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Home My WebLink About94-4445 BUILDING PERMIT No Permit '. CITY OF ZEPHYRHILLS (813) 788-6611 _ 4445)6 II-/!- 71 Date c;~ E~-" P~-' ~.SewerConn ~:::~~~~:~e'/~tm ~t~1:- OOZU Zoning' . ,Energy CO.d. e. :g:.. Radon Gasj_ De,.,i."on of ~i; A?I!Jf/~p T #-Zjft:'r~e' Water Conn: Water Meter: T.I.F.'s: co-!, ~ FINAL / J-- / '-f - 9 DATE NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordarce with City Codes and Ordinances, c.o. InspectorQ Valuation or ~ _ -:,; iI_ Contract Price ~ ~ t;J. Permit Fee ?- d/)' Signature i/' Ivl.-~/ Company Address Telephone# ~i J' '7'& J" l{(., 1/ 00 -- ~ /JJiIc-,,-< City License Registration # _________ State Certified License# _------ c:3i J , tn'J1.-< ~~/) / ........ BUILDING ELE~ -- PLU~" .--- ME~ 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. CITY OF ZEPIIYRUILLS BUILDING DBPARTMBNT "7 /' ~1 OWNER / X-.f./\ J;J( L" ~~..//)13 ," JOB LOCATION 3 7' dO 7~9Q/J(_/J,? PARCEL 1.0. # SHOW ALL EXISTING &: PROPOSED STRUCTURES GIVING DIHKNSIOHS &: SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT 15 FOOT SETBACK REQUIRED. ~< \\ ;( ~\ ~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MA'l' I ON . J ~.~--- wlm; i:.- f f/:) ~(/A.E tJT v~,.-~ I <) ( -" .,.. \.V --;_ oLd A>0Le- f''f-12-T,. c_ L,^ ~-c-'< ~~tD )\J~' ./ rO\ r-------'--.. .. f ( I I I 0 I. (; r o lei iT1~ I ! \ ';'1) s1 ~(;" I , p-C.J \~ 'I -- -~----~---------..Jl I .' ,(! Ji f''' ' i CS)..I : ! --.' ^ 11'1 !';;t , 1.)D FRONT PROPERTY LINE '3 9~cJ9 ~AI Cih , STREET APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME J ~ fl A-J 01 E.. 11Th.I'KJ S. PHONE 'lfn,- '1~3' ~ ) I OWNER'S ADDRESS ~ OJ ;t. 0 '1 ;? fin J" 01 fl. JOB ADDRESS :s '1?-...o q //l/1k dt2. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' I;;L.- ';;l..G,. - 2/ -00.30 ,- QO C. 00 - oCJq 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: v--New Construction _Addition ---Alteration _Repair _Install _Sign -'love _DeIIOlish PROPOSED USE: _Single Faaily _KIF _, of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: p/?( UA-c..j;I. Pc-Nee.- 10 /IfT BUILDING SIZE: x 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 FORtIS. PROPERTY SURVBY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ ;$ 6-'~ ~ Valuation of Total Construction _ELEGTRlCAL .AIIP Service Florida Power Corp. W.R.E.C. _KEGIlANlCAL $ Valuation of tlecbanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUctION: _Block _FrDe _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECf IN FLOOD ZONE AREA? YES NO .......................................... BUILDER Signature f~uU C' CONTRACTOR SECTION' GOtIPAHY 7-/0111 c: 0(....0.) -e /<- State Cert. or Regist. , ~~~ City License Registration , .......................................... RI.RCTRlCIAB COMPANY State Cert. or Regist. , SiRoAture City License Registration , .......................................... PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration . .......................................... MECHANICAL COMPAHY 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 The undersigned understands that this petlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES 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 lisdeIeaDor violati9n under state law. If the owner or intended contractor are uncertain as to what licensing requirelents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections I of this application for wbicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign as contractor that lay be an indication that be is not properly licensed and Is not entitled to perlitting privileges in the City of Zepbyrhills. 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 - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other tban the "owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in goo4 faith to deliver it to tbe "owner" prior to cOllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas CDIIeDced prior to issuance of a perlit and that all work will be perfotled to leet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDlental agenCies laY apply to the intended wort, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Soutbwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic lanks t US EnviroDleDtal Protection Agency - Asbestos abatelent 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 "COlpensating volUle" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued sball be construed to be a license to proceed witb the work 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 frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery petlit issued shall beCOle invalid unless the work authorized by such petlit is cOlleDced within sil IODthS of issuance, or if work authorized by the perlit is suspended or abandoned for a period of slllODtbs after the tile the work is c~ced. One 90 day l!ItensioD of tile, lily be allowed for the petlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OIIHER: YOUR FAILURE TO RICORD A N01'ICI OF COMMENCENm MAY RESULT IN YOUR PAIIHG TWICE FOR IHPROVIMIIt'S TO YOUR PROPIlRTY. IF YOU IITIIID TO OBTAIN FIIWfCING, COMSULT WITH YOUR LIIIDIR OR Alf AnORNIY BIFORE RlCORDIMG YOUR 1I001ICE OF COMHENCIHBN'f. JOBS UNDIR $2,500 IN VALUE DO MOT NIID TO RICORD AIID P081' A "NOTlCI OF C(JUDCIHIU". SIGMATURI: OWIfIR OR AGIIIT SIGMATURI: COITRACTOR STATI OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATI OF FLORIDA COUNTY 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