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Home My WebLink About93-3062 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N f! 3062/3 Date c3 - ;l - ? .3 c9 ELE~L p~ ::~:::,~:~eJ~~~Y~" ~A~h Parcell.D, # 02 - d- (.; "-c2/ - J [) ~ t) - MECH~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: ~ Description of Work h'" ~ / yo-- ,/ ~ ~_ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL 8 ---~ -' 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 permi~' ~ Signat ~ 4-4' ~ ~ Company Address Telephone# Valuation or Contract Price ,r..s7). IJ7) City License Registration # State Certified License# ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. f~tt..t~1'ftL ]-')2/:1- Insul. CL v. 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. APPLICATION FOR PERMIT GI'IY OF ZEPIIYRB::U.LS BlJJILDUG DEPARDIEINI'T OWNER'S MAKE 4- L4~ /f ~t,L OWER'S ADDRESS _3 cf 7~~ 2- ;'/ ~~ ct'-?~ JOB ADDRESS S 1+ M e 7 g-;J.. #/;; o 'I/t-/I PHO~ LEGAL DESCRIPTION: wr(S) .a :;2 _ ;L (;, -;L/ - / r.... PARCEL I.D.'I'c IU BI.OCK StmDIVISIOIiI VILLA&~ ~v'E- 0- WORK PROPOSED:_lSIev Construction /Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: ./ t/ Single Faaily .-~/F _' of lllnits _K/H _~rcial _Indust. _SwUi. Pool Other BUILDING SIZE: _Restaurant &: Health Depart:lle:nt Approval I I {y; x/4. iJ'-f Square Feet. Height RESIDENTIAL : COHKERCIAL ATTACH (2) PLOr PI..OS &: (2) SEIS OF BUILDING PLUlS &: (1) SEI' ENERGY FORMS. u ATI'ACH (3) SETS OF BUILDDlG l'LANIS &: (1) SEI' ENERGY FORKS.'i:* 'i:*COPY OF COwrRACT IrnQ1llIRED. I _BUILDING .# PEKKI1S REQUESTED c::..z L /l, 0 t::> ....Q:/J _ valuation of Tot:a1 Construction $ _ELECTRICAL AKP Service Florida Power Cbrp. W.R.E.C. ~CllANICAL s valuation of l!Iechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr:me _Steel Other FIIIISBED FLOOR ELEVATIONS: IT . IS PROJECT IN FLOOD ZONE AREA? YES NO *****'i:*'i:****************************'i:**'i:** CONTRACTOR SECTION COl!tPMJY State Cert. or Regist. . City License Registration . *********'i:******************************** BUILDER Signature SiPflature COltPANY State Cert. or Regist. . City License Registration t ****************************************** ELECTRICIAN COltPAlSIY State Cert. or Regist. I City License Registration , **************************~*************** PLOKBER Signature cmtPANY State Cert. or Regist. I City License Registration I ****************************************** KECHABICAL Signature ::~~R rJ&d E!::~eO;e:~:'':~i:'' , , ****************************************** APPLICATION APPROVED BY PERKI'I' OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.. ~~TICE OF DEED RESTRICTIONS The und~rsi9ned understands that this perlit say be subject to 'deed restrictions" which cay be lore restrictive than City regulatIons. The undersigned assules responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors t~ undertake work, they may be required to be licensed in accordance with s~ate and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cIted for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensino requirelents lay apply for the intended worK, they are advised to contact the City of Zephyrhills Building Departlent (8131 788-6611. , Furtherlore, 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 b~ 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 aay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTIQN 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 L~w - HOleowner's Protection Guide' prepared by the Florida Departtent 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 doculent and prolise in good faith to deliver it to the 'owner' prior to cOlaencetent. E. CONTRACTOR I S/O\.oJNER I 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 develop.ent. Application is hereby tade 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 pertit and that all work will be perforaed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent 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 responsibility to identify what actions I must take to be in compliance. Such agencies include but are not liaited to: f Department of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environtental Protection AQency - Asbestos abatetent 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 'colpensating volute' will be sublit~ed which 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 Mith 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 perlit issued shall becole invalid unless the work authorized by such perlit is co.menced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six tonths after the tile the worK is cOlienced. One 90 day extension of time, lay be allowed f~r 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 month period, or the project will be considered abandoned. WARNING TO OWNER: YuUR FAILURE TO RECORD A NOTICE OF COMHENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM"ENCEMENT. 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 ~LORIDA COUNTY OF The foregoing instrument before me this was acknowledged 19_ by ST~TE OF FLORIDA COUNTY OF The foregoing instrument befclj-e me th i s vias acknoylledged , 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 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL 1. D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. If 1J . ~ K (L/ _.~ f". ~-' Z'{..4: S~ s / . If h 0/:-- ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. Z. 'l-fc ~ rl~ k f~ V1N'lL S \c:!.\Nt, I ) .rt~h IN U I'-'"'-- ~oof UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, 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' FRONT PROPERTY LINE FRONT PROPERTY LINE