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Home My WebLink About91-2000 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 2000~ Date I r9- -/ b -7/ E~ ~ M~AL Job Address: Legal Description: / I JJl. -il Description of Work ~_ -1-/0 Zoning CI: Blk. Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 3 crz; - 0-0 All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # Fee: ~ h3 SIGNATUR - tte/ C/ ~ COMPANY ADDRESS TELEPHONE # Ftr. Pre SLB Lintel FRM. Insul.Cl WL Driveway MEC~CAL " Breakers Ducts Insl. Compressor Final Tp.Serv. Rough In Meter Can Const. Pole POOl Pre-Meter Final 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. Thc payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT p~ n- 3A-t d ~ ADDRESS t) 1 S.;;2 ~ OWNER ~ ~ JOB LOCATION ?~ ,~, PHONE '79'0 - ~ () / 1..( LOT SIZE.3c x..!/ISY AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # / IJ - r9- 6 - ~/ - / - / tJ A- WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: -x'-Single Family ____M/F ____# of Units ,+M/H ____Commercial _Indust. ____Swim. Pool Other BUILDING SIZE: ____Restaurant & Health Department Approval ~/ X g /, 1Ahq Shel Square Feet, ) 7 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 $ :3 DO, 0 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 (~ Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company StaLe CerL. or Regist. # City License Registration # ****************************************** MECHANICAL Signature OTHER 6-)... /V\..e... /\ --- Company State Cert. or Regist. # City License Registration # Signature APPLICATION APPROVED BY ~********~************************** - - a.... .. (f "" """ ) PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance 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 aisdeteanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requiretents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813l 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is.advised to have the contractor(sl 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 Depart.ent 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 doculent and promise in good faith to deliver it to the "owner" prior to cotlenceaent, 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 co.pliance with all applicable laws regulating construction, zoning, and land develop.ent, Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has co..enced 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 wor!:, and that it is 'Y responsibility to identify what actions I must take to be in compliance. Such agencies include bllt ~le nDt limited to: * Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and EnvirDnmentally Sensitive L~nds, Water/Wastewater Treat.ent * Southwest Florida Water ManaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses * Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways * Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks * US Environtental Protection AQency - Asbestos abate.ent I also certify that, if fill tat~rial is to be used in Flood Zone "A" Dr "A,etc.", it is understc,c,d tli~t. a drainage plan addressing a "cotpensating volule" will be subtitted which is prepared by a professional engineer reqi:tcied 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 viDi~te, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a per~it prevent the Building Offieidl fro~ thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every periit issued ;hall becole invalid unless the work authorized by such per.it is co..enced within six months of issuance, or if work authollzed by the per.it is suspended or abandoned for a period of six tonths after the tile the work is commenced. One 90 day e~tE>>sIOli of tile, may be allowed for the permit with fee charge of $15,QO. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six lonth period, or the project will be considered 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.~ _~~ ~___~~~~~~TURE______________________________ ~~6eN~~T CONTRACTOR DATE__t~~_~~~_~-L--------- ---- ----~ ~ A/? NOTARY AS TO /.. ~ .. / {: /;// OWNER OR AGEN. ~4i" :-f..,~~-- MY COMMISSION EXPIR'S,' \ ,J '[015 -fi2~~~~-7~~~~~~~m~-~~- DATE ----------------------------------- NOTARY AS TO CONTRACTOR ----------------------------- MY COMMISSION EXPIRES ------------------ OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB LOCATION PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. c- 7~ / UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. 8/ / /11.:i~l -.-~.<,cd ) I ~ Ii ~ 1 \".. K '" \..-----.1 FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET ~-7 ~:J. /)~!{TyJ s:r 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 oiY[ 2, SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' ,L f ~RONT PROPERTY LINE