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Home My WebLink About92-2724 BUILDING PERMIT Permit 2724 ~ In -~6' 9tl... , /" bJ-O ~~. UILD~ CITY OF ZEPHYRHILLS (813) 788-6611 N<! DatEI EL~i.. P~ M~ Sewer Conn ~ ~ater Conn: ~ at~e: M. eter: ~,I,F.S: Radon G :I~. 1.JiJ Property Owner: Job Address: Parcell.D. # 7:1;p '7 TL~ -f;f'~cr bl-~4?-~/-.s--D Zoning: Description of Work NO OCCUPANCY BEFORE C.O. FINAL-1/- C.O. ~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Permit Fee Signature Company Address Telephone# Valuation or NfL DJ2- Contract Price 'If' 700 ' City License Registration # :1. 6"1 ~ 6 ' ~~~i!;j:1 BUILDING E LE C..J.R+eJ(L -- PLUM~--- -- ME~- Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel 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 DBPARTMENT . OWNER m 124 fJ1 :: S ;: e1 br 'r:;~ JOB LOCATION <'" I 4 (....:J rnc> PARCEL I,D, # SHOW ALL EnSTING &: PROPOSED STRUCTURES GIVING DIMENSIONS &: SETBACKS. ~&r Jr!~ArJ~Cd , , j-\ $"" ~ fJ~ \ ." \ '\' Q / -- " ~ 'Q' OS; :---- ) .:J . ~ ) '~ ~. -I FRONT LINE 9J [,1 I -. \/} 1)0.) +,) e;rf ALLEYWAY ACCESS FOR GARAGE OR CARPORT 15 FOOT SETBACK REQUIRED, UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION, (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' :FROIft" PROPERTY LINE FRONT PROPERTY LINE APPI.ICATI01N1 FOR I"EmITT C][TY OF ZEPiIYRHIU,S RUILDI~G DEPARTMENT Oh.'NER' S NAME fYJ I? -+ h1~"5 GC1dJLt ~ P AJ IV eR.. OWNER'S ADDRESS (; (C{v1 (~ If It ~ D JOB ADDRESS ::5 H f11 ~ PHONE ? X ~ - S{~<6. LEG.I\L DESCRIPTION: 10'']['(5) BLOCK R"'-..,LJ //-. C [J SUBDH"ISION <.....:./ " ~ . - J ,..- C'::... PARCEL I. D.' WORK PROPOSED:_!!iJe'lK' C'.onstruc:t 'On -X-Addition _Alteration _Repair _Install _Sign _Move _DeJlI()lish PROPOSED USE: Single FaIlIily _tIfF _:/iF of Units _K/H _ComImercial _Indust. _Swia. Pool Other _Restaurant & l,:",alth Depart:JBlent: Approval BUILDING SIZE: x ,_.._~ Square Feet, Height RESIDENTIAL: COHHERCIAL : AT'fACII (2) purr p! ,UliS & (2) SEJrS OF BlJlILDUJG pLMllS & (1) SIT ENERGY FORMS. H AT'fACH (3) SETS n. BillUnOOG P:I....MiJS & (1) SET ElME:RGY FORMS.->\--;! ,uCOpy OF CONTRAC RlE'QmJlUlD. PElIml'Y'S REQUJESTED k' ~BUILDING $ '70-0 Valuat:ion of Total Const.rnction _ELECTRICAL mp Service Florida POWCll- (".orp. W.R.E.C. _MECHANICAL :$ Valuation of Hechanical Installation _PLUMBING GAS ROOFDiG SPECIALTY TYPE OF CONSTRUCTION: _Bloc J _FraJlle _Steel Other FINISHED FLOOR ELEVATImifS: }r'T. IS PRo.JECT IN FLOOD ZONE AREA? YES NO ~~~-;\-~~~***~****************************** COINJTRACJ'OR SE,CTIONl OOIMPMlfY /)/, / (e {.eJ I'/Ir ,/1 /?,(' 5 State Cert:. or Regist. #I City License Registration #' /?, 7' - L_ 0 r <-/..5//:':' (.)cl (' <"?-{ BUILDER .~ /?t- v [c)d~~.~ Signature ~~~~~~ ~~.*~~~~*~~~~*~*~*~~~t~~~~~~~~~~~~~ ELECTRICIAN <Cn'!iP'AL."lIY State Cert. or Regist. *' Si~ature City License Registration #F 1J;:-fl:~-!:fJ:-!; ~*.ii::'9::i!:iJ;:'i::''f1r-e.*11::1l;1l::-9::-R:~*1k~~~il:~iJ::1k**~'!1-:'~~'%:"*-:~ PLUlKBER CUJ!1PANY State Cert. or Regist. # Signature City License Registration #F ~~~~~~ ~~~~~~~~~~~~~~~~~*~~~~~~~*~~~~~t~*~ KE,CHANlICAL COMPANY State CerL or RegisL i!' Signature City License Registration # t~~~~~~~~~**~~~~~~*~~*~~*~~~*~~~~~~~~~~*~~ OTHER C'lOOIPANY State Cert. or Regist. # Signature Ci~ License Registra~ion # ~~~~~~ ;~~~~~~~~~~~~~*~*t*tt~~~~~~~*~*~~~t~ APPLICATION APPROVED BY PF;lli"iIT OFFICER" Ci :.IDITIONS OF PC :IIT (;FFJD(\')IT p, . NOT ICE OF D ES:P-_J=~l}J;:);.E[.1... 0 1'1 f:~ The undersigned understands that this I ~r.it .ay be subject to "deed restrictions" which may be more restrictive than City regulations, The undersigned assuees I'sponsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRAClgRS AND CONTRACTOR RESPONSIBILITIES If the ollner has hired a contractor or ::[,ntractors to undertake work, they--~-~y-b~-~~q-~-ired "to b~-i-icensed in accordance wi th state and local regulations. If the [ ntractor is not licensed as required by law, both the owner and contractor may be cited for a eisdemeanDr violation unde. state law. If the owner or intended ~ontractDr are uncertain as to what licensino requirements lay apply for the intendc "ork, they are advised to contact the City of Zephyrhills Building Department, ISi3) 788-6611. Furthermore, if the owner has hired a sntractor of contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this applicat Gn for which they lIill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather th: ~ the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indicatie!, that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills, C. TF:ANSPORTATION II'1F'fCT FEES AND UTILITY cm,jj'\IECTI Ol\j FEES ----..