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Home My WebLink About95-5049 BUILDING PERMit .... CITY OF ZEPHYRHILLS Permit N! (813) 788-6611 -~504Q f3 Date h -~ 6 -c;s- C:Ull:D . . -J Property Owner: ~ . ,'. Job Add,e,., t rf-.J.. ~~ ~ F Parcell.D. # c;;l-:;LI:. ~d--I ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work 4 Energy Code: I~)(d-(') ~adon Gas: ---./ ~ J NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# Permit Fee Signature Company Address Telephone# Inspector Valuation or Contract Price J!"'a-v.cJv " O"\.-JYLO .A.-- BUILDING ELECTRICAL PLUMBING - MECHANICAL Ftr. P,e Sl+ Lintel ~~ · t' FRM. q"'J InSUL~~ ( ~;~ 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. /1 v-q 1'1 \0. GO;;' <! SIr; APPLICATIUN' FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTHENT OWNER' S NAKE !- ~~ Vi--t ~-n't-ff ~T PHONE 71 :2- 0.5..-06' OWNER' S ADDRESS JOB ADDRESS PARCEL 1. D. t LEGAL DESCRIPTION: LOT(S) ~r'/ /5- BLOCK SUBDIVISION ~ /" ~ -;;26 -Q../ )- (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Alteration -Repair _Install _Sign ----Kove _Deaolish PROPOSED USE: KSingle Faaily _H/F _' of Units ----1f/H _ec-ercial _Indust. _Swia. Pool ___Other -Restaurant & Health Departaent Approval DESCRIPTION OF WORK: /~ )<' :L f 3~ E;-LJ BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : AtTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY PORMS. AtTACH (3) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ____BUILDING $ -X-ELEGTlUCALe~ ----"EGIIAlIICAL $ $/$U'{/; PERMITS REQUESTED }O/) AMP Service Valuation of Total Construction P<. Florida Power Corp. W.R.E.C. Valuation of Hechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _Praae _Steel Other .......................................... YES ;& NO FIIUSHED FLOOR ELEVATIONS: Fl' . IS PROJECl IN FLOOD ZONE AREA., BUILDER CO'l1lAC'l'QII SEC:1I~l GOtIPANY . State Cert. or Regist. t City License Registration t .......................................... Signature I RT.RGTRICIAN COMPANY State Cert. or Regist. t City License Registration t .......................................... SiQllAture PLUMBER COMPANY State Cert. or Regist. t City License Registration t .......................................... Signature tlEGBANICAL COMPANY State Cert. or Regist. t City License Registration t .......................................... Signature OTRRR COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS #.. The undersigned understands that this perlit lay be subject to Ideed restrictions" wbicb laY be lOre restrictive than City regulations. The undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they .ay 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 laY be cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguireleDts laY apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections I 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 tbe work. If the contractor wishes 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 with a copy of IFlorida's Construction Lien Law - no.eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOIeODe other than the lowner", I certify that I bave obtained a copy of the above described dOCUl8Dt and prOlise in good faith to deliver it to the .owner" prior to COlleDCeleDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and that all work 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 work or installation bas C08eJ1ced prior to issuance of a perlit and that all work will be perfoIled to _t standards of all lalls regulating construction, City codes, loning regulations, and land develo(llent regulations in the jurisdiction. I also certify tbat I understand that the regulations of other goveIDlK!lltal agencies laY apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t Departlent of BnviroDlental Regulation - Cypress Baybeads, Wetland Areas and BnviroDleDtally Sensitive Lands, WaterfWastewater Treablent t Southwest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways t Departlent of Health , Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US BnvirODleDtal Protection Agency - Asbestos abateleDt I also certify that, if fill laterial is to be used in Flood Zone IAI or "A,etc.., it is understood that a drainage plan addressing a ICOlpeDsating VOlUleI will be sublitted 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 with 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 frOl. thereafter requiring a correction of errors in plans, construction, or violations of any code. . Bvery perlit issued shall becoIe invalid unless the work authorized by such perlit is coaenced within sillODths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sillODths after the tile the work is COMenced. One 90 day utension of tile, laY be allowed for the perlit 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 sillOnth period, or the project will be considered abandoned. WARNING TO OVIIlR: YOUR FAILURIl TO RECORD A 1000ICE OF COMMBIICEHBHT HAY RESULT IH YOUR PAIIIG 'nIICH FOR IHPROVBIIBHTS TO YOUR PROPBRTY. IF YOU IHTBHD TO OBTAIH FlHAHCIIG, COHSULT WITH YOUR LBHDIR OR AX ATTORHBY BBFORE RBCORDIHG YOUR MarICH OF COMHBHCBHBHT. JOBS UlmBR '2,500 IH VALUB DO H01' HlBD TO RECORD AND POST A IH01'ICB OF C(lllBHCBMDI.. SIGHATURB: COmACTOR SIGHATURB: OIftIBR OR AGBNT STATE OF FLORIDA COUHTY OF The foregoing instrument was acknowledged before me this , 19____ by STATB 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 oClth. (Signature) (Nue Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY' PUBLIC CITY OF ZBPHYRlULLS BUILD.ING DBPARTH&NT . OWNER JOB LOCATION PARCEL I.D. It SHOW ALL BIIS'!'IHG .. PROPOSED Sl'RUCTURBS GIVIHG DDlEHSIONS .. SB'l'BACKS. ,0 ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. \1/ lD -- --- o N .U,I . , ------ -- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~~ f)Q/ 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' FROII'1" PROPERn LINE 2. SETBACKS FOR R3 ZONING 60' - 10' 10' EXISTING 10' lllO PROPOSED 20'SGL FAM 30 'DUPLEX FROJft' PROPERTY LZHE .....~~. ..~~~. ,.,... - .. ~'l ...:: ..... ....t~ 19< ~"" " '# ' , , .; , . .. -.' ,A..{f v;,, V , 4 . ~,_ ,'.~. yt\~ " ;~ " ';.- , '- " '" <<~ '- '.... :""''', . ". " " '" " " ,~ .~ "'>,:.1 .. ~"" t~~ '. -"'. "'I"~ -..... ", ,~ ' . ,. ,~....~ ' . ~;~~ . '.~ -==.:1 . ~. , , " '. . " .. ' " '. " " "'... " "" /- -,"" /' /" J '/ ~ ",/ ~- ; .. ," ,....- ... ./' 1/ .; '- .# ... ,. ." p . If