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Home My WebLink About92-2024 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit Nt; 202411 Date / - , - 9' J- ELEcnll~.~ I PL~ M~L Proper,y Owners Name:~.A '1 ~~. Job Address: Y F- 3-...! - / Legal Description: Sub.Div. Lot Blk. ZOnlng~ ~6 -~ - {) ()/ 0 - oes:r%on of _ ork_ ~J7:' '~./, ~ c/ D ::1..30 0 0 ~.J-O ~ ..) ~ Energy Code Readout: ~ b-l~-q~~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ ~ -o-D OCCUPATIONAL LICENSE /I Fee: ,;).-d - c1"l J SIGNATURE.~ -C-7 COMPANY ADDRESS TELEPHONE /I All work shal! be performed in accordance with the above and all City Codes and Ordinances. 0~ Ftr. lilLl Pre SLB /- 9- %t Lintel FRM. Insul.CL WL ~G ---- EL~L ----- ME~NICAL '~ SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Reinspections: 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 ZEPHYRHILLS BUILDING /.. ./ .--r-:Y ,/ OWNER / -i1~v---v :::.--^- /./'7 - ./If?)f JOB LOCATION --;:. ~ ..!. DEPARTMENT 1(7 ;ti , ,J2t PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. d'~ ;Lyi ~k /4R~ /~~ ~~ I! r'T- '-.-'--1 ~....... . \; s /0 F~r !~~ ~ I ' I '1.; -1 ~\ ~ .-- -r rl r- OJ J,L/ r} ') ,.._-\ \ I /,1 'r y.'\l UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, 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' FRONT PROPERTY LINE FRONT PROPERTY LINE APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ADDRESS OWNER _-xr&b~ ~~_ JOB LOCATION '1;>30 - ~9 ~../';f: PHONE LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.lF I Lf - ~"-- t:l.../.. 00 yO' - 0 ~ 0 0 -- 0 O<.\~ WORK PROPOSED:_New Construction VAddition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _IF of Units _Commercial _Indust. _Swim. Pool ._M/H ~rfl - 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.*f: **COPY OF CONTRACT REQUIRED. ~ _BUILDING PERMITS REOUESTED $ 6 C7?). cr-t:) Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ ___Valuation of M=chanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert. or Regist. # City License Registration # **********************~~~**k************** PLUMBER Signature MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** OTHER 0l......-^^J7/1 Signature _~ ~ ~ Company State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY ~.,~~**********************~~~'~~~~~."~~~ - - II --l-' .It. d .",Pj,,, /lAA--< r- > > > - PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands ~hat this permit lay be subject to "deed restrictions" which ~ay be more 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 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 may 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 Department, (813) 788-bbI1. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sigp 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 - Homeowner's Protection Guide" prepared by the Florida Departlent of. Agriculture and Consuler 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 cOllencelent. E. CONTRACTOR'S/DWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in c05pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or installation has cOllenced 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 may apply to the intended work, and that it is /lY responsibility to identify what actions I lust t&lke to be in CL'l1lpliance. Such agencies include but ~il? B{lt limited to: I Deparhent of Environlental ReQulation - Cypress Bayheads, \letland Areas and EnvironKlentally Sensi tjVl? Ldlids, Wat~r/Wastewater Treatlent I Southwest Florida Water KanaQelent District - \lei Is, Cypress Bayheads, \letland Areas, Altering \latercourses I Army Corps of EnQineers - Seawalls, Dorks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - \lells, Wastewater Treatment, Septic Tanks I US Environlental Protection AQency - Asbestos abatelent I also rertify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,", it is understood th~t a d! ainage plan addressing a "colpensating volule" will be sub.itted which is prepared by a professional engineer reqiste.ed in the State of Florida prior to perlit issuance. A per.it issued shall be construed to be a lirense to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the terhnical codes, nor shall issuance of a permit prevent the Building Ufficio] frol thereaftel requiring a correction of errors in plans, construction, or violations of any codc<, Every per~it i5Sll~d ~haJI becole invalid unless the work auth{lriz~d by such per.it is ro..enred within six months of issuance, [IT if 1'101 k alltt.!lllled by the perAlit is suspended or abandoned for a perit,d of six lonths after the ti/lie the work is c[,uenced. One 90 day i;~tFIS1[l11 of tille, 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 inspertion lust be logged during each six .onth period, or the project will be considered dba!~Dned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. 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". J;~ SIGNATUR~WNER-O~~----------- SIGNATURE ------------------------------ CONTRACTOR DATE_~~~~-~~~~~--------- DATE___________________________________ ~~~~=yO~SA~~NT ~ ~_~;~c~~~g~~=~C~~R:~--------------------------- Pasco County, :rrtf~~gJ'Mt,c, STATE OFFLORIIfA','- ---.\ MY COMMI SSI ON EXP IRES MY C01tlr~l::;siON EXPIRES: J\:LLY..31L,199'!1'1Y . COMMISS ION EXPI RES__________________ ..C1N1:1ECT Tlffi1T1':OYA~OifcrcuNDERw RITERSJ