Description: Sub.Div. r14 L~ I{ If ? Lot ZoningCI: ~.. .:L'- rJ-/ -s-- 0 Description of Work / (;) >< p... _4-J. ef~ Blk. Energy Code Readout: i/-/?:p Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: -:s~-. t::r7/ OCCUPATIONAL LICENSE # Fee: C20~ ~ SIGN~TURE ~(f' COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances, ~A c-=-~ Ftr. Pre SLB Lintel FRM. Insul.CL WL P~ ------ SLB Tub Set Water Sewer Final E~RICAL ~ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final MEC~AL ~ Breakers Ducts Insl. Compressor Final Driveway Reinspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) dollars shall be made for each trip. (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 PERI-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTHENT 1?c-J~~ E 5)1i(,~ ~/:z 7 C'~yn~O 5~fr:'i.. Kfc-L-'Avd E S fA. ~{'eV' ~OB LOCATION 6/~7 C~YU~O 51- ' APPLICANT PHONE '78.'2 - ::4 7.2 r ADDRESS OWNER '. LOT SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) PARCEL 1. D. ~~ BLOCK SUBDIVISION WORK PROPOSED:~New Construction _Addition _Alteration _Repair A-Install _Sign/Temp. _Sign _tlove _Demolish PROPOSED USE: ~Single Family ~M/F _# of Units ,._M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: /0 I X ~' I Square Feet, 7' Height I RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOmlS. ** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED VBUILDING $ 3.25: ~ V~luation of Total Construction _ELECTRICAL AMP Service' Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation .... . _PLUMBING GAS ROOFING , SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ~Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. lj City License Registration # ********************************** S i e!fia ture Company State Cert. or Regist. 0 City License Registration # ****************************************** ELECTRTCIAN Company State Cert. or Regist. 0 City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************~*~***~*~~**************** MECHANICAl. Signature Company State Cert. or Regist. ff City License Registration ff OTHER Signature APPLICATION APPROVED BY ~********~**************************** , d~. _ J:7/t.r~ " PERl-lIT OFFICER. CONDITIONS~O~,cPERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS lh...,,,,i,..' ..'mh'" 'h., 'hi, p",1l "y h. "hi'" " "eo' """,ti",,' ,hi ,h "y h' ,m '" "i"'" \h.. CIIy regulations. The undersigned aSSUII!S respons1b~1itf;for,co,p1iance with any applicable deed restrictions. .,,' ." . # B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If 'h. ".., h., hi,.' . "."."" " ".".,',r, " ..,.".1, ",", "h'y "y h. ",."" '0 b. Ii""" in .",,'.n" ,l'h ".,. .., 1".1 ,.,.l.'l,n,. If 'h. ".'r."" I. n" 11,.n," ., ,.,.ir.' hy I." h,'h 'h' "n" ..' "n".,I" "y h, <i,.d f,' . .i,"""" vi.I.'I'. ..,., ,I.,. I...; ,If 'h. ,..., " i.I..,., ",1,.,1" .,. .."".,. ., " .h., li<..,i., ,.,.i,....I, "y .p,ly f,' Ih. i.'.n,.d .,'1, 'h.y .,. .dvi,.d I' ".,." 'h. C,ly ,f Z'phy,h'll, '.'1"., D.p.""", "1'1 7B8-bbll. ,'," F.,'h.,."., 'f Ih. ,.n.' h., hi,.d . "n""'" " ".".,1'", h. i' .dvi,.d '0 h'v' Ih' "."."",,1 ,i,. p.,'i,., ,f 'h. 'C..I,.,I., ,.,'i,n" ,f Ihl, .ppli,.'i,n f" .hi'h Ih.y .111 b. r.'p.n,ibl.. If y"- ., 'h. ,..., ,i,. ., 'h. "."""r, y" .,. ,.die.'i., 'h., y", ,.Ih., 'h.n Ih. e,.'r."'" .r. ,"p,.,ibl. f,' 'h, .,r', If 'h. e"I,."" .i,h" y" " 'i,. ., ".'r"'" Ih., "y b. .. i.di,.li,. 'h., h. i, n,1 p,'p"ly li,.."d ,nd i' .., ..'i,l,d " p".i'I'" p,iv'I.,., i. 'h. City ~f Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORIDA STATUTES, AS AMENDED) D. I e.,'ify 'h.1 I, 'h. .ppli<.nl, h.v, b..n p"vld.d .i'h . e,py ,f 'FI,ri"', C"",."". li.. l.' . ",...,..,', P"I.,'i,' G.i'" p'.p.r.d by Ih. FI,rid. D,p."...1 ,f ",i,.II.,. .nd C,.,..., 'ff.i", If 'h, ."Ii'.., i, "..on. ,'h.' Ih.n 'h. ',m,', I cor \I f Y th., I h avo ,bh i..d ., ,;py ,f 'h. .bov' 'm" b.d ""n.1 .,d ,TOni" 'n '" d "" h " ,.1' '" " \0 \h. 'owner' pri~r to c~llencement. ", (: ,~.