--. D. CONSTRUCTION LIEN I AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have een provided with a copy of 'Florida's Construction Lien law - Homeowner's Protection Buide" prepared by the Florida Depart~ nt of Agriculture and Consumer Affairs. if the applicant is someone other than the "oNner', I certify that I have obtainr a copy of the above described document and promise in good faith to deliver it to the "owner' prior to commencement. E. CONTRACTOR'S/OWNER_~ AFFIDAVII I certify that all the information in 'his application is accurate and that all NDrk will be done in (o~pliance with all applicable laws regulating constructic,,! :Loning, and land development. Application is hereby <<ade to obtain a pertit to do work and installation as indicated, I certify that no work or installation has cOlmenced prior to is :uance of a permit and thJt all work will be performed to meet standards of all laws regulating construction, City codes, z.ning regulations, and land develop~ent regulations in the jurisdiction. I also certify that I understand that the reg;lations of other governmental agencies may apply to the intended ~ork, and that it is .y responsibility to identify what act ons I must take to be in co~pliance. Such agencies include but are not limited to: i Department of Environlental Requlat~~ - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment 1 Southwest Florida Water Manaqement D.strict - Wells, Cypress Bayheads, Hetland Areas, Altering Watercuurses f Arty Corps of Enoineers - Seawalls, 'ocks, Navigable Waterways i Deoartment of Health & Rehabilitativ, Services, Environmental Health Unit - Hells, Waste~ater Treatment, Septic TanKS i US Environmental Protection Aqencv - Asbestos abatement I also certify that, if fill material s to be used in Flood Zone "AH or HA,etc,", it is understood that a drainage plan addressing a 'compensating Yolu~e' KiJ be submitted which is prepared by a professional engineer registered in the State of Florida prior to per~it issuance. A perait issued shall be construed to ;e a license to proceed with the xork and not as authority to violate, cancel alter, or set aside any provisions of the techni al codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correctiDn of errors in pI lOS, construction, Dr violations Df any code. Every permit issued shall become invalid unless the work authorized by such per it is commenced within six months of issuance, or if worK authorized by the permit is suspended or abandoned for a period Df six ~onths after the ti~e the work is cOffi~enced. One 90 day extension of time, lay be allowed for the permit with fee charg[ ~f $15.00. The extension shall be requested in writing to the Building Official, An approved inspection must be logged dur!ng each six ~onth period, Dr the project Nill be 'considered abandDned. WARNING TO OWNER: YOUR FAILURE TO RElJRD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PA~IN6 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN Fll'!NClNG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN!1 YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN ViUE DO NOT NEED TO RECORD AND POST 1\ HNOTICE OF C0l1I1ENWIENTH. 10~{J ')~:A_w'~ SIGN TURE: OHNER OR AGENT t7SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF f!AS(' 0 The foregoing instrument w. acknowledged before me this O::t. .:u. 1 19~ by STATE OF FLOP~A COUNTY OF 11:1 S<:> 0 The foregoing instrument befcl)-e me th i. 5 17c1'. .;:l"- vJas ackno\.'Jledged , 19~ by (Name Typed, Printed or Stamped) t!QIJ~8_LE1~fi~JI. kno.^Ji I to me or who has and who rid/did not Printed OJ- Sti:TIped) JAMES A. STONE Notary Public. State 01 Florida My comm. expires May 16. '995 CC110274 JAMES A, STONe Notary Public, State of Florida My comm. expires May 16, 1995 CC110274