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Home My WebLink About93-3166 BUILDING PERMIT Permit _ 3166~ 1/-/1-93 10 '" ~auil-D1~ . - ~S"._ ~ ---~ - LECT-Rlrodl-) CITY OF ZEPHYRHILLS (813) 788-6611 35- ~1111\J1eIN~ N~ ~~ Date Water Meter: T.I.F.'s: Sewer Conn Property Owner: Job Address: Parcell.D. # Water Conn: Zoning: Description of Work '?;gJ/?~ij~if!iJlf~g - FINAL /0 - NO OCCUPANCY BEFORE C.O. DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City Licen~~ Re9.;Wation # 2 ~ (p ~(!./ ~ State Certified Llcense# .. ~ I Permit Fee Signature Company Address Telephone# Valuation or Contract Price /.../;q- Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. APPLICATION FOR PRRKIT CITY OF ZEPBYRHILLS BUJILD1NG DE:PAR1'KE:ltl1T OWNER r S NAME !eS7tl PHO~ '/ f 2 - ;2- Z 76' OWNER r S ADDRESS r:'LeJ1S/J;(1I :5r , Z'a'Jd~/I1a~ rLA 33r0 JOB ADDRESS ...5~ LEGAL DESCRIPTION: IDI'(S) BL.OCK ZA::'It".r cPAA::fS'/~ T,eA/Le7L ~ SIJIBDI\"ISION PARCEL I. D . , WORK PROPOSED:~lNJew Construction _Addition _Alteration _Repair _Install _Sign _I!fove _Deaolish 1J:~~&tJ1 ~H/H PROPOSED USE: Single Falmil}'" _H.lF _, of Units _CoBaercial _Indust. _SW:L.. Pool Ot:her _Resblurant &: Health Depart:raent Approval BUILDING SIZE: 2~ X ~ , ~ ~t!J Square Feet. / S7Z/7 &: (I) SET Rltl1ERGY FOR."fS . ** Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLot' PLUS &: (2) SETS OF BUILDING PIJ\ltl1S ATTACH (3) SETS OF BUILDING PUUI!S &: 0) SET DlERGY .uCOpy OF' CONTRACT REQUJlRllD. FORMS.** PE:lmITS REQUESTED + BUILDING ~ELECTRICAL ~ MECHANICAL ~ PLUMBING / a / "7J'/ $ ~(PL~ Valuation of Total Construction / S() AMP Service ~ Florida Power Corp. _W.R.E.C. s /~o A(IA-- GAS Valuation of Mechanical Installation /t.J/A- RooFIltl1G .AJ/fr SPECIALIT TYPE OF CONSTRUCTION: _Block _FraJlie _Steel ft}. 4 '; Other FINISHED FLOOR F.:L.EVATIONS: ~//J- FT. IS PROJECT IN FLOOD ZONE ARR~? YES NO ****************************************** BUII.DRR COfiRACYOR SECT'ION COHPANIY #-/2 ~;U ~~ j./::~ J: ~~/l? 013. ~.7A-C-St:ate Cert. or Regist. #. __~~ (~ City License Registration #. , *****~*********************************** Signature ELECTRICIAN ot:MtPANY c?',A1. vc:v'l. LJA A.J ZCCZ77l/e- State Cert. or Regist. , City License Registration # ~~S- ***************************** 5i PUllKBER ~ CUlfPANY Ald6<MJ X;--J ~ St:ate Gert:. or Regist:. :f# City License Registration i //1% ****************************************** Signature IlEC8ANICAI. ~ CUlfPOV Ji,,/h<.S ~ &;,~ Xl St:ate Cert:. or Regist:. i Signature ~ Ak V.A. ~ Cit.y License Registration * ~ ~, ........ ................................. ..~. ..L /'-'i.- .p- ;?J{ OTHER. 001lPAfi S~ate Cert. or Regist. :f# Ci~ License Registration , ****************************************** Signature APPLICATION APPROVED BY ~~'f ';"'". PERHIT OFFICER. > ..'"A-'"'*.::'''''''........,,,/. .\.~_ A..:.i.. .. ,t. ,~o > it. "~.....---..:,..fiI.'..t1.-.'...' 4..." .... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this periit ~al 0~ suoject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsib~lity for cOlpliance with any applicable deed restrictions. B. UNL I CENSED CONTRACTORS AND CONTRACTOR F:ESPI)NS I B I LIT I EE, If the owner has hired a contractor or ~ontractors to undertake work, they may 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 zay be cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-bb 11 . Furtheraore, if the owner has hired a contractor or contractorst 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 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 H1PACT FEES AND UTILI TY CONNECT I ON FEE.2. 