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Home My WebLink About92-2775 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Perm it N<! 2775~ /1 - / e;> -7:2.. Date ~~ ~ PL~ Property owner:~t'4",-, ~~~'d- Job Address: t :J...;p.:. (l4f1~AI}..-Lt-, Parcell.D. # ~ - ~ b - d-./ -~- - c) Zoning: Energy Code:7 . Description of Work /0 X // ~~-il ~AL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: FINAL ;l~.:2 y- 'i3 DATE NO OCCUPANCY BEFORE C.O. 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?:/l ...~ )</f'l;;~ Company Address Telephone# ? g ~ 'r S (~ ~ Valuation or Contract Price 9 P7? _ o-z;> City License Registration # ~-~ State Certified License# --111/)0 - l/;'/f;~;~ ~ILD~ Ftr, Pre SLB Lintel ~ - ~ ME~L ----- Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo 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 ZEPHYRBILLS BUILDING DEPARTMENT , /'i7' OWNER .m I? -f fY1 ({ 5 f JV?~1 ~~ JOB LOCATION ~ ~ I ~ (~/l In ~~? s:..?/ PARCEL I. D. # SHOW ALL EXISTIRG & PROPOSED STRUC"I'ORES GIVING DIMENSIONS & SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. .1,,/ $fed /<v /0 ! "-- 1 I , 1 J O' k/------ // ~k> ~ /~ &~ <f" '~e~ i I _~J UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. tJ / FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET .. 1. SETBACKS FOR R1f R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FROlft" PROPERTY LINE FRONT PROPERTY LINE ~ APPLICATIOIl FOR PERHI.T CITY OF :z.EPBYRHILLS BmLDIB'G DEPARnIE'.lNI'T OWER'S NAME In/? -J yn 1'( S OWNER'S ADDRESS ~ ~ I (( ~$/lm6 f ./lJl.<'I7~ C~ Iih1 en ~ sT P1IOlliJE JOB ADDRESS LEGAL DESCRIPl'IOl!lll: IDI'(S) BJ...OCK SUBDIVISIOlNl ,C) A/( c::::, ,'-J ryl9tel( PARCEL I. D . f WORK PROPOSED:_lNIev Construction -.AJwdition _Alteration _Rep.....ir _Install _Sign _Move _Deaolish PROPOSED USE: Single F3IIIily _KIF _, of Units _H./H _~rcial _Indust. _Swa. Pool Other _Restaurant &: Health ~t Approval BUILDING SIZE: /0 X 1/ , Square Feet. /' ~O Height RESIDENTIAL : COKKERCIAL : ATTACH (2) PLOI' PI.A5S &: (2) SEI'S OF BlllLDIlNIG PLAlNIS &: (l) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDDlIG PLM!JS &: (1) SET RlNIERGY FORKS. ** ......COPY' OF COlNlTRAC1' REQm:RED. .. PEmlITS REOUJRSTED V-;-UILDING $ 900 Valuation of Tot:al Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _H.ECllAlUCAL s Valuation of Mechanical Installation _PLUMBTIlG GAS ROOFDiG SPECIALTY TYPE OF CONSTRUCl'IOIl: _Block ~3IIe _Steel Other FIlNIISHED FLOOR ELEVATIONS: FI' . IS P.RO.JEC1' IN FLOOD ZONE AREA? YES NO ......***..................*............*.......**...*.*.******* COJn'RACI'OR SECl"IOlNl BUILDER Signature ~ f..JLJ ,;~ CO!fPMllY 111 {I<e CD .t II ~ A III S C! 6 ,uS /Rue].. b-., State Cert. or Regist. I City License Registration I .*.......*....*...........*.............*.*......*..*...** .-:;:J t-<;; </ Si!mat:ure COlIPAlNIY State Cert. or Regist. I City License Registration t ..***......*...*..***.**.........*.*....********** ELECTRICIAN CO!fPAlNIY State Cert:. or Regist:. 1# City License Registration # ****...*..................**....*..*........**...********* PLUJKBER Signat:ure CO'IfPAlNIY State Cert. or Regist. # City License Registration I ...*...*.*............*.*.**...*...........*......*...*......*.**...****...... H.E'.GIIAlU GAL Signat:ure a>>IPAlNIY State Cert:. or Regist.f City License Registration , ***...*****..............**...**...*......*............*********** 01'1IER S ignat:ure APPLICATION APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait 'aay be subject to 'deed restrictions' which may be ~ore restrictive than City regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake worK, they may be required 'to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended worK, they are advised to contact the City of 2ephyrhills Building Depart.ent, (8131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 ent'itled to per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~ 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 Departlent 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 document and promise in good faith to deliver it to the 'owner' prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cO'lenced prior to issuance of a perlit and that all work will be perforled to leet 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 governmental agencies lay apply to the intended work, and that it is 'y r1rsponsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to: I Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ~anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks I US Environlental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone 'Aft or "A,eic,", it is understood that a drainage plan addressing a 'compensating volu.e' will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to he a license to proceed with the work and noi as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code, Every permit issued shall becole invalid unless the work authorized by such per.it is cOltenced within six tonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the ti.e the work is cOIDlenced. One 90 day extension of time, 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 must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINS YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~w~ SIGNATURE: OWNER OR AGENT ~~ L-ej~ SIGNATURE: CONTRACTOR I STATE OF FLO~A COUNTY OF ' U1l:St! t) The foregoing instrument was acknowledged before me this )0 AJaI , 19~ by , e 4),/II;:}/11..5' who is personally known to m or who has produced as identification and who did/did not tak an oath. Q . nature) JAMES A. STONE ame TYR ' d) NOT ARY F'M~!{!;tDm. expires May 16. 1995 CC110274 STATE OF FLO~ COUNTY OF or)1~~() The foregoing instrument was acknowledged befclj-e me th i s /(J jVoi/ 19 ~ by is pel-sc,na Pl-C1duced as identification and who did/did not ta e an oath. JAMES A. STONE (Name Typed, Pc i "'l~ryPub~tState of Florida NOT ARY PUBL Ie. My comm. expires May 16, 1995 CC110274