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Home My WebLink About92-2158 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2158.8 Date ::2 - ;;2. {; ..~ 9 ;;L 0~~ ~ ME~L p<opertYOwn~'9i2Jt ('-L/\ff#~ Job Address: ~__ - -- (l~- Parcell.D. # /c2 - d-b ~ d.-/ ' 0:3 [J D- cJ (;l 00(;) 03? 0 Sewer Conn Water Conn: Water Meter: T,I,F.'s: Zoning: Description of Work Energy Code: 9" X J~ ~~ --1zo Radon Gas: FINAL ;2 -..2 Y - 73 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Perrrit Fee .2 ()" c.r-o Signatur~~4 Of> 1-"1/7;:LA> Company Address Telephone# Valuation or Contract Price 307), 0-0 City License Registration # State Certified License# ~ C- -BUILDING ~ ~ ~ Ftr, ~I Tp, Servo SLB Pre SLB 1- J,.j~'L ~ Rough In Tub Set Lintel Meter Can Water FRM. Const. Pole Sewer Insul. CL Pool Final WL Pre-Meter Final ~ ~G ~ ~ICAL ~ Breakers Ducts Insl. Compressor 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 ($15.00) shall be made for each trip for each trade: a, Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER R ~ y eEl rp p.JJI~r JOB LOCATION 3Cj3fAh 97]! Aile.. z-I/J~/( PARCEL 1.0. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 3000 fS1= -CoM)rt; ? F J'B rt 1'1 es fl. q."~HI'c.;:' I f ~'$.7- [--r-:-.--. ~lf.~j;.rr 51~ I , '....-, eAr7 ( ) NouSf/ ( > esT ALt:> crIiL_...3 UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE STREET 3q?J~b 9TH.AIle.. z.-HOfS (NOTE EXAMPLES 1 & 2) 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 J'Z A V r El (" D € All e. , , I - ADDRESS 3Cf.3:J-.h q --(l1ftl/e ZepHex Hrll5 OWNER K Ay C81:.P~JJT~r JOB LOCATION..~ Q3J.b 9tH I+lle_ Z-Hd/.C; LOT SIZE_X PHONE 1P?-;3J07 AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~t / ~ - Q b - J.. ( - [)3 () 0 - 0 D U 0- 0..3 7 D WORK PROPOSED:~New Construction ----Addition ----Alteration ----Repair ____Install ____Sign/Temp. PROPOSED USE: ~Single Family ____Sign _Move -->>emolish ~/F _~F of Units _M/H __Commercial _Indust. _Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PF.RMITS REOUESTED / ~BUILDING $ ? J I77J - u-'D Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ~ECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel C () A/f. f ere.vther FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SE9~ION Company" State Cert. 0 Regist. IF City Licens Registration # **************** ************** Signature # Compan State Ce . or Regist. # City License....Registration it ****************************************** Company State Cert. or Regist. it City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration it OTHER Signature APPLICATION APPROVED ~********~************************* BY Wl~r ,J/)A~r PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A~ NQ~ICE OF DEED RESTRICTIONS The undersip'>>ed understands that this perlit 'lay be subject to "Deed restrictions" which lay be lore restrictive than City regufations. 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 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 Departlent, 18131 788-6611. Furtherlore, 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 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 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 prolise in good faith to deliver it to the "owner" prior to cOllencelent. 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 developlent. Application is hereby lade to obtain a perlit to do MOrk 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 perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental 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: I Departlent of Environlental ReQuIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlV Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQencv - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A,etc.', it is understood that a drainage plan addressing a "colpensating volule' will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 issu~nce of a perlit prevent the Building Officijl frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is cO'lenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO"KENCEKENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF ____________________________________ The foregoing instrument was acknowledged before me this __________, 19____ by STAIE OF FLORIDA COUNTY OF ______________________________________ The foregoing instrument was acknowledged before me this ___________, 19_____ by who is personally known to me or who has produced _______________________________ as identification and who did/did not take an oath. who is personally known to me or who has produced _______________________________ as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC