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Home My WebLink About95-5287 BUILDING PERMIT .... CITY OF ZEPHYRHILLS permit,Nf (813) 788-6611 '. --5287 13 Date /!J .- 9- 9..!>- ~ Pmp'rtyOwn" ,{~f ~ yJL ~~ Job Address: --..s ...&-. Parcell.D. # //-:::L6 ..;2./ - D 0/0 - / ~O C) 0- a/ y D ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of we:; ~ ~ AI ~J ........-~ .JL. Radon Gas: FINAL C.O. _ DATE DATE Inspector Valuation or .._ _, Contract Price j r ..5 '-0. ..' 1.-J p~, 'tFe~L~) gnature a Company Address Telephone# City License Registration # State Certified License# ~A - 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. OWNER CITY' OF ZHPIIYRlULLS BUIL1HNG DHPARTHENT ~-E~ d- blgtS/~ Slku s-y:s, J-~ r-r- 7---f;I4d l 19'~ r 11-2t -2,/ -CJo/ d - /Un - I),}-..Io JOB LOCATION PARCEL I.D. # SHOH ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ~ (' N ~ \) C\ t~l(, l. 'c., /'\r.~\(JJ~ ' .~~__'(J \J x (;) , 'i~ __ ~.~ -- )....),' ALLEYWAY ACCESS FOR GARAGE OR CARPORT _ 15 FOOT SETBACK REQUIRED. ~ ' ~ .J \'" .... N' j;, b t.J. M .~~, ~. t4 N '- E-4F':'" Ii \ ~ '- \.~~ \", V\ t '~ ~~~ )1' \~~L-~, ~j 7(1; f;;l~ ~ PROPERTY LINE ~~ Lb7J I '5'15% F~S/ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MA'l' I ON . STREET c - ') . I; PUVFJC7 'Fwc~ I J () APPLICATION FOR PKRKlT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAH~€1btt\cl.. A; \J.eh~/e 1\1 ~ PHONE ?>~ s:I=, Z'"'~ k fl ~ A-Boue, / 2../ J- ).,,"4, , ~~ II LEGAL DESCRIPTION: LOT(S) if ~2.LJ.J. BLOC~SUBDIVISION 2-tl(, /l!.ffIL{f PARCEL I.D.' 11- ~ -2..-{ - f)tJ16 .- !kg-O .~/9tJ COBTAIN FROM PROPERTY TAX NOTICE) . (JU , WORK PROPOSED: ~ew constru~tion _Addition _Alteration _Repair _Install OWNER'S ADDRESS ~4~ Slhvte C:Olj 7l0bJ<t1 ?1354-0 JOB ADDRESS _Sign _Move _Demolish PROPOSED USE: _Single FaJIlily _H/F _, of Units ____M/H _Swim. Pool ~her ____COWBercial _Indust. _Restaurant & Health Department DESCRIPTION OF WORK: ?4(VI9~ ~'C e. Approval JJ~J . 510 ~II/, 17 BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ 11'$7) .,..... Valuation of Total Construction _ELECT'RlCAL AMP Service Florida Power Corp. W.R.E.C. _HECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FrUle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION BUILDER . COMPANY State Cert. or Regist. , City License Registration , *********************************.******** Signature ELECTRICIAN COMPANY State Cert. or Regist. , City License Registration , .....*.*.......................*.......... Sianature PLUMBER COMPANY State Cert. or Regist. , City License Registration , **......*..*.*.*.*........................ Signature MECHANICAL COMPANY State Cert. or Regist. , City License Registration , .......................................... COMPANY~ tJtbf1IA. State Cert. or Regist. , City License Registration , .................................... Signature Signature Q11IIR APPLICATION PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which tay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, 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 lay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents 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 have the contractor(s) sign portions of the "Contractor Sections" of this application for which tbey 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 tbe contractor wisbes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in tbe City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (ClmPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other tban the "owner", I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the "owner" prior to cOllencetent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify tbat all the inforlation in this application is accurate and that all work will be done in cOtpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated; I certify that no work or installation has cOllenced prior to issuance of a periit and that all work will be perf oIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governtental agencies tay apply to the intended work, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODlental Healtb Unit - Wells, Wastewater Treattent, Septic Tanks * US EnviroDJeDtal Protection Agency - Asbestos abatetent 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 .colpensating volUle" will be sublitted which 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 witb the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOt thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOle invalid unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work authorized by tbe perlit is suspended or abandoned for a period of sil IOnths after tbe tile the work is cOllenced. One 90 day extension of tite, tay be allowed for tbe 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 eacb sil IOntb period, or the project will be considered abandoned. WARBING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCRHBNT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVRMEtn'S TO YOUR . PROPERTY. ..IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATtORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHRNCRHRNT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19 by STATE OF FLORIDA COUNTY 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC