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Home My WebLink About92-2067 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<2 2067-E; i Date /,. z, 1- 9 2- BUILDING. ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ::::::,~,:~e' ~7{!J~~ .L ,r .. 73' Parcell.D, # Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: Radon Gas: /ltfr~d~ NO OCCUPANCY BEFORE C.O. FINAL ;J- Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price .i~S'2J~ Pe'm;tFee ~~ Signature ~~ _ _ Company Address Telephone# City License Registration # State Certified License# tJ f1J rJ2-. ~ ICAL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor 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, CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL I.D. # - 'Ii V / '/' Y't.<.; (:.r f- - - - - - . , ' \ I ~ f. i y:. I S 7:.. .. I'l..j ..J I \i I 1'-' 'U I ~ v ~ "- I ~ ::J-. ('-J -- I '~ '><.. I .~ +::: '" I '" ~ - '/ I u( .!. -- ~ - - - 'Prof 0 seJ A IV'" " ':J I 1 /~I ;< 75' FRONT PROPERTY LINE r; C t) n S'?. r u. c~ a h. q! /A. h.; m./,.L. r. 11 /n.1 e ~ Awn I'll j rAt II IN r\ : h j IN; II hie , /J -Ifa {,' h I2tl to /1.;t ej' sf , 11...5 JZ V. 1Jnt..,' Jer ~)/,1J be . ,n -, .-lft? Durer , -rei:l tl -, I 5t1f~{)r -r/}llR d'J~" Edji.: DJ S' o//l.'rt5' II J' 11..", n /.-f,LJ\. ' m j,A.. 7 . fl,'st'ltJ l1Y\chDret.,-( totl...J'L ,'J J '0 d J-v" ~t-\ t C, 'r i. i e. r'tL , n L , .. . -t. e f} n ( 11 Dr f)pprofr It! ];1..."\)i5 . UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' ~? {)("'I~~ ' . . 1"'\ . A1P b. )-- ~~' p-: " t>' "./ l' :, ., , .v<..' 'J.-. , . e# .. , , k ~J;."p:' ,I . MIll f/ ~)e 'Y" ~ ~r:~~!:~ {)?-(!.~~j.-# . (1(, . ,...... 10' "p E- R X 0 I 10' P S ],,0' 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~ .m4..&~;,;j~ ADDRESS..! h ~ I /p 'Pf--Ul/} U2d{ OWNER< /}??~(}j,d~ JOB LOCATION j}n/~~ ilJL1J}~-G2R:J-,l4{O?~IZ"-X LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. IF ...:I;t. 7 g PHONE 7R() ?t?;J!./ . AREA SQ. FT. 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 _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 ~BUILDING $ 1-1 S-cY. t'L-~ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _h'.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS RO()F'JNG _____SPECIALTy TYPE OF CONSTRUCTION: _Block _Frame _Steel RLu"/:'::;'<1o:.Iif Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER S 6L jC Signature Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** PUYMRER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY PERMIT OFFICER. ~.... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit may be subject to "deed restrictions" which &ay 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 misdeleanor 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, (813l 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 - Ho.eowner's Protection Suide" 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 cO.lencelent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land developtent. Application is hereby lade ~o obtain a perlit 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 work, and that it is my responsibility to identify what actions I /lust take to be in cClillpliance. Such agencies include but ~Ie ilCtt liitited to: I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds, WaterlWastewater Treatment I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environlental Protection AQency - Asbestos abatement 1 also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan addressing a "colpensating volume" will be subtitted which is prepared by a professional engineer fegistei~d in the State of Florida prlPr t~ perlit issuance. i A permit issued shall be construed to be a license to proceed with the work and n~t as authority to violate, cancel alter, or set. aside any provisions of the technical codes, nor shall issuance of a periit prevent the Building Offici~J frol thereafter rt411iring a correction ~f errors in plans, cClnstruction, c,r violaticlns of any code. Ever'y permit issll~d shall becc.ae invalid unfess th, work authorized by such per.it is cC'liIenced within six lIonths of issuance, clr if wCllh autliLlllZed by the perlit is suspende~~r abandoned for a period of six lonths after the time the work is commenced. Doe 90 day e~ttoSIOIl of tile, may be allowed fof .the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six aonth 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 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". ~OO~ ~ i SIGNATUR~~~lNT------------- DATE__~_L;f_CJLd__________________________ NOTARY AS TO J1J C\ c' (~ L OWNER OR AGENT _~~-~=?-~ "j _~ ""~ \ 'tilffA)t S\-,,~'" Y-\"Q"- MY COMMISSION EXP IRES-My.~,;,.!.!ueLic1f:_{lf_.El.DJU.OA ;"u"lI'11SSTOR . JUNE 6, 1~04 ~ '" . BONDE THRU GENERA INS. UN ~ \yt;E' 0\ \C\","':~'~~'CC-ltQ"""" ~"o~:L)c Q ~, ~\,C'l",~(~ ~~~"JCS~ L,('e"s e. SIGNATURE ------------------------------ CONTRACTOR DATE ----------------------------------- NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES