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Home My WebLink About93-3710 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N~ _ 37108 Oate /d. - /6'- y---<{ ~~ ELECTRICAL PLUMBING :~~:~:,~:~e'y~~' 9% ~ Parcel \.D, # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Q. ~nergy Code: .( A...,bU+' --/~ Radon Gas: ,s- - 91 :J.. / I Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Inspector Permit Fee .;JJ:J-; UV Srgnature~~ ~~.. ~ .-:: Company Address Telephone# Valuation or Contract Price / -.S--z:;-z;. crv ", City license Registration # / State Certified license# 8 '" A ('/YIf'A~ tz; BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Ins!. Compressor Final Tp, Servo Rough In Meter Can Const. Pole Pool Pre-Meter SLB Tub Set Water Sewer Final Ftr. Pre SLB lintel FRM. Insul. CL WL . Final Driveway I~- /041 &b REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a, Wrong Address b, Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g, Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATIOlI FOR PERIIlT CI'IY OF ZKl'UIKHIT.U: BUII.DIIIG DEPARIIIEIIT OWIIER'S IWIE .$tL <' Lc:~ OIftIER'S ADDDSS S/7 'Y,7 ?/.r-r Z ~~/~ .JOB ADDRESS S'"A./P/' e' .lB)lIE LEGAL DESCRIPl'IOII: wr(S) ~SUBDIYISIOII PARCEL LD.' - won PROPOSED:_Wev Const:ruction .-JWdition _Alteration _Kepai..r _Inst:all _Sign _Move _De.olish _ec-ercia1 _II/F _' of Units _/H _Indust. _Sw:L.. Pool //~ /Ut'WI9 )LOther PROPm;RD USE: Sing1e F-u.y --bmrant & Hea1th Depart.eo.t Approva1 BUILDING SIZE: x Square Feet, Height RESIDElITIAL: aJlmERCIAL : A'lTAaI (2) PI.OI' P.LAIIS & (2) SEIS OF BUILDIWG PJAIIS & (1) sa EllERGY FORIIS....... ATl'AaI (3) SEI'S OF BUII.DIIIG PLAIiS & (1) sa EIIERGY FOIIIIS...... ......001'1' OF COIITKAcr JUIQODUID. PIIJIIIT"I'S KEOIJES'I'ED --BUILDIIIG $ ,~'St7d ~ Va1uation of Tota1 Construction F.I.RC'I1UCAL AIIP Service Florida Puller Corp. W.R.E.C. ~CAL $. Valuation of 1lech.ani.ca1 Inst:a11ation ~IIIG GAS ROOFIIIG TYPE OF OOIlSTRUCTIOII: ~lock _-rn.e _Steel SPECIALTY Other FIIlISBED FLOOR ELEVATIOIIS: FI' . IS PRO.JECI' D FUJOD ZOIIE AREA? YES 110 ......................................................................... ~CIOR SECl'IOR Signature aJ!IPAIIY Sl:ab! Cert. or Regist. . City License Registration , ............................................................................ RmTDRR F.I.RCTRTCL\II Silm~ture (DIpAIIY Sl:ab! Cert. or Regist. , City License Registration , ............................................................... PT.DIRRR Signature aJIIPAIIY Sl:ab! Cert. or Regist. , City License Registration , ................................................................................. IIEmAlIICAL Signature aJIIPAIIY Sl:ate Cert. or Regist. , City License Registration , ................................................................. mHRR aJ!IPAWY L S ~ ~ Ce;?"v?/Z- <" / t? ~ ~.r- Sl:ate Cert. or Regist. t Signature ~/-::7- .J'__ _ - ~ City License Registration' / ............................*****........................................... APPLICAnOIl APPROVED BY PERIIIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOlI CE OF _DEED_RESTR l.t:;T IONS The undersigned understands that this perlit say be subject to "deed restrictions" which .ay be lore restrictive than City regulations. The undersigned assules responsibility for co'pliance with any applicable deed restrictions. B. WNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contracto;~.t~~dertake ~ork, th~~-.ay-b~~GI~~~ 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 or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-b611. 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 "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 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 pertitting privileges in the City of Zephyrhills. C. TRANSPORTATION INPACT FEES AND UTI!-ITY.J;;ONNECTION FEE.~. 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 sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and pro.ise in good faith to deliver it to the "owner" prior to co.tencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVII 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 develop.ent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has co.tenced prior to issuance of a per.it and that all work will be perforted to teet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is 'Y responsibility to identify what actions I tust take to be in co.pliance. Such agencies include but are not li.ited to: , Departtent of Environlental ReQulation - Cypress Barheads, Wetland Areas and Environtentally Sensitive Lands, Yater/Wastewater Treat.ent , Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Artv Corps of EnQineers - Seawalls, Docks, Navigable Water"ays , Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection Aqency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A pertit 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 pertit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every pertit issued shall becole invalid unless the work authorized by such per.it is co..enced "ithin six tonths of issuance, Dr if work authorized by the per.it is suspended or abandoned for a period of six lonths after the tile the work is co..enced. One 90 day extension of tile, lay be allowed for the perlit "ith 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, or the project Mill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CoMMENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCE"ENT", SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument befcq-e me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument befcq-e me th i s Io'laS acknolo'lledged , 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. (S i gna tLll-e) (Signature) (Name Typed, Printed or Stamped) ~OTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC SITE PLAN (RESIDENTIAL USE ONLY) PARCEL LD. SEe TWP RNG SUllO llLOCK LOT PROPEHTY MEASUREMENT .j/ItJ CURRENT OWNEHS ~ ~.r 6tJ K/()O '/7:7-:/ ~cC' 9?,J.5 7d DATE d to scale for all parcels or lots five acres or less. All drawings shall be rawn '0/ Ale .5K~ /~;ne / tJtJ / /U6 )J~ /It/v! :l 3)( 7-Y C()1lJ G~(It' LJ,(//t' -. ---- ~ -> - r~ ~ 9' s~ SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE ANY BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PROPEHTY. INDICATE THE SIZE, YEAR, ~~D N~~E OF MOBILE; SUCH AS 12' x 60'. 1981. FLEETwOOD. All "EASEMENTS", "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans. DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE HOUSE CONSTRUCTION ItAt..E: .-..0' PROPOSED ADDITION ,eALE.: ,.. .0' MOBILE HOME SETUP I(AL.l: I.. 10' \oJ :I c z ~ 7." o Cl: no' (601'./ . ~ Ill' 20' I 10' ~2,ll' odd. - - 0 0 Q (.I.lIn, 7.11' 2 - - . HOUt. . ! ... .. :zOO P/L ROAD NAME !lO' - - 0 0 on '" 2" ul.II", ... - Shod '" .. . " ... .. .. !lO' ROAD NAME - oJ ~ :zO' ROAD NAME s iter 1;1I\: Cr>