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Home My WebLink About91-1958 STATE OF FLORIDA City of Zephyrhills /' (~o PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 19Ss$' Date II... ;;) 7- C/ I , Type of Permit ~ Properly Owners Name: t .(J / / t-;, -CCf (~r th]a- {~aiJ2"f' JI- Job Address: 3r?~?'I- ~..-1' elk Sub.Div.//_ ~:21-ot)l{) - /7100 LI:J.t 0 O~S;) E~AL PL.1J.MS'ffJG" MEC~ Legal Description: Blk. Zoning CI: ~~-C j \ DescriPlionOfWO;k -1 ~~. ~(1~~Mt- ftmJt~!:'f ) j ~ 71r l /?ALt1tl.~.l2:-- ~6_ a. A---=-_~ v/ 1 \ L 1 ,93 Energy Code Readout: . l _' I ( Complete Plans. Specifications and Fee Must Accompany Application A r;V Estimated cost"~ ,1;0 (JD' ,"- Fee: I ct2. 0 I e- SIGNATUR~P"'~k""<~ur--~_ All work shal! be performed in accordance with the above and all City Codes and Ordinances. COMPANY ADDRESS TELEPHONE # ~ OCCUPAI!pNAL LICENSE # /~ ({) to71~1 BUILDING PLU~G ~ Tub Set Water Sewer Final -,' E~:- -- ---- ~AL Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($ 10.(0) 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. CITY OF ZEPHYRHLLLS BUILDING DEPARTMENT OWNE R (.)e 16 en- {'t rJ J'i M 4'rV' A V A 111/1 C" (f' '_ JOB LOCATION _5g'G'''31.}- sa /9ve _ Z e/~)I/(.J,IJ i J; r~ '3" f"1.f'P PARCEL LD. #,1flLl?r':.i't-1:;~,?/~j~~::~~? SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. /,() , ~,..."._--_.~,..... "....,,:) rl oJ;;:;.1 \-',? r . ~..s~ I (' ~ " ~ " ~ "i ",' '{ "\ '" ( \ - .. .----,-....--- ~ .r;) l )~)- , j UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. .~.~"'.- ~_ I r'" ~ ~ '1.. 1\.1 .~ ' -' --. .-. ~ ~ " ~ -- ~ " ~ , " ~ ,c:>z. b#!-L~( x# If.""'" ~ f!!:!I I ..';:') -- ..,.,...1/1- --..-.-.-.. ,~~ ~ 'J"...),V J'( FRONT ~OPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E R X 0 I la' P S la' 0 T 1 A' S I E N D G 20' FRONT PROPERTY LINE "1r' -> ~ f~ i:: <!i:. t.\. '~ to. " ) :: ~ -. ~ "- ":;-.. ~"""" ~~ v.~ !' ~ ~ - ~ ... .... I S'6#ff: ,I , ~ ~ r "- , 'C ,~ I ~) ! . .~?JU."~ 1- 0' J" 1)}V1 ~~TJ 2. SETBACKS FOR R3 ZONING 60 '. 10' la' EXISTING la' PROPOSED 20'SGL FAM 30'DUPLEX 1 O' FRONT PROPERTY LINE APPLICATION FOR P~~~IT CITY OF ZEPHYRHILLS BUILDING DEPARH-IENT APPLICANT Oe/6er;u ~. 0//9///9 c ~ ADDRESS 3 g g 3 if 5 -;z;:. /rt/R- ( . OWNER //e It e..vl ~ /f/1,PJ,tP/V'/'f iA/A///J c ~ PHONE 7?]- 3'7q-CJ LEGAL DESCRIPTION: LOT(S) 5et LOT SIZE~X I J t::J AREA SQ. FT. ~ FcJo BLOCl\.122-SUBDIVISION C; T/ ~'r Ze/#'y/f #//0 JOB LOCATION pq :J Lf ><4v liVe... PARCEL I.D.~F 1/ - Z ~ - z. , - t3 t!) / t3 - /? '3 t!'t:J -(!) 0 >0 WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Nove _Demolish PROPOSED USE: _Single Family _M/F _IF of Units ._i'I/ 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 _BUILDING $ 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 _Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature Silmature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist. 0 City License Registration 1 ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature OTHER Signature # APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which iay be more restrictive 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 ~ay be cited for a misdemeanor 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 Zephyrhills Building Department, (813) 788-6b1l. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 lay be an indication that he is not properly licensed and is not entitled to 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 applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection Guide. prepared by the Florida Department of, Agriculture and Consumer Affairs. If the applicant is sOleone other than the .owner., I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the "owner" prior to cOlmencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cOipliance with all applicable laMS regulating construction, zoning, and land developlent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a permit and that all work will be performed to meet 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 governmental 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 bill ~le nol limited to: I Department of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Envirc<nKlentalIy Sensitiie !dnds, Water/Wastewater Treatment I Southwest Florida Water HanaQelent 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 - W~lls, Wastewater Treatmrnt. Septic TanKS I US Environ.ental 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 tli~t is d!ainage plan addressing a .colpensating volute" will be sublitted which is prepared by a professional engineer reqi~tcr2d in the State of Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the \'Iork and not as authority to vioJ3te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a periit prevent the Building uff;[i~J frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issu~d ~hall becole invalid unless the lIork authorized by such penit is cnlenced within six months of issuance, or if I'j(llk authr'llZed by the perllit is suspended or abandoned fClr a per i [Id of si x lonths after the tile the \'Iork is ([<lilllenced. One 90 day i';:t';:j,~ 1011 clf 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 must be logged during each six tonth period, or the project will be considered dbai~oned. 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 A1TORNEY 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 OR AGENT SIGNATURE ------------------------------ CONTRACTOR DATE__~~_~_~_c~_~j_____________________ DATE___________________________________ ~~~~:VO~SA~~~~-~-~~A . ~~~~:~C~~R:~___________________________ MY COMMISSION EXPIRES -----~cY MY COMMISSION EXPIRES__________________ ,~orARY PUBLIc:-STAT'E-JF-FioRioA:------ illY COM MISSION EXPIRES: FEB. to. t 993.. BONDED THRU NOTARY PUB~IC UNDERWRITER.~