HomeMy WebLinkAbout93-3747
.BUllDING PERMIT
~
#~
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N ~
_3747,L3
Date /~-30-]3
~ EL~' PL~
::~:;:,~:~e'~~ -l:2i~"fl ~OT /9
Parcell.D. # ~ -~t- - :J 1- J - ~s- /9
~f~ ~~~/~~"/~ E~~~' k~~$
NO OCCUPANCY BEFORE C.O. FINAL -
~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
.,-
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Permit Fee
Signature
Company
Address
TelePhone~ 7Kd""'Y???
Inspector
Valuation or
Contract Price
~ s 50 I ~
City License Registration # .2 ~C}
S te Certified License# C1.~t!.,Od{'D~7
,
MECH
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 owning
same.
APPLICATIOII FOR PERllIT
CIty OF ZIl;mIICH I T.T_C;
JmI.I.DllIG DEPAImImn'
_'5_ ~eV\Y-~ c@, W;,'-hJ
OIiRER'S ADDRESS to (() U 0 W \' re' ~
*
lBXIE
7 8()~ d57 )
JOB ADDRESS
LEGAL DESCIUPI'IOII: IDI(S)
~SOBDIYISI
PARCEL I.D.' ./
IIJORJ{ PROPOSED:__ew Construct:ion ~j t:ion _Alterat:ion
RPpffir _Inst:all
PROPOSED USE:
S'
- l..gD.
) ~le F..uy
-
_lIove
_Deaolish
_fl/F
_' of Uoi1:s
~~r
_~rcia1
_Indust:.
_~. P001
Rpsbmrant: & Rea1tlJ. Depar1:.eo.t: Approva1
BUlLDDfG SIZE: dD X '8 . (/ cP () l ~ Feet:.
If'
Height
RESIDENTIAL:
aJItIIERCIAL :
A'lTAaI (2) PLOI' PLAIIS & (2) SETS OF BUD.DllIG PIAIIS & (1) SET EllERGY .FOIULc;...
A'lTAaI (3) SETS OF BUD.DllIG PLAIIS & (1) SET EIIERGY IIORIIS......
..OOPY OF mJrUACT JOlQUIlUID.
~>>IRG
~ BEOIJR.c;nm
$
Va1uation of Tota1 Construct:ion
_ELEc.nnCAL
AKP Service
Florida PoIier Corp.
V.ll.E.C.
~CAL
$
Va1uat:ion of ftechanica1 Inst:a1Jat:ion
_PLtIIBIIIG GAS llOOFIIIG
SPECIALTY
TYPE OF OONSTJWCTIOlI: ---.JIlock _Fn.e _St:ee1
OtlJ.er
FlIISHED FLOOR. ELEVATIOIIS:
Fr.
IS PROJECl' D FLOOD ZONE AREA?
YES NO
......................................................
aJIIITRACIUR SECTIOIl
~ll ''!'-'' ~ =.,MY Cert. or ~1;. , Di'I11 n u rY)
Sigoat:ure ~~lV} City License llegist:rat:ion .
.............................................................
RI.JI'-CIKICI.AN aJIIPAIIY
S1:at:e Cert. or llegist. .
City License llegist:rat:ion .
...................................................
Rml.DRR
Si....J11:ure
PI.DIIRKR aJIIPAIIY
State Cert:. or Regist:. .
Sigoat:ure City License llegist:rat:ion .
......................................................
IlltalAllICAL aJIIPAIIY
S1:at:e Cert:. or llegist:. I
Sigoat:ure City License Regist:rat:ion .
...............................................................
OTIIRR CDlPAIIY
State Cert:. or Regist:. I
Signature City License Regist:rat:ion .
..........................................
APPLICATIOIl APPIlOVII:D BY PERIIIT OFFICER.
CONDIfIONS OF PERMIT AFFIDAVIT
A. NOT ICE OF DEED RESTRICT IOI'~B .
The undersigned understands that this perlit ~ay be subject to "deed restrictions" which lay be lore restrictive lhan City
regulations, The undersigned assules responsibility for co~pliance with any applicable deed restrictions,
B. I)NL I CENSED CONTRACTORS At,!JL,I:;:_O!JT81i(::_TQR 8..r:;:,St~PNEiI BJ L.!..T I E2
If the owner 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 or intended contractor are uncertain as to what licensing
requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI31
7BB-bbll.
Further.ore, if the owner 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 "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 perlitting privileges in the
City of Zephyrhills.
C TRANE?PORTATION H1PACT FEES AND UT ILI_TYJ;::ONNECT I 01'( 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" , 1 certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
"owner" prior to coetencelent.
E. CONl:RACTOR I S/OHNER 'S AFF I,!Hi~J 1,1.
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. 1 certify that no work Dr
installation has coelenced prior to issuance of a pertit and that all work will be perforled to leet 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 govern.ental agencies tay 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:
. Departeent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ,entally Sensitive Lands,
Water/Wastewater Treatlent
I Southwest Florida Water "anaQeeent District - Wells, Cypress Barheads, Wetland Areas, Altering Watercourses
f Arav Corps of EnQineers - Seawalls, Docks, Navigable Waterways
. Departaent of Health l Rehabilitative Services, Environaental Health Unit - Wells, Wastewater Treateent, Septic Tanks
. US Environ.ental Protection Aqency - Asbestos abate_ent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,ete,', it is understood that a drainage plan
addressing a "cotpensating voluae" will be subtitted whieh 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 Kith the work and not as authority to violate, canrel alter, or
set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official froa 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 pertit is co.,eneed within six lonths of issuance, Dr if work authorized by the perlit is
suspended Dr abandoned for a period of six ,onths after the tile the work is cottenced. One 90 day extension of tile, lay be
allowed for the pertit 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 _onth period, or the project Mill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCEKENT nAY RESULT IN YOUR PAYING TWICE FOR I"PROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY, BEFORE RECORDING YOUR NOTICE OF
CO"KENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COM"ENCE"ENT".
U/~-
SIGNATURE: OHNER OR AGENT~ JU~Jtr~~;3t?lt~
STATE OF flORIDA d::?~) /)\.: ~
COUNTY OF ~, f.a...-~ ~
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 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 or who has
produced
as identification and who did/did not
take an oath.
(S i gna tLll-e)
(Signature)
(Name Typed~ Printed Dr Stamped)
NOT ARY PUBLI C
(Name Typed~ Printed Dr Stamped)
NOTARY PUBLIC
OWNER
DEPARTMENT
JOB LOCATION
PARCEL 1. D. #
SHOW ALL EXISTING 5.
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ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
I
J
-- .
-'
'----- .
L---
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
- 15! - f+uf{)5eJ
J .x.ree/1 ~
~'b
FRO T PROPERTY LINE
(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'
2. SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRON'I" PROPERTY LINE
FRONT PROPERTY LINE
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