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Home My WebLink About93-2992 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 2992 Bj I Date C2 -,;t - '73 ~DI~ E~ PL~M~ Pmperty Owne, g~ \ if ~ Job Address: -'fL__V ~ _ _~ Parcell.D. # Zoning: I1_Ene.rgy Code: Description of Work )J. ~~~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: FINAL y~/;L ~7-3 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 Permit Fee ~"CT7) ~ S;gnatu,.~..L: ~ <hJ Company __ _ Address Telephone# Valuation or Contract Price 16tJ. ciV City License Registration # J /.50- State Certified License# Ftr. Pre SLB Lintel FRM. Insul. CL WL EL CAL PL MECHA Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER /JIIV. Q f/. -1 JOB LOCATION ~79s- S,e'/,(J?~ ('ZI/fI~a) PARCEL I. D. # SHOW ALL EXISTIHG & PROPOSED STRUC'l"tJRES GIVING DIMENSIONS & SETBACKS. SO' It fJ,t:/. r2 -/-93 :FeM ul 10 ( lp' I 11..- ~ '~~ " ~ {. .~ ~~, f::-k' ~ ~ ALLEYWAY ACCESS FOR GARAGE OR CARPOR'r - 15 FOOT SETBACK REQUIRED. ~ \,~ ~~ ~~ I 7!> k-tO 4 1 1)/ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ERTY{gfINE I '~'79r-'f 4tjV I?U,d~,r. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1f R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 10' l P E R X 0 I 10' P S 10' 0 T 1 0' S I I . E N D G 1 20' FRONT PROPERTY LI:NE 1 0' FRONT PROPERTY LINE APPLICATIO~ FOR PERMIT CITY OF ZEPllYRlnLLS BUfILDl1!iG DEPARTl'IEm OWER' S NAME mONE: OWNER · S ADDRESS JOB ADDRESS T.EGAL DESCRIPTION: IDl(S) BL.OCK ,iUJBDI\"ISION I}/ ~iTl~S; PARCEL LD.I WORK PROPOSED: k.-.Xew Construction _Addition _Alteration _Repair _Install _Sign _I!fove _DeJIOHsh PROPOSED USE: Single F3IIIil}" _KIF _* of tJ'Jnits _HID 4.4/ V/;, U/4f:"e r _CoIaercial _Indust. _Swia. Pool _Restaurant & Health Depar1:llent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COKKERCIAL : ATTACH (2) PLot PI.ANS & (2) SEIS OF BUILDING PLA1!iS & (1) SET ENERGY FORMS. U ATTACH (3) SETS OF BUILDING PI.ANS & (1) SET ENERGY FORKS. ** uCOpy OF C01!iTRACT REQUIl'RIID. r tlJ tL. PERKITS REQUESTED _BUILDING $ Val.uation of Total. Cmlst:ruction _ELECTRICAL AKP Service Florida Power COrp. _W.R.E.G. _HEGllANIGAL s Val.uation of Hechanica~ Installation _PUJHBING GAS ROOFI1!iG SPECL>UTY TYPE OF CONSTRUCTION: _Block _Fr3llle _Steel Other FINISHED FLOOR EL.EVATIONS: FT. IS PROJECT IN FLOOD ZONE ARE."? ****************************************** YES NO mNnlACTOR s~ ' ~~ ~~/~~~~ State Cert. or Regist. , Ci~ License Registration # ~/~ **************************** BUILDER Signatur ELECTRICIAN aJilIPAHY State Gert. or Regist. i Ci~ License Registration I ****************************************** Si!m3ture PUJlKBER CDMPMilY State Cert. or Regis~. I City License Registration I ****************************************** S igoa ture KECllANICAL CO'lIPAHY State Cert. or Regist. , City License Registration # **********************T******************* Signature OTHER COlfPAHY State Cert. or Regist. , Ci~ License Registration , ****************************************** Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF F~RMIT AFFIDAVIT A. ~OTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be ~ubject to "deed restrictions" which lay be tore restrictive than City regulations. The undersigned assules 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 say- be r~qui~-~d-t~j;;-iicensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lav be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what lic~nsing requirelents lay apply for the intended work, th~y are advised ;0 conlact the City of Zephyrhills Building Departaent, (813) 788-bbl1. Furtherlore, if the owner has hired a contractor or contr~ctors, he is advised to have the contractor!s} sign portions of the 'Contractor Sections" of this application for which theY Hill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the worL If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting 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 promise in good faith to deliver it tel the "ollner' prior to cOllencelent. E. CONTRACTOR'S/DWNER'S AFFIDAVII I certify that all the information in this application is accurate and that all work will be done in compliance 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 wor~ Dr installation has cOltenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regtlations! and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended wor~, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not liaited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Landsr Water/Wastewater Treatment f Southwest Florida Water "anaqeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' I Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic TanKS f US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill aaterial is to be used in Flood Zone "A" or 'A,etc.', it is understood that a drainage plan addressing a 'compensating volume' will be subtitted lIhich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit 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 pert it issued shall beeole invalid unless the Mork authorized by such perlit is co..enced within six Bonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is co&~enced, One 90 day extension of ti~e, 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 Bonth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT", SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT Tt-IE fC.j-egc,ing inst\-ulTlen't v.io:; \.,c.\";j::.,.ledgt::d befol-e me this 19_ .3y STATE OF FLORIDA COUNTY OF STATE OF FLORIDA COUNTY OF .llt' i'DI l:.'goiny instrument "Jas ackno"dedged befcl\-e me this , 19_ by who is personally known to me Dr who has pl-oduced as identification and who did/did not take an c.ath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signatun~) (Signature) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed Dr Stamped) NOTARY PUBLIC