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Home My WebLink About92-2716 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2716 ~i /0 --d-1-7~ &-or- ~ Date Sewer Conn Water Conn: Property Owner: Job Address: Parcel 1.0. # Water Meter: T_I.F.'s: ~~. Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL S~RI> '.c.e 4 ~23-'f'3 DATE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price I- c2JS'OO Permit Fee Signature Company Address Telephone# City License Registration # _____-- State Certified License# ~ V.d-J71J/1/ et.-'n 4A) BUILDING ELECTRICAL ~~ c2J1..S r p ~L~- ----- Tp. Servo SLB Rough In 12.-~ fj'z...~~ Tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter Final ~AL ------- Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. /2-Y, f?-- /..7,;,1L-- 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 ZEPIIYRHILLS Bl~-rX.DlNG DEPARTMENT OWNER --B.e~E ~ JIL.L. S f.1J ,4t~ JOB LOCATION "3'72..1/ PA- ~ ~ fJ 12. PARCEL I.D. # SHOW ALL EXISTING & PROPOSED S'!'R.UcroRES GIVING DIMENSIONS & SETBACKS. r " 5l'0 .~J_ . ,._._ --------------r--- ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. PR1ERTY , , , FRONT LINE, (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' I '" 2. SETBACKS FOR R3 ZONING 60'- 1 0' 10' 10' EXISTING 10' 1 0 PROPOSED 20'SGL FAM 30'DUPLEX \"-10',\ P E R X o I 10' P S o T S I E N D G 10' 20' FRONT' PROPERTY LINE FRONT PROPERTY LINE '''''':::'ti:,~",: ,~--' '''''1.,- ~'l. ~.C......,.,;c.'- ~~W;~/~ -:~-~~~p~>>. '-l~ ~ ~ ~~ ~ ....j ~~ \J ---; ,( <. i \( ,.. ) ,"] .... \.i) ':l (.:::) '^ '~ t.'\ -''-t, ~ ..... x , ~ IN '\l: ~ 1" '--"1 Q-., ." , ---- I.J ---- "_..i;. ~ ---- \.) " '- --2"""'--- "- J C1, \ ~ <J'- ~ ~ ~ 1:.:,. lY) N '"' ( ~ ( l ( 0" -:2.. r~ I '" ~~~ ~ ~ o \J 'st (\ "'-l ~ ~) {-- ~'-~ ---- ---" .:: -;?- - .~ - /1 -; \....;..i VI &- (0 ~ [L \=' .........I~ ~ ~ .i ~ '* ~ 412. ~-o V)~ " cJ --' - , - I -- '-~ ~ --- "" ~ ....-0 .... - .~ ~ 3 \ APPLICATIOOO FOR l"ElUfIT GI'IY OF ZEl"IIYRIIILLS nUJILDlliIG DEPAR'IHEM OWNER'S MAKE ,gRiJcL A. S ELLA-Ps OWNER'S ADDRESS 'SQ2-f/ f'~K ],e.' .JOB ADDRESS S'A-ML PIlO!N1E ~(!J /~3-?{)?! LEGAL DESCRIPTION: LOT(S) to Il~SunDIVISIO!N1 ZHJft<ll .fff(< If[S p.. (q 122~ It-U 2-( PARCEL 1. D. # WRK PROPOSED:_lSlew Construction .L)wdition _Alteration _Repair _Install _Sign _Move _DellOlish PROPOSED USE: ~ingle Faaily _KIF _, of Units _HIlI _Coaaercial _Indust. _Swi.. Pool Other BUILDING SIZE: _Restaurant & Rea lth Depa.rn.ent Approval I I !b X l~ ,. Square Feet. ? lIeight: RESIDENTIAL: . COKKERCIAL : AITACII (2) PLOT Pl..M'. & (2) SEI'S OF BUll.DING PLANS & (1) SET Th"ERGY FORMS. H ATrACII (3) SETS OF IWII.DlliIG PLMiS & (1) SET ENERGY FORMS.-H' **COPI' OF CO!N1TRACT R 8'.QUfIlUID. PER"-I'TS REOlW_<;TED ~UILDING . /~CTRICAL $ 1,5 ()D 00 Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. _KECllAHICAL s Valuation of Mechanical Installation ~UHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ~mIC _Steel Other YIRISBED FLOOR ELEVATIONS: Fl. IS PROJECT IN FLOOD ZONE ARF_"-? ~ YES NO ********~~******************************** romRACTOR SECTION COlfPMIIY State Cert. or Regist. ~ City License Registration # ********~~******************************** BUIlDER Signature Sienature CO!fPANY State Cert. or RegisL =iF City License Registration I ***"'****-f._ **"'*"'*....**.******"''''**'''''''''***-!!:*ih~*** ELECTRICIAN CXJMPANY State Cert:. or Regist:. j# City License Registration f "''''******~- ***....*************"'*************"**" PUJKBER . Signature COlfPANY St:aLt Ccrt. or Regist:. #= City License Registration ~ *****....**~*....******"'********~***....**"*"*"*-!!:**"*** MECHANICAL Signa t:ure . COlfPANY State Cert. or Regist. j# City License Registration j# ****"'*"........~*"'*"'**"'****....******"**"***....*"********" OTHER . Signature APPLICATION APPROVED BY PERHlT OFFICER. CONDI~IONS DC p~S~=~ Acc=~0VI~ A. NOTICE OF DEED RESTRICTIQ~~ The undersigned understands that this perait lay be subject tn 'G~!d restrict:oDS" Mhich may be ~ore restrictive than City regulations. The undersigned assuaes responsibility for com~li~nL~ with any applicable deed restrictiDns. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSi8ILITIES ----....-.~----------_...._...._.._'-_.__..-.-_......__._---.-- If the owlier ha;;.. hired a fontrattor or contriltto;'s ~l) undertai:.:! work, they iIlay be requiTl.~d to be lic~nsp.d in accordance wi th state and local regulations. If the"contr..c-~c;r is,~ot 1 icens ~d .:IS required by lali, 'both -the oliner and contractor laY be cited for a lisdueanor violation under stat.! :&i~. If the Ollll~r or intendect',r.ootrador ar~ uncertail): a~ to what 1 icensing requirelents lay apply for the intended work, ~blY are advised to contact th~'eity of'7ephyrhills Building Depart.ent, (813) 788-6611. Further.ore, if the owner has hired a contractor or contrJLtor~, ~~ .s advised to have the contractor(s) sign portions of the 'Contractor Sections. of this application for which they w~ll he I~s~oll~ible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are respansible for the work,' If the contractor wishes you to sign as contractor that lay b~ an indication that he is not properly lic~nsed and is not entitled to perlitting privileges in' the City of Zephyrhills. C. TF:ANSPORTATION IMPACT FEES AND UTILITY CONj\JECTI[~N FEE?_ D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, th~ applicant, have been_provided with a copy l: 'Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the ,applicant is sOleon~ other than the 'owner', I certify that I hav~ obtained a copy of the above described document and promise in good faith to deliver it to the 'oNner. prior to comlencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVTI I c~rtify that all th~ 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. Application is hHeby lade to obtain a perlit to do work and installation -as indicated. I certify that no work (Ir installation has cOII~nced prior to issuance of a pertit and that all work Hill be perfor~ed to leet standards of all laws regulating construction, City codes, zoning regulations, and land dev~lopment regulations in the jurisdiction. I also c~rtify that I understand that th~ regulations of oth~r gov~~nmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I .~st take to bE in cOlpliance. Such agencies include but are not liaited to: t Departl~nt of EnvironDental ReQulation - Cypress Bayheads, Wetland Areas and Environ;entally Sensitive Lands, Water/Wastewater TreatMent t Southwest Florida Wat~r ManaQelent District - Hells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Aray Corps of EnQineers - Seawalls, Docks, Nav;gabl~ Waterw~Y5 t Departeent of Health ~ Rehabilitative Services, Environlent ' ,Health Unit - Hells, Wastewater Treateent, Septic Tanks f US Environaental Protection AQ~ncy - Asbestos abatement 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 volume' Mill be sublitted which is plepared 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 wort and not a~ authority tD violate, canCEl alter, or set aside any provisions of the technical codes, nor shall issuance of a pErmit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every periit issued shall beeole invalid unless the work authorized by such permit is commenced within six months of issuanCE, or if ~Grk authorized by the permit is suspended Dr abandoned for a period of six months after the tile the HDrk is cOffigenced. One 90 day extension of ti&e, .ay be allowed for the per.it Hith fee charge of $15.00. The extension shail be requested in writing to the Building Official. An approved inspection lust be logged during each six month period, Dr the project Nillbe consideted abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR I ENDER OR AN ATTORI1EY BEFORE RECORDING YOUR HOTlCE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ,/~.. -~- SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknc,wledged , 19_ by STATE OF FLORIDA COUl-HY OF The foregoing instrument was acknowledged befc,,-e me th i 5' 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this I,.;t-.!. 15 ~'2;-~:~~.i-'.~;11,~{ t.:IILH"~n 'CO iTl2 or ~\IrlO has pl-oduced as identification and who did/did not take an oath. who is personally knowrito me Dr who has fJlUuLlcea as identification and who did/did not take an oath. (Signatul-e) (Signature) . (Name Typed, Printed or Stamped) NOTARY PUPLIC (Name Typed, Printed or Stamped) NOTARY F'UBLIC