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Home My WebLink About92-2398 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 23988 b- '1- 9::L Date ~D1~ ~ PLU~MEC~ s,w"Cooo ~= ':Y Water Conn: :::::,~:~'~ ~~~ ~~, ~:~':,M"" Parcell.D. # / / -rJ-6 --d2/ - DOlO - 6 ~3 (/0 - c.J / /0 Zoning: Q En~y Code: Rad?n Gas: Description of Work ",,-.-e ~ (l ~ P .A 'l ~.L/L.- ~1-1-r A - t/ 11,-//"73 I I NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or () Contract Price ~ 0-0-0 CJV Permit Fee i cJ. ~~ w.. Signa'ture\ V; hn ~ '1.~'~7E-- Company Address Telephone# City License Registration # State Certified License# ~../Yl-V'\.- cauILDI~ ~ EL~ ~ ~CAL -----" Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway ~Q.u:J;f1" z...C\.:t 6 tit 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. JOB LOCATION CITY OF ZEPHYRHILLS -.J /;J'I!J~ ;:J A77/E'"" .-)7_~~ /4~ S7: , BUILDING DEPARTMENT OWNER 2~}'eh///.:s 7=/ ~3.5~ PARCEL I,D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. {;:517 /7/'r / Vf:/i !/;::~ C /'. <') .:: / ;." (('; /} :;;"<i~t.:./; //1:( ~ L~;; /y<.~~/;,,: /-.~_ #6'~,,~ ( \D I \ "":.-_' f'::.. ;~- Hi6W E XI-5Tf,j ~{~ Ul i j I I 1"- \ ,Q.", eo' \ ~X 'l.::>E 0,_ .~/' - ALLEYWAY ACCESS FOR GARAGE OR CARPORT 15 FOOT SETBACK REQUIRED. / /- J(k\;C.- I A ~~i f___. I i I J UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. <<J ('l!, ~ II < 1-~.. 5" .::;" //' . /. / ,/ _..: A' 'C,_ j 2.0 '-7- ~~c..L__ .=~_. -'-~;r-t~.,-,c::::! '-' :e/I.r FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 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 JOB LOCATION CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ...7.h&L./7.77A (6e.. t!3e.) PA-T//C: ,s7St) /4Ul sr. Z~~~Y.R./;///.:5 ~/. ..3.35 ~t? OWNER PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. .{jt:.-I,L~ C-:/l:r" \ 'lJ ,"", \) '7- ", / \. I / ' / s - 4 / \\ P/.~'.ll,-j 2- f- Y (- -~~\\ ci~f~~L:.,' '------.~"^ >,' I I _ '~ / 37 , 30 -;..' ALLEYWAY ACCESS FOR GARAGE OR CARPORT 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. \"i _E:0 \..C) e-x1~/~ H{),Y\.E: /.:) ty)/:-/ -1 4'-10 p< AE '. , FRONT PROPERTY LINE " ~. \ I "-I "'}, ~i, s 12a:J (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' .10' P E R X 0 I 10' P S 10' O' 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 " . . ... APPLICATION FOR PERKIT CI'IY OF ZEPBYImIILS BIITUnBG DEPAR'I'JPtENT OWNER · S lWt.E ..:J~ &1-/77/,4 PA77/".e (6~ 6e) PIIOl'iE ,8/3 7g~ . 80/;/ , 0WlfER · S ADDRESS ~'f'7S /) /4U, ST; z...,~A Yb'J///S :PI ..33S~,t) , JOB ADDRESS -);51/ /441 S.7: LEGAL DFSCRIPTIOlM: wr(s) /~ I'; I..S BLOCK 7.3 SlDBDIVISION PLAT" A~~K -# / PI16'E .54 , PARCEL I. D.' / I -;l.6 - d.-/ - 6 U / 0 - (J &, <S 0 {) - 0 / / 0 / ~. WORK PROPOSED:~lIew Construction _Addition _Alteration _Repair _Install _Sign _I!tove _Deaolish PROPOSED USE: ./ Sing1e F~ily _a/F _' 0:1 Units _K/H _~rcia1 _Indust. _Swi8. Pool Other -..Jles1:aurant &: Hea1t:h Departaent Approva1 ,6e6,e/~ BUILDIRG SIZE: X tj ~ /J Square Feet. Height RESIDENTIAL: cottKERCIAL : ATTACH (2) PLOI' PI.ARS &: (2) SEIS OF BUlLDDiG PI..!UiS &: (1) SET ENERGY FORMS. u A1TACD (3) SEIS OF BUllDUG PI.ARS &: (1) SET ENERGY FORKS. ** ......COpy OF CONI'RAcr REQUIRED. -LBUILDING PRRKITS REQUESTED .fI /J77~ /;rt,?S $ 1.5/)0, tMJ Va1uation 0:1 Total Construction _ELECTRICAL AtIP Service Florida Power Corp. W.R.E.C. _KECllAlfiCAL $ Va1uation 0:1 Hecbanica1 Installation _PLUMBING GAS ROOFlliG SPECIALTY TYPE OF CONSTRUCTIOII: _Block / Fraae _Steel Other FINISHED FLOOR EI..EVATlONS: FI' . IS PROJEcr IN FlOOD ZONE AREA.? YES NO ...........................****...*****...*...........................................***....* aJJn'RACI'OR SECTION Signature COIIPANY State Gert. or Regist. , City License Registration , ......*......********...**......*...*...*.........*................**...*...