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Home My WebLink About95-4609 BUILDING -PERMIT Permit ~ CITY OF ZEPHYRHILLS (813) 788-6611 460913 Date / - / LJ - 7~- , GIL~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Pmpeny OW"", ~fJ ~L Job Address: 6/ < /~..A ~ 1'2~ Parcell.D. # Water Mejer: T.I.F.'s: Zoning: EZY Code: Description of Work _~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL I'~ 2-3~ t1. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordarce with City Codes and Ordinances. c.o. Inspector tJ City License Registration # State Certified License# a2 ~r Permit Fee r2.. ~ t:/D Signature~~ {,)t':&./~--- Company /J1JI(~ (o'J;l1lIfJJtC ~{')I'JSf/~.J",'('J/~ ':1:..1{..(r Address /(C'/Y.C;; r to tU 1Ut) ~~, Telephone# ?8g- -3 (8~ ' Valuation or Contract Price t I tJ (). or:> !J1t~/ JYL~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final 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. APPLICAnON FOR PERKIT CITY OF ZEPIIYRBILLS BUILDING DBPARTtIERT OWNER' S JWtK /I11~ -.( rn RS A f, t"l vd, , OWNER'S ADDIlBSS r.; 1 C> :l P l. ~. <;~ ~/U7 PHONE JOB ADDRESS -5:4/17 L LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction ~ddition --Alteration ---ltepair _Install _Sign --lIove ---.J)eaolish PROPOSED USE: -5iogle Faaily ---1I/F _' of Units ---1I/H _ec-ercial _Indust. _Swill. Pool _Other --.-..Restaurant &; Health Departaent Approval DESCRIPTIOR OF WORK: BUILDING SIZE: x Square Feet, Height RESIDEIITIAL: COtlKERCIAL : ATTACH (2) PLOT PLARS &; (2) SETS OF BUILDIRG PLANS &; (1) SET EBERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS &; (1) SET ERERGY FORHS. PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION. PERMITS REOUESTED \ I ...l:.-BUILDING ~ $ //0(":' '- Valuation of Total Construction RT.RcrBI.CAL AHP Service Florida Power Corp. W.R.E.C. ----lIECIIAlIICAL $ Valuation of Hechanical Installation ~UKBING GAS ROOFING SPECIALTY . TYPE OF COIISTRUCTIOR: .--.Jloclt _FraIIe _Steel Other FDlISBED P.WOR ELEVAnOIllS: FT. IS PROJECT I.R FLOOD ZORE AREA., YES NO .......................................... CONTRACTOR SECTION RUTT.DER .:~ ~/2 1.2'/111'(,'.. ,.. .:'. '. 'maPARY 5fi'ti? ~ //t:.<~ It' ~Xl:::.AW'-"'..,.'"7 . )J,'. . . - - . State Cert. or Regist. . signatureg}lc'!..:):J/:nVYlS Co,tt.J9~u:1-,c,,'~City License Registration . .......................................... .:L~Y RT.RCTRICIAIlI COMPANY State Cert. or Regist. . SianAture City License Registration . .......................................... PLUMBER COKPARY State Cert. or Regist. . Signature City License Registration . .......................................... tlECllARI.CAL COMPANY State Cert. or Regist. . Signature City License Registration f .......................................*.. OTRRR COMPANY State Cert. or Regist. . Signature City License Registration . ...............*.......................... APPLICATIOR APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'fbe undersigned understands that this perlit lay be subject to 'deed restrictiOll8' wbich lay be lOre restrictive than City regulations. !he undersigned asSUle& responsibility for co.pliance with any applicable deed restrictiODS. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OIRler bas bired a contractor or contractors to undertake wrt, 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 .y be cited for a lisdelleanOr violation under state law. If the owner or intended contractor are uncertain as to what licensing requiruents lay apply for the intended wrt, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the OlOler bas bired a contractor or contractors, be is advised to have the contractor(s) sign portiODS of the 'Contractor Sections' of this application for which 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 lay be an indication that be is not properly licensed and is not entitled to pmitting privileges in the City of Zephyrbills. 