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Home My WebLink About93-3291 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ _329113 . .3 () - 01:J c:L. () # cro C::'LD'~)CELECTR'~ PLUMBING P,"perty Qwne' ~~~:#d!e Job Address: d 2__ _~ - -- - - Parcell.D. # Daw .b - Y-Y3 MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: /.J J ~ergy Code; 1/ Description of Work ~ ...tA. ~ -It:?-- /-<J. Radon Gas: (?~~/J ;:t; _~~-';</L~(j~~/l-'~AA./ ~. - NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# /.10 0 Permit Fee Signature Company Address Telephone# p;: t;:::A~ P-, Valuation or Contract Price ~ Y tJ7J # d7:J J1; ~7~ i!beJl-. ELECTRICAL.: II I Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In fc<1- t) ~ ~ 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. APPLICATIOR FOR PERKIT CIlYOFZEPIIYRIIIU..S BMIJUlIiG DEPAImIEIT OWER'S fWIE j)() # 1tL--~ OWlIER'S ADDRESS , ? 9 J>cj I f5 MS/-t ~ Zlt /li/~ PROD 7 t!:? ~ J 9' CJ 7' - JOB ADDRESS S"R r1 € LEGAL DESCRIPl'IOlI: IDI'(S) JlI.OCX SUBDIVISIOII PARCEL I.D.' IlORK PtIDPOSFJ):_!llev Construction ~tion _Mt.eration _Repair _Install S. - 19D. _!!love _ne.olish PROPOSED USE: A'ingle F~ily _KIF _, of Units _KID _<=<-ercial _Indust. _Stria. P001 Other BUILDIRG SIZE: _K.est:aurant &- Hea1th Deparbent Approva1 /2 X jt}, Square Feet. o?2f/ . ef> rp ~ t Height RESIDENTIAL: aJttIIER.CIAL : A'ITAaI (2) PLOJ' PIAIIS &- (2) SEI'S OF BUILDDIG PIAIIS &- (1) SEt EllERGY FORKS. ** ATI'ACB (3) SILTS OF BUILDDiG PLUS &- (1) SEt E5RRGY FORKS. ** **OOPl' OF CONI'RACT REQIDlUlD. V;UILDIIiG ~CAL PERlPlITS REQUESTED $ .J "lOt). 00 Va1uation of Tot:a1 Construction A!IP Service Florida Power Corp. W.R.E.C. _KEaWUCAL $ Va1uation of tlechanica1 Inst:allation _PLlDtBIIiG GAS ROOFDIG SPECIALTY TYPE OF OONSmUCTIOII: _Block _Fra.e _Steel Other FIWISIIED FLOOR KLEVATIOIiS: FI' . IS PROJECT IIi FLOOD ZOIlE AREA'! YES NO ****************************************** COIII'KACIOR SEC'I'IOR BmI.DF.R ~~L-j v /Jc ~/Z /) L t;f fl1 . State Cert. or Regist.' c.:/2 Cb .j ~b F 0 City License Registration , ./ 6!:J ****************************************** COIPANY Signature =CID~ COIPMY ~ ~ : /J .~ -;;C /) S~t:e <<:ert. or ~gist. .' t=.. )I? _-=--~ _ C/ / /~~ C1ty L1cense Reg1strat:1on , { ***~************************************* PUllBER COIPABY Stat:e Cert. or Regist. , City License Registration , ****************************************** Signature KECBAllICAL COIPMY State Cert. or Regist. . Cit:y License Registration , ****************************************** Signature 0T1IF.R COIPARY St:ate Cert:. or Regist. t City License Registration , ****************************************** ~".~,.~. .,. CER. , ", .. ~ I.J "~"-...,. , , '. i,' '. i" j u- . ... ;, -'. 'i s S ignat:ore APPLICAmM AP'ftojy~\~., -', ...., t ,- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" Nhich lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance Nith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake Nork, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the ONner and contractor lay be cited for a lisdeleanor violation under state IaN. If the ONner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended worK, they are advised to contact the City of Zephyrhills Building Departlent, (8131 788-6611. Furtherlore, if the ONner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the .Contractor Sections" of this application for which they Nill be responsible. If you, as the ONner 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 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 Nith a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" 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 a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all MOrk Nill be done in cOlpliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do MOrK and installation as indicated. I certify that no worK or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet 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 governlental 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 lilited to: f Deoartlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Deoartlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environaental Protection AQency - Asbestos abatelent 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 volule" will be sublitted 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 becole invalid unless the work authorized by such perlit is COllenced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the worK is cOllenced. One 90 day extension of tile, lay be allowed for the perlit 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 RECO NOTICE OF CO"KENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYE"ENTS TO YOUR PROPERTY. IF BTAIN F ANCING, NSULT WITH YOUR LENDER OR AN RECORDING YOU CE OF COKItEMC . J R $ ,500 IN LUE DO T NEED TO RECORD AND POST " NOTIC F OMENC KENT"" SIGNATURE: OllNER DR AGENT fJ~$btJAl-.I-Y j7t:;/CSo/VA I.A_Y jC~1\! STATE OF FLORIDA COUNTY OF lAseD The foregoing instrument was acknowledged before me this ..:no..JE q., 19~ by <7 AAY ~])A}J/~ who lis personally ~mown to me or ~d9D has pF8euced as identific~tion and who did/did not take a~ath.. .2, #~_.J 0.., ~---J~ (Signature) tI k/~TI-/L.c;::.e.AJ J r;etrt-J~ (Name Typed, Printed or Stamped) NOTARY PUBLI C STATE OF FLORIDA COUHTY OF P fiSc...-c::> The foregoing instrument before me this ~~u~/.E was acknowledged '-I, 19~ by -::7 1. Ii If 7}lhJt eLS who is persc.nally known to me -&r ...I'L' I,..", --p r Eo Ehu: eel ~& id&nt;fLc~ti~ and who did/did not take an...yath. ~~;;el J~-c--J t. Z~p., ~.fA J (Signature) i KA nil ~ _ T. /<.R#wN (Name Typed, Printed or Stamped) NOTARY PUBLI C ~ --.aN J. BROWN -----... of Florida Mreomm. Exp. April 2, 1995 Comm. # CC , ;5G' 7 I I " " '''''',IIiI'I:..,..,..,.....;'...~.,r''...'"'t.'-l',,~:~:'..,I;~'..~~....J:~';.''\...... _,:.~i\~f.>f..' ~: ~"" . .',,' ...,..:....,,';..:;....'.....,l,.,~..;~, .(\' .~. ,,' "I. ; ~:! .~~~-.... . '- . ...'.',10- . . tJ'~(J tJ/ IV DD tll S p,f~"'. t i. ACE ,ALUMINUM' . fJc ..:5/?'j{ 1,;;/J)...c ?i; - ?J: /' Job No. Phone: (813) 782-2616 38646 '-Im'lirbVe Drive ZephyrhlllE.. Florida 33640 ( ) '..' .~t" . SOLD TO . Jj~~<:!~ I ADDRESS .~ J 9..? '/ / 6'-i.: < SHIP TO_. DATE ___'/ -...L y- PHONE __~7 ,f/' -1 - /I V'~- 93 ,j' /0 f~:_ __, '1'- ......'a...,. .- . . 'J " ...-.- ;51()11(t;~ Sf-Jill It (' J . {v/l./ / /(./ J T ~;:;.(: . ~/J;fJ / ---.-. I G /''1JJ ,/11#,1 r-/)" /yJ~.. /-/:.t /1 q - 5" ~l,rfll/ ../ , --. -- .~ /r / (: "/ r;~~--.. 'I f/"', f ...-J. /l .~'..I~ . ,{. '.J: // 4J.7 e / _._- J/lf/ '~)j.' fld".-J O?-, ";r- . / ( . , ( ---- - "/ - 75"'--- ftlltf- Y /1 t>/Jl-i ~.f/#1 ~ .!.1 I./JI .~;.,,,) /(:': :~.L::~ ----...- -. 1.-) oo{(. 0/INI 7 U --- .'J . I .:2 ,.Y ....2. . ~ ).,~" I ,...,..-..... c/! 5 (', ,I T'- let/I' P /IIJ-e ~ ll/ .-11.. l ~JI-I J\ D , " -- -- . . /91 ;;~- . C1"(--. ~/ //-: '~'1'.':~'1. - . .'.. //1,)(J/~ / - J( "r1'<- . / 0/ ... -- .- .. . - /:.- /,/) '/ .. t~rf-- /.J~t PERMIT (I y't',.( It pi/' /" A PRICE ,I /,' . . ... r .. I.... TAX " .' ('/I S .i./ ~ /1 sf. c 0:;'100. t)o J TOTAL PRICE The unders;S'"Ji!d aurees to pay I~I . 0,v INSTALLERS IN {:JJLL ON COMPLETION DEPOSIT 7 I~ (.;2 '::~ r .. t. /;'-' /(//., ~ ':-'. . ... ..i"l..i. ~~~( -- , ,. {. t/f!' '1 I It/( o JfS . ;? r..p /3/]O-oJrSBALANCE C.O.D. ... t 9< ,. "/ . { . / /. ... / ..-' - . . / ..< ./;'''<.-- /"",-- .~~-<_ . . C'hd.4at ..!Jd<-oJA Rep. Customers ture __I It ("PI"Y OV '1.liItIlVlttlll,I,B 1Hnl.IHNn IlI\N\U'I'HI';N'I' OWNER __/)tJIIJ/lt.D f(t1-S:.1-1 JOB LOCATION J q 3 '1/ .? J::P' /7v,C I , . ';;;;;f~dt . PARCEL I. D. # SHOW AI.l.. EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. b7' ,J ('lJSll II :.. J. fCd'6P CO tJ C ~ ~ c.f) j) b <t--' t. ~ ;:$\ SlJt~~ ~ Ii%~ ~1.)9fV\' V" bl./lS . _ i~ ft Df) i f)t'~ Ji, ~ ~ IfJl" (:,C" tL- ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. r f- ~ l --7 Jaf J ~q l ,{\ 1'lb' S ~l5 \\1) r"~ &- It> ' ~ )00 ' r LfO I i I PROPERlY LINE \ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FR~T .:7 <13 .y / R Itt .&r,&'. - (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1f R2 ZONING 60'___ 10' P ~l' R 0 10' P 10' 0 1 O' S I I E N D G J 1 20' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60'- 10' 10' EXISTING 10.' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE