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Home My WebLink About93-3099 BUILDING PERMIT / ()b ~UI~ii> CITY OF ZEPHYRHILLS (813) 788-6611 Permit NC? _ 30996 $-/1-73 Date E~C. PLl!.~"'-M~ Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # ~~3_~~,J.;;~~, ' /~-Qj:l.-::tl-{)BIO -{jlJlJ(JD- Dt~u Water Meter: T.I.F."s: Zoning: Description of Work Energy Code:_O ~ Gas: f::::JJ(7A..0?/kJ . ( '7) O~ ~~ ~~-e'~..d7; NO OCCUPANCY BEFORE C.O. FINAL __Oq ,~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Valuation or 4:L .a.;) Contract Price tr I; c2. CD . P-=- City license Aegls"at;on' ,.j f('J ,6~ State Certified License# _ _ - a~~ (1~;~ BUILDING ELEC..J:f{fCAL ,/ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PLUMBJ.N{3 ..--- MECH~-- Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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. .' APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS fa \-\"<5 /f-GU(r)/>1Ufh ,~I~d- 7 fOon-M/Y) i2d OWNER 12 9 '(v1.. Y Bel b v- JOB LOCATI~N 3CJ 5 c!). ~ 2S~ Ave. PHONE 7.g;2 -,-/77 8 APPLICANT 75 '!IDO 1\ 165 LOT SIZE_X AREA SQ. FT. -- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # -Jf., - d ____Alteration ____Repair ____Install WORK PROPOSED:____New Construction ____Sign/Temp. PROPOSED USE: ~ingle Family ____Sign ____Move ____Demolish ____Commercial ____Indust. ____Swim. Pool _____M / H . ~C'"('t'eV) ~r ____M/F ____4F of Units N 1/ II . BUILDING SIZE: I 0 X~,~ d.O Square Feet, I LR Ave;, Height ~ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** **COPY OF CONTRACT REQUIRED. ____Restaurant & Health Department Approval ~ILDING PERMITS REOUESTED $ /}.5o rz!l . Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ... ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUILDER ~YlJy '& ~Y' CONT~~~~:n~ECTIO~hrJ5 A-19M~ V)()t'V) .,.l'-. _ j) () /J State Cert. or Regist. iF CBSOC)1.o0 77 Signature v -0'Vf~ lS ~ City License Registration iF _f9 ****************************************** Signature Company State Cert. or Regist. # City License Registration iF ****************************************** ElECTRICIAN Company State Cert. or Regist. iF City License Registration # ****************************************** PLUMBER Signature MECHANICAL Company State Cert. or Regist. IF City License Registration # Signature ****************************************** Company State Cert. or Regist. iF City License Registration iF OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. - -- -- 'T - rrrw ~~.... "W'"" Ii- .-.,. I' LJ . ,.. ..---~--......_-,,----,_.~.-_._. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait aay be subject to "deed restrictions" Nhich may be lore restr.ictive than City regulations. The undersigned assu.es responsibility for cOtpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor tay be cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, 18131 788-bbll. Further.ore, 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 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 per.itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES 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 - Hoaeowner's Protection Guide. prepared by the Florida Departaent of Agriculture and Consu.er Affairs. If the applicant is sOleDne other than the .oNner" , I certify that I have obtained a copy of the above described docuaent and promise in good faith to deliver it to the .owner. prior to CO'tencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work Dr installation has cotlenced prior to issuance of a permit and that all work Nill be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~ie not li.ited to: . . * Department of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat.ent * Southwest Florida Water Manaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArtY Corps of EnQineers - Seawalls, Docks, Navigable WaterNays * Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US Environlental Protection AQency - Asbestos abate.ent 0.... I also certify that, if fill material is to be used in Flood Zone "A" Dr "A,etc.., it is understood th~t a drainage plan addressing a .compensating volute" will be submitted which is prepared by a professional engineer registered in the state of Florida prior to per.it 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 pertit prevent the Building Official frot thereafteT requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued ;hall becole invalid unless the liork authorized by such pertit is c[...enced within six lonths of issuance, (lr if work authorIzed by the pertit is suspended Dr abandoned for a period of six months after the tile the work is co..enced. One 90 day e~tensiOli of tile, lay be allowed for 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 .onth period, or the project will be considered ~bdiJdoned. 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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__________________________________ OWNER OR AGENT SIGNATURE______________________________ CONTRACTOR DATE_______________________________________ DATE___________________________________ NOTARY AS TO OWNER OR AGENT______________~______________ NOTARY AS TO CONTRACTOR_____________________________ " MY COMMISSION EXPIRES MY COMMISSION EXPIRES ---------------------- ". ,.:.'j'-1,';f' ~_ ~.:l:':" ... M '-.'-'.!'" . . . .' . wid+~ 10' " "~- . ~.!~;;,'l"." 1 ~"-";}~'!::qf'~:: .'."..:~'~._:' ....,.,~"..,',.... '.-' '...-....".,..... .'; ", . '. ..", '..' '.:' :;.~. . :":':', ..; t ., '1' ./01' " ';:oW . ",'", . " ., " .... I .~ .,.... . I !. ~. ,.~.; . t...". ,.'.:, ',. : .<<'. lS:: t' . . ..:. " . ,I . .'-8" KIa. cla.r .pall . . .5 I . I . !tOOl. rus " ",:. "....i- ."J .' .lW"' ", t ... 51 .. ~ ~ . I 10. 8&X. o.~. door peA1lal I.' to. '11':\-. ... .ere... door' 3" . . " , . t I ~ xt'l ,:.a,,:, ~. '. . . , :. . ;. . . '.. . .", . . .' . "" .. O.'~.~~~'! '. .' r- 'X 2- X ..040. .. C1Iai&' 1'asJ. '. . ,...i. eoec. ~---.---~ ... ~) CITY OF ZEPH~RHILLS BUILDING DEPARTMENT ~_DV'q t=-V'O.SI 3Cf ~d 3 ,~Ave_ PARCEL I.D. # !;2-d(/)-~) -03l0-QOOQO-O(t?30 "' . " ~ OWNER '. . JOB LOCATION UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. SHOW ALL EXISTING:& PROPOSED STRUCTURES-GIVING DIMENSIONS & SETBACKS. J 1001 ~ U7 -~ ~ e,(;)r;t?ot! ~f..1/~~J;(?f FRONT (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' fOR ( 1 ) ( 2 ) ( 3 ) ( 4 ) ( 5 ) ( 6 ) 10' ...P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 1 O' FRONT PROPERTY LINE FRONT PROPERTY LINE CARPORTS OR LIKE STRUCTURES PLEASE COMPLETE THE FOLLOWING: DESCRIBE WHAT TYPE: FREE STANDING OR ~CH~ CIRCLE ONE). ~TTAC!iED" HOW IS IT TO BE FASTENED TO STRUCTURE? _ \~yt'E>~ ~ , (1/12 iJcaJ:in1'htP 0;)f., C/ XJl'i J1Mdflll w.d:h I-~d?~ DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN WHAT MANNER?) :;'3' DC JDfJ)AfVJ - OJ)<,~ ~ - 1'1" T-l3dif . J 6cnen ~r'Y\ j/) X I "l x. 7 if I'. GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT: (G/. ~ t.~ IcJ II GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: - COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT PLAN.