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Home My WebLink About91-1988 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1988 13 Date /;2. - / I) c;/ Type of Permit ~~~ p~ M~L Property Owners Name: r ~ ~_ ;1/.k- Job Address: ~ 6 I 2 - 9 Cbr<..-. Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work Jj r:lAA~-(A~ /' '" (l~ /' ~A~----T- Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Fee: :::2 0, crv SI~ATURE~ .r ~e&/\/ COMPANY ADDRESS TELEPHONE # Estimated Cost: ./ ODO. cru , All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # Ftr. Pre SLB Lintel FRM. Insul.Cl WL Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 (SIO.OO) 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. Thc payment of reinspection fces shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERI-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT :::::~~TIf::;~~ 74,- ELL;:;? OWNER '7 y-~ A rI2-- JOB LOCATION (:,/ 't tJA~~ I :i5 ,)v~ -"\.l{ LEGAL DESGRIPTION: LOT(S)~~~ BLOCK PARCEL 1. D. jF PHONE /~:l.~ d >)1;;.-7 LOT SIZEJ..!gQX fo AREA SQ. FT. If)'y /" ff SUBDIVISION WORK PROPOSED: _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ..i:.:-Single Family _M/F _jF of Units __M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: J{) X /// Square Feet, Height ( . RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR..'1S. ** COMMERCIAL : 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: {z{:- ~j~ ~ ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Shmature Company State Cert. or Regist. # City License Registration # ****************************************** F.LF.CTRTCTAN Signature Company State Cert. or Regist. # City License Registration # ****************************************** PUJMBF.R Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL OTHER Signature Company State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY ~.;~..~.;~.~;:.....*......... PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und~rsigned understa~ds that this permit tay be subject to "deed restrictions" which may be lore restrictive than City regulatIons, The undersIgned assules responsibility for cotpliance 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 contractor 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. 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 aay be an indication that he is not properly licensed and is not entitled to perlitting 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 - Ho.eowner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consuler Affairs, If the applicant is so.eone 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. information in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent, Application is hereby tade to obtain a perait to do work and installation as indicated. I certify that no work or installation has co.tenced prior to issuance of a perlit 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 my responsibility to identify what actions I must take to be in compliance, Such agencies include bIll ~le not limited to: . Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive I.~nds, Water/Wastewater Treattent . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Ar,y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departtent of Health ~ Rehabilitative Services. Environ,ental Health Unit - Wells, Wastewater Treatment. Septic Tanks f US Environ.ental Protection AQency - Asbestos abate_ent I also certify thatr if fill aaterial is to be used in Flood Zone "A" or 'A,etc.', it is understood t~~t a drainage plan addressing a 'cotpensating volume" will be sub.itted which is prepared by a professional engineer registfrud in the State of Florida prior to per_it issuance, A permit issued shall be construed to be a license to proceed with the work and not as authority to vioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Officio] froe 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 cot.enced within six tonths of issuance, or if work authol Jzed by the pertit is suspended or abandoned for a period of six tonths after the time the work is commenced. One 90 day e~t~~S)O" of tile, may 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 IDnth periDd, or the project will be considered dbdildoned. 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 DATE_~~ __~!_~_~~_________________ SIGNATURE CONTRACTOR DATE NOTARY AS TO OWNER OR AGE 7_~______ RY PUBLIC, STATE OF FLORIDA EXPIR~ commission expires Jan. 28, 1995 r:lded tl:lI:u"'~~SE>A-~-A&enc)' NOTARY AS TO CONTRACTOR MY COMMISSION MY COMMISSION EXPIRES CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL I. D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS, ~____ ;7-f-t "-~7' ! ,---r '"'- '....... ( /Y1 ~ .:; fl/ ( ,______i, ;; /y t?'7J t \ ) -- ~---~ ~Q -f ;11;;1) y~--- ;-~--=-1/I--~~-~..~ - . \' l /6 -~ ~ ./>1 -! >/-- ""7- ~ " -. p ~ ))Y~( ;~--i - ~ ~----.--- ',~ -~ I /71 ..:'11-.( ~ -----:..- - - ---../ --- '-~, \ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 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 FRONT PROPERTY LINE ~, ~ 'J "- ) )~ 2, SETBACKS FOR R3 ZONING 60' la' 10' EXISTING la' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 1 A' FRONT PROPERTY LINE