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Home My WebLink About95-5466 BUILDING PERMIT CITY OF ZEPHYRHILLS permit]l! j-5466/3 (813) 788-6611 DatE~ / fl- -/:5 -ys.- 8' ::~:::::~.'~,-Pi1!~;~~ Parcell.D. # 1/-,:)6 - d.-/ -C:;OI 0.... /..s --po 0 - c:J6 ;;LO ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.IF.'s: Zoning: Energy Code: Description of Work ,,-.:::p. ~~ Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # State Certified License# Pe,m;' F.~tl:i!7tJt S;gnatu<. .~ -_ '-'0 I' ~ Company Address Telephone# Valuation or Contract Price ,.g ?T7J ~ c:r-o tfYJVt..(' ./1,.../ 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 ($15.001 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER t S NAHE--1)P ~CJ c_ Le OWNER t S ADDRESS E J.5 3 JOB ADDRESS . So.. ~ ~ LEGAL DESCRIPTION: LOT(S) nO :10 BLOCK JS7d7) SUBDIVISION on /6 PARCEL LD.' J.J 2y, ;1../ {fj /6 157CKJ on dO (OBTAIN FROM PROPERTY TAX NOTICE) It h \:hCJ"\ Y ~ ~ n Y\ M PHONE L.J~ .51 Zr p ~~ r- b.JJ ~ 3 35 "-II WORK PROPOSED:_New Construction _Addition _Alteration _Repair ~Install _Sign --..-JIove _DeIIOlish PROPOSED USE: ~Single Faaily ~/F _' of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval ---- DESCRIPTION OF WORK: /-cnc. ~ 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. VBUlLDING $ ~oo. -- PERMITS REOUESTED Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _HECllAlllCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIlUSHED FLOOR ELEVATIONS: FT. IS PROJECI IN FLOOD ZONE AREA? YES NO .......................................... CORTRACIOR SECTION BUlI.DER COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... F.T.RCTRICIAR COMPANY State Cert. or Regist. , SionAture City License Registration t .......................................... PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration f .......................................... HEGHANICAL COMPANY State Cert. or Regist. , Signature City License Registration t .......................................... