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Home My WebLink About92-2776 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N? 277GA Date /1- /tJ ~ Y;l C BUILDI~ E~,. PLU~ Property Owner: _~~...~_ Job Address: ~.:<.../ /} ~.J/~ Parcell.D. # r1 - :L.& --:l.I--~-- 0 M~=wer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: En,rgy Code: Radon Gas . Qe,e,iption of Wori< !'41L'fA-t ~ ~J ;;4.:(; . ~ -r ~ .....:.J!';{ 4M....~ FINAL 11--/ b .u;(3 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 City License Registration # d s-tf State Certified License# Permit Fee ~ Signature /?t c9 (~/ -<'~.::.:;_'''''' Company Address ~? / (e;; ?"" c: .;-I't C> A..J 14- uC Telephone# ~? f? g - ':::;:: l g ~ Valuation or Contract Price J.2.. o-v . cT-D .-1lt:ie AbLt~ CUll_DING ~ ELE~ Ftr, Tp, Servo Pre SLB Rough In Lintel Meter Can FRM, Const, Pole Insul. CL Pool WL Pre-Meter Final PL~ ------. MEC~ --- SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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 ZEPBYRHILLS BUILDING DEPARTMENT OWNER /JJ Ie. .../ fh R S :<<;." (4) C/V C;r:;. tv JOB LOCATION r; 't) 10 e /l hi eo PARCEL I. D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT 15 FOOT SETBACK REQUIRED. /-~ I~ ~- ~' \ \ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T S I E N D G 20' FROR"l" PROPERTY LIRE FRONT PROPERTY LINE. ,~ ~ ~ .~ ''-..., ~ ~~, 2. SETBACKS FOR R3 ZONING ,60 ' 10' 10' ,EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 1 0' FRDftJ!:: LINE APPLICATIOIl FOR PERHIT CITY OF ZEPIIYRIIllLS BUILDING DEPAR1'HRlNIT OWNER'S BAKE IJ1 If -t rn. R5 $ Lv e!US 7:) IV OWNER'S ADDRESS c:. ;Q I 0 ~ e IV e::.-7T JOB ADDRESS S Il m ,t; PHOlNlE ~ gg -- _5/ Zi? LEGAL DESC'RIPl'I01!il: LOI'(S) JlLOC.'K SUBDIVISIOlNl PARCEL I. D. f WORK PROPOSED:_lIev Construction -XMdi.tion _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: Single F3IIIily _KIF _, of Units _M/H _~rcial _Indust. _Swa. Pool Other _Restaurant &: Health Depar-=-ent Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOI' PI.A5S &: (2) SEIS OF BUILDIIlG PIAlNIS &: (1) SI::I' ENERGY FORMS. *... ATTACH (3) SETS OF B1JJTI.DDlG PIA1!iIS &: (1) SET RlNIERGY FORKS.*':!' ......COPY' OF COlNlTRAC1' REQm:RED. .,. PEmlITS REQUESTED XBUILDING $ /dOO Valuation of Tot:al Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _HECHANICAL s Valuation of Mechanical. Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCl'IOlNl: _Block _FraIIie _Steel Other FINISHED FLOOR ELEVATIOJWS: F'I' . IS P.RO.JJJ:C1' IN FLOOD ZONE AREA? YES NO ~...**...*****...*****...*......***......*......**......*******......* COJfiJTRACI'OR SECTION BUILDER /nbfw W~ cmlPAMY )J1: !<:'e W ~ II J ,4 j..-rt S State Cert. or Regist. # City License Registrat.ion , ...**...*.........*********~*...*~*...~*.........*......*******...** (! ?J/V s7/e<J <.. T;Qr.. ..:15 ~ Signature ELECTRICIAN OOOIPABY State Cert:. or Regist:. #f: Si~ture City License Registration I ********~*****************...****...********** PWttBER COl!IPAlNIY State Cert. or Regist. #f: Signature City License Registration I ******......**...*********...***...**...*......*...*......*...**...* MECHANICAL COl!IPAlNIY State Cert. or Regist. , Signature City License Registration I .........***......**...***...*********...**...*......*********** 0'1'1IRR CDKPABY State Cert. or Regist. , Signature City License Registratfon I *~*...*************...****...*...***...***...*****...** APPLICATION APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it 'lay be subject to "deed restrictions" which may be lore restrictive than City regulations. The undersigned assules responsibility for co.pliance 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 iicensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611. Further.ore, 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 may 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 FEE~ D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner'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 prolise 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 cOllenced prior to issuance of a per.it and that all work will bE performed 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 may apply to the intended work, and that it is IY r1rsponsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to: f DEPart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/WastEwater Treatment t Southwest Florida Water ManaQelent District - Wells, CyprESS Bayheads, Wetland Areas,'Altering Watercourses t ArlY Corps of EnQineErs - Seawalls, Docks, Navigable Waterways t Department of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks t US Environ.ental 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 "compensating volumE" will be submitted which is prEpared by a professional engineer registered in the state of Florida prior to per.it issuance. A per.it 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 perlit prevent' the Building Official frol therEafter requiring a correction of errors in plans, construction, or violations of any code. EVEry permit issued shall beCOIE 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 of six lonths after the time the work is cOlaenced. 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 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 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 RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". W~ ~ (~~~ SIGNATURE: CONTRA~TOR STATE OF FlIlRID~J~ W "jfJ COUNTY OF' R' - SC 0 The foregoing instrument was acknowledged before me this 10 ViJV , 19~ by . STATE OF FLOR~ COUNTY OF S t?o The foregoing instrument was acknowledged befol-e me th is.. /0 #0 t/ , 19 92-- bv . .-' and who did/did not to me or who has known to me or who has and who did/did not (Name Tvped. '1 -' NOT ARY' pUBtMt;comm. expires May CC110274