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HomeMy WebLinkAbout95-5362 J~ " ~~;v BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit IT! (813) 788-6611 ni362 p Date JI-~-9~ , EL~-- ~- Sewer Conn Water Conn: NO OCCUPANCY BEFORE C.O. Water Meter: Property Owner: Job Address: Parcel I. D. # Zoning: Description of Work T.I.F.'s: l\~#~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. Valuation or "2 - ~ Contract Price ~A () . Permit Fee c;-, Signature Company Address Telephone# City License Registration # ------ ertified License# ~ .- / BUILDING Ftr. Pre SL Lintel ,,,~,..,~' Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 "R C.lTY OF ZRPIIIRlULLS BU.lLU.lNG DRPARTHBNT \ . ..J( ~ RC).0~A ~()J0PS ~'5' 9 -3 '-I I 't +~ ~+ r-~ L J2~r- ~~ \l & '-}L~L / I -,J (, - ;. J - 001 () - 6't5ob - oObD JOB LOCATION P/\RCEL I.D. # 7frS -383L 335'YO SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. . /\LLEYWAY ACCESS FOR G/\RAGE OR CARPORT - 15 FOO'I' SETBACK REQUIRED. <- (I'D Sf f' ...:r- Woed -1t.AAJ~ ~ 1~ r r FRONT PROPERTY LINE UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MA'l'ION. "J I q-lh STREET r -- . -<-J------+--__--J "" '. . APPLICATION FOR PERKlT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME fJeLiJ/ CLhJ t:?onriCi.... .j00 e.-S PHONE lF8 - .<,R..3~ OWNER'S ADDRESS fj'13 Lj I q fu S+'('-e_~~ 2~rhyr~ :lls FL I 3<.5-Ljo JOB ADDRESS LEGAL DESCRIPTION: LOT(S){..u~ 5) t. ), ,q~LOCK "IS SUBDIVISION PARCEL 1. D.' I J - d" . d J - 00 J () - 0 r..L1on - (> D bO (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -^lteration _Repair /' Install _Sign. _Hove _Demolish PROPOSED USE: LSiogle Faaily _H/F _, of Units _H/H _C~ercial _Indust. _Swi.. Pool ___Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: T" () S~ cJ I .\\{'\l" 6' \. .u onJ ~r\ t@(" rt. t _ fJ BUILDING SIZE: X , ~() Square Feet,-LHeight 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. _BUILDING ';:350. ()~ PERMITS REOUESTED Valuation of Total Construction _ELEC'l"RICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLtJMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcrION: _Block _FrDe _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SeIPN- BUILDER - ./' . COMPANY ~..P to-('~../) ~ ~ State Ger<. or Regist. . Signature ... ... . , ~City License Registration' *******~********************************* ELECTRICIAN COMPANY State Cert. or Regist. # Sim~ture City License Registration t ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. * Signature City License Registration , ****************************************** OTHF.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" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance 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, botb the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for tbe 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, he is advised to have tbe contractor(s) sign portions of tbe "Contractor Sections" 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 wishes you to sign as contractor that lay 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 (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, tbe applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the "owner" prior to couencelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work 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 work will be perfofled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand tbat the regulations of otber governlental agencies lay apply to tbe intended wort, and tbat it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: A Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent A Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses A ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways A Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks A US EnviroDlental Protection Agency - Asbestos abatelent 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 sball be construed to be a license to proceed witb tbe work and not as autbority to violate, cancel alter, or set aside any provisions of tbe tecbnical 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. Every perlit issued sball becOle invalid unless the work authorized by sucb perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile tbe work is cOIIenced. One 90 day extension of tile, laY be allowed for tbe perlit with ,fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A Nor ICE OF COKHENCKHBNT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMKKTS TO YOUR PROPERTY. .IF YOU IIflRND TO OBTAIN FINANCING, CONSULT WITH YOUR LEIDER OR AN ATTORRRY BIlFORE RIlCORDING YOUR NOTICE OF COMHIlNCIlMIlIfl. JOBS UNDIlR $2,500 IN VALUIl 00 NOT NIlIlD TO RIlCORD AND POST A "NOTICIl OF COMHHNCIlMBNT". ~ OR~od.,,- pr,',A SIGNATURE: aJIlIRACIOR STATIl OF FLORIDA COUNTY OF The foregoing instrument was acknDwledged before me this , 19____ by STATIl 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