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Home My WebLink About93-3076 ./ I-/D ~ BUILDING PERMIT . CITY OF ZEPHYRHILLS Pe,mit Ne,> _ 3076.;3 (813)7!8-6611 j,O'- D"e:2 / f{ -<j3 ~,~ ~~",;J:> Sewe, Coc - J, ~ T,I.F.'s: Property Owner: Job Address: Parcell.D. # q!;~//~~-a;-fd~ Zoning: Description of Work qi?/in#'-'~~'~J:fp J~~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL ~ C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Valuation or Contract Price - Permit Fee Signature Company Address Telephone# City License Registration # State Certifi License# Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const, Pole Pool Pre-Meter 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. CI CITY OF ZEW"""LLS BUILDING DEPARTMENT OWNER YI2:ZYdL~y-~ ;l:cyy;_ / JOB LOCATION 6/60 /~~ ~ I ;9d~~-A, JA2.t2.;:? {/ PARCEL 1. D. # SHOW ALL EXIS"l"IRG &: PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. I!O /{J IO>r~ ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 10' P E R X 0 I la' P S la' 0 T S I E N D G 20' FROH'T PROPERTY LINE t c1~t-! e^J 1<&U# 50 t JO--r-- /,';/ 0 ~ rJ(,r\-,I-(' 12> I [dJ\ ONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' - 10' la' EXISTING la' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 1 0' FRONT PROPERTY LINE APPLICATION! FOR PERHIT CITY OF ZEPHYRIIILLS BUfILDUDG D1l',PAR1'KRNIT OWER'S MAKE VnzaLf ~ OWNER'S ADDRESS &/tJi?J ~""-4_......:b~. ~~"-~ ~, C/ PlIOl'ffi 75~~-d-d- 76 JOB ADDRESS LEGAL DESCRIPTION: IDf(S) BL.OCK SUBDI\11J:SION! c:flAkS/Ll!: //10, ~, PARCEL I. D. # WORK PROPOSED:~ew Construction _Addition _Alteration _Repair _Install _Deaolish Jf?m...,;a~ tJ ,/' ~>4JJiu7 _* of Units~H/H _Sign _!!love PROPOSED USE: Single FaRily _KIF _eo.aercial _Indust. _Swia. Pool. Other _Restaurant &: Health Depart:aent Approval BUILDING SIZE: 2# X W . /oS~ Square Feet. /~ Height RESIDENTIAL: COKHERCIAL : ATTACH (2) PLOT PL.MiIS &: (2) SEIS OF BUILDING PL!\NlS &: (1) SET ENERGY FORMS. U ATTACH (3) SETS OF BUILDDilG PL!\NlS &: (1) SET ENERGY FORKS. ** uCOpy OF CONTRACT RE'Q1lJTlRED. ~ERmUTS REOU&~TED ~BUILDING '~ELECTRICAL ~KF.CHANICAL KPLUMBING $ / f 7tJ/) Va.luation of Total Construction /(7) AMP Service *- Florida Power Corp. _W.R.E.C. s /~ Valuation of Mechanical Installation GAS ROOFI~G SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr3llle _Steel /lJ.#', Other FINlISHED FLOOR EL.E'VATIOltiS: FT. IS PRo..nJ:CT IN FLOOD ZONE ARE...'\? ~ YES NO t************~**************************~* CDtn'RACTOR SECT'IOiN BUILDER OOHPAHY AJ.. /2 );h5;/6/1U it:- ~ State Cert. or Regist. ~ City License Registration # ~~ ****************************************** Signature OO1fPANY t2. j/(/", ~'~~ ,a~ State Cert. o~egist. #F City License Registr<lItion ,~- **iI:***iI:*iI:*****"'''''''**''''',*",*",,,,**,,,,,,*,,,*****,,,** C01fPA!N1Y Ai.:J&,~j ~~ ~ / . ~~~~p r.~~~ or RpglSt. #F City License Registration f#1 /6-')(' , ***"'******"'****"'******"'**"'**"'*"'***"'**"'**"'* D.l'IIPA!N1Y ,gdtd ~~ ~ ~ ~ State Cert. or Regist. I Cit,y License Registration I ir:72 ********"'**"'***"'***"''''******'''***''' ELECTRICIAN Si PLUJKBER Signat:U?~...J Signature 0'T1IER Signature rom-ANY State Cert. or Regist. , City License Registration , "''''***''''''''''''*'''**'''*''''''*''''''*'''**'''~'''~**''''''*''''''*''''''''''''** APPLICATION APPROVED BY PERKIT OFFICER. f )14. fftI1l:....1.'l'~.4.;~.~~_. r'~' L--~ . ' ") L:;'j CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject to .deed restrictions. which may be lore restrictive than City regulations. The undersigned assules responsibility for cOlpiiance with any applicable deed restrictioDs. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, th;Y-;;y"be r~Qui~t~licensed in accordance with state 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 Nork, they are advised to contact the City of 2ephyrhills Building Departlent, IBI3! 78B-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 be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the cuntractor, are responsible for the work. 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 perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION I/'1PACT FEES AND UTILITY CONNECTION FEES 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 6uide. 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 ~ copy of the above described document and promise in good faith to deliver it to the .owner. prior to COlaencelent. 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 with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wor~ Dr installation has cOllenced prior to issuance of a perlit and that all work will be performed 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 .ay 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 li.ited to: I Depart_ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' t Departaent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treattent, Septic Tanks t US Environmental Protection AQencv - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone .A" Dr "A,etc.., it is understood that a drainage plan addressing a .colpensating volute. will be subaitted 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 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, constru~tion! or violations of any code. Every permit issued shall berote invalid unless the work authorized by such per.it is cOllenced within six tonths of issuance, Dr if work authorized by the permit is suspended Dr abandoned for a period of six lonths after the tile the work is cO~ienced. One 90 day extension of ti~e, lay be allowed ~or 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 each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENO 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 ANO POST A .NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR me 1')1 ~JI'L' I,~!; STATE OF FLORIDA , ~ COUNTY OF r ~(? l> Ti"E foregoing Iilstrument vias ackno\.Jledged befcl\-e me this~-teL >? , 1'::;' ,tf,;S by ~~ ~o is pel-SO ally known to me ['r \Jho h3~ pl oducecl LlC i\:l>mtific.:,tion and who ~/did not take an oa~;(_ ,1-# ~J.-U___ 'j-; ~..s..-J (Signature) ,1 kAnt EEkl ~-r: B~).,J (Name Typed! Printed Dr Stamped) NOTARY PUBLIC STATE OF FLORID~ COUNTY OF a4 e t? The foregoing inst;um~nt before me this t \r';~S ':\L;.:':_lft,,;lt=dged ! 19~ by take an oath* iJ- L t /,~~, ' ,~ (SignatLll-e) . / I< Am L~a.J J. .B&J.^' (Name Typed! Printed or Stamped) NOT AF:Y PUBL I C II< KATHLEEN J. BROWN i \. Stale of Florida "'=f8c~;995 1l\ KATHLi::...,' ,-JWN State of r '" My Comm. Exp. April 2, 1995 Co/llm. , CC 095617