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Home My WebLink About94-4163 BUILDING PERMIT No Permit .. CITY OF ZEPHYRHILLS (813) 788.6611 416313 Date 7-/t?-j'''Y ~ ELECTRICAL PLUMBING p,"pertYowne'~~~~.il ~ Job Address:J J '-- ~ ~ _ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D, # Zoning: Description of Work J / /q-'> 10 ,I b FINAL_ NO OCCUPANCY BEFORE C.O. 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 ~ dtJ Signature; jty fI~ Company Address Telephone# Valuation or Contract Price ! r .c; '71 . c:1-V City License Registration # State Certified License# (1')" /h .J!)/)__ ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway ~~~ '-J)~ '1,~5-,q~ ~~ 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 pF ZBPHYJUD:LLS BUJ:LDDiG DBPAR"l'IIEIft" OWNER C, f+ I 1-. K, me Do AlIt~O i DR .r /< i? N ~ BfZ/1 0 ev '} 'r-f / I h 41 } -- JOB LOCATION ~5 / J;J 8 (CJ FyL/,c:-. PARCEL I.D. # /.:z 0 ~ 3S - 0 oDS- C:. SHOW ALL BJUS"I'DfG &: PROPOSED SftUC'l"URBS G _, p... Q/7 V 0/" .:, ~~ \)~ -",i9 ~ /' 'K~ \) '\ .~~ f'~ ~~ ~ d ttP \~ f''\'i {l~ J:>i.PV i\ 1l (\ {. \'1/ ~~ pDv""" ~ e5 \) 0~ (v ~ ~ "l"-'" \-l--- ~J-' \\.L-- ~v /_J>' \<;) ..'It L-lI'-' v '""7 tl if y' 4'" ~ w....v a.11,L t lo 0'-' \) "'~ V ./' if . 0 "bL>- V ~vD r~ ,{\J 4? o~ . ~ '(\ .) ~-~ .... S / oX ,,~ L ~ \"J'1 ~ ~~ ALLEYWAY ACCESS FO "\ GARAGE OR CARPO - 15 FOOT SETBACK REQUIRED. DlBHSIOHS &: SB'l"BACKS. I'l .~ ~~~~. ,- -- - til' U. ; f) IJ.; ~~\ J vi' I . I' 3y'; J- (gi t-' )- '\ .<:. . .~'o /. . - ~\ \//~' I it .- '-1"- ~ ~ ~ I ~ ~- ~ -t I ~ -. --- ~I '1 .. 1'('1 I (p '-Z UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. 1/ ~ ~ ~ " q FRON PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET fa t-b 111)&. 1. SETBACKS FOR Rl, 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 20r 1 0' 10' 10' EXISTING 10' 1 0 PROPOSED 20'SGL FAM 30' DUPLEX !'ROllI' PROPBRIY LDIB FROII'I' PROPBIl"I'Y L:INB -'".~ APPLlGATION FOR PERKIT CITY OF ZEP8YRBILLS BUILDING DEPARTMENT ~ OWNER'S NAME bit IL (? fYJ... DONAt-D ~ r.~fNC \5-1AO~ONE (~/~) '7 i'rg-1'1t..")~ OWNER'S ADDRESS .~ ') a, ~ <? ~A-~ cA V t. ' ~ 7 6j?... <-? (p+- '" A V CI S I> /0 'f""tJOVSh:P ~ So. I< $1f,J ~e ~ LEGAL DESCRIP'I'ION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' /;J. D:J.3,S- - OOt)S - c- WORK PROPOSED:_New Construction L......Addition ---^lteration JOB ADDRESS ~I E. (OBTAIN FROM. PROPERTY TAX NOTICE) ----..Repair _Install _Sign --1Iove ->>eaolish PROPOSED USE: 1Single F_ily --1I/F _' of Units ---..Jt/H _ec-ercial _Indust. _Swia. Pool _Other ----..Restaurant & Health De artaent Approval // 0 DESCRIPTION OF WORK. C. f ~ N fi . Lit ''-.Ob,'V1 Ii D D -' J D.V 5 , .'$')( 1:.-/ i I BUILDING SIZE: {q. xIS: 4-, ")..1"7 Square Feet, Height 3ZGf RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~UILDIRG $ /'-1-$0,00 Valuation of Total Construction RT.RCTRICAL AIIP Service Florida Power Corp. W.R.E.C. --1IECIIAlIICAL $ Valuation of tlechanical Installation ~UHBING GAS ROOFING TYPE OF CONSTRUCTION: --X-aloclt _Fraae _Steel SPECIALTY c.... ~ /11 C tV" Other FINISHED FLOOR ELEVAnONS: Fr. IS PROJEct IN FLOOD ZONE AREA? L YES NO .......................................... CONTRActOR SECTION' BllTI.DER aJHPANY State Cert. or Regist. . Signature City License Registration . .......................................... RT.RCTRICIAR COMPANY State Cert. or Regist. . SiDDAture City License Registration . .......................................... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... IlECBANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ..................*..**.*..**....*.*..*... OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . ............