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Home My WebLink About94-3797 BUILDING PERMIT Permit N C? CITY OF ZEPHYRHILLS (813) 788.6611 _ 3797 !3 J - d,S--7 <; Date J y~, SZJ BUILDING c:L 9. crv ELECTRICAL PLUMBING .3 (j. t:7z) MECHANICAL Sewer Conn Water Conn: - ~y0L ~ ~ 7~:::,~~- ~1J;o-:;;~~~ Zoning: Energy Code: Radon Gas: b~ / b Description of Work~ ~ a...dC'.t;~~ Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector Permit F~ ~ Sign'ature~\.:). ~"''L::; '0... ~~ ~~ Company Address Telephon~# '\ ~ '6 - LIJ C\ 3t~ Valuation or Contract Price /0.> - ?0z;," o-z) '" City License Registration # State Certified License# CJlA.fYl..v1 BUILDING ~A. dVr~A - ELECTRICAL PLUMBING MECHANICAL Ftr. Tp. Servo IA SLB Pre SLB Rough In ?J.-I'6.qcf ~'ifiU:rUb Set Lintel Meter Can Water FRM. .3-1~<i ~LL-ir Const. Pole Insul. CL~___ ~_ Pool WL _ _ ~ Pre-Meter Final Breakers Ducts InsI3-J'D.Crl ~lL Compressor Final Sewer Final 1 f)f ,JJJ} }J 11410 b)lfltl' I ~a I 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. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER ~AULA ....\. RAt.-. DR E E JOB LOCATION j'157~ l1)e~dc'CL><x>d, Lco,l") PARCEL 1.D. # /3 -,),(p -)../ - OIL/t:J - t)ObD 0 - III D SHOW ALL EXISTING & PROPOSED STRUCl"URES GIVING D:IHEHSIONS & SBTBACKS. -- t ~ ~ I ! i t \ , \ ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. :\ ~() ',J, i ci~ , t--'- 1 I! '~ \ I ~ J ~ I )~ I I I ',~ \ I;) ~ PRoPoSfD I I \:.-""t---TM1~ ~ \ i ~ j;:Y'f5'r1W6 I ~ \ \ I \ v , ,.... , \ . UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. \ \ ,,.-,,,.,,._-~.~...-...- i I I I ,1 , , ! :' . --J \ \ , 1, .........,.. ~;;~~-;--~'~~~;;;~~~-" (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, 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' FRO1ft' PROPERTY LINE FRONT PROPBR"I'Y LINE PAULA BALDREE 34576 MEADOWOOD LOOP VALUATION: $15,400.00 PERMIT FEES BUILDING: 142.50 PLUMBING: 0.00 SQ. FT. LIVING: 616 ELECTRICAL: 29.00 MECHANICAL: 30.00 SUB-TOTAL: $201.50 COST/FT: $25.00 CREDIT: 0.00 TOTAL: $201.50 SQ. FT. OTHER: 0 CONNECTION FEES COST/FT: $11 .00 SEWER: 0.00 WATER: 0.00 METER: 0.00 VALUATION $15,400.00 TOTAL: $0.00 DRIVEWAY $0.00 ADDRESS $0.00 FEE SHEET $95.00 SQ. FT. UNDER ROOF 616 RADON GAS $6.16 TRAFFIC IMPACT FEES $0.00 99% $0.00 GRAND TOTAL: $207.66 1 % $0.00 APPLICATION FOR PERMIT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT OWNER'S NAME V~ -bG:l\) ~ 1 {) r OWNER'S ADDRESS 3Qsr7l9 fY\ Qo...c1D u..xJOd PHONE( ~ :3 - La q ~5' k.O~ JOB ADDRESS so...\S6I'-Q LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL loD.' I,~ ~;)(y . d ( 0/4 Q . GOOde) - / (/ () WORK PROPOSED:_New Construction ~Addition _Alteration _Repair _Install _Sign Move Demolish PROPOSED USE: ~ Single Family Co_ercial _M/F ____, of Units Indust. _Swim. Pool _M/H Other Restaurant << Health Department Approval -:;;D ;;)..0 ~ BUILDING SIZE: ( ~ X~, l{J) 11.0 Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS << (2) SETS OF BUILDING PLANS << (1) SET ENERGY FORMS. ** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS << (1) SET ENERGY FORMS. ** **COPY OF CON'l'RACT REQUIRED. PERMITS REQUESTED ~ BUILDING ~ ELECTRICAL ............ MECHANICAL $ /5.ljWr 00 Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION : _Block Frame _Steel Other FINISHED FLOOR ELEVATIONS: F'l' . IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUILDER i~ COIIPAIIY \ ~ State Cert. or Reglst. I Signatur' , ~ \ \'\ Ci ty License Registration , *********~****************************** COMPANY State Cert. or Regist. , City License Registration # ******************************** PLUMBER COMPANY State Cert. or Regist. , City License Registration # ****************************************** Signature COMPANY State Cert. or Regist. , City License Registration' *********** ****************************** OTHER COMPANY State Cert. or Regist. # Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this peait lilY be subject to 'deed restrictions' wbich lily be lOre restrictive than City regulations. !be undersigned assUJeS responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, tbey lilY 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 lilY be cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to "bat licensing requirelents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for wbich they will be responsible. If JOU, 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 lilY be an indication that he is not properly licensed and is not entitled to peaitting 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, bave been provided with a copy of 'Florida's Construction Lien Law - HoIeoImer's Protection Guide" prepared by the Florida Depart:lent of Agriculture and COnsUIeI Affairs. If the applicant i8 8OE)Ile other than tbe 'owner", I certify that I bave obtained a copy of tbe above described docuIent and pra.ise in good faith to deliver it to the 'owner' prior to COIIeDCl!ll!llt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all work "ill be done in cOlpliance with all applicable laws regulating construction, loning, and land develOplellt. Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or installation bas co.Ienced prior to issuance of a peait and that all work will be perfoIJed to l8et standards of all laws regulating construction, City codes, zoning regulations, and land develOplellt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI1lleDtal agencies lilY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to: I Departlent of BnviroDll8lltal Regulation - Cypress Baybeads, "etland Areas and BnvirollleDtally Sensitive Lands, "ater /Wastewater 'lreat:lent I Southwest Florida Nater Hanaql!ll!llt District - "ells, Cypress Baybeads, Wetland Areas, Altering "atercourses t AIIY Corps of Engineers - Seawalls, Docks, lavigable "atenays t DepartJent of Health , Rebabilitative Services, EnvirODleDtal Health Unit - "ells, Wastewater 'lreat:lent, Septic 'lants t US EnviIOlllel1tal Protection Aqency - Asbestos abatl!ll!llt 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 'COIpeI1Sating volUle' will be saitted wbich is prepared by a professional engineer registered in tbe State of Florida prior to peIlit issuance. A pmit issued sball 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 tbe technical codes, nor sball issuance of a peait prevent the Building Official fra. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peait issued sball beCOle invalid unless the "ark authorized by such peait is COIIeIlced within s1llODtbs of issuance, or if work autboriled by the peIlit is suspended or abandoned for a period of sil IODtbs after the tile the work is c~ced. One 90 day utension of tile, .y be allowed for the peIlit with fee charge of $15.00. 'lhe utension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned. NARJIING '10 0IfIIR: YOUR FAILURE '10 RECORD A lorlCE OF C<IIIDCIIIINt' lilY RESUL'l IN YOUR PAYIIG ""ICE FOR IMPROVBIIII'lS '10 YOUR PROPIRfi. IF YOU II'lBlfD 'fO OB'lIII FIWCIIG, COlfSUL'l "1'lH YOUR LBIIDER OR II AnORDY BEFORE RICORDIIG YOUR lorlCB OF COHHBNCBHBNI. JOBS OlDER '2,500 II VALUE DO lor lIED '10 RECORD AND POS'l A lINorlCE OF COIIHINCBMlNlII. ~~, ,', .,.- \~~\, SIGlA'lURE: OOBR OR AGBJIT ~ . L ,/' "~ll J SIGlATURB: COI'lRAC'lOR SfA'll OF FLORIDA COON'lY OF The foregoing instrument was acknowledged before me this , 19____ by S'lA'I'1 OF FLORIDA COON'lY OF The foregoing instrument was acknowledged before me this , 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. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC