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Home My WebLink About93-3684 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ _ 3684B Date / J.- - ~ - 7 .~ ~ PcopertyOwne, ~~ ~Ji!a( Job Address: 61 r < Parcell.D. # ,.;; -;:)..b -OlJ ~ S- -D ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~ Energy Code: Description of Work 'A//.A-1 ~ /)~ ~ Radon Gas: -'<Y--~J "LJ' -./- ~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. n1 I?A lOA DATE NO OCCUPANCY BEFORE C.O. DATE InspectorW.A. Permit Fee ~ 't3- Sig naltu rf?Jz .. ~ . ..:..JlJ2. D 1f':}01 d<-><J Company Address Telephone# Valuation or Contract Price 99'tI. ffO City license Registration # 2. <;f State Certified license# /lI-;J; 'llJL ~A#L~ ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 0"" same. CITY OF ZEPHYRHILLS OWNER m ~ -tJ1l R S f) fu fh 0 ru c y f JOB LOCATION (~) ( 1.+ L_:- f'\.- e I'D If'::- ~' BUILDING DEPARTMENT II () p. I, I C?_ a S'T, PARCEL 1. D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. i , i .' 1-1 ./1 ~ 3~[Vc /7 I\}~i / s~V. ~--r G, \v +/--_:, _/-- I "-~---, . J~_.-----"~_.~'-----'-"-.------~ ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. C), }.J- (\ r;. , }'-' Yf() ~y' FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1f R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' p E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE APPLICAnOti fOR PERllIT CI'IY OF ZItnIIKH. l.Le;; JWII.DIJIG DEPAImulBr OWlIER'S RAIlE fn tQ 4 fir R <"J f) II )7h n (u C '( 1/ f {~ ; (~- P8DIIE OWlIER'S ADDIU1SS i." ( l/ s- /.., \r A); Il-e;r-<:., Ii JOB ADDIU1SS S /4 f11 F LEGAL DESCRIPl'IOII: I.OI'{S) ~SOBDIYlSIOB () Ii /~' , \~ C ' ~,. ("=' PARCEL LD.' WORK PKOPOSED:_1Iev Construction ---Addition ~teration ~ _Install _Sip --.JIove _Deao1ish PROPOSED USE: Single FaUly _KIF _' of Units _K/B _ec-ercia1 _Indust. _S~. P001 Otl1er RpSt:aurant &- Bea1t:h Departaent Approval. BUILDItiG SIZE: x ~e Feet. Beight RESIDENTIAL: aJItIIERCIAL : AtTAaI (2) PIDI' PIAlIS &- (2) SEIS OF BUIl.DIJIG PUUlS &- (1) SEI' EllERGY FOlUIS... AtTAaI (3) SEI'S OF JWII.DIJIG PIAJJS &- (1) SEI' EIIERGY IDBIIS..'" ."'OOPl'" OF mB'I'KACI JIIIQUIRIID. PIr.RIIl'I'S REOIJR..e;;Tm --.-BUILDIRG $ erC;O Va1uation of Tota1 Construction -3LECJ'lUGAL ---.JIEaIAIiIGAL AIIP Sexvice F10rida Power Corp. V.R.E.C. $ Va1uation of 1f.eclJani.ca1 Inst:al1ation .-PUItBItiG GAS ROOFIIIG TYPE OF WRST.RIJCI'IOII: --.-B1ock _~ _St:ee.1 SPECIALTY Other FDlISBED FLOOR ELEVATIOIIS: Fr. IS P.RO.JECI' III FLOOD ZOO AREA? YES RO .................................................................................................... Rml.DER ~CI'OR SECl'IOti aBPAIIY 'At:" ;~=- (~'-~~ C~o~~~ c~ A-' D /).. (": -t:' I}I) D St:ate Cert. or Regist. I J?Z.c.-1' ~ V"LA;;-t..i?~---n"<1 City Liceose Registration , . CJ c:;- u v .................................................................................................................. r- Signature Kl.F.crJUCIAli CDlPAIIY St:at:e Cert. or Regist. f Si .....ture City Liceose Registration , ............................................................................................................ PlDIRRR aJIIPAIIY St:at:e Cert. or Regist. f Sigoature City License Registration , ...................................................................................................................... III!'.aIARTCAl. aJIIPAIIY State Cert. or Regist. , Sigoat:ure City License Registration , ................................................................................................................ OTIID CDlPAIIY State Cert. or Regist. , Signature City License Registration , ............................................................................................................ APPLICAnOti M.l'BUY1W BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF pEED RESJRICTIONS. The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co~pliance with any applicable deed restrictions. B. !JNLICENSED CONTRACTORS AN!LJ~;_QtJTRACTOR ~J;SF:'J!l,JSIBIL.ITl~~ If the owner has hired a contractor Dr 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 .ay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reQuire.ents .ay apply for the intended "or~, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI3) 7BB -bb I 1. Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorls) sign portions of the "Contractor Sections" of this application for which they "ill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Mork. If the contractor wishes you to sign as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of lephyrhills. (' TRANSPORTATION H1PACT FEE!? AND UTILITY CONNECTION FEE.S. 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 - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the 'owner", I certify that I have obtained a copy of the above described docll.ent and pro.ise in good faith to deliver it to the BOHner' prior to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVII I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work Dr installation has cOI.enced 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 develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co'pliance. Such agencies include but are not li.ited to: , Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treatlent , Southwest Florida Water "anagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways , Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, WasteMater Treatlent, Septic Tanks , US Environ.ental Protection Aqency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood lone 'A" Dr "A,etc.", it is understood that a drainage plan addressing a 'co.pensating voluae. Mill be sublitted which is prepared by a professional engineer registered in the state of Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed Kith the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the Mork authorized by such periit is co.tenced within six lonths of issuance, Dr if work authorized by the per.it is suspended Dr abandoned for a period of six tonths after the ti.e the work is cO'lenced. One 90 day extension of ti~e, .ay be alloMed for the periit Kith 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 .onth period, Dr the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT MAY RESULT IN YOUR PAYING TWICE FOR I"PROYEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT', SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19 _ by 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 Dr who has pl-oduced as identification and who did/did not take an oath. (SignatLll-e) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC