The URL can be used to link to this page

Home My WebLink About95-4734 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 788-6611 4734.8 Date r:2 - ;)6--'1'; (9) ELECTRICAL PLUMBING p,"p"tyown.'jL~;~L~ W' Job Address: A Parcell.D. # MECHANICAL Sewer Conn Water Conn: .J- ~ 97 Water Meter: T.\.F.'s: Zoning: Energy Code: . Description of Work ~ --- x!7 ~ /' Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL3~7" DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector Permit Fee .;;L tfJ .~') Signature ~ ~ ,~ Company Address Telephone# Valuation or Contract Price .3 lJ7::> . PO City License Registration # State Certified License# ~NUA- BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 ZEPHYRBILLS BUILDING DEPARTHEH"l' OWNER G ~ _...-~ ,A ~ ~ JOB LOCATION '~'1i1t' ~t.l~ f>!( t9- ~~ 9',7 PARCEL I.D, # PROPOSED STRUCTURES GIVDIG DIHEHSIOHS & SETBACKS. SHOW ALL BnSTIlfG & ;;;~~~ ~~~J..~)~t -t', 2~ ~-Hf ':e..~-;e., .J ~ 7~~?~~r- ,! 0---1-,: _.. }2CJ[~,\" ) r- ~ t_ ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED, r f, Eli 'r' .^ I -,.- '\ c I,' ': L~, ~'< in) ::;'''. J) --,1 r . -~-~-'-~i""""- ", / f , 1!1' " \' 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' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' FRORI' PROPERTY LDtE FRONT PROPERTY LINE APPLICAfiON FOR PERKlT CITY OF ZEPIlYRBILLS BUILDING DEPAR'l'HEHT OWNER'S RAHE /~.I~~_ /3 d ~~ PHONE /-J'/3-7RY. ~/3 OWRER'S ADDllESS .~g1t/J !!psrit:. .6uf-~f?t~, ~/. 33~Y() JOB ADDRESS :ft67t// C If's1/C f....,I. f)7I'd7~ y/ 33.S"'fO , , LEGAL DESCRIPTIOIi: LOT(S) B~SUBDIVISION PARCEL LD.' (OBTAIN FROM. PROPERTY TAX NOTICE) WORK PROPOSED :~ew Construction ---!addition ~teration .-Jt.epair _Install _Sign /Hove ->>eaolish PROPOSED USE: ~iogle Faaily ------"'F _' of Units .--.J'I./ H _ec-ercial _Indust. _Swia. Pool _Other ~estaurant Ii: Health Departaent Approval DESCRIPTIOII OF WORK: BUILDIRG SIZE: x ~uare Feet t Height RESIDEIJTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW COIiSTRUCTION. PERHITS RROUESTED -BUILDING $ valuation of Total Construction RI.RCTRICAL AIIP Service Florida Power Corp. W.R.E.C. .-JIECBAIIICAL $ valuation of Mechanical Installation .-J'L1IIBDiG GAS ROOFING SPECIALTY TYPE OF COIISTllUC'fiOIl: ~1ock _Fraae _Steel Other Fl. IS PROJECT IN FLOOD ZONE AREA? FIRISBBD FLOOR BLBVAfiOIlS: YES NO .......................................... CORTRACTOR SECTION RIITT.DER COMPANY State Cert. or Regist. . Signature City License Registration · .......................................... IU.RCTRICIAII COMPANY State Cert. or Regist. . SignAture City License Registration' .......................................... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... MRCllAHICAL COKPANY State Cert. or Regist. . Signature City License Registration . .......................................... IlTIIRR COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS De undersigned understands that this penit Jay be subject to Ideed restrictions I whid Jay be lOre restrictive than City regulations. !he undersigned assuJes responsibility for CCIIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ,oWner has hired a contractor or contractors to undertake wort, they'.ay' be required to be licensed in' accordance lith state and local regulations. If,the contractor is not licensed as required by law, both.the owner and contractor JaY be cited for a .isd_anor violation under state lal. If the oWner or intended contractor are untertaln as to what licensing reguirHents JaY apply for the intended wort, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611. ., . .. FurtheIlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the RContractor Sections I of this application for whid 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 wort. If the contractor wioes you to sign as contractor that Jay be an indication that he is not properly licensed and is not entitled to peraitting privileges in the City of Zephyrhills. 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 IFlorida's Construction Lien Law - lbIeoImer's Protection Guidel prepared by the Florida Departlent of Agriculture and ConsUIeI Affairs. If the applicant is SOI8ODe other than the RownerD, I certify that I have obtained a copy of the above described docuIIent and proaise in good faith ~ ~iver it to the Downer I prior to c~ceaent, . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforJiltion in this application is accurate and that all wort will be done in coapliance with all applicable laws regulating construction, loning, and land develoPEDt. Application is hereby aade to obtain a peIlit to do work and installation as indicated. I certify that no wort or installation has CDlenced prior to issuance of a penit and that all wort will be perfoIJed to lleet standards of all laws regulating construction, City codes, loning regulations, and land develo(lElt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveI'Dlelltal agencies JaY apply to the intended wort, and that it is ay responsibility to identify Ihat actions I aust take to he in coapliance. Sud agencies include but are not lillited to: I Departaent of EnviIOllleDtal Regulation - Cypress Bayheads, Wetland Areas and Envirollllentally Sensitive Lands, Water/lfastewater 'I'reablent I Southwest Florida Water Hanaqeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Aray Corps of Enqineers - Seawalls, Docts, Kavigable Waterways I Departlent of Health i Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater 'I'reablent, Septic 'I'ants I US EnviIOJ1l8l1tal Protection )qency - Asbestos abateaent I also certify that, if fill Jaterial is to be used in Flood ZOne IAI or lA, etc. I, it is understood that a drainage plan addressing a ICOlpeDSating vol.1 will be sublitted whid is prepared by a prOfessional engineer registered in the State of Florida prior to peIlit issuance. A penit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perIIit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued shall lIecme invalid unless the wort authorized by sud perait is co.enced within sillOnths of issuance, or if wort authoriJed by the perIIit is suspended or abandoned for a period of sillODths after the tiae the wort is COMenced. One 90 day atension of tille, Jay be allowed for the perlit with fee charge of $15.00. 'I'he atension shall be requested in writing to the Building Official. An approved inspection aust be logged during each sixlODth period, or the project will be considered abandoned. WARlIIG 'l'O ovm: YOUR FAILURE 'l'O RECORD A KarlCB OF aJIIIDCBIa'l' MAY RESOLT II YOUR PAYIIG !lIICB FOR IMPROVIIID!S '1'0 YOUR PROPER'J'Y. IF YOU IIIDD '1'0 OB'l'AIJI FIIBCIIfG, COIfSOL'I' WID YOUR LODER OR All A'l"l'ORIIY BlFORE RECORDllfG YOUR IfO'l'ICB OF CONMEKCEMD'J'. JOBS lJIfDBR $2,500 IK VALUE DO Kar JfDD '1'0 RECORD AND POST A -KarICB OF aJlHDCBIIEIf-. SIGIfA'l'URB: CMIBR OR AGm SIGIfA!URE: COJI'l'JIACfOR STATE OF FLORIDA coum OF The foregOing instrument was acknowledged before me this , 19_ by S'I'ArE OF FLORIDA coum 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