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Home My WebLink About93-3417 BUILDING PERMIT Permit _ 3417$ R; - /~,.. 9,Q - /f0 ~;- .~ ~ ~ PLUMBIN M~L ~:::~:~~,:~e';Hir!:itt;/!io?lOc) . R~don ~j '77l~Le/~~ CITY OF ZEPHYRHILLS (813) 788-6611 N~ --- Date Sewer connJW;=' Water Conn: Water Meter: T,I.F.'s: Zoning: Energy Code: /:J. '/. /f~ CX,m tV -'>4N,n6 - Description of Work FINAL t., - Z~ -q DATE NO OCCUPANCY BEFORE C.O. , Permit Fee Signature Company Address Telephone#v DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances, Valuation or Contract Price -=- City License Registration # State Certified License# 7~~f 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 Ins!. 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. APPLICATIOllll fUR PERKIT CIlT OF zmoullfH II.LCO BUlI.DI.liG DEPARnmNr OWNER · S RAIlE f~ ,,/fie. FIIOlIE /)1/ /1 eA OWRHR' S ADDRESS =? '? D J ~ {;" nJ 4 Y'<.- -/ ~ JOB ADDRESS J ~61.) e,.,J; 5f LEGAL DESCRIPl'IOIIIJ: LOI'(5) .,,- ,/ ~SU8DIVlSIOII t~,~/c"" '~rl /'A-A/<. PARCRL I"D.' WRIt. PROPOSED:_lIlIev Construct:ion _Addition _Alt:erat:ion _Repair _Inst:all S. _tIove _Deaolish - 19I1 PROPOSED USE: ~ing1e Faaily _II/F -1-' of Uni.t:s ~ _ec-ercial _IOOust:. _Stria. Pool Ot:her _.Restaurant: &- Health J)epa.rbent: Approval BUILDING SIZE: I2..XW, ~e Feet:. ,("'"" 7 " Height RESIDENTIAL: COItIIERCIAL : A'lTAaI (2) PLOI' PLAIiS &- (2) SETS OF BUIl.DIIIG PUUlS &- (I) SET ElIERGY FORKS. *'It A'lTAm (3) SETS OF BUII.DIliG PIAlIiS &- (I) SET EI!IERGY FORIIS.** **COPl' OF OOIITRAcr .RIlQUIRED. PIr.RKITS RmUESTED ----..BUILDING $ Valuat:ion of Tot:al Const:ruct:ion _ELECTRICAL AIIP Service Florida PoIier Corp. W.R.E.C. --=::JIECllAlfICAL $. Valuation of llechanica1 Inst:allation _PUJllBING GAS ROOFDiG SPECIALTY TYPE OF aJNSTRucnOR: _Block _Fraae _St:eel ~ Ot:her FINISHED FLOOR ELEVATIOIIIIS: FI' . IS PROJECT IN FLOOD ZOIlE AREA? YES NO ****************************************** BlnIJ1ER aJIII'KACIOR. SECI'IOR CDIPAIIY B..~!f/di!- PJ. f 1 .) ~ State Cert. or lie ist. . fI. lC 00= 311 P. City License Regist:rat:ion , -Jr'""J **** ************************************* Signature (,J ~ ~ ~t/ 1---1 / CDIPAIIY ._ ..t;jtd~ ~':L~~=~i:"~~~t/I'-(Z II ();C" St:at:e tect:. or Regist:. , Sigoat::ure ~..< ~ CUy License Regist:rat:ion' d P ** *************...********************* IIECIIAlIICAL aJIIPARY St:at:e Cert:. or Regist:. , Sigoat:ure City License Regist:rat:ion , ****************************************** OT'RJI:R aJIIPAlIY St:ate Cert:. or Regist:. , Sigoat:ure City License Regist:ration , *...*******************************...****** APPLICATION APPIlOVED BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subjert to "deed restrictions" Nhich lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrirtions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a rontrartor or rontrartors to undertake Mork, they lay be required to be licensed in accordance with state and loral regulations. If the contrartor is not lirensed as required by laN, both the owner and contrartor lay be cited for a lisdeleanor violation under state IaN. If the ONner or intended rontrartor are uncertain as to "hat licensing requirelents lay apply for the intended work, they are advised to rontart the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the ONner has hired a contractor or contrartors, he is advised to have the contrartorls) sign portions of the .Contractor Sertions" of this application for which they will be responsible. If you, as the owner sign as the contrartor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as rontractor 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 Construrtion lien Law - HOleowner's Protertion Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the .0Nner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "oNner" 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 Nork and installation as indicated. I certify that no Nork or installation has cOllenced prior to issuance of a perlit and that all work Nill be perfor.ed to leet standards of all laws regulating construction, City rodes, zoning regulations, and land develop.ent regulations in the juri~diction. I also rertify 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 .ust take to be in cotpliance. Such agencies include but are not lilited to: f Depart.ent of Environlental ReQulation - Cypress Bayheads, Netland Areas and Environlentally Sensitive Lands, Nater/Nastewater Treatlent f Southwest Florida Nater "anaQe.ent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US Environle"!.l Pro!ecti~n Aqenty - ~5be5tn~ ~bate.pnt I also rertify that, if fill laterial is to be used in Flood Zone "A" or .A,etc.., it is understood that a drainage plan addressing a "ro.pensating volule" Mill be sublitted Nhich is prepared by a professional engineer registered in the State of Florida prior to perlit issuanre. A per.it issued shall be construed to be a license to proceed with the Mork 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 fro. thereafter requiring a correction of errors in plans, construction, or vi~lations of any code. Every perlit issued shall becole invalid unless the Mork authorized by such perlit is cOllenced within six tonths of issuance, or if Nork authorized by the per.it is suspended or abandoned for a period of six .onths after the tite the work is totlenced. One 90 day extension of tile, .ay be allowed for the perlit with fee charge of $15.00. The extension'~hall be requested in Nriting to the Building Offirial. An approved inspertion lust be logged during each six lonth period, or the project Nill be considered abandoned. WARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF CO"nENCeKENT' "AY RESULT IN YOUR PAYING TNICE FOR I"PROYE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y~ lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCEKENT. JOBS UNDER $2,500 .IN VALUE DO NOT NEED TO RECoRD AND POST A "NOTICE OF C~KENCEKENT". STATE OF FLORIDA II COUNTY OF ~~, ('1) The foregoing instrument was acknowledged before me this 1::2", ~ 19.1l by Wh~i;~m^t~~~ or who h.. produced as 'dentifi ta'e an 0 th. (Name Type , Printed NOTARY PUBLIC ....... l'kJ~~:'f~;;;;;.. ClrIDY BOOKER t( ,.tf;;.., j:~ MY COMMI~ION /I CC 192028 ~~.~..,: EXPIRES. May 19.1996 ..../,'~,~~:t~~~...... Bonded Thru Notary Pubfic lJnderwrtlIrI ~-,~ (.)~~ SIGNATURE: CONTRACTOR d2) (Name Typed, Printed or Stamped) NOTARY PUBLIC ""'"'' CINDY :'-;'1y..'.fl'.!f:'~ BOOKER N"~"'f.~ MY COMMISSION II CC 192026 "t'i;.-~-;,.~ff EXPIRES: May 19, 1996 'iF...qr.:r.~"" Bonded Thm Notary Public lJnderwrlt8q CITY OF ZEPHYRHILLS BUILDING DEPARTM~NT . OWNERt= ~)( fYL \V\J\\ ("i ' JOB LOCATION ~"13 D \ S ,s;N 0 Iii V~'. PARCEL I. D. # kJ,;~ Mt ~~v:> 10l/ Ii rn CZ.J( SHOW ALL EXISTING & PROPOSED STRUCTURES-GIVING DIMENaIONS & SETBACKS. --~~= .~-_._. ...~._--,-..."., " @j J~I 1/ / ,t)'~ PI I '(.,~, ~- t.:1lJV \~ \.~J...v-'" .c .~ ,;J I I ~1'3'7 ~ Cj/'~ ':J . ,.() I p,c"''fu'J '- ;/ ,cl !-l ,. x 40 UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. Y'1/ II I 487 // 1)) ll(i:\-t,'r:> ~:c.u t,JIlLl<.;, ~ J~I , ." '6( }WU,lV ',[ ~j (.('ltf"'- --- / (NOTE EXAMPLES 1 & 2) STREET FRONT PROPERTY LINE Ifr.., -' 2. SETBACKS FOR R3 ZONING 60' 20' . 10' 10' EXISTING. 10' PROPOSED 0' 20,' SGL rAM 30 'DUPLEX 1 O' '. . ~RONT PROPERTY LINK FRONT PROPERTy'LINi FOR CARPORTS OR LIK~ STRUCrURES PLEASE COMPLEr~ THE FO~LOW~~G: (1) DESCRIBE WHAT TYPE: FREE' STANDING OR ATTACHED (CIRCLE ONE). (2) IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE? (3) DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN WHAT HANNER?) (4) GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT: (5) GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: (6) COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT PLAN. "" , ~.