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Home My WebLink About95-4607 BUILDING PERMIT Permit N"~ CITY OF ZEPHYRHILLS (813) 788-6611 460711 ~ P'OPMy owoe'!f1'-' ~^R- ffr ~ Job Address: ...5 - . Parcell.D. # /1 -;26 -.;J./ - 0 C)/ lJ. J >';2 tJO -... Cl CJ / 0 Date J -9- 9~- ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Mejer: T.I.F.'s: Zoning: ~ZOde: Description of Work . ~ ~ / d Radon Gas: FINAL d-/4- 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. DATE Inspector Permit Fee Signature Company Address Telephone# 1ft - t:/Z) . a/udk- a~jLA- Valuation or Contract Price l,/ tJ -.::.-' , c;tz) City License Registration # State Certified License# t'J}-, .IYLf2.1.- BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Canst. 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. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE PHONE >- - " OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' " i (OBTAIN FROM PROPERTY TAX NOTI~E) " . -/i," ,j ---.-.Repair -1..-Install WORK PROPOSED:_New Construction --"ddition ----..Alteration _Sign --1Iove ->>eJlolish PROPOSED USE: _Single Faaily _KIF _' of Units _KID _ec-ercial _Indust. _Swia. Pool ~Other ---.-.Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: X II , Square Feet, Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERHITS REOUESTED ~BUILDING $ Valuation of Total Construction _ELEC'I'RI.CAL AKP Service Florida Power Corp. W.R.E.C. _KECBANICAL $ Valuation of Mechanical Ins tallation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _Fraae .JL,Steel Other FINISHED FLOOR ELEVATIONS: Fl' . IS PROJECT IN FLOOD ZONE AREAT ~ YES NO ............****.***......**.***..*.****** CONTRACTOR SECTION" DUll.Ilg COKPANY State Cert. or Regist. . Signature City License Registration . *******************************.********** ELECTRICIAN COKPANY State Cert. or Regist. . Sianature City License Registration . ****************************************** PLUMBER COKPANY State Cert. or Regist. . Signature City License Registration . *********.******************************** MECHANICAL COKPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRRR COKPANY State Cert. or Regist. . Signature City License Registration . **.*************************************** APPLICATION APPROVED DY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peIlit laY be subject to "deed restrictions" whicb laY be lOre restrictive than City regulations. Tbe undersigned assllles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake lIOrk, 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 lilY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireleDts laY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for whicb 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 work. 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 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, have been provided with a copy of "Florida's COnstruction Lien Law - 8oIeoIner's Protection Guide" prepared by tbe Florida Departlent of Agriculture and ConsllIer Affairs. If the applicant is SOHODe other than the "owner", I certify that I have obtained a copy of the above described docUleDt and prolise in good faith to deliver it to the "owner" prior to COlleDCeleDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all the inforliltion in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby Iilde to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas COIIeDced prior to issuance of a peIlit and that all work will be perforaed to leet standards of all laws regulating construction, City codes, loning regulations, and land developl8Dt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUSt take to be in cOlpliance. Sucb agencies include but are not lilitec1 to: t DepartJent of Environaental Regulation - Cypress Baybeads, Metland Areas and EnviroDleDtally Sensitive Lands, Mater/Wastewater Treatlent t Southwest Florida Mater HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health' Rebabilitative Services, EnvirORleRtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US InvirORleRtal Protection Agency - Asbestos abateleDt 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 "cOJpeRsating volUle" will be subtitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issuec1 sball be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or Bet 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 perllt issued shall beCOle invalid unless the work authoriled by such peIlit is COllellced within sillOnths of issuance, or if work authoriled by the peIlit is suspended or abandoned for a period of sillODths after the tile the lIOrk is c-.mced. One 90 day utension of tile, lilY be allowed for the peIlit 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 IODth period, or the project will be considered abandoned. WARRING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHDCEIIIIft' MAY RESULT IN YOUR PAYING niCE FOR IHPROVIIIBITS TO YOUR PROPERTY. IF YOU IIft'BJID TO OBTAIN FIIIAIICING, CONSULT VI'1'H YOUR LINDO OR AN AnoRIIY BEFORE RECORDING YOUR NOTICI OF COMMENCEHEIft'. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A wN01'ICI OF C<lllENCIIIEIft'w. SIGIIATURI: COIft'RACTOR SIGNATURE: ODKR OR AGE1ft' STATI OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATI OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19 by who is personally known to me or who has procluced 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) (Naae Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARy'PUBLIC CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER .^ 4__., JOB LOCATION PARCEL I. D. # SHOW ALL EXISTIRG & PROPOSED STRUCTURES GIVDIG DIMENSIONS & SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET / 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' 10' P E R X o I 10' P S o T S I E N D G 10' 20' FRORr PROPERTY LINE FROH"J" PROPERTY LINE