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 'Plorida's Construction Lien Law - lReowner's Protection Guide' prepared by the Florida DepartJent of Agriculture and Cons\ller Affairs. If the applicant is SOEOJ18 other than the 'owner", I certify that I have obtained a copy of the above described docWleDt and pr..ise in good faith to deliver it to the 'owner" prior to COIIeDCBleDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infollation in this application is accurate and that all wrt will be done in cOlpliance with all applicable laws regulating construction, Joning, and land developllent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wort or installation bas CDlenced prior to issuance of a perlit and that all wrt will be perfomed to .et standards of all laws regulating construction, City codes, Joning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies lay apply to the intenc1ec1lOrk, and that it is Iy responsibility to identify wbat actions I lust tate to be in COIpliance. Such agencies include but are not liJitec1 to: I Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and InviroDleDtally Sensitive Lands, Water/Wastewater 'freatlent I Southwest Florida Water Hanaguent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses I AIl' Corps of Engineers - Seawalls, Docks, Havigable Waterways t Departlent of Health & Rebabilitative Services, BnvirODleDtal Health Unit - Wells, Wastewater rrealleDt, Septic 'fanks I US InvirODJeDtal Protection Agency - Asbestos abatBleDt I also certify that, if filllaterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan addressing a 'COIpeDSating volUle' will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. . A perlit issued shall 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 perlit prevent the. Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becme invalid unless the work authoriJed by such perlit is co.enced within sillOntbs of issuance, or if work autboriled by the perlit is suspended or abandoned for a period of sillOntbs after the tile the wort is coaenced. One 90 day IlItension of tile, .y be allowed for the perlit with fee charge of $15.00. 'file Bltension shall be requested in writing to the Building Official. An approved inspection JUSt be logged during each sillOlltb period, or the project will be considered abandoned. WARNIIIG 'f0 mfIIIR: YOUR FAILURE 'f0 RECORD A 1I0rICH OF aJlMDCIIlIIft' HAY RlSUL'f III YOUR PIYIIIG !IIICE FOR DIPROVIIIIIl'S 'fO YOUR PROPmY. IF YOU IIII1D 'f0 OB'fUII -FIlWICIIG, COJISUL'I' IUm YOOR WDIR OR III AnORIIY BIFOJIB RlCORDIIG YOUR IIO'IICH OF COMMIIIClHltI'f. JOBS UJlDO '2,500 III VILOB DO lor IfDD 'f0 RlCORD AID POS'f A .HorICH OF aJlMDCIIlIIft". ~ "'12. /) '?'.c' ' " rz;~4iP [C/ ,.<"'~f-/c~~ SIGIA'I'URI: (MIIR OR AGBJf'I' P].--.; _7)LJ., ~~) ?~ ~) ~C-f"G--? ~ ~f:bzb~ SIGIIA'fURB: COIft'RAC'I'OR S'fATE OP F~A COUN'fY OF ~ <!.O The foregoing instrument was acknowledged before me this 'J'A"" JO , 19..iC by 1Vlike. W ~ II , A~ S ~ho is personally known to me or who has produced as identification and who did/did not ~~q,~ Si ture) (Bame Typed, Printed or Stamped) BOTARY PUBLIC ~ STONE ~.:-., JAMES A. \'" Notary Public, State of Florida My comm. expires May 1 S, 1995 CC110274 STA'fE OF ~ coum OF .s:Qo The foregoing instrument was acknowledged before me this ~~, ID. , 19 9r by f11j(e (,J.t II '~m5 who is personally known to me or who has produced as identification and who did/did not ta~~a_~ ~ign ure) - 18---- Typed, Printed or StalpedJ NOTARY PUBLIC P JAMES A. STONE . Notary Public, State of Florida My comm. expires May 16, 19(~5 . CC110274 )'1_/, ,/\ / 1",..'1 /;' <- J OWNER".; / \ ""'f- II i (I .:J , , ' /v I' c~ .,/ '-v . , JOB LOCATION i~.:> I' (; J- 1) A. ~ ~; ~,0/ c/A 1;( 5 ;ri~ PPR- K PARCEL 1.0. # SHOIf ALL BUSTING. PROPOSED STRUCTURBS GIVING DIHBNSIOHS . SB'l'BACItS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. 1 ( ..' UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 10' . P E R X 0 I ! 10' P S 10' 0 T 1 O' S I E N D G 20' ~ PROPBRTY LINB PERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' FRONT PROPBan LDtB