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Home My WebLink About92-2128 BUILDING PERMIT Permit 21288 Date d. -I V- ?~ CITY OF ZEPHYRHILLS (813) 788-6611 N~ c/~ .BUILD~NG. ~ ~ P<operty owne~*g -b Job Address: ~. Parcel 1.0. # /.~-.:l-h -,}../ -l) tJ /0 - 0.). Y () 0 -.. ('J /.3 () M~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Z L Description of Work ~ Y _.:A Radon Gas: NO OCCUPANCY BEFORE C.O, FINAL ~-';;J.LI-4Z- DATE 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 cl.LJ --- 0-0 Signature~ ~ Company fl-- Address Telephone# Valuation or ~ ~ Contract Pric~ " t::TD City License Registration # State Certified License# (?).-... lV1 0 A . C BUILDIN~ Ftr. Pre SLB Lintel FRM, Insul. CL WL ~AL ---... ~BING ~ ME~L - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst, Pole Pool Pre-Meter Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15,001 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 R\C.hl,4&b)., ffoRI'<\S L-H?Lto jC( Sr. 7}yJfJi~N)L.1-.S OWNER JOB LOCATION PARCEL I.D. # ~ .,.:l~- ~\ - 00\ 0 - 0 ~4 On- 0 \ 3n C.f.M~NI FoUJlhATJoA 8 I~)I 'I- g , ;! II iJooh f. tI S,,euc. -rut Ii 01 '^ 8 I SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. I ~ '1 --<; I >i 'f\ l. / l T' 0 ,) (I '- ,______ ~__ ..J ~ ~ ''-II 01 ~..s"/ *' (D If . G ~ <:),).~( J ~ C.)y- " ... ) (- '--( / --- ' Ej I -( I /!J J ~.~' II:J ~ l' If.. i ,. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. '-\"- r 0 7 '-<--.) ~ O,J ') t!- T'L .' ~i~lr~ ~ ,,+-r Ie- oS.' --:;j ~( ""'d,t{.S ,l) , U y','d "~ / ) 0..-) II. ',- ''-- .... '"0' ~1~7~ " ':\ "\ I~ (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' FRON PROPERTY LINE Jq +1\ S.l. S I )1 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' FRONT PROPERTY LINE 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 'FRONT PROPERTY LINE APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT R \ C. 14 A (( i> 1.. M 0 R.. ~ \ .s ADDRESS 3~ ~ fS , g $ T. OWNER -.p I C ~ A ~ b L. J1 0 ~ ~ \ S JOB LOCATION t4 ~ YO I C, S;: LOT SIZE 1.5'" X /3.1 AREA SQ. FT. LEGAL DESCRIPTION: LOT (S) J 3 + oS 'h. J t.J BLOCK;l i SUBDIVISION H 0 0 ((.f. .s f{ eST PARCEL 1. D. 4F I '-l -;{ lc, - ~ \- 0 b J 0., 0 ~ 4 D (') - 0 I 30 PHONE 7g:J-JJLJ~ Ii b1> ~ WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign .s ft;, SJdC:b. /' _Move _Demolish PROPOSED USE: _Single Family _M/F _4F of Units __M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval fo'i Square Feet, 8' Height BUILDING SIZE: ~/X fj' 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 /~UILDING $3R9,d1. 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. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist, # City License Registration # ****************************************** BUILDER Signature Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRTCTAN 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 APPLICATION APPROVED BY ~******~~************************** dA1fl(1 tU)~ PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit aay be subject to "deed restrictions" which may be lore restrictive than City regulations. The undersigned assules responsibility for co.pliance 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 aisdeleanor 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 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 - HOleowner'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 document and promise in good faith to deliver it to the "owner" prior to cO'lencement. 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 compliance 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 cOltenced 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 worl:, and that it is IY responsibility to identify what actions I lust take to be in cr'llpliance. Such agencies include bill ~ie not limited to: * Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L~nds, Water/Wastewater Treatlent * Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways * Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks * US Environlental Protection AQency - Asbestos abatelent 1 also certify that, if fill material is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a dJainage plan addressing a "colpensating volute" will be sub.itted which is prepared by a professional engineer fegiste,~d in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to vioi~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ihall becole invalid unless the work authorized by such permit is cOMlenced within six sonths of issuance, or if work authol Jzed by the perMit is suspended Dr abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e:tenSJOII of tile, ~ay be allDwed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectiDn lust be logged during each six lonth period, or the project will be considered dbdlldDned. 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". SIGNATURE SIGNATURE ------------------------------ ---------------------------------- OWNER OR AGENT CONTRACTOR DATE DATE ----------------------------------- --------------------------------------- NOTARY AS TO OWNER OR AGENT__________________________~-- NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES MY COMMISSION EXPIRES