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HomeMy WebLinkAbout92-2526 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2526 Date 7-2 L(- 'Iv ~.. . ~ \ ~ ~.... n I>JlL.,wn:- .>I. Property Owner: Job Address: Parcell.D. # ~:'Ii~J;~- Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work Energy Code: 1'0 fX 9 t' v8lo ( Radon f rg:) , / ,. ~/ fre-te=>l f--h.~1M - J NO OCCUPANCY BEFORE C.O. FINAL ;l -d-l.j- 92 DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee Signature. Compan Address Telephone# Valuation or Contract Price idoL ~ City License Registration # State Certified License# --t'1 ...."Tnl 0.. rL ~ _ ~' I 1.~OI"'~ - ~--'--'- --'.. ~ ~ r". . "~,,.: ltl Breakers Ducts Ins!. 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, Insu!. 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 ;rAQk'1~ )/ O//I---/U t?~C.~~ JOB LOCATION ,51n~P /JhY77A e-,- ;Z~1!{')/r/I,) FI.- PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 10 " 1" tix Y- O( Y V /IV /g (I( t. "r?; lf5( I-I elf P<;+-,/;;; LO xc. ;J~ F<(J +- 5J, ''-'51 s ~_/ /-It' ,4DF I( - / x, 3\ ~ 110 UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. w ;2-' 7' FRONT PROPERTY ~~.7> I I ~ ALLEYWAY ACCESS FOR GARAGE OR CARPORT 15 FOOT SETBACK REQUIRED. ',- LINE (NOTE EXAMPLES 1 & 2) STREET ~(f)1bJ() ~~dll~r 1. SETBACKS FOR R1 R2 ZONING 60 2. SETBACKS FOR R3 ZONING 60' P R o P o S E D 1 0' 10' . 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT FRONT PROPERTY LINE 1 '."'-;:::=:~-:'~'~:":~~~'.~'j' '.w leI" ~. . '~~,..w" __"'j' ~ ("'" . _&._ "'.J" ' ~ ~ L_~_"_,_....w_,.-_.-. CJ~ 117 ~~ ~ <::> ~ cJ.. o "S -=-5J -f-- ,- ,"" ' "~ '''-.,) .~ .t" - .0,...- ~ <\U J~ ~O p / ! I I I I / / I ! / / i I \. .' j , ::J- \ ..... /' ;.~ ~,(~J__ i ,i I I!' I t =r-, ~ <- \ \.u .-'.......'.-.., ',..--.! i (Y) : i! ~ ; i B' 11- }~ \ . , ! /1" 1 // I .' I ,,11 I r I I : l/I. i \ 4. -:r~ '-..ll I, ,,' ILJ + '3 "1 - ~ ,-:=:.._.__... \.\l ~ ~ --1' .- ~~~ ~ t ~N:a ./1 't,;.'\ .,/ " r' l ,1 i i i . II II f , /: ~,~ :--.0 . 10 ~~p ~1 ,i 1 '. i j I :- I( I ',j' t "" I -'-~"I ,-F---=1TI I " I ~'h,!"_..., I, , .l~ \ ... : ~~. :--= A t ! / ..), :>tea 4(5t1S I ~ ~ \~ :t" ; ~ /06 I.. .. \ 1- ~ ~H_ -------i I I -Lb \- \U _ \1.) ::t - :~ . ' APPLICATIOllil FOR PERMIT CI'IY OF ZEPIIY.RIIILLS BUILDllIG DEPAImPIEN'T OWNER'S NAKEI fl-(l, k I ,;- ADDRESS~cr; 9' SfJ/1'1 E /./oLL~1tJ Bt:e)c I< 1112 tv1J It C!.. T molfE~3- 7~-3ajr ::2 cTlflylLflt /lr I r .L OWNER'S JOB ADDRESS LEGAL DESCRIPTION: UJI'(S) BLOCIt' SUBDIVISIOllil PARCEL I. D. t WORK PROPOSED: /l8!ev Construction ~tion _Alteration _Repair _Install _Sign _Move _ne.olish PROPOSED USE: ' Single Faaily _KIF _, of Ufnits _K/H _~rcial _Indust. _Stria. Pool Other _Rest:aurant &- Healt:h ~t Approval BUILDING SIZE: /0 X 8" , <go Square Feet, ~ ~J Height _ RESIDEIfTIAL: COHKERCIAL : ATTACH (2) PLOI' PLAIIS &- (2) SEIS OF BUILDING PLAJlS &- (1) SEf ENERGY FORKS. ** ATTACH (3) SEI'S OF BUll.DDiIG PLAJlS &- (l) SEf mmRGY FORKS. ** **COPI' OF COllilTKACT RIlQ1lJIRIlD. PERI/IITS REQUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL MIP Service Florida Power Corp. W.R.E.C. _KECHAlUCAL $ Valuation of Kecbanical Installation _PLUMBING GAS lIDOFDiG SPECIALTY TYPE OF CONSTRUCTION: _Block _FraIIe _Steel Other FINISHED FLOOR ELEVATIOllilS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ***~*************************.************ COJn'RACI'OR SECTION BUILDER CO!tPANY St:ate Cert. or Regist. I Signat.ure City License Registration I ************************~***************** . ELECTRICIAN CO!tPAIMY St:at.e Cert.. or Regist. , Si~at.ure City License Registration I ****************************************** PLUKBER CO!tPMY State Cert. or Regist. , Signature City License Regist.ra~ion . ****************************************** KECllANICAL CO!tPMiY St:ate Cert. or Regist. ,I Signature City License Registrat.ion I ****************************************** O"I"IIF.R aJ!IPMY State Cert. or Regist. I Signature City License Registration I ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT, A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait 'lay bE subject to "deed restrictions. which lay be .ore restrictive than City regulations. The undersigned aS5uaes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OMner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulation~. If thf cGfftfactor is,not"Jicensed as required by law,' ~oth the owner and contractor aay be cited for a aisdeleanor violation under state laM. If the owner or intended contractor are uncertain as to what licensing requirelents aay apply for the intended work, they are advised to contact the City of2ephyrhills Building Departlent, (813) 788-6611. Furtheraore, 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 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 Mith a copy of .Florida's Construction Lien Law - Hoaeowner's Protection Guide" prepared by the Florida Departaent 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 inforla~iDn in this application is accurate and that all worK will be done in coapliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no MorK or installation has cOllenced prior to issuance of a perlit and that all MorK will be perforled to leet standards of all laMS 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 li.ited to: f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, WasteNater Treatlent, Septic TanKS f US Environaental Protection AQency - 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 'co.pensating volule" will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perait issued shall be construed to be a license to proceed with the work and not a~authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit preven~ the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid unless the work authorized by such perait is cOllenced within six lonths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six aonths after the tiae the work is cOI.enced. 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, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCE"ENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument beTDre me this STATE OF FLORIDA COUNTY OF The foregoinq instrument before me this was acknowledged , 19_____ by who is personally known to me Dr who has produced as identification and who did/dld 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