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Home My WebLink About95-5346 BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit N! (813) 788-6611 -~534~ /] Date //-/-95' ~LDV ELECTRICAL PLUMBING MECHANICAL Pmperty owne'? Ifj;~, ~ Job Address: L__~ ~_~ Parcel 1.0. # //-c;L6 --aJ- 0 tJ/O - ~9 / tJO .- 0/<3 D Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work FINAL C.O. DATE DATE Inspector P~'mit Fee jt;,;rj)~ Signature , S ~ Company Address Telephone# Valuation or Contract Price .3 -..s 7). crv City License Registration # State Certified License# ~/YUV\.- ELECTRICAL PLUMBING MECHANICAL 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME S~r/ C!. S;;~;.~ ~ d,v;; ~~~ PHONE 8'1:1 '?/ So /)69 '?f'~~ - OWNER'S ADDRESS . .~~ r a.... <;. ~ ~/?JA? .;;;2~~' ~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S)j~ if /5'1 lA BLOCIV~/ SUBDIVISION PARCEL 1.D.' /1 rOL.' ~/ 00/0 /~/r'YJ ~iJO (OBTAIN FROM PROPERTY TAX NOTICE) . WORK PROPOSED:_New Construction -Addition -Alteration _Repair _Install _Sign ----1Iove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: P A 1/ 0 J t.IU3 J I I BUILDING SIZE: J tJ X J J. . 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 $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _KECllAlfICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION Signature ~ COMPANY ~. , State Cert. or Regist. . ~, City License Registration' ***************************************** Bu11.DER ELECTRICIAN COMPANY State Cert. or Regist. f SignAture City License Registration f ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration . ****************************************** OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT . A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to 'deed restrictions" wbich Jay 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 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 JaY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the ICon tractor Sections I of this application for wbich 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 perlitting privileges in the City of Zepbyrhills. 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 'Florida's Construction Lien Law _ HOIeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the "owner", I certify that I bave obtained a copy of the above described doclllent and prOlise in good faith to deliver it to the "owner" prior to couencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all wort will be done in cOlpliance 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 perlit and that all wort will be perfoI'led to Bet 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 governJental agencies JaY apply to the intended work, and that it is If responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnvironJentally Sensitive Lands, Water/Wastewater treatJent t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater treatJent, Septic tants t US EnvirODlental Protection Agency - Asbestos abateJent 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 UcQJpensating volUleu will be subJitted whicb is prepared by a professional engineer registered in the State of Florida prior to perJit issuance. A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a perJit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pettit issued sball beCOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tile the wort is co.enced. One 90 day extension of tile, Jay be allowed for the perJit 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 sixlOnth period, or the project will be considered abandoned. WARNING TO OWIIER: YOUR FAILURE TO RECORD A NOIICE OF COHMDCEMm' MAY RESULt IN YOUR PAYING '"'ICE FOR IHPROVEIIEHTS to YOUR PROPER'fY. IF YOU IHTEIfD to OBtAIN FIIIAHCING, COIISOLT WItH YOUR LINDER OR U AnomY BEFORE RECORDING YOUR NOIICE OF COHHENCEHEfI'l'. JOBS lINDER $2,500 IN VALUE 00 NOI NEBD TO RECORD BD POSt A IINOIICE OF COIIIDCEHEfI'l'l/. ~ C ~,,- . SIGNATURE: omn G SIGNATURE: COHTRACIOR STATE OF FLORIDA coum OF The foregOing instrument was acknowledged before me this , 19____ by StAtE OF FLORIDA coum OF The foregOing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not tate an oath. who is personally known to me or who has produced as identification and who did/did not tate an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC " CIn OF ZEPIIYRIULLS BUILDIHG DEPAR'l"HEMT ...-...;.... ---, ~ ... OWNER r ) / <~ 4'/'/ / Vfu'2/~ ~ JOB LOCA~I~N" ,Y?'1;;r- d~ ~/e~ 2 ~~ /-~ PARCEL I.D. # // ~~ cX/~i() 'j~//:n~I ~\''O -, \7S"Q / .:5~ /' SHOW ALL EXISTDIG IE PROPOSED STRUC'l"URES GIVDIG DllIEHSIOHS IE SETBACKS. ~o I ! I I ! i I sJ f:IlClPO$'-O fROPoS(,O P p.'1 Ib ~. \L !:!~ fAT/O .1'1 ",~ ~~ '0 I 110 ,~ . ......' I Ii}-. ~~ - ~O' ~. 2S j S T1 Ju J 0 I {3 (,0 (;, JD .1'0 -._~. FRONT PROPERTY LINE ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ~ '-1 ~ .... \..0 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 0' S . I E N D G 20' FlUlIII' PROPER"I'Y LDIE ....... '75 - )t.Jo' ')."1 AVE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30' DUPLEX 1 0' FROIft" PROPER'I'Y LINE