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Home My WebLink About92-2254 BUILDING PERMIT Permit 225415 ~-...? - 7J- CITY OF ZEPHYRHILLS (813) 788-6611 N~ Date C:::N2) ~ ~ M~ p<opertYowne"~<~ Md~ Job Address: <...J R CJ - 0 ~ . Parcel I. D, # / / -;).. b - ~/ - 6 .0 / 0 ~ / 0 7' t) V ... 0 r;i. 0 ZJ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~:~code: Description of Work_~ y" X / J... " Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector p~'mlt F~~ !; Slgnature__ _ Compan Address Telephone# o-D /) K';~/ Valuation or Contract Price 67'9. c.ID City License Registration # State Certified License# ~;:~ ~ Ftr. Tp. Servo Pre SLB Rough In Lintel Meter Can ............. PL~ ~ M~ICAL ~ Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Const. Pole Pool Pre-Meter Final 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 ($15.001 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 OWNER JOB LOCATION PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ~\\ 'J- - . 4 ;. ,pi- / w o .;.Jv . {/ J.J..-. <___ I r ,; ~ t -; /J':? !10vSe Lv G < ! v.. \ \oJ. ~ . '/ (, I>'- ::~(,b'-1 <f/?,jJ-.;;o \) Jt ~ J0..: ~ -5' UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. \! )iIJft~mT' (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 FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE I, , . APPLICATION FOR PERI-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~/~ ~j7v ADDRESS ~ 'I/-e..- PHONE OWNER JOB LOCATION LOT SIZE---2t2.-X '10 AREA SQ. FT. LEGAL DESCRIPTION: LOT (S)/ ~ - . J (j- d/ -.J~ BLOCK) &5 '1' SUBDIVISION PARCEL 1. D. # / / - ;:) (., - ;:L / - 0 tP/ ZJ - / Cl 9' t9 0 - C)....2. 0 U WORK PROPOSED:____New Construction _Addition _Alteration _Repair $-Install _sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~~ of Uni ts ._M/H _Commercial _Indust. _Swim. Pool Other ~ _Restaurant & Health Department Approval BU1LDI:NG SIZE: J!2... X 5? , Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR..'1S.'''': ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL I _MECHANICAL AMP Service Florida Power Corp. _\-l.R.E.C. $ 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. ~t City License Registration 1 ** **********~ ",* ** * * ** *.* ~.;;, *.... * It: ** * *;, * ,,:~, *~, ;,,', ,', PLUMBFR 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 per.it '.ay be subject to "deed restrictions" which lay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OMner has hired a contractor or contractors to undertake Mork, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by laM, both the owner and contractor lay be cited for a .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813J 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they Mill be responsible. If you, as the owner sign as the contracto(, 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 FEE2, 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 LaN - Ho.eowner'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 promise in good faith to deliver it t" the "owner" prior to cOllencelent. j f 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 compliance with all applicable laws regulating construction, zoning, and land developlent. I Application is hereby .ade to obtain a perlit to do work 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 lans regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not limited (c,: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I De artlent of Health & Rehabilitative Services Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is tu 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 issuance of a ~erlit prevent the Building Official fro. 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 permit is suspended or abandoned for a period of six lonths after the tile the Mork is co..enced. One 90 day extension of time, ~ay 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, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO ',OUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COH"ENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF C~MMENCE"ENT'. SIGNATURE: OWNER DR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged 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 Dr Stamped) NOTARY PUBLIC