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Home My WebLink About92-2880 , BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 ~ILDI:O ~_ ~ p<cp"ty Own" ~ ~ Job Address: L5P--3. ~ . tA-.- Parcell.D, # /'/......20 - dI- C) C)-b-b. 0 o~o - .. , Permit N<] 2880/J Date / [} - & r -- 9 :J- M~ Sewer Conn Water Conn: Water Meter: T,I.F.'s: u c.:J c> 0 Zoning: Description of Work Radon Gas: L- FINAL~ - -It"" ~ 7J> 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 P,'mit F~ o--D ~ Signatur "~ -t(h , Company Address Telephone# Valuation or /0 Contract Price ~ / r',/.. crv City License Registration # ....:?/~ \' State Certified License# I1A ~(~ Ftr. \'2 - Pre SLB l - Lintel FRM. Insul. CL WL ELEC PLU SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway lc..-3 D,qz, e>~ Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final 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. OWNER >. ~ OF ZBPIIYIlJID.LS BUXLDING DBPARTHBN"l' LIIl.III ~I /II i4N , -sJ /1 ( hll/v It;2s )J~( (/L JOB LOCATION - - - . PARCEL 1.0. # , SHOW ALL EXXSTDIG II PROPOSED S"I'RUcroRES G'f"'IHG DIMENSIONS II SE"l"BACKS. 5'11 ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. VI ~;:> ~ .'X ~ ,3~ '}~ ct~ ~- ,~ ~ k/ ~ jU)'f ~, / T Il~~ /e2-dt?- 7.z 1:t: /J ./ ~~l '>\ t 't1,lJ:- ~~~t, UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~~ ~ " I~~ t ,~~ ~,'S~\ '\) \J I 11- rs/ I rr-o I" J J ERTY' /; & ('f(I (U), (NOTE EXAMPLES 1 & 2) STREET '3K III ~q~ ( IV ~ fL ))iZi" f 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60 1____,___ 10' ,..P E- R X 0 I ".10 ' P S 10' 0 T S I E N D G 20' 10' T 110' 10' EXISTING 10' 1 O' , PROPOS~ FROIft" PROPERTY LDIE 120'SGL FAM 30'DUPLEX I~_ FRONT PROPERTY LINE .._.-........,;;.;.,0-'0-,"'"'....,.__.__. L";-;_II.'I'..,>'~I.;....-~___...._ APPLICATIOlil FOR PERKIT CI'IY OF ZEPIIYKIIILL.S BmI.DTIIC DEPA.'RDtEXT OWNER'S BAKE a~/{ ~ PHONE OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: WI'(S) BLOCK SUBDIVISION PARCEL I. D. f WORK PROPOSED:_5ew C<<mstruction --.J\ddition ~_Alteration _Repair _Install _Sign _Move _De801ish PROPOSED USE: Sing1e Faai1y _KIF _' of Units _~rcia1 _Indust. _Swill. Poo1 _Restaurant &: Hea1t:h Depart:aent Approva1 BuiLDING SIZE: X .~fg rp ~e Feet, _K/H fi ~ _ Other Height RESIDENTIAL : cotmERCIAL : A'ITACH (2) PI.Ol' l'UUiS &: (2) SEI'S OF BUll.DDfG PLWS &: (1) SEI' ENERGY FORKS. ** ATTACH (3) SETS OF B1ITI..DDiG l'UUiS &: (1) SEI' ENERGY FORKS.** **copy OF CONTRACT BEQtrrRIlD. PERKITS REOUESTED ~UILDING $ Va1uation of Tot:a1 Construction _ELECTRICAL AKP Service F10rida Power Qlrp. W.R.E.C. _H.ECIIAIUCAL $ Va1uation of Hechanica1 Installation _PLUMBIBG GAS ROOFING SPECIALTY .. TYPE OF CONSTRUCTION: _B1ock _Pralle _Stee1 Other FIIiISHED FLOOR ELEVATI05S: FI' . IS PROJECT DI FLOOD ZOHE AREA? YES NO ****************************************** BUIlJ)ER . Signatur~--,\. ~ C. ***** mRrRA~ SE~ OO1fPANY . ~ ~L~ State Cert. or Regist. I City License Registration' .3'/ S-- ********************************* ELECTRICIAN COlIPANY State Cert. or Regist. I Sivnature City License Registration I ****************************************** PLUKBER OO1fPMY State Cert:. or Regist. I Signature City License Registration f *********************~~~Z~***S**:****~*~** KECHAlUCAL COlIPMiY State Cert:. or Regist. f Signature City License Registration I ****************************************** OTHER 001fPA!iY State Cert:. or Regist:. I Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. "" CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it.ay be subject to 'deed restrictions' Nhich lay be lore restrictive than City regulations. The undersigned assu.es 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 lay be required to be lic!n3ed in accordance Nith 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 Nork, they are advised to contact the City of Zephyrhills Building Depart.ent, (8131 7BB-bb11. Further.ore, 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 ONner 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 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 Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOleone 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 applic~tion is accurate and that all work Nill be done in co.pliance Nith 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 Nill be perfor.ed to .eet 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 .ay 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, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent . Southwest Florida Water ~anaQe.ent District - Wells, Cypress Bayheads, Wetland Ar~as, Altering Watercourses . Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways . 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 'cotpensating volu.e' will be sub.itted Nhich is prepared by a professional engineer registered in the state of Florida prior to perlit issuance. ~ A per.it issued shall be construed to be a license to proceed Nith the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official froD thereafter requiring a correction of errors in plans, con5truction, or violations of any code. Every perlit issued shall becole invalid unless the work authorized by such per.it is coa.enced within six tonths of issuance, Dr if work authorized by the permit is suspended Dr abandoned for a period of !.ix lonths after the tile the Nork is cOlienced. One 90 day extension of tile, lay be alloNed: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 Nill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ~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 C~OMMENCE~ENT' JOBS 'UNDER $2,500 IN VALUE ~O NOT NEEn TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~f!~ d URE: NER OR AGENT CONTRACTOR STATE or FLORIDA 8 COUNTY OF ,_ D...GQ 0 T.he. fo.regoin...g instrum~nt was aCknow,ledged bpf,:.1-P me thic;Ci)i-h~QC, 1.9Qa ~y DEr'r'\Cili d a \)--L~().5'0 who is personally knDwn tD me or who has produced t;n\(\~1 (') j)JL.. GCl ll~~ 1l3Od- as identification and who did/did not 111D8 take an ath. STATE OF FLORIDA ~ COUNTY OF 0..00...D_ The foregc.ing instrument v.jas~~,'1cCllv.v.jjledged befrl}-e me th i s ~~~fci~I.a. by who is personally who has pl-oduced as identification and who@did not take an oath. ( m T ed, Pr ~B$~.. or SttOOllW.~R1(ETT NOT ARY PUBLI C {.(A"t:~ MY COMMlSSlONl AA 694972 EXPIRES ~4'~'~; Augu9l31. 1993 "/'f.ii(.~if.'" BONDED THllIJ 1110Y FAIN INSUAANCE, ItIC,