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Home My WebLink About95-4858 BUILDING PERMIT , . CITY OF ZEPHYRHILLS (813) 788-6611 No Permit ". 4858 A Date '/ - I fY.-- '} i:J~ ~) ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Pmpe"v Owneco_ czJ~~ Job Address: 6 /3 __-e_ __ Parcell.D. # 1/ - c'26 -d/, 0 0/ t) - ./ ?....s'eJ 0 - 0 iJJ cJ Water Meter: TI.F.'s: Zoning: Energy Code: Description of Work /;L X ~CJ ~ P Radon Gas: NO OCCUPANCY BEFORE C.O. FINAl-J ' C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee :2~"""e cr-U Signature Wc...y-- LJ?~ Company Address Telephone# Valuation or Contract Price ~.2., tJ7rzy - t:TD City License Registration # State Certified License# {/"),-tJn aA BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. -" h,......"......_*'_"'~"...,.,...,.-,...,'.':~<._.". .."'"~.."'7,,....."1-T'"'""".....-. . APPLICATION FOR PERMIT CITY OF ZEPIIYRIIILLS BUILDING DEPARTHEI1T " OWBER'S rwm W)<f't"v'L [Jv-/!-t:r'-r'......(d PRONE 7 'to . 7~()/ OWBER'S ADDIlESS S-/ J I &1'11/ 0/& JOB ADDRESS S-! J I 0--.-1 (( [J Iv' LEGAL DESCRIPTION: LOT(S) / /, .2. (. -2, ( BLOCIL-SUBDIVISION PARCEL LD.' OO{O _/~$"o(J - aaJo (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction -...Addition ---..Alteration --Jlepair ~Install _Sign -.JIove _Deaolish PROPOSED USE: ~ingl.e Faaily --lt/F _' of Units --lt/H _~rcial _Indust. _Swia. Pool _Other ---.:Restaurant &: Health Departaent Approval DESCRIPTIOII OF WORK: BUILDING SIZE: p.... X 20 . ~uare Feet. 2 'I~ Height RESIDEIITIAL: ATTACH (2) PLOT PLABS &: (2) SETS OF BUlLDIIIG PLAIIS &: (1) SET EBERGY FORKS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLAIIS &: (1) SET EllERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ----.J)UlLDING $. 2,~ Valuation of Total Construction RI.RCTRICAL ~ , AIIP Service Florida Power Corp. W.R.E.C. ~CAL $. Valuation of llechanica1 Installation - ~UMBDfG GAS ROOFDIG TYPE OF COIISmUCTIOII: _Block _FraIIe _Steel SPECIALTY Other FDIISIIED FLOOR ELEVATIOIIS: Fl. IS PROJECT III FLOOD ZOO AREA? YES NO ****************************************** COIITRACTOR SECTION BIJTI.DER COIIPAIIY . ~ State Cert. or Regist. . G.J ~ A~ City License Registration . *************....**..*..**.*************** Signature RI.RCTRICIAII COHPAIIY State Cert. or Regist. . SiDnAture City License Registration . ********************************.********* PLUMBER COKPANY State Cert. or It.eaist. . Sigoature City License It.egistration . ****************************************** IlECllABICAL COMPANY State Cert. or Regist. . Sigoature City License Registration . *******.**********..********************** OTRRR COHPAIIY State Cert. or Regist. . Sigoature City License Registration . *.**********.*****.*****************.***** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that tbis pemit lilY be subject to 'deed restrictions' which lilY be lOre restrictive than City regulations. the undersigned ass\lle& responsibility for COIpliance ,itb any applicable deed restrictions. '. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe OlDer has hired a contractor or contractors to undertake IOrk, they JaY be required to be licensed in accordance ,itb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe mmer and contractor lilY be cited for a lisdelll!anor violation under state law. If tbe owner or intended contractor are uncertain as to ,bat licensing requir8lellts lilY apply for tbe intended work, tbey are advised to contact tbe City of Zephyrhills Building Departlent, (813) 788-6611. FurtbeIlOre, if the OIner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for which tbey ,ill be responsible. If you, as tbe owner sign as tbe contractor, you are indicating that you, rather than tbe contractor, are responsible for tbe IOrt. If tbe contractor wishes you to sign as contractor tbat lilY be an indication that he is not properly licensed and is not entitled to perlitting 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, tbe