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 - Hoteowner's Protection GuideD prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. if the applicant is sOleone other than the Downer', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cO'lenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIr I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby tade to obtain a perait to do work and installation as indicated. I certify that no work or installation has coatenced prior to issuance of a pertit and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regtlations, and land developient regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, 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: f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environ;entally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Aray Corps of EnQineers - Seawalls, Docks, Navigable Waterways ' f Depart.ent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection AQency - Asbestos abatement 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 subaitted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beeole invalid unless the work authorized by such pertit is cOltenced within six months of issuance, or if work authorized by the pertit is suspended Dr abandoned for a period of six lonths after the tile the work is comienced. One 90 day extension of ti~e, lay be allowed for the periit with fee charge of it5.00. The extension shall be requested in writing to the Building Official, An approvedo inspection lust be logged during each six lonth periodt Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEHENT HAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CD"E'CE'E'T. JOBS ""ER "~"~DT 'EED TO RECD'D "~ ~ SIG"~ ~ - SIG"TURE, CONTRACTOR STATE OF FLORID COUNTY OF The foregoing instrumel was acknowledged before me this aI''.! /3, 19-.!1.:3by NEl-.SOAJ 7?ytvfr.JN who is.jJersonallv knoi.m to me or who has produced as identification and who did/did not tak~t~~ ~ I ~ (Signatun:?) k 11 n-I / I~ ~ JJ J' :/2; P-t.ovJ .JJ (Name Typed, Printed Dr Stamped) NOTARY PUBLIC ~ STATE OF FLORID}l . COUNTY OF t:. A :;.. eAJ The foregoing instrument was acknowledged befcl\-e me this ar./fJ J3~ 19~ by )1/;.) ~ AJ~ (U A tJ who IS personally known to me Dr who has produced - as identification and who did/did not ta~(e ~ .o_<;t~.~. .,., ~ jJ,bv-~ (Signature) I<A 7/-1 LC t2-1J J, ..!l4tJ Ai (Name Typed, Printed Dr Stamped) NOTARY PUBLIC ~ KATHLEEN .!. State of ie' c_ "'eomm. Exp, f.;: <,' ,J ... eomm.'CC 095!,:7 ~ KATHLEEN J. BR J~I State of F!ori':J:: My Comm, Exp. April 2, ,:;3 Comm. II CC 0958' 7 OWNER CITY OF ZEPHYRHILLS / liE sf,4 /II" d'S. i .h~ 'Y.J.-pl....... ~US ~c-eo~~ JOB LOCATION PARCEL I. D. # BUILDING DEPARTMENT ~,-/ Z~.iC~ tJ/l/CS/CC PL- 2. (~tc? SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. -10'; 6 dX'iL 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 10' P S 10' 0 T S I E N D G 20' FRONT PROPERTY LINE ( Ie? I SOJIlVL~ J; ;;-v'fcfO / _ /01- T ;r (?(l..-- L{iVl&J. S cPlI'f/-/Pf~ <fL; Pl-fI { 'I-!V cj,tJ l-.~ (/~I cPl~ FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 1 0' FRONT PROPERTY LINE