~7, '". '. ; : E. CONTRACTOR'S/OWNER'S AFFIDAVIT I e.r'iry Ih., .11 tho i.r"..'i,n in 'hi, ,ppli,.'i'. i, .,<.r.l. ,nd 'h., .11 ",' ,ill b. ",. i. ".pli..,. ,i'h .11 applicable laws regulating c~nstructi~n, IDning, and land developmen~. 'ppli,.li'. i, h.r.by .", " ,b,.in . p.,.i' '0'" Mo,1 ..d in".II,'i,n "i.d""", I ",'ify 'h.' n' ",' " i.".II.'i,' h" "....". pri,' " I"..n" ,f , p.r.il .., 'h" ,11 .,r' .ill h, ,.,',r"d " ,.., "....", ,f .11 I." ,.,.I.lin, "n,I,.,li", Ci'y """ .,.in, ,.,.1.",." .nd l.n' ',v.l,p"" ,'g.',I',., i. lh. ;"".,,11,.. 1 .1" ,.rtify 'h.' I ..d.,,"" 'h,1 'h. ,.,.I.li'., ,f ,th., "v.rn...I,1 .g.n<i,' "Y .,ply'" Ih' i",,'.d ",k. .., 'h.1 i' i, ,y r..,on'ibi Illy" ""lify ,h., "\I,,, I '",' "k. I. b, in coop Ii""'. Soch 'g'"'''' ,,," ,de h. l '" '" t Ii .il" ,,, #' . n.,.rt..., ,f E,vi,;n..nt.1 R.,"I,'I.n - cyp,;" S,yh..d', ",'I.nd Ar." "d E.,;r.",.I.lly s..,iti" l,nds, Water/Wastewater Treatment . South"est Fl~rida Water'Mananement District - Wells; Cypress Bayheads, Wetland ~reas, Altering Hatercourses . ~rlY Ccorps .of EnQineers - Seal1alls, D~cks, Havigable Waterways . n'c'rl..n' ,f ".,I'h , R.h.bili,.'iv. G."i,., Envi".,..,.1 "..l'h Uni' - ",II" "",.,.", T".""l, S.pli' 1..1, t US Environaental Pr~tecti~n ~Qenc~ - Asbestos abatement I .1;0 m'ify \h." ; f fi 11 ..',d.1 i, ,. b. ""d in Fl'" Zone .,. " ", ,t" " it " "dO" I'" 1I,' l · dcai ..,. ,I" .d"."i., . .,..,..,.ti., "I..,' .ill b' ,"b.it'.' ,hl,h i, p","" by . """.",.1 ",i"" ,,,is''''' ,. 'h. 5,.1. ,f FlDrida priDr to permit issuance. , p.r.i' i"'" ,h.ll b, ,.n.lr..d " b. . lie.n,' " p"e.'d .ilh 'h' ,.,1 ,., ." ., .,'h"ily " v,.I;". ".,,1 .Il." " ,., .,1', "y p",i,I,., ,f 'h' t.,hnie.l ".." n" ,h.11 i,,",ne' ,f . "r." p"v"t th, B.'ldi', ""i"" ",. 'h.r,.'I.r r.q.'rin, . ",r.,".n of ."." in pl.n,; ".,',"e'l,n, " vi,I,"'" ,f "y "d.. ",'y .".,t i,"" ,'.11 b."" i~.li' ,,1m tho ",I "lbor i,ad by ,och pmit i' co."."d .ithin ,i, ",lb, ., """.co, or if ",J "U"" ",' by lb. .,roit i' ,.,p,n',' ,r .h.,.,.,' f,r . p.,i,d ,f ,I. .,n'h' .fl., 'h' "" Ih. .,,1 ""..,.,.d. p,." "y ,.I.n.'" ,f "", "y b. .11.,., f" 'h. p,rn" .i'h f.. ,h.rg' ,r IIS.nn. lh' ..'.n,i" .h.11 b. ,'q""" i. .,il;', I' Ih' ',il"., Dff;,i.l. " .ppro"d I",."ioo .,,1 b. I."" ,.ri., ",h .i, oonlh por;,d, or th. pro;,d .i 11 b, ",,"or.d ,hOO"",d, WARNING TO OWNER. VOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAV RESULT IN VOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH VOUR LENDER OR AN ATTORNEY BEFORE RECORDING VOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ,I ~" -, ~ (~ ,,' SIGNAT~REr.I~fI~~. -~-~---~---------- ~&~ NT DA TE__-9:-_~_::9l-----------~------'---:"--- NOTARY AS TO R;c'0cl....dj;,.~~ OWNER OR AGENT_~(J-b-~---~_~ 0 MY COMMISSION EXP~~~~~~~~AT~ OFFLO~~~_ MY COMMISSION EXPl u::;c~;~~~R';"RITER~' BONDED THRU NOTARY P SIGNATURE ------------------------------ CONTRACTOR DATE ----------------------------------- NOTARY AS TO CONTRACTQR_____________________________ MY COMMISSION EXPIRES ------------------ OWNER c+TY OF ZEPHYRH~LLS BU~LD~NG DEPARTMENT <'1:-) _ ie' ,..h ..... \ .- /1 i-", Cr'~ v f \ r, ", u l ....." /' , ..i I "~ . JOB LOCATION ,~.~ ~,.......) ...../-'" . . .-"," ....../~ ..,,#- .. \" ~)<li".~ CJ . ,.- ,/ .................,,., .w_ .-'" PARCEL I.D. # SHOW ALL EX~STING & PROPOSED STRUCTURES G~VING DIMENSIONS & SETBACKS. -"'"",~--<,- , ,'I I -.. "ll c; /-I. tl '(' ~:" .4,.. ," . If'" ,. /,,1 ,,,.~-_.~.~,,.. -"---",- < /7- r", !/.... , '.~" ! I / " -%- ... --~-..,. t-J - ~' '"'' -', vi " .,~ --~. '" < /0' ~\ (( w I;) '.J UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE ,/ I ?,. ..- --:~ I .'''/ /. STREET "", -'. (?:JI# eCJ ~. r-,Vo.j.{(/ll ,./ '!:' (NOTE EXAMPLES 1 & 2) 1. SETBACKS FOR Rl, R2 ZONING 60'- la' P E R X 0 I I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60 ,_ la' 10' EXISTING 10' PROPOSED 20'SGL FAH 30'DUPLEX 1 0' FRONT PROPERTY LINE