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Home My WebLink About93-3065 BUILDING PERMIT Permit _306st ~g-3- 9~ CITY OF ZEPHYRHILLS (813) 788-6611 N~ Date E~P~ M~ Sewer Conn Property Owner: Job Address: Parcell.D. # Zoning: NO OCCUPANCY BEFORE C.O. It) -1~ DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation o~ ~ ....., r-J 0 . ~ Contract Price c;><. (5 Permit Fee Signature Company Address Telephone# City License Registration # ~ Q, e,@ed Licen,e' ~ L/ t<. TY/J?J) BUILDING EL~ ~ Tp. Servo Rough In Meter Can Const, Pole Pool Pre-Meter Final MEC~ - Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM, Insul. CL 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. 1/ .,' . CITY OE' ""~R"ILL" "OJ LDING DEP~THE, NT_ OWNER .-K{",-j.1 P1:1. (~ jI\~t" Ci~er-,-k .1 . n 6 (v, . '--:;L JOB LOCATION ~~~ -:s'" Au/;;.. ~'(-:yjh\.j(h,USI rL PARCEL 1.0. # r I J(,., ,:)1 0010- /130(J ()O'1o =- , .-. ~"",",,'''"' . -, - ~ PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. o \0 D{~d --10 Ix- plaCId , O~ J;YL57,?lJY6"Nu\12.d -0~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) '-'~' !<, . . . 4 . .. . , . l ~fl.~,.~.'; ,'~~ \~\\i'.~ .. "~\lD~~/ : pe.orfb (1"" ~\>~ :___j~.;__. 'C ~'f7h~ ._)~ V <t p(()f'6~ I tJ ~(," ~: ~ 'x l~' ~c.V\ V\Utl~ . r~~':::" ti' I:>' f!., U 6il'~ h.GV3" '" -.lq' 3D' _Icft:'-- FI<ONT PROPERTY LINE 3~'"'' STREE'r 2. SETBACKS FOR R3 ZdNING 60'- 1. SETBACKS FOR R1, R2 ZONING 60' P 10~~~ R 0 I , -- 10' P S 10' 0 T 1 0' ., S I -E"=' N D G 20' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM _30' DUPLEX 1 0' FRONT PROPERTY L:rM1: FRONT PROPERTY LINE \~ APPLTCAUDOO FOR PERHIT CUY OF ZEPHYJmILLS BUTUHOOG DEPAIO:Bfl'RT OIIBE\l'S _ k~rJd,h, {l + /J1(Jf{J;!!rk D fiJO'/!Poon r I ~J - '7/'lLj OIIBE\l'S ADDRIlSS , ,--1J,f;j> d-" /17Jb. ./lj9?hy y J11 U7j Fl.. JOB ADDRESS ,YJJ,)d - ,,57h, (lUG ,~ol?( /J/ h; I L~ I F2.._ LEGAL DESCRIPTION: LOT(S) /D-J- ~ I' SUB~HVISIOlNl PARCEL LD.' II ~ a&rd/- O{)/O ~ 173tJo - 0076 _Sign _I!fove __Deaolish XInstall - ouf1:;Utlt!tCj WORK PROPOSED:_JlTewr Construction _Addition _Alteration _Repair _~rcial _Indust. _Swia. Pool _M/H --J~/r It 06- r Other 1/-/7'/, '4; ',5htxl 71 Height PROPOSED USE: Single F3IIily _"-IF _' of Units _Rest:aurant &: Health Deparblent Approval BUILDIBG SIZE: XX / (). c:PO Square Feet, RESIDElITIAL : cottKERCIAL : ATTACH (2) ATTACH (3) **COFY &: (1) SEl" ENERGY FORMS. u FORMS. '*'* XBUILDTNG G---------- ,PEmiTTS REOUE..'iTED " . ()O.. ~ $~ <; {? ' ________tValuation of Total Construction _ELECTRICAL AKP Service Florida Power COrp. W.R.E.C. _HECHARICAL s Valuation of Hechanical Installation _PLUKBING GAS ROOFDiG TYPE OF CONSTRUCTION: _Block _FrarIIe -x'Steel SPECIALTY Other )tFunSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE ARF:A? YES NO ****************************************** amrRACIOR SECTION ./ BUILDER CO!fPMilY State Cert:. or Regist. , City License Registr , ***************************'******* ****** Signature PL1J!KBER CO!IPANY State Gert:. or Regist:. , Signature City License Registration , ************************************* ELECTRICIAN t:. or Regist:. , Si~ture icense Registration , ******************- ***************-:11:**-:11:*** HEC'HAMICAL cmtPMff State Cert. or Regist. , Signature ._ City License Registration I *******-L'-i:fk*'************-:I1:**-:I1:***-:I1:*-:I1:*-:I1:*-:I1:***** 01'1IER COllP',,'lNIY Stat~ Gert. or Regist. , Signa~re City License Registration , ****************************************** APPLICATION' APPROVED BY PERKIT OFFICER. ~~ i1 CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands thilt thi': per..it.ay be subject to 'deed restrictie,ns' which lay be lore restrictive regulations. The undersigned assules r~sponsibility for compliance with any applicable deed restrictions. . than City B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to und~rtake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is Hot licensed as required by law, both the owner and contractor lay be cited for a .isde.eanor violation under state law. If the ONner or intended contractor are uncertain as to what licensing reQuire.ents .ay apply for the intended H~~k, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portioHs 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 .ay be an indication that he is n~' properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2. 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 Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'oNner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the 'oNner' prior to cOI.ence.ent. 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 Nith all applicable laws regulating construction, zoning, and land development. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no wor~ or installation has cOllenced prior to issuance of a per.it and that all work will be performed to meet 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 uther governmental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liaited to: f Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water ManaQelent 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 Treatlent, Septic Tan~s f US Environ.ental Protection AQency - Asbestos ab~te.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 yolule" will be sub.itted Nhich is prepared by a professional engineer registered in the State of Florida prior to perait issuance. A perlit 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 Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall becole invalid unless the work authorized by such perlit is cOI~~nced within six Bonths of issuance, or if work authorized by the permit is suspended or abandoned for a period of six lonths after the ti.e the work is cOI.enced. One 90 day extension of tile, lay be alloNed f~r the permit 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 .onth period, or the project will be considered abandoned. WARNING TO OWNER: YuUR 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 RECOPD AND PUST A "NOTICE OF COMMENCEMENTs. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19 _ by STATE OF FLORIDA COUNTY OF The foregoing instrument befcq-e me th i s was acknowledged , 19 bv , . who is personally known to me or w~o has produced as identification and who did/did not take an oath. who is personally known to me Dr who has produced as identification and who did/did not take an oath. (SignatLll-e) (Si gnatLn-e) (Name Typed, Printed Dr Stamped) NOTARY PUBLIC (Name Typed, Printed Dr Stamped) NOTARY PUBLIC