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Home My WebLink About91-2003 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN'-.: 2003L? T P it ~2- E~ P~ M~AL Property Owners Name~ ...teA:! _;:'~(JA ~ Job Address: ~~ / ~ 2~ ~ Date_/02 -/ 7-9/ Legal Description: Sub.Div. Lot .I c1 7 Blk. Zoning CI: r1. -:;L6 -~I -- / -...5--0 -,3 Description of Work )J~-it.P,{J a...~ ~ --- J(~A?t~ - Energy Code Readout: ~. . '2-'3 ~" l IV ~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 1/07) . au OCCUPATIONAL LICENSE # Fee: ;2 (:J. cf?) / ,) .1- SIGNATURE ;: d-~- ",-,...nvr'J-_ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~ BUILDING ING Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ME~ICAL '" Ftr. Pre SLB Lintel FRM. Insul.Cl WL 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 ($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. Thc payment of reinspection fees shall be made before any further permits will be issued to the person owning same. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER R () 13 (; 1<:.""- S u) R f(r 2- JOB LOCATION hI, /6 0:z-RE (( tJA':J:J S LEE-Py IloLLow {(,ut' P~U2.k L 01' I CJ 7 PARCEL I.D. # L - SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. /)53 CR.J:P'i:Z-D tI -- of ?l2oSeci. 10 t.:DJsJ'Ru.-cl ;:J-J '-J L () A.1 .:r:: IV) u.tJl /+ u) J.J .z;;JCi: cO !-I~J Q i'?> ).I/-I'~ t~ .5---=- n~J.J $vG w ':Y LA. I. C- Ar-rAGI-} e D '/0 A- i./ c 11-:5~'.-:'Ja R., J.r/2pU& [."/ y..;..- ,...:-' . '.1/54..L- 13 E S L-(. jJ;Doer&,'D 4 77-; -& 6 u.. T E./!.. e- j) (J ~ i3 '-( i' // , -rlh<.E& <.. Y.. e. It' 7 Aluv~Mud ?c~~?056 LV:;;;IJ.... J3€ I~ VCN oRE'!) 7'0 . ... J c-/'e';,t:: A;u e t/ .:!7.S f~ ",e; c <.>" rc ';-:J -r/L It- ucNt:>t!.-- r /'*I:::> u.J~ rr r3o~IS-, UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE . ; 1- - - - - -- I I /?tJ, rRIJ.r:Lf~ I I (f.y'~/~U(;.) I ~~ \ ~ I If ~ I I l.\j ~ ,- ',- I It ~ ~ I ~ ~ 'Il <.) " ~\ I ~ ,,( ~ '->~~ I /1:- - - --- I PRoPCSZ'/) fk.uu.:;.41G /6"X 7)/ c P€.u c'f.l -t11J2&c. '3Z;9t35. FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX FRONT PROPERTY LINE 1 0' APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT I? t) :8 E R-r s w JO. Ii' -r Z ADDRESS (-, h / (. I A J rJ:? ~ Roa--o Siet?Py /.I<:)<,/~ iAfi:zV-<! fAR.k ~ I PHONE 78,-~.- 77150-- OWNER JOB LOCATION L07- d /0 7 LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4F ~ - :J- (, - :J-I_ / - -So 0 - 3 WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ~Single Family ____M/F ____IF of Units ,____M / H ____Commercial ____Indust. ____Swim. Pool Other BUILDING SIZE: ____Restaurant & Health Department Approval X / 6 ~,Z.;[..:fAuJ)'/;- pc;... J Square Feet, J ~~ t' 7- c, 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 ____ELECTRICAL $ L/ 00 I crtY Valuation of Total Construction 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 S' E~ ;::, Signature Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICTAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert, or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICArIO, APPROVED BY ~;~.~~~...***.**..... PER.I1IT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations, The undersigned assules 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 aisdemeanor violation under state law, If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813l 788-6bll. Furthermore, if the owner has hired a contractor Dr contractors, he is advised t~ 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 aay 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 - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is so.eone 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 co.mencement, 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 development, Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has co.menced 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, 1 also certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is ay responsibility to identify what actions I aust take to be in cOlpliance, Such agencies include bllt ~iP. jj(ll limited to: . Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensjtiv~ Ldnds, Water/Wastewater Treat.ent f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health t Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat~ent. Septic Tanks . US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a .colpensating volume" will be sublitted which is prepared by a professional engineer registEij'd in the State of Florida prior to perait issuance, A permit issued shall be construed to be a license to proceed with the work and not as authority to yiuj~te, cancel alter, ur set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffici~J fro~ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued 3hall becu.e invalid unless the work authorized by such per.it is cOI.enced within six months of issuance, or if work authol lied by the permit is suspended or abandonE!d for a peri[,d of sill .onths after thE! tiae the wDrk is cOllmenced. One 90 day e,:t"I,SJO" {If tile, lay be allowed for the permit with fee charge of ~15,OO, The extensiun shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered dbai~Dned. 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". DATE --------------------------------------- NOTARY AS TO OWNER OR AGENT ----------------------------- MY COMMISSION EXPIRES ---------------------- COMMISSION EXPIRES NOTARY PUBLIC,ST1l:TE"OF'nmm7K:-.------ MY COMMISSlON EXPIRES: Dee. 11, 1994- BOND&D THIlU NOTAKY PUBLIC Ul'lDBAWIUl"DS.