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Home My WebLink About92-2583 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<l 2583{j y- /y-7cL Date 8 ~. PLU~ Pmperty OW"", ffi j"f :{ ~ - I ~ Job Address: ~;L b ~~ Parcell.D. # d- - .;)..(g - ~ 1 -~- 0 MECH~Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work -/ );.e'lOde: r X / ~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Inspector Permit Fee ;2f:: ct12 Signature~ lR. ') L:J!f)" ~c2..0-~~ Company Address Telephone# Valuation or Contract Price ! d-~ O. (}\.:) City License Registration # ...:L <.y State Certified License# E~L PL~ M~ICAL -- Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv. Rough In Meter Can 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 ($15.00) 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 OWNERP(~ 2: R. ~ I) I () 'f. . JOB LOCATION ~ dO / L I (\; IV <2.1 PARCEL 1.0. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT 15 FOOT SETBACK REQUIRED. ___ fb l rI ___'6_ \t! <7 ~ '(i !0-/J UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. LINE FRONT (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 t. APPLICAT.!OIL FUR ftl.RtIIT CITY OF ZlrJ!HIKH I . I.S BUIIJURG DEPARIIIUI' OIlIIEIl'S wdfJt.Jl1.R 'f~ . I~ ~:, f? I~Ji it>,>< OWNER'S ADDRESS c;(!).() I Jt/~-nP..A .JOB ADDRESS .s;:. A fr; {; moRE LEGAL DESCRIPI'IOl'l: UJI'(S) BJ.OCl{ SUBDIVISION /7/II{ <:'- - ). ,. Jp PARCEL I. D. t WRK PROPOSED:_Jle.v Construction ~tion _A1teration _Repair, _Install _Sign _lItove _DeIIo1ish PROPOSED USE: Single Faaily _tf./F _, of Units _K/H _<=<-ercia1 _I:odust. _Swi..-. Poo1 Ot:her BUILDING SIZE: _Rest:aurant &: Hea1t:h ~t Approva1 ~ X IS-, ~e Feet, Height RESIDENTIAL: cottKERCIAL : AlTAaI (2) PUJI' PIABS &: (2) SEI'S OF BUILDDfG PLAI8IS &: (1) SET ENERGY FORKS. ** ATTACH (3) SEI'S OF BUD..DD'G PI.MS &: (1) SET ENERGY FORKS.** **OOPY OF OONTRACT RIlQUIRIlD. PERKTTS REOUESTED ------BUTI.DIlIG $ J'/).c:; c' Va1uation of Tot:a1 Construction F.J.F.CfRICAL .AIfP Service F10rida Power CO~. W.R.E.C. .-JtECIIAIilCAL $ Va1uation of Hecbanica1 Installation _PLUKBIlIG GAS KOOFDIG SPECIALTY TYPE OF OONSTRUCTIOJl: _B1ock ,/ ~FraIIe _Stee1 Ot:her FIIIISIIED FLOOR ELEVATImiS: FT. IS PRO.JEc''T Dl FLOOD ZONE AREA? YES NO **..***..********************************* cmrI'BACIOR SECI'ION RIJTT JlF.R (DIPAIIY C7),A " O^ l" &- OIQ t;J State Cert. or Regist. I I//A.A(O LO I.-L-Z Ub-1?t-A City License Regist:.rattOn , ****..*******************.**************** (;J /7' 51 Signature F.J .F.cnuCIAN CD!IPA1liY State Cert. or Regist. " City License Registration t *****************A&&&&~A****************** SilPllsture (DIPMY' State Cer!:. or Regist:. f City License Registration t **********.**************~~~~************* PLlIIBER Signature CD!IPARY State Cert. or Regist. I City License Registration I ****.*********....************************** KEaWiICAL Signature CD!IPMiY State Cert:. or Regist:. f City Lf.cense Registration I- ****************************************** . O'I'IIRR S igoature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penit.ay be subject to '.ojeed restrictions" which aay be lore restrictive than City regulations. The undersigned assu.es responsibility for co.plidnce with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or cODtractors to undertake ~ork, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is'not 'iicensed as required by law, both the owner and contractor lay be cited for a .isde.eanor violation under state law. If the owner Dr 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, 18131 788-bbl1. Further.ore, if the owner has hired a contractor or contractors, he is advised to .have the contractorlsJ 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 .ay 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. CONSTRUC~ION 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 soteone 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 co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cotpliance with all applicable laws regulating construction, zoning, and land develop.ent. 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 ,hat all work will be perforted to teet standards of all laws regulating construction, City codes, zoning regulations, and land rlevelop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govl!rnt~ntal agencies .ay apply to the intended work, and that it is 'y responsibility to identify what actions I '~5t take to be in cotpliance. Such agencies include but are not lilited to: f Depart.ent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and EnvirontentaIly Sensitive Lands, Water/Wastewater Treatment 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 Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treattent, Septic Tanks f US Environ.ental 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 volu.e" will be sub.itted which is ?rp.pared by a professional engineer registered in the State of Florida prior to per.it issuance. A pertit 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 per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beco.e invalid unless the work authorized by such per.it is coa.enced within six lonths of issuance, or if work authorized by the perait is suspe~ded or abandoned for a period of six .onths after the tite the work is comtenced. One 90 day extension of ti.e, lay be allowed for the per.it 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 .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF ~O""ENCE"ENT". ~?~ W;:ei!R ~~~ SIGNATURE: CONTRACTOR ~\.\ Ke U....J" II (~1M3 SIGNATURE: OWNER OR AGENT was acknowledged 19 __ by STATE OF FLORIDA n COUNTY OF t::. Q. ::~ (' 0 The foregoing \nstrument was acknowledged be-j"c1re me thisl'\\.\Cj 1<6+h _, 19 '''r2. by I ---1rl (' !(e t).); ( [('(t. VIA S who is personallY known to m~ or who has produced as identification and who did/did not tak~~~~~ (Sign~-e) . 1-< ~ a V\d~ T:)-cAJ c It j) (Name Typed~ Printed or Stamped) NOT ARY PUBL I C- Ill. """i Stll~e of F!orl:!a I'lO,rlry !'lI."C, . My Commbiw E):~'rcs luly 31, 1994 a.6.nond Thru Tro.t Fain. Insuran,. In" STATE OF FLORIDA COUNTY OF The foregoing instrument before me this who is personally known to me or who has produced as identification and who &id/did not take an oath. (SignatUl-e) (Name Typed, Print.o or St.mp.o> NOTARY PUBLIC