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Home My WebLink About91-1842 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1842g it Date / () - 9 - 9 / BUILDING / /' EL~ ~G ME~CAL Property Owners Nam.:~ ~11';ij;/~ Job Address: :5 J>' 0.3 ., - Legal Description: Sub.Div. U,k1d;;L )I M? Lot - ::L b-;;2-1 - Blk. Zoning CI: Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE # Fee: {-:X...S---. 0-0 '0+ .3. en 7?)j SIGNATURE~ ct9 ~fi._ COMPANY ADDRESS TELEPHONE # Estimated Cost: :J . (;-VV. c.:ru / All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~TRICAL ~ Tp.Serv. --- Rough In Meter Can Const. Pole Pool Pre-Meter Final ME~NICAL "'" ~NG ------ SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final Driveway Relnspectlons: 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 PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTHENT ADDRESS ~tI~;; /.MA./.J-~r 3?o), /3 r~>/~~ '/::;' if -e . PHONE '7 ?2-/o~ / APPLICANT OWNER JOB LOCATION J.;;; 'It1 e-. " LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .1~ WORK PROPOSED:~New Construction'-~Addition ____Alter~tion ____Rep~ir ____Install ____Sign/Temp. _Sign _Hove ____Demolish ____commercial ~Indust. ____Swim., Pool . .____M I H /;.!')( ~ ,I r-A o('.~~T Other V\ ~1 ~ \ ~ i '1 %\~ , PROPOSED USE: ~Single Family ..:.-J1/ F ~t~ of Units _Restaurant & Health Department Approval BUILDING SIZE: ldo X /~, Io/l/.'Y) Q+- Square Feet, '"7 I , 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 FORHS.** **COPY OF CONTRACT REQUIRED. URMTTS REOUESTED -:::::,-BUILDING $ d Or::; 0 /' valuation 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 })) ) V)I\. Other FINISHED FLOOR ELEVATIONS: <; FT. ****************************************** ~ONTRACTOR ~ECTION Company State Cert. or Rcgist. # City License Registration n ****************************************** nmT.DER Signature Sio:nature Company State Cert. or Regist. 0 City License Registration n ****************************************** f,T.ECTRTCTAN Signature Company State Cert. or Regist. ~ City License Registration 0 ****************************************** ,PUlMRER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** !:JECHANICA1, Signature Company State Cert. or Regist. 0 City License Registration n pTHER c~/'\. APPLICATION APPROVED BY ~*********~************************* {f Ad -<! '0 ,VI AV."- . PERHi.T OFFICER. CONDITIONS;OF,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The,underslgned understands that this perlit aay be subject to "deed restrictions' which Nay b~ ~ore restr,ictive than City r~guhtlons. The undersigned USUIIIIIS respon5ibi1Uy~.~or.colpllance with any applicable d~~d restrictions. B. UNL I CENSED CONTRACTORS AND.. CONTRACTOR RESPONS I B I LIT I ES , If the owner has hired a contractor ~r 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 requ(r~d by law, both the OHn~r and contractor ftay be cited for a misdeaeanor violation under state law.; If the ~wner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-6611. . '," Furtherlore, if the owner has hired' a contractor or contractors, he is advised to have the contractorls) sign portions of the 'Contractor Sections. of this application for which they will be responsible. If you, as the OHner 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 lay 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 C~nstruction Lien LaM - Homeowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleCne other than the 'owner', I certify that I have e,btained a, co'py of the above described de'cu~ent and pron,ise in g(,od faith to deliver it to the .owner' prior to COlmencelent. : 1. ~ ~ ~::. ': ~ i :' . