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Home My WebLink About92-2793 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit :N~ 279311 //-/6 --9:2. . . ;L{) .. 01J c2 6 .- o-t> ~IL~ dLECTRI~ PLU~ ME~AL PmpertyOwne' ~A~ ~r Job Address: ~ _ - ~- Parcell.D. # .2.... ;l.6 -~../ ---5 ~ Date Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: EZ Code: Radon Gas: :::::2:!~_:~"f'~ _dD,U~ .A~ ~A~' NO OCCUPANCY BEFORE C.O. FINAL DATE 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 Company Address Telephone# ~ $//;. ~ ji-'~4'k. A--t.c-~~ Valuation or Contract Price /: CTtTZJ. o-v / City License Registration # State Certified License# ~A CBUILDIN0 Ftr. Pre SLB Lintel FRM. Insul. CL WL cr>- rYVVL ~R~ Tp. Servo ~ SLB Rough In I}A04/- Tub Set Meter Can Water Const. Pole Sewer Pool Final Pre-Meter Final ~ING "" M~.NICAL ~ 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER JQS~t ~(' "~;I/e T JOB LOCATION ,-""] LCJ rK jt- - tl~~~ ;/~- ,,41()J; /e~ IIcJd€- /?r/f I PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. k___ 1:2. Irt'(' '~ .~,,12 ~ '~\f- ( /~) \ . '" . -=t- ~ ~ ~ V\ ~ f\u, t.J \) n ~ I I) ~) "\\ ("\ '"' i:') J ~ \'- -- I) , ~ i , 1 I UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (or ''* I).'~ ~ u -S-;~~A" ; ! fT , -"..' I I ' f"k.-C'i:;' I ,;::"", I I ii~ , ''\ 7-~ I I cJ ~ ~ C:5 (') vb ~~ ~ ~ ~ I:'; ...... l"- n') 1'- 1 FRONT PROPERTY LINE " ,.~"C li'4t/ (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRONT PROPERTY LINE APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT .-JI)S P pit 13 r 411 i l/e_1 ADDRESS &o3JP L drK S'T- PHONE 7/,Jl-Sb 9jL OWNER T~se~4 Bf'tJui /k-r i- l11ar5/1"e.."T Brouilk7- JOB LOCATION C';t?.J:f (fa.I::;S/Je- J1 II /? L~ SIZE Xl AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIONl1d.-~ride.., /1 J-I ~ PARCEL I.D.# d - :JG -~ :2/ - ~-- 0 WORK PROPOSED:____New Construction ~ddition .....---/ ____Repair ____Install ~lteration ____Sign/Temp. ____S ign _Move ____Demolish PROPOSED USE: ____Single Family _M/F ____4~ of Uni ts _ V---M/H ____Commercial _Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. v/ ____BUILDING ~ELECTRICAL PERMITS REOUESTED /. ao. 0 0 Valuation of Total Construction $ AMP Service Florida Power Corp. _W.R.E.C. ~ECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature SilZTlature Company State Cert. or Regist. # City License Registration # ****************************************** ET.ECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature OTHER Company . State Cert. or Regist. # Signature p~~k__&J'<t6-.~.J.A~CitY License Registration 4fr ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. J CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore 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, ti'ey .ay 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 .ay be cited for a .isde.eanor violation under state law. If the owner or 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, (813) 788-6611. Furtber.ore, if tbe owner has bired a contractor or contractors, he is advised to bave tbe contractorlsJ sign portions of the "Contractor Sections" of tbis 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 per.itting privileges in the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES 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 Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the 'owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise 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 tbat all work will be done in co.pliance 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 that all work will be perfor.ed to .~et 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 govern.ental agencies lay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Yetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent 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. Environ.ental Health Unit - Wells, Wastewater Treat.ent, 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 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 per.it prevent the Building Officijl fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of ti.e, .ay be allowed for the pertit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during eacb six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS 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 COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF ____________________________________ The foregoing instrument was acknowledged before me this __________, 19____ by STATE OF FLORIDA COUNTY OF ______________________________________ The foregoing instrument was acknowledged ~efore me this ___________, 19_____ by ---------------------------------------- who is personally known to me or who has produced _______________________________ as identification and who did/did not take an oath. ---------------------------------------- who is personally known to me or who has produced _______________________________ as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC