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Home My WebLink About93-3299 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ 3299 E:. 6 -r-9's oah~ B~ GECTRI~ PLU~_ Pmperty owne"~_~~ Job Address: 0 _=--_~ Parcel 1.0, # MEC~__ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~~ ~~ NO OCCUPANCY BEFORE C.O. FINAL_ 'U C.O. ~ Inspec~o~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, DATE Valuation or Contract Price /~/A- Pe,m;t Fee ~ ~ Signaiure 1..1 Compa~ .W Address City License Registration # State Certified License# Telephone# ....'/ c, 7AYJ - ./ ;J 77 ~:9 Tp. Serv, Lid,- Rough In) -13- ~~ Meter Can Const. Pole Pool Pre-Meter Final P~ MEC~ ~DING -------- Ftr. Pre SLB Lintel SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. _. (J r---- ~ - - -.-- lXT r--- \ - \ r / / -~ - (j) l3 trl-f CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL I. D. # SHOW ALL EXIS'l"DIG &: PROPOSED STRUC!'ORES GIVING DDlBNSIORS &: SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS HUST 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' FBOII'I' PROPBM'Y LINE FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 1 0' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAH 30 'DUPLEX FBOII'I' PROPER'!'!' LINE APPLICATI08 FOR PERKIT Cl1YOFZEPIIIlmILLS BlJJIIJ)IliG DEPAImIEIn' OWNER · S HAIlE S&ve ~R.uPP 5<f~i -lltLST S'/I-rflG" PHOD 7gs C}Z7ct OWNER' S ADDRESS JOB ADDRESS LEGAL DESCRIPl'IOI!f: IDr(S) z BLOCx: SUBDIVISION PARCEL I4D.' WRK PROPOSED:_JJev Construction _Addition _Alteration _Repair _Install S. - 19t1 _Move _De.o1ish PROPOSED USE: Single Faai1y _fl/F _, of Units _K/H _ec-ercia1 _Indust. _Stria. P001 Other _Restaurant & Beal.t:h Depart:.ent Approva1 BUILDDiG SIZE: x ~e Feet. Height RESIDENTIAL: COftIIERCIAL : AtTACH (2) PIDr PIAI1S & (2) SEIS OF BUll.DDiG PIAIIS & (1) SET DERGY FORKS. U ATtACH (3) SETS OF BUllDDIG PlMS & (1) SET EIl1ERGY FORKS.** **mpy OF mll".rRACT KIlQIllIRED. PERllITS REOOFSTED _BUILDDiG $ Va1uation of Tota1 Construction F.J.F.CTRICAL AIIP Se:r:vice F10rida Power Corp. W.R.E.C. ---.JIECIIAIIICAL $ Va1uation of Kecbanica1 Inst:allation _PLOKBDlG GAS ROOFDIG SPECIALTY TYPE OF mNSTRUCl'IOII: _B1ock _~ _Stee1 Other FDlISBED FLOOR ELEVATIOliS: Fr. IS PROJECT IIi FLOOD ZONE AREA? YES NO ****************************************** aJlII1'RACIOR SECrION RUTT .DF.R COItPANY St:ate Cert. or Regist. , Signature City License Registration , ****************************************** ELECTRICIAIi COItPMY St:ate Cert. or Regist. , Simulture City License Registration , ****************************************** PLOIBER COItPAliY St:ate Cert. or Regist. , Signature City License Registration I ****************************************** KECIIAlIICAL COItPANY St:ate Cert. or Regist. , Signature City License Registration I ****************************************** OT'IIRR COItPANY St:ate Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay 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 OWDer has hired a contractor or contractors to undertake work, 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 owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr 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, 18131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorts) 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 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 with 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 "owDer" prior to cOllencelent. 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 developlent. Application is hereby lade to obtain a perlit to do work 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: I Departlent of EnvironaentaI ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health 'Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AGency - 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, Dr set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Dfficial 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. Dne 90 day extension of tile, lay be allowed for the perlit with fee charge of SI5.00. 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 COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKEMCEKENT. JOBS UNDER S2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO"KENCEKENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT was acknowledged , 19_ by STATE OF FLORIDA COUHTY OF The foregoing instrument befct\-e me this STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by who is personally known to me Dr who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signatw-e) (Name Typed, Printed Dr Stamped) NOTARY PUBLI C (Name Typed, Printed or Stamped) NOTARY PUBLIC