*............................. APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this perlit .ay be subject to Ideed restrictions I wbich laY be lOre restrictive than City regulations. !be undersigned assUles responsibility for coapliance 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 owner and contractor laY be cited for a .isdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the OIfIler bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections I of this application for wbicb they will be responsible. If fOU, as the OIOler sign as the contractor, you are indicating that JOU, ratber tban the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to pertitting 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 IFlorida's construction Lien Law - lkIIeoImer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsuteI Affairs. If the applicant is SOIeOD8 other than the 'owner', I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to cOlleDceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, loning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas ~ced prior to issuance of a perIIit and that all work will be perfoIJed to .et stanc1ards of all law8 regulating construction, City codes, loning regulations, and land developll8llt regulations in the jurisdiction. I also certify that I understand that the regulations of other govemtental agencies laY 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: t Departlent of EnvirOllll8lltal Regulation - Cypress Baybeads, Wetland Areas and Invirolll8lltally Sensitive Lands, Water/Wastewater Ireatlent t Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health i Rebabilitative Services, Bnvironaental Health Unit - Wells, Wastewater Ireatlent, Septic lants t US EnvirODlelltal Protectiim Agency - Asbestos abateaent I also certify that, if fill laterial is to he used in Flood Zone IAI or 'A,etc.l, it is understood that a drainage plan addressing a lCOIp8D8ating volute' will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it 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 the technical codes, nor sball issuance of a peIlit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becote invalid unless tbe work authoriled by such perlit is cOB8Ilced within slllODtbs of issuance, or if work authoriled by the perllt is suspended or abandoned for a period of sil IOntbs after the tile the work is co.enced. One 90 day 81tension of tile, laY be allowed for the perllt with fee cbarge of $15.00. fbe extension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sil IODth period, or the project will be considered abandoned. WARKING 10 OIlIER: YOUR FAILURE 10 RECORD A NOfICK OF C<HfDCEMBR1' HAY RESULT IN YOUR PAYING DICK FOR lHPROVIIIDIS 10 YOUR PROPERlY. IF YOU IIlIBIID 10 OBIIIN FIUlCING, COIISULI WID YOUR LIIfDIR OR AI AnORm' BIFORE RECORDIBG YOUR BOUCK OF COMMENCEHBNf. JOBS UKDBR $2,500 IN VALUE 00 NOf HED fO RECORD AID POSf A 'NOfICI OF COMMEIfCBllElll'. 7:!::.~tJ{ !~~ SIGJlA!URB: OIOIER OR AGm SIGIfITURIl: COIllRAClOR STAfl OF FLORIDA COUIlIY OF The foregoing instrument was acknowledged before me this , 19____ by SIAD 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 bas produced as identification and wbo did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or StilllPed) NOTARY PUBLIC .S,) c Cl~ ( \20b"'K T ~D fLC( (c{ +loo..Z ,,~ ''''''' R "37 <( ':l f? b tie. Ai(eA.><<.<;: 2PIf 4'1 Yl t. ;f( J t" L -1-\ J~ u -s: \"c\c:iAed11 Lu. tt€~~\;)Rz~ ~'\IA*'...~'tiov 10 do So:. c( ~ "^f 120 u ~e .....15 '" e <> '" f if><.<c(' 0 ^-> b 't At...1: V-. c:, n; (p <P j co", 1"~Y&oI<- (eeAi\I;'Cn # . cJ .~... fu,(\ \.,,-q,\ ~\~~. a "'-. ) I-g I J -7& 6 -7 cr 0"]. 2 ("pt,:r. Ie: (()\r.,1",~ I 3/ 3 "88 1.~7 H'~ <z G Ie '>l..."f ~Cc-rt:- ~-"( Flo\<.;c&c.- CG """ +:j 0+ ~<i. Soc 0 C'L f.) . f'\ b. f'.- -)\.0 e';< '1 ,'-' Q..... eX S " :J'S( ,_, b e-~ ~1' 0 pe. Yh "-" b ':) <C,o. ~) R :fYI~~4~~d W hb ,'s pv.rS()~I~{~ ~ . t;;- r"-lt j -; h , s "dY= c\6:i 6 -F ~""",,- I I "T "i 1- ~ (~ \-... ~)J~sA-- - I\l~T f\ R Y ?I, [51--1 C- - >'1-",. ~ ,W Fh.() ~; d <>.. o DONNA NASCQ NOTARY PUBUC STATE OF FLORID COMMISSION NO. CC37t937 MYCOMMlSSlON EXP. MAy 111998