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Home My WebLink About94-4490 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788-6611 _ 4490~ I/-~ '3 - 'jlj Date ~~ EL~t. PL~. ~ Sewer Conn Zoning: ::::::,~,:ne' ~~-/I;; '::';7'- Sf of:-- Parcell.D. # () 2 - 21P - -4/-lJ /( [J .- (?OOOV - 0,450 ~ Ra?J~n Gas: :... 90 ~ f::.r ~~r- Water Conn: Water IIt1.!lJer: T.I.F.'s: Energy Code: C-- ~ A ~A-.Jou' ~ ~. Description of Work NO OCCUPANCY BEFORE C.O. FINAL C.O. 1- c'5 ) - DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordarce with City Codes and Ordinances. DATE Inspector Valuation or it.. OG> Contract Price {r' ~ 1)00' - Permit Fee -, ,)0, ~ City License Registration # /'" ~ -- Signature Company Address Telephone#""'--.7 <6' 2. ~e<@ed Ucense# l~ .t<!7?Vi ~ILDI~ ~:~s~2~,Ll- Lintel FRM. I 2..... ZJ,/ 'rtt iit..J7 (J Insul. CL WL c S-f!;'S- EL~ PLUMB~ -- MEC~L Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway ~~\2:2J-i'l ~ 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. Q - "Lj.'),~G- ! OU ;/ ~1l2..\G II itul~~ i I rn ~t\ANilfU....- I 60810 TfrL- j (j{ 1l..D II .- to /Itl- 1'1 .--r--- , ._ (oM- LoUL- i! ~ I 'VI1L.>Jtrnty.J ~ 31000 --00 4:> < rJA- \!J I 45. vD 'I il : LW",HUfiW r~6 6&J6-~ \ J Wlt-r~~ ! N M\if~ -It; -n~ L ~A-i)w ~ 90 2. 7:> , i ! 'fa ...,/1 ~ 00 -5/l f1;, II) I. i 7~6PDa.rm7{)rJ lMmLT ff..f.- s !I III 1'1 II I~L ~l7,'bU I , ! tift I I q ~l M: i-lv'vJtJ /Ot;)~ K 2-1JO ~'1' F~ oTI"t1l.lL ~ CITY OF ZEPHYRHILLS OWNER '/ h tl" 4. .:; ~ (0 J ..Q JOB LOCATION C / ? 0 /'/ /I; _5"r BUILDING DEPAR"l"MENT Z ~JJ ~ .. PARCEL 1.D. # SHOW ALL EXISTING 6: PROPOSED STRUC"l'URES GIVIIIG DDlENSIONS 6: SETBACKS. /').() ) ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. - ~ tV <:) \; :v' 'f- t! ":l (,t', tr " ,( " lJ ....... ---- ,/""-: I ~v !' / ) hi,;":', ,_ ..".'. ' r- .. ,- 1\ __ . /'" .. ~IS)~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ,----- ~ 2i! FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FROJr.r PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' FRON".r PROPER"l"Y LINE {~~-~ (}yt jv APPLICATION FOR PERKIT It' CITY OF ZEPHYRBILLS \- I ~.,C) ~ BUILDING DEPARTMENT II ~ ' .- - tJiJ? \2-\""' ~"O - . fJA ~1 OWNER'S NAME ~,." 4 S OWNER'S ADDRESS ? I '3 C; JOB ADDRESS ~I ~O ;: CeJ Ie PHONE 7<K:2 C~g' r- 17'tf t::'f. 2 elPI;j' rh ~fj ~ I? d s r L -e /.;)It y .,.hI J.J... $ #- ~ S- BLOCK SUBDIVISION ~ ~k Mil Sulx/, . LEGAL DESGRlPTION: LOT(S) PARCEL I. D.' () 1. - ':1 C, -:;./ - 0 I R 0 - 0000 0 - 0 :z j- 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~New Construction _Addition ----...Alteration _Repair _Install _Sign ----Kove _Deaolish PROPOSED USE: -x"Single Faaily ----KIF _' of Units _M/H _eo..ercial _Indust. _Swi.. Pool _Other ~estaurant & Health Depart.ent Approval DESCRIPTION OF WORK: rVCA. r11 e (;Q.. v- a J -e BUILDING SIZE: 1'-1) X ~ ~ \ . 30 Sf Square Feet. /1-. 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $iO(}().. 0 0 Valuation of Total Construction _ELECTRICAL AtIP Service Florida Power Corp. W.R.E.C. _HEGIIAIIICAL $ _Valuation of Mechanical Installation _PLmtBING GAS 1f5 Ph. ROOFING TYPE OF CONSTRUCTION: _Block XFraae _Steel SPECIALTY Other FINISHED FLOOR ELEVATIONS: PT. IS PROJECT IN FLOOD ZONE AREAT J:L- YES NO ****************************************** BUILDER ~;:5~ . CONTRACTOR SECTION GOKPANY ~~ (U~.PJL.,) State Cert. or Regist. , City License Registration , ****************************************** Signature ELECTRICIAN COMPANY State Cert. or Regist. , City License Registration , **********************.***.******...*..... SiDnAture PLUMBER COMPANY State Cert. or Regist. , City License Registration , .**..........*......*.*..*...*..........*. Signature MECHANICAL COMPANY State Cert. or Regist. , City License Registration , *.....*.**......*....*.....*............*. Signature OTRRR COMPANY State Cert. or Regist. . City License Registration . ***....**...*....**.*.*.***...***....*.... Signature APPLICATION APPIIOVIlD BY ~ ~ :1J ~) ~~\ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT ~-- -, A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to wdeed restrictionsw Ibich lay be lOre restrictive than Citi regulations. tbe undersigned assUles responsibility for cOlpliance lith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertale IOrk, 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 IlaY be cited for a lisdeJeaDor violation under state lal. If the owner or intended contractor are uncertain as to Ibat licensing requirelents laY apply for the intended IOrl, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of tbe BContractor Sections. of this application for Ibich tbey will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather tban the contractor, are responsible for the IOrk. If the contractor lisbes 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 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 litb a copy of wFlorida's Construction Lien Law - BoIeoIner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOleOlU! other than the .0wnerB, I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the BownerB prior to cOll8nceJeDt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all IOrk 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 lork or installation has cOlleDced prior to issuance of a perlit and that all lork lill be perfoIJed to leet standards of all lals regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies laY apply to tbe intended IOrl, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: . Departlent of HnviroDl8Dtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDleDtally Sensitive Lands, Water/Wastewater Treatlent · Soutbwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health & Rebabilitative Services, HnvirOOl8Dtal Health Unit - Wells, Vastewater Treatlent, Septic 'anks · US HnvirODleDtal Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood ZOne WAW or "A,ete.B, it is understood that a drainage plan addressing a .cOlpensating VOlUleB will be subtitted wbicb 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 litb the IOrk and not as authority to violate, cancel alter, or set aside any provisions of tbe 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 becoIe invalid unless the IOrk authoriled by such perlit is cOll8nced within sil IODthS of issuance, or if IOrk authorized by the perlit is suspended or abandoned for a period of sillOntbs after the tile the IOrl is cu.enced. One 90 day 81tension of tile, lay be allowed for the peIlit with fee charge of $15.00. Tbe 81tension sball be requested in Iriting to the Building Official. An approved inspection lUst be logged during each sillOnth period, or the project lill be considered abandoned. WARNING TO OVIHR: YOUR FAILURIl TO RiCORD A NOTICE OF COMMDCIIIINf MAY RiSUL' IN YOUR PAYING !VICK FOR IMPROVIMDl'S TO YOUR PROPERTY. IF YOU INfIND TO OBTAIN FIIlAlfCING, CONSULT VITH YOOR LINDHR OR AN AnoRIlY BIFORi RiCORDIHG YOUR HOTICI OF COMMlHCBMENf. JOBS UNDIR $2,500 IN VAWI DO lOT NEID TO RECORD AND POST A BNOTICE OF COMMDCEIIINf.. ~~rU?- 'SIGNATU~IlR OR AGENT SIGNATURIl: CONTRACTOR STATIl OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE 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 wbo did/did not take an oath. who is personally known to me or who bas produced as identification and who did/did not take an oath. (Signature) (Name 7yped, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC