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Home My WebLink About92-2039 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit -..ro ..1:.' . 2039 8 . Date / - / 0 - ? Ol C:~I:?) ELE~ p~ M~AL ::~::~,~:~e3?l ~ ~~?j -.e>--7 Parcel 1.0. # /--l-,;;L6 -:1..-/ - /'1 - (j - L~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work Sf / C L. r ~ f7 Radon Gas: FINAL l - 2- 7- 2 DATE NO OCCUPANCY BEFORE C,Q, Complete Plans. Specifications and Fee Must Accompany Application. C,Q. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ~ ~ Ch) ~ ~ s;gnat"'~ ~ ~_&vo -- Company . Address Telephone# Valuation or Contract Price V'-.S -0. o-v City License Registration # State Certified License# d'\...1'v7 PA Ou~ E~ICAL --- R:l!.UMBING --------.. ME~ICAL Breakers Ducts Ins!. Compressor lFinal Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection 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 / :r~/"f-~ L9~t!,-9.s ~ ~( .~.s-O / e~c4t-1Jt?e CJ A:JOC'"-M..9/~./ M;ve 45 f" JOB LOCATION 3J'jJr #(1~6.)0t9/ LC>V<J 7( PHONE 7,-3..., c: v3Y ADDRESS OWNER LEGAL DESCRIPTION: LOT(S) BLOCK LOT SIZE ~X ~ P/ AREA SQ.FT, S-J/?t' SUBDIVISION /Ie .4~N ()(J / ~ /itfl'"'..f PARCEL I,D,# WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair -XInstall .. L /Iff Ih'J l ;:;;tJe" € C ____Move ____Demolish ____Sign/Temp, _Sign PROPOSED USE: ____Single Family _M/F _4~ of Uni ts __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 FO~~S,** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ",* **COPY OF CONTRACT REQUIRED, ~ILDING PERMITS REOUESTED $ ~S-IJ. an 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, ****************************************** 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 # ****************************************** PLUMBER Signature MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert, or Regist. # City License Registration # OTHER ****************************************** APPLICATION APPROVED BY ,J1~;{ ,~L~~ PERMIT OFFICER. , CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.itlay 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 lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 1813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 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 - HOleowner'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 pro.ise in good faith to deliver it to the .owner. prior to cOI.ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cO'lenced prior to issuance of a per.it and that all work will be perforled to leet standards of all laMS regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in COlpliance. Such agencies include but are not lilited to: . Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent . Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US EnviroOlental Protection AQency - Asbestos abatelent 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 .co.pensating volule. will be sublitted which is prepared by a professional engineer registered 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 violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid unless the Mork authorized by such perlit is cOI.enced within six lonths of issuance, or if Mork authorized by the perlit is suspended or abandoned for a period of six .onths after the tile the work is cO'lenced. One 90 day extension of tile, lay be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO"KEMCEKENT. BS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COKKENCE"ENT.. tf-, tr SIGNATURE: CONTRACTOR STATE OF FLORIDA /1 COUNTY OF ~ The foregoi~g instrument was acknowledged before me this/-lph; ,19~ by 7ZA/hru~ J .J~A.L1.t;A} who is personally known to me or who has produced as id tification not take oath. , STATE OF FLORIDA COUNTY OF The foregoing instrument befclre me th i s was acknowledged , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. ( l)Wature) &-tet+C..l~ f5Lue!-JVS- (Name Typed, Printed Dr Stamped) NOTARY PUBLIC 11_ '-1- 9 'I (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLI C _ I CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER up'r'l'-t,4/(j .LAAJe,~S T~ ~ JOB LOCATION 3 9'J:J/ Ma~~.:JP'-O/ ,iQ<J~ ,,' ..71.'/1; /7 s?r/"o PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 1~ -~' 1 ,~. ~ { ~ F:~ f;t ~ ~ \- \\ t ~ ~ ~~ \0 ~ , ~ 1/1 ''bO . .('<- II. I~bt!- (";C tV E:;;-- H 'l\ ~~ I ~ 8f1 ~ J Ie-- S:j,' "'- ~c>I- ~J -/' ~ sc _ ex ~(A. \'Y"'l w _ . .._ c ~/~'G" ~--- -- /JUC-f UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~ ------- ( FRONT OPERTY LINE (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 1 0' S I E N D G 20' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FA.M 30'DUPLEX 1 0' 'FRONT PROPERTY LINE