**** BUILDER ELECTRICIAN COIIPMY S1:ate Cert. or Regist:. , City License Registration I ......*****...************...*****...*.........*............***...** Sif!ll3ture Signature COIIPANY State Ceri:. or Regist. 4# City License Registration I *.........*********************.........**.........*......****** PLUKBER KECllANICAL Signature COIIPANY S1:ate Cert. or Regist. I City License Registration I ...***...***********...******......***...************* 011IER. Signature COIIPANY S1:ate Cert:. or Regist:. , City License Regist:ra~ion , *..........***.................*......~........*...... ~ g/l~ APPLICATION APPROVED BY 7/ IUI\.-(1 PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penit.ay be subject to "deed res'hictions" lIhich laY be .ore restrictive than City regulations. The undersigned assu.es respon9ibility for co.pliance lIith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ollner has hired a contractor or,co~\ractors to undertake lI~rk, they lay be required to be licensed in accordance lIith state and local regulations. If the contractor is dtlt licensed as required by law, both the owner and contractor .ay be cited for a .isde.eanor violation under state lall. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611. Further.ore, if the ONner has hired a contractor Dr 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 ollner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the lIorK. 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 - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er 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 promise in good faith to deliver it to the "oNner" prior to cOllence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all worK ~ill be done in coapliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no worK or installation has co..enced prior to issuance of a per.it and that all work will be perforaed to teet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended MorK, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not liaited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health ~ Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abate.ent 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 "colpensating volute" Nill be sub.itted which is prepared by a professional engineer registered in the State. of Florida prior to pertit issuance. A per.it issued shall be construed to be a license to proceed with the Mork 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, or violations of any code. Every perlit issued shall beco.e invalid unless the work authorized by such per.it is cotlenced within six lonths of issuance, or if worK authorized by the pertit is suspended or abandoned for a period of six .onths after the ti.e the worK is cOlienced. One 90 day extension of tile, .ay be allowed for the per.it Mith 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 .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKMENCEKENT KAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO VOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIPG, 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 COMMENCEMENT". \jY/oJ/YJ1.(L Ujjj, L SIGNATURE: OWNER DR AGENT SIGNATURE: CONTRACTOR STATE OF FLORI~ COUNTY OF fA S (' 0 The foregoing instrument before me this 0UV\.e.. 4 lk~l\'\ACL Q ~ who is per~:na(lr,known produced ~ as 'dentification nd an 0 tho was acknowledged , 19qQ... by STATE OF FLORIDA COUNTY OF ____ The foregoing instrument befcl\-e me th is was acknowledged 19_ by to me Cl\- whc. has who is personally known to me or who has produced as identification and who did/did not take an clath. ) (snat~ a I/. ~ V\ ,ij un n. 0 (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) !i~JTARY PUBLIC f:-;: 1"~;:',;1r1r~}::~,; S'~f:;~~ f ~ ~~,:,,"~d~ r:., C~.. : ),! 995 ~Oi'IC:..;:d 'If.jiJ "i'n:'i roin .!nsuranc;e In~