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Home My WebLink About92-2027 ST ATE OF FLORI 0,41. City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 permitN~ 2027 B Date_l - 7-<?J- Type 0 ~~I~DING ELEC~ PL~ ME~ Property Owners Name: a~; C~ 52_ Job Address: ~ 6 / b .V~_~ ~ ~ ~::~~::~:criP;n~ ~:iJrj-!:t}LlJ0r Description of work-:- "";:- p _ OA ~JYI.A~ ::; t?Yl 61) Blk. .-,*~-~Lj ,4/~ Energy Code Readout: ~~ Complete Plans, Specifications and Fee Must Accompany Application Fee: r2.~ - crD SIGNATUR~ COMPANY ADDRESS TELEPHONE /I I ~ Estimated Cost: //tJ'T)..a-o All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE /I ~ ~~~UILD~ Ftr. Pre SLB Lintel FRM. Insul.CL WL ~-....., ELECTR~ ~ ME~ICAL ~ P~, 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 DEPARTMENT OWNER Ii IC AI) 0 ill 0 C f.} ~ .I'R~ JOB LOCATION 1.. Of d- 30 .s 1. 'E €Pf JloLL ouJ PI}Jtk!::t I (1,6/ IS W.?::R.c:. R64bJ PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. S 60/1= C)p::. LV 0 /l.. J( .... /0 C ,) 4../ S 7"' ~ u. e/";C- /} M VaV,5/'-tL.U...I 1J.5V(;~0 q. U>V =:;vcr. r//e ~ uJA/..:::-.vG-- p :;-<.Z /3 E. ".,.-.......,.., 11-- --. r-' , ;.'#'t:':. . e..J) , c. 14 C~.:75'/.:e-uc.' R ,-" -r..e4U~ b :r--{ J 'R ,.. ~ '" "- , J c.. ~. iJ ,"'/'bkr € ~ A,- ~rts 0 U 7'::,<.. €:?:lG>C: .3 r Fo LL'I:!.. z.!- -, '..!- '. 2. x... 2.-2 If I. () <(/.c..., L/ SUPPOJi2r~ /}. ve/;,J,,'l-E::::,. /.:> ,q iJ € y.z;;S, .:c' Ie. ...... - Co~t::.,tle;-€. P4b , UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) 1~. iJ. _. - - - - - -- i r r~A~J..EIl- i ~ I ~ ES:::-s-;-J; V{;!. I 1\ ~ , k I '" I ':I h i .... ). I in: \U i '-..-) I I ~\J ~ , '" I IN ~ S-' ~ "- - I .~ x ~ , I t) "-!.l I u I p 't-- - - - - /?.oroSE]) a W/w':;~ (;.. /6';( 7-:> . FRONT ?ROPERTY LINE 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' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE 1 0' APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Fly.( /Vl o;J 1> C J4 fV) ~ /J..~ ADDRESS bioi b i LJZ'R."':-. R.oo)) ~o..,-cI. 30 OWNER A-t? Mb M~ CA-/Vl €~E JOB LOCATION SLZ'tE'~u /1.JUOG{,1 12,(). 'fJA.Id K PHONE 7 8 S 7 f!- 7 I LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) B.i..O CK SUBDIVISION PARCEL 1. D. # WORK PROPOSED:____New Construction ____Ad,~ition ~_Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____IF of Units .____M / 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 1/ BUILDING , $ 'foo I ~ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _\-l.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 ff ****************************************** BUILDER ,S E L ~ Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTE,ICIAN Signatur~~ 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 ff OTHER ~ Signature APPLICATION APPROVED BY J1;:~~~~:;~;~~*:;'*'**********'" PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit may 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 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 misde.eanor 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, 18131 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 responsl')Ie 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 Suide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is sOleone ether 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 co.mencelent. 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 lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cot.enced prior to issuance of a pertit 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 lust take to be in cC'llIo1iance. Such agencies include bill ~le not li.ited to: f Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treat.ent f Southwest Florida Water HanaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks f US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood t~it a drainage plan addressing a "cotpensating volule" will be sublitted which is prepared by a professional engineer feqi5t~,ed in the State of Florida prior to permit issuance. A pertit issued shall be construed to be a license to proceed with t~e work and not as authority to yi~j~te, c~;leel ~]ter, or set aside any provisions of the technical ce.des, nc.r shall issuance c.f a perlllit prevent the Bui ldiflg Off:cioJ fr,jlli th.:.ecifter requiring a correction of errors in plans, construction, or violations of any code. Every pefmit issue1 ~hall b~col! 1n~alid unless the work authorized by such pertit is coamenced within six months of issuance, Of if work authol IZ2d by t~e per.it is suspended or abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e~~€oSIOIl of tii~, aay be allowed for the perlllit with fee charge of $15.00. The extension shall be requested in writing to the BuildIng OffIcial. An approved inspect i c.n must be logged dur i ng each si x llOnth per i od, or the prc.ject wi 11 be cc,nsidered tibtiilde'jifod. 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 (.It "NOTICE OF COMMENCEMENT". )(~Il ~ SIGNATURE~~~::[__~77:1!:t;:,,----- DATE~V~lAGE~ I~ ------~ .~~ - ----------- SIGNATURE______________________________ CONTRACTOR DATE___________________________________ NOTARY AS TO -0J.. r ... I \-.) OWNER OR AGENT___L~y~~-~.~~ 'OTA"y PUBLIC, STI-.TR ~F ~~~~4.~"" N . ')"'U','<;10]'oi FXl'Hn ,~, f,'c. 1.1, 1!f94. MY COMMISSION EXPI~nuw~~~L~~~]~~R~~~. NOTARY AS TO .CONTRACTOR~---------------------------- MY COMMI~SION EXPIRES__________________