applicant, bave been provided ,itb a copy of 'Florida's construction Lien Law - lkIIeoImer's Protection Guide' prepared by tbe Florida Departlent of Agriculture and Conslller Affairs. If tbe applicant is SOMODe otber than the 'owner', I certify tbat I bave obtained a copy of the above described c10cUIent and pI'Olise in good faitb to deliver it to tbe "OIIler' prior to co.enCl!lll!Jlt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify tbat all the inforlation in tbis application is accurate and that alllOrt ,ill be done in COIpliance ,itb all applicable laws regulating construction, loning, and land developlellt. Application is hereby Jade to obtain a peIlit to do work and installation as indicated. I certify that no IOrt or installation has CDlencec1 prior to iBSuance of a pemit and that alllOrk ,ill be perforJed to leet standards of all laws regulating construction, City codes, loning regulations, and land develO(llellt regulations in the jurisdictioo. I also certify tbat I understand that tbe regulations of otber goverDllental agencies lilY apply to the intendec1work, and that it is If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not liaited to: t Deparbent of Envirolllelltal Regulation - Cypress Bayheads, lIetland Areas and Envirolllentally Sensitive Lands, lIater/Vastewater !reatlent t Soutb,est Florida lIater Hanag8lellt District - IIells, Cypress Bayheads, lIetland Areas, Altering lIatercourses t lIlY Corps of Engineers - Seawalls, Docks, lavigable lIaterways t Departlent of Bealtb & Rehabilitative Services, BnvirODllUltal Bealtb Unit - lIells, Wastewater !reatlent, Septic !aub t US InviIOllllental Protection Agency - Asbestos abatellellt I also certify that, if filllilteriaI is to be used in Flood Zone 'A' or 'A, etc. " it is understood that a drainage plan addressing a 'COIP8nBating volUle' ,ill be subaitted which is prepared by a professional engineer registered in the State of Florida prior to pemit iBSuance. A perlit issued shall be construed to be a license to proceed ,itb the IOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent tbe Building Official fI'Ol thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall becc.e invalid unless the IOrk authoriled by such peIlit is COII8Ilcedllitbin s1llOnths of issuance, or if IOrk authoriled by the peIlit is suspended or abandoned for a period of sil IODths after tbe tile the IOrk is ~ced. One gO day stension of tile, IilJ be allowed for tbe pemit ,itb fee charge of $15.00. !be stension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IODtb period, or tbe project ,ill be considered abandoned. IfARlUIfG '1'0 OIIIIR: YOUR FAILURE to RECORD A 1000ICE OF CCJlIIBICIIlm HAY RISUL! II YOUR PAYIHG filCE FOR IHPROVIIIIIIIS to YOOI PROPER'lY. IF YOU IJI!BII) '1'0 OB'IIIJI FlIlAlCIIG, COISULr III!H YOOR LBIIDIR OR II AnORDY BI10RB RICORDIJIG YOOI 1000ICB OF aJlHDCBHIH!. JOBS UlDIR $2,500 II VILUE 00 lOt' ifili) to RECORD lID POS! A 'IOt'ICE OF COIIIDCBHIH!'. SIGD'rURB: ComAC'lOR SIGIA'IURI: (lOR OR IGIII! sun OF FLORIDA coum OF The foregoing inst~ent was acknowledged before me this , 19____ by srAn: 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 wbo did/did not take an oath. who is personally known to me or wbo bas produced as identification and who did/did not take an o~th. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC JOB LOCATION CITY OF ZEPHYRHILLS BUILDING DEPARTHENT . , {3u.-!kAn<t...rJ S~/JI G-"./{ I]/v OWNER W/'}I.(r'-'<- 1/-2..(.,,-2/ PARCEL 1. D. # 0010 ..... t 8'S-ou - 00.J~ SHOIf ALL EXISTING & PROPOSED STRUCtURES GIVING DIMENSIONS & SETBACKS. ?-7 , '1-7 t ~o ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ,v<.uo' )0 [ -;;~' )/,0 I S-" "- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. c.l t.Jvjfp e-{r 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 S I E N D G 20' 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' l"R0II"l" PROPERTY LINE FRONT PROPBRTY LIRB