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this applicati~n is accurate and that all ~or~ Mill be done in compliance Mith all applicable laws regulating construction, zonin9, and land developaent. Application is hereby made to obtain a pertit to-do work and install~tion as indicated. I certify that no Mork or installation has comlenced prior to issuance of a perlit and that all w~rk will be performed to ~eet 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 govern~ental 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 bill ~le ne,l ljaited to: ~ . I Depart.e~t of Envir~n~enial ReQulation - cypr~ss Bayheads, Wetland Areas and Environmentally Sensitive L~ndsJ Hater/Hastewater Treatment I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses I ArlY Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Tr~at~en~. Septic Tanks I US Environaental Protection Aqency - Asbestos abatement I also certify that, if fill laterial is to be used in Hc.od Ze,ne 'A' or "A,etc.', it is underste,(,d tl.,t a drainage plan addressing a 'colpensating voluie' will be sublitted which is prepared by a professional engineer regist~(ed in the State of Florida prior to permit issuance. A pereit issued shali be construed to be a li~ense to proceed with the work and not as authority to violjte, 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 ce,rrection e,f errors in plans; constructie.n, toT violations of any code. Every per~it isslled ::hall bece..e invalid unless the work authorized by such permit is cOllmenced Mithin six months of issuance, CoT if t/(,rk alltl.c'\17ed by the perlit is suspended or abandoned for a period of six lonths after the ti,e the "Dr~ is commenced. One 90 day e:tensio\\ of tile, lay be alloMed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectie,n !!lust bl! le.gged during I!ach six month period, Dr the projl!ct will be ((,nsidered dbdl,deoned. 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". SIGNATURE~~~_~~~---- OWNER ~AGENT DATE___L_~{-_3~1-~2.iL__'_-----,------- NOTARY AS TO tJ ' ;: 2;; ut / OWNER OR AGENT_~JjCt~c _~J_~~-~J~--~- / I MY COMMISSION EXPIRES~~:~~~~~~~~je SIGNATURE ------------------------------ CONTRACTOR DATE ----------------------------------- NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------ ~.." 4 CITY OF ZEPH'lRHILLS BUILDING DEPARTM~NT ' OWNER ~~ O_:}-,4,i ;L JOB LOCATION :3 rd j t 8 -rid q.B 11// ~ , PARCEL 1.0. # - PROPOSSD STRUCTURES-GIVING DIMENSIONS & SETBACKS. /l;?/? /~~~- C>;( ei,' /<< J ~ SHOW ALL EXISTING & , ~ t 1=4) 1'1\ \ S: ,,1,(, 1 ~ 1 ~. s t-' :::;\Q ~ I^\. , t::t--;<) - ~ i 4".'1 ;+'1.9 . ,,' I :-,\ ,J - I ~ / ";~;"~ ~. r .----: '~.a----- : , ',' 1 ,,4. ,I " .,~, \ '," I, "\ -- ~ 'X "~.~ ,..",. I' ( '<1 ~J.. '. ) I .- ~." ) UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. '\- - ~~ --- ~ --..,.,....,,.... 1'\. I '~, " ",' I j~' FRONT PROPERT~ LINE (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 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' fOR CARPORTS OR LIKE STRUCTURES PLEASE COMPLETE THE FO~LOWING: (1) DESCRIBE WHAT TYPE: FREE' STANDING OR~(CIRCL~~ONE). ( 2) IF ATTACHED. HOW IS IT TO BE FASTENED TO STRUCTURE? ~;... l' \? ....."1: ~ ~\ ,'" .... . FRONT PROPERTY LINE FRONT PROPERTY LINE (3) DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE. IN WHAT HANNER?) ( . ; , f ,I Y4 , , "jf)('~' j.:{jl'~ i'.1~ 'i i"'" ~"'J ,. l; ...- q , . \ ---j \{\ ..~ r7 ... . (4 ) ( 5 ) GIVE DIMENSIONS OF CARPORT LENGTH. WIDTH, 6< HEIGHT: .{l-......:.c GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: i ~ " u ~ <. -; - i,'';':' !... / %/y~SI . J. ' ~(' · ,/_o':"'J -', t (6) COMPLY WITH REQUIRED SET8ACKS AS GIVEN IN ABOVE REFERENCED PLOT PLAN.