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Home My WebLink About94-4484 BUILDING PERMIT Permit N,!>> CITY OF ZEPHYRHILLS (813) 788-6611 _ 448415 /1-:;1 ~-7r ~ Date Zoning: ~Ai. ~. :::::;,~,:ne' ,_~<<~~~) Parcel I.D. # ./ J - ,~. t., -..:J 1- DOl D .- D..:s--/-ot) - 0 i)9/)- /() Ener~ode: ? RadonGJf P--- ~ I ;"dj...,e ell ~~4,v \::rl~!.<_ -MEeRANICAL Sewer Conn Water Conn: Water Meter; T.I.F.'s: Description of Work NO OCCUPANCY BEFORE C,O. FJNAl-R-~ ZC;- Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordarce with City Codes and Ordinances. DATE c.o. DATE Inspector Valuation 0~4 6 -0' ~) Contract Prrce ~ Permit Fee .~ ~,' , vL Q.AA-. I City License Registration # State Certified License# c..:-- _______ 0Y;mu"HJ~~1 BUILDING --- Signature Company Address Telephone# t/ 7 tj,;( ! 6 (~ ,9 ELE~ ./ Tp. Servo Rough In Meter Can PLUMtfrNG ~ M~~ ..........- Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final Const. Pole Pool Pre-Meter 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 ~!,PIIYRID:LLs BUILDING DEPAR'1"IIENT OWNER ~,,~cf ~ .l,C' JOB LOCATION 3 8 (P;] 7 / / a./L...'-<-. 1/- c2C: -2) - otJlo- tJS/tJO - CJ 0 9tJ _ /0 PARCEL I. D. # ~ SHOW ALL ED:S"l'DIG & PROPOsED S"l'RtJennuts GIVDIG DDtERSIllRS & SE'1'BAcKS. {,tJ L/ I IIIG'f/ C f! /-1 / /J / ( tJ/{, /::---~ pc2./~ ~ ALLEYWAY ACCESS F~ GARAGE OR CARPORT ~ 15 FOOT SETBACK ~ REQUIRED. ~ \ ~ ~ ~ r -- ).-- ..s> "'x ... [J ~y /0 .:3 ' tj'~ fe UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. r ~- ~ \ -rS\ '" i '\\\ t Th. ':::', I Lit) ~- ~ " ~ " . ,\ , ..... I ~, --Q~ PROPERTY LINE (NOTE EXAMPLES 1 & 2)~ STREET 1. SETBACKS FOR Rl, R2 ZONING 60' J if d.., ~T 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' 1 0 PROPOSED 20'SGL FAM 30 'DUPLEX FROlft" PROPERTY LZHE FRoIrr PROPERTY LIME APPLICATION FOR PERKIT CITY OF ZEPIIYRDILLS BUILDING DEPARTHENT OWNER · S N.AIIB PHONE OWNER' S ADDBBSS JOB ADDRESS LEGAL DESCRIPTION: I.OT(S) BLOClL--SUBDIVlSION PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-Hew Construction --Jddition --Alteration ---..Repair _Install _Sign ---.JIove -Peaolish PROPOSED USE: -Bingle F_ily ---Jt/F _' of Units ---Jt/B _~ercial _Indust. -Bwia. Pool _Other Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDEIITIAL: cotIMERCIAL : AnACB (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ArlACB (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUI.RED FOR ALL NEW CONSTRUCTION. -BUILDING $ . PEmuTS .REOUESTED . i1 () h 50 .- Valuation of T~tal Construction RT.~crJUCAL AIIP Service Florida Power Corp. W.R.E.C. --.JIEClWlICAL -...PLUHBING $ Valuation of lIechanical Installation GAS ROOFING SPECIALTY . TYPE OF COISDUcnON: ---..B1ocIt -Prue _Steel Other FlllISBBD PI.OOIl ELEVAnOIS: Fl. IS PROJECT IN FLOOD ZOIE AREA! .......................................... YES NO . . .' CONTRACTOR SECTION . .., .~ ~ . ) pml.DRR, .,~. .' . 'eldHPAIIY -" rYm-i. r;w.J7J~/1/. . {State Cert. or Regist. . Signature. ~r<[ - ...L-<-- City License Registration . ~ ........ ................................. RT.RCTRIC1M4 COMPANY State Cert. or Regist. . SiDnAture City License Registration . .......................................... PLUMBER. COKPANY State Cert. or Regist. . Signature City License Registration . .......................................... IlECBART~ COKPANY State Cert. or Regist. . S1goature City License Registration f .......................................... OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS tbe undersigned understands that tbis penlt lilY be subject to "deed restrictions" wbieb lilY be lOre restrictive than City regulations. !be undersigned assUIeB responsibility for COIpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe OImer bas hired a contractor or contractors to undertake wrt, tbey lilY be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by lu, botb tbe mmer and contractor lily be cited for a aisdeaeanor violation under state law. If tbe 0IfI18I or intended contractor are uncertain as to wbat licensing requireaents lilY apply for tbe intended IIOrt, tbey are advised to contact tbe City of Zepbyrbills Building Departlent, (813) 788-6611. Furthel'lOre, if the OImer bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of tbe "Contractor SectiODSi of tbis application for wbieb tbey will be responsible. If you, as tbe OlDer sign as the contractor, you are indicating that you, ratber than the contractor, are responsible for the work. If tbe contractor wisbes IOU to sign as contractor that lily be an indication that be is not properly licensed and is not entitled to peraitting privileges in tbe City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law - lIoIeoImer's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If tbe applicant is 80180I18 otber than the "mmerlt, I certify tbat I have obtained a copy of the above described docuIent and proaise in good faitb to deliver it to tbe IImmer" prior to ~ceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforaation in tbis application is-accurate and tbat all tIOrk will be done in COIPliance witb all applicable law. regulating construction, loning, and land develo.-ent. Application is berebyaade to obtain a peIlit to do IIOrk and installation as indicated. I certify tbat no tIOrt or installation bas CDlenced prior to issuance of a penit and tbat all wrt will be perfOIJed to l8et .tandards of all Ins regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdictiCll. I also certify tbat I understand that the regulations of other govl!11ll8lltal agencies lilY apply to the intended IIOIk, and that it is ay responsibility to identify trhat actions I lUSt tate to be in coapliance. Sueb agencies include but are not liaited to: t Departlent of EnviIOlll8lltal Regulation- Cypress Bayheads, VetlandAreas and Envirolll8lltally Sensitive Lands, Vater /Vast81fater !reatlent t Southwest Florida Vater Manageaent District - VeIls, Cypress Baybea4s, Vetland Areas, Altering Watercourses t AllY Corps of Engineers - Seawalls, Docks, lavigable Vatenays t Departlent of Health i Rehabilitative Services, Environaental Health Unit - Vells, Vast81fater 'l'reatlent, Septic 'l'anks t US Invironaental Protection Agency - Asbestos abateaent I also certify that, if fill aaterial is to be used ill Flood Zone II." or ".,etc.", it is understood that a drainage plan addressing a "COI(Ien88ting voluae" will be sublitted wbieb is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. . . A perait issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or Bet aside any provisions of the technical codes, nor shall issuance of a perllt prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall beCOle invalid unless the IIOrt authoriled by sueb penit is COII8Ilced within sillODtbs of issuance, or if work author lied by the perlit is suspended or abandoned for a period of sil IODtbs after. the tile the IIOIk is ~ced. One 90 day atension of tile, lilY be allowed for the penit with fee ebarge of $15.00. 'l'be atension shall be requested in writing to the Building Official. In approved inspection lUSt be logged during eaeb sillODth PeriOd, or the project will be considered abandoned. WARRING 'fO (MIl: YOUR FAILURE 'fO RlCURD a. 10'l'lCE OF COIIIBtfClllBllf MAY RlSUL! IN YOUR PAYING nICE FOR IMPROVIIIII'l'S 'fO YOUR PROPIR!Y. IF YOU III!IIID 'fO OB'IllJI ilullCIKGiCOlSUL'l' VIR _ LIIIDIR OR IIlftOR11Y BIPOIII RICORDIHG YOUR DICE OF C(JlllIIClHBtI!. . JOBS UllDIR '2,500 111 VALUE 00 IIO! RIID ro RICORD IIID POS! I 'IIO!ICE OF CCJE(CIMIII!I. _;;.:0- SIGIfA'IURI: comAC'fOR SIGJIA'IUIII: (JIJBR OR IGIlII SUTE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by. SU!I OF FLORID. coum OF The foregoing instrument was acknowledged before me this , 19_____ by wbo is personally known to me or wbo bas produced as identification and who did/did not take an oath. wbo is personally known to me or who has produced as identification and who did/did not take an oQth. (Signature) (Na.e Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC