The URL can be used to link to this page

Home My WebLink About94-4140 BUILDING PERMIT Permit N'~ CITY OF ZEPHYRHILLS (813) 788-6611 4140-15 Date 7---5--:T Y ELECTRICAL PLUMBING MECHANICAL Sewer Conn Pmperty Owo", *~~Llo~ Job Address: ~ ......L. -=---__ ~ Parcell.D. # /J-~6 -;)J - /)/)/0 ... LJ d)..;l.O 0,- OJ~O Water Conn: Water Mejer: T,I.F.'s: Zoning: ,rgy Code: Description of Work ~ c:J7"I ~ R~L ~~ / /V//yP NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordar~e with City Codes and Ordinances. DATE Inspector Permit Fee Signature Company Address Telephone# Valuation or Contract Price :f! ~. ttJ7? City License Registration # State Certified License# ~ ELECTRICAL PLUMBING MECHANICAL 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 Insl. 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. I, JF-S{/€ DISCLOSURE STATEKERT FOR OWNER CITY OF ZEPIIYR81LLS BU1LDIlIG DEPARTMENT ~JI Er\r'\ L~ . have read and fully understand and agree to the provisions of this instrument." The undersigned states and affirms renovating, adding to or reroofing occupy, or will occupy by sale. That he or she shall comply that he or she is desirous of constructing, his or her own domicile, that he or she actually said domicile, and same is not for rent, lease or with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhi.lls Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. DATE: /- :::;--;7 y WITNESS:~ ~ WITNESS: fl?';i~. , . ~~ ~ PERMIT # ~ J if D ../!J DATE: OWNER: APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT kS\I€- ?CAAJ\ 59[0 \\i~ ~Me as ~Ve LEGAL DESCRIPTION: LOT(S)~BLOCK:J.:;;A. PARCEL I.D..~~-J.l-oOIO-021.ro-O'~D OWNER · S NAKE tl\ t\ l<. -S+. PHONE QSI ~ 19l- O,3s- OWNER · S ADDRESS JOB ADDRESS SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: vi New Construc~ion ~Addition ____Alteration ____Repair ____Install ____Sign ____Move _Deaolish PROPOSED USE: ~ingle Family ____K/F ____' of Units ____M/H ____eo..ercial ____Indus t. ____SwiRl. Pool _Other ____Restaurant & Health Deparbaent Approval DESCRIPTION OF WORK: Add\C\5 Ci\\.o ~r^+ ^",rrl. ! / ~ BUILDING SIZE: ~ 1/' x.1, (\~\ I \ot:>~ . Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~BUILDING PERMITS REOUESTED $ Valuation of Total Construction ____ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. ~CBANICAL $ Valuation of Mechanical Installation ____PLtJKBING GAS TYPE OF CONSTRUCTION: ____Block ROOFING ~raae ____Steel Other SPECIALTY FIIIISHED FLOOR ELEVATIONS: FT . IS PROJECT IN FLOOD ZONE AREA? ~ YES NO .*.*.*******.**.....**********....******** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. . Signature City License Registration . ***.************************************** ELECTRICIAR COMPANY State Cert. or Regist. f SiDnAture City License Registration . ***..*****.*.****.**.*..***.**......***... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration f *.**.*..***********..******.*************. MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration . *.**************************************** OTRRR COMPANY State Cert. or Regist. f Signature City License Registration , **.*****************.******..************* APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'fbe undersigned understands that this pentt lilY be subject to "deed restrictions" wbieb lilY be lOre restrictive than City regulations. !be undersigned assUJes responsibility for CCIIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired 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 0IIJI8I and contractor lilY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to "bat licensing requireJellts lilY apply for the intended work, they are advi~ to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. . FurtberlOre, 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 wbieb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to peraitting privileges in the City of Zepbyrbills. 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 - lkIIeowner's Protection Guidell prepared by the Florida Departlent of Agriculture and ConsUll!I Affairs. If the applicant is SOJeODe other than the "ownerll, I certify that I bave obtained a copy of the above described dOCUJent and pIWise in good faith to deliver it to the lIowner" prior to COIIl!IlCl!lellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIliltion in this application is accurate and that all wort "ill be done in COIpliance with all applicable laws regulating construction, loning, and land developJeJlt. Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no work or installation bas CDIeIlced prior to issuance of a perlit and that all work will be perfoIled to .et standards of all 1_ regulating construction, City codes, loning regulations, and land developleJlt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI1llelital agencies lilY apply to the intended wort, and that it is I}' responsibility to identify what actions I lUst take to be in COIpliance. Sueb agencies include but are not liltted to: t Departlent of EnvirOlllel1tal Regulation - Cypress Baybeads, Wetland Areas and Envirolllellta11y Sensitive Lands, Water/Wastewater 'freatlent t Southwest Florida Water HanageJellt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Arty Corps of Bnqineers - Seawalls, Docks, lavigable Watenays t Departlent of Health i Rehabilitative Services, InvirOlllental Health Unit - Wells, Wastewater 'freattent, Septic 'fws t US InviIOl1lental Protection Agency - Asbestos abatl!lellt I also certify that, if fill laterial is to be used in Flood ZOne "A" or IIA,etc.", it is understood that a drainage plan addressing a "~ating volue" will be sublitted wbieb 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 with the wort 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 fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sba11 becme invalid unless the work authorized by sueb perlit is COII8Ilced within sillODthe of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day 81tension of tile, lily be allowed for the perlit with fee charge of $15.00. 'fbe 81tension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sillODth period, or the proj'ect will be considered abancJoned. IIAJUfIIfG TO onBR: YOUR FAILURE TO RECORD A lorICE OF aJIMDCEIIBM! lilY RlSULf IIf YOUR PAYING niCE FOR DIPROVIIIII!S TO YOOft PROPER'fY. IF YOU 10110 TO osrm FIDlCIIfG, COIfSOL'f WI'fH YOUR LIIfDIR OR AI Af'l'ORDY BlFORI RICOIDIIG YOUR IfO'fICE OF aJlMDCEMBIft'. JOBS ORDER '2,500 II VALUI 00 KO'f lIED TO RECORD lID POSf A 'lorICE OF aJIIDCllllM'fI. SIGlAfURI: (IllER OR AGII'f SIGIA'fURI: COIf'fRACTOR S'fAfE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S'fAn: OF FLORIDA coum 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 ~ '\t :.) .J :'F t:' ~ ~ -:J ~ :)" t .l: r .,J -:::.. 1,,,,- <:::..._:1:. J\ i,/\ ~ .... .:: '{ LL ~-. :; 'L r ~ 0 +:: J) ~ -z lJ .c ~S ~iL .1~ - .... -4. \f) 'j \J-~ v ( -D' ~~ /t.J I ',< /~ ~) 3 J --;r--. 0 uJ ~ ~ Y", '- 1',1 ,J . ~""'-i 1\ ~\ ~ t c::;J "'t- ~ c:C ,~ -'- N '. - c:... \ ......s> ~ .\ ~x ~,,~',,~"".'.~' \', . \ I' L-- , I i I ' I I I \ '2. "3, .~ uJ J <! v \j') ""'- ~ ~ ~ :::; i ;fl 0- ., I ~ -'\ (./ '~ '')C. ~ '~ v 3 () .a ;- J QI- ::::> ~ ~ .-,/' ------.-.:-" '-r-' -<-r" '-"- - ...--.--, -.- ..... ......-: -,l <::t ~ ...J . '0 " r:v::> \ ~'~,.._...".". ~~.._~~ ., \ '1. <. ,J I~ i~ ~ 4, ~'~ ~ .~ \~) ~ '~ ....... ';) J <t(j Q~. ~ ] 8 ~ ~ i \J) d ~ e , :r- ,..I ~ ~ _ ~ \p -3 ?-) .-Q ~ I. . c.- " .~ ~ cO ~ ~ \}) ~" .J ).. <t. S ~ .,J' ~ ~ '"J" N il"".....S) ~ , :.>C <:! .-rj~-11 i, , I : 'i; I ;i~ i , : ~.): " .!J: ! '..,j! : w i ...\\^ t' '7'1 'N ! i I I I,.,:: ( ~ ,~l , Xl i'_ I !',': C'61 I ~' / c ~-~ I'. y n .... <:J '" "T"" ~ ~j ...' ..... -4 '.d ~ ... CV2 ~ -t \ ~:t \'1 .:::s X'~ 'X .$/1" ~j. q ,.',J' ~:t ~~~ ~ ~ t.\\ J .J d ~ ~ "X (~ ~..a J a... /) '1- ~ '" \0, ':: ,-;::) ~ l'\{' ~* Q... -? , I r ~ ~...{O ~ jJ ,j ~~ ]:1 It! ~'J _ -L..- Iv') ...j) .3 l~ 02 ~ CITY OF ZEPHYRHILLS BUILDING OEPARTHBNT l p~\'e 'V. t:J\f\\S 5'tJ 0 U f14 5+ PARCEL LD. # ---IJ-f}..b~{-OOIO-OJtlOO -O{~O OWNER JOB LOCATION SHOW ALL EXISTING & PROPOSED STRUCTURBS GIVIHG DIMENSIONS & SBTBACKS. fO' ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. _I \40 . \ a UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. I II -.21.~- r- ..:..---,' '2' ~).../ST. \ FRctJr '?OR.<!..-tI j 1 1.1.f .\ \./ ~"I, E~:I s~ \ (\S I -----~)o ~- \+0 f' O"..:,Q.ct ] FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, 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' FRONT PROPBRTY LINB FRONT PROPERTY LINB