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HomeMy WebLinkAbout93-3181 CITY OF ZEPHYRHILLS _ZJ52- (813) 788-6611 bl,!) . a 0'" ~;; ~~ LU N'> M~5ew"cono ~ ./. f ~ Water Conn: ~ p<ope"yown~?~i.!~4- ~~ ~Rty.ate'Mete' 11o.5'7e. Job Address: _~ :-_ _ --- & ' T.I.F.'s: Parcell.D, # /1- (}{;, -.2./ - /)O/D - ~ I ~ 00 -- O~/ 0 , BUILDING PERMIT Permit N ~ _ 31818 f-~D~-93 Date Zoning: Complete Plans, Sp cifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. .~ <t Inspecto~1 \ DATE DATE Valuation or Contract Price ~ /;.~OO' Permit Fee Signature Company Address City License Registration # State Certified License# M~ / ~ Breakers Ducts Insl. Compressor Final BUILDING ELECTRICAL PLUMBING Driveway Tp. Servo SLB Rough In Tub Set M~~Can W~~ Const. Pole Sewer Pool Final Pre-Meter ~ 4-"d.'3-93 B~)" Final ~~~. 4-~f)-'13 ~ Ftr, Pre SLB Lintel FRM. Insul. CL WL 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. -~ "",,-- -- ,. OWNER ~D ,::I'TY OF ZJB:PH'k!{];UL.!.~ BUIl..DING DEPARTMENT SH]1L JOB LOCATION PARCEL I. D. # SHOW ALL EXISTING & PROPOSED S'T'RUCT'URES GIVING DIMENSIONS & SETBACKS. , . b~I~~ ~E Df.n6lJ~ l.-{ 1O'r: ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ~~D ~ 0)' 't r' ':I) ~. ~ rXl~)\ 160, , t{6hi , . 50 $if ~ in HovSG , j UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60t 10' p E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE LINE 2. SETBACKS FOR R3 ZONING 60'- 101 10' EXISTING 10' PROPOSED , 20tSGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE ...... .- ... e. ........... \\\'::J .......7 ....... Florida Power CO"'O"ATlON N~~ /?ICc:9'.}v- ~ ~~ A6DRESS ~3~ r-.l/I.57:' CI TY Zt:Y/!i>K/-I/(,Lf ~ The pool proposed for construction at the above address ~ !QI conflict with any underground or overhead facilities of Florida Power corporation, provided that the pool is installed in the location shown on the attached site plan provided to us by the pool contractor. The pool proposed for construction at the above address DOES - conflict withl OVERHEAD UNDERGROUND - facilities of Florida Power Corporation. Arrangements have been made with us for relocation of the faoiliti.s so as to clear the pool area shown on the attached site plan. ~t~,-<' WfdY FLOR A POWER CORPORAT! N Cost for relocation of electric facilities will be paid bYI OWNER POOL CONTRACTOR PRIOR to relocation of facilities and construction of pool. 38231 HIGHWAY 64 · ZEPHYRHILLS, FLORIDA 34248 A Florid. progr." Comp.ny APPLICATIOllil FOR PERHIT CITY OF ZEPHYRHIu.s BlJILDI.lIiIG DEPAR'IlIiElIT OWNER · S NAME \=REi:> E~(Ll It S\\-AW 64~o 3~ ~ 5An1e. A-3 A-m\.)e PHOllilE C<1s\~) -'~fo(89 OWNER · S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: IJJI'(S) BI.OCK SUBDIVISIOllil PARCEL LD.' WORK PROPOSED:_lIiIev C'ons~ruc~ion _Addi~ion _Al~era~ion _Repair _Ins~all _Sign _I!fove _Deaolish PROPOSED USE: Single F3IIily _KIF _, of Uni~s L.Swia. Pool _H/H _~rcial _Indus~. Other _Restauran~ &: Health Departaen~ BUILDING SIZE: -4-~~ Approval Square Fee~. Height RESIDENTIAL : COHKERCIAL : ATTACH (2) PLot PI.AIlS &: (2) SEI'S OF B1ITLDHiG PLAl!iIS &: (1) SET ENERGY FORKS. U ATTACH (3) SETS OF BUII.DDG PLMiIS &: (1) SET mmRGY FORKS. *:t: **COFY OF CONTRAGf RlJ'.Qm:RED. PEmlI1S REOUE.'iTED _BUILDING $ /sc)() Va1ua~ion of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _HECllAJUCAL $ Va1ua~ion of Mechanical Installation _PLUMBING GAS ROOFD1lG SPECIALTY TYPE OF CONSTRUCTION!: _Block _Fr:me _S~eel Other FIllUSHED FLOOR ELEVATIOlNlS: FI' . IS PROJEGf IN FLOOD ZONE AREA? YES NO **************...***.********************* CONJ'I'RACY'OR SECT'ION BUILDER /'-----" r I )kYYJ.v'L COIIfPMW State Cer~. or Regis~. I City License Regis~ration I ****..**.***.**....****.******..*******.** Signa~ure ELECTRICIAN I ' ~~ (f ~). Sta~e Cer~. or Regis~. I b JJ-rt J./( City License Regis~ra~ion I ***.**********.*****.*********..*****..*** SiPn:lture PLOtBER (/)~~/ cmiFNrr Sta~e Cert:. or Regist. I City License Regis~ration f ****..**.....*****.*..*********..**.****** Signature MECHANICAL COlIPANY Sta~e Cer~. or Regis~. f City License Registration I *************.~..***..*****.*********.**** Signature OTHER CO!IPDI'.t St:a~e Ger~. or Regis~. I City License Regis~ration I *******.********.************************* Signature APPLICATION APPROVED BY PERKI'f OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit olay be subject to 'deed restrictions' which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors. 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 lay be cited for a lisde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they rlre advised to contact the City of Zephyrhills Building Depart.ent, (813) 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 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 say be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTIL~TY CONNECTION FEE~ D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been prDvided 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 SOIEone other than the 'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the 'owner' prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVI~ I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable lallS regulating construction, zoning, and land development. Application is hereby made to obtain a per.it to do work and installation as indicated. I certify that no liork or installation has cOlmenced prior to issuance of a per.it and that all work will be perfor.ed to .eet 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 lust take to be in cOlpliance. Such agencies include but are not limited to: f Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enoineers - Seawalls, DOCKS, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks f US Environ.ental Protection AQencv - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone 'A' or "A,etc.", it is understood that a drainage plan addressing a 'compensating volume' will be subaitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A permit 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 permit issued shall becole invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six Bonths after the time the work is cOlaenced. One 90 day extension of time, lay be allowed for 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 sir. lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEME~TS 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 RECORD AND POST A "NOTICE OF COMMENCEMENT". _n SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged 19_ by STATE OF FLORIDA WJNTY OF The foregoing instrument befc1\-e me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument befol-e me this vJas acknovJledged 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 Dr 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 :~' ,.,~~' ,~....,..' ,,",r,,,,,, ~;.,.-, ...t rJ "'- '1'- L 6""",,- J,::: c/o 0 -% ~ ~ ;: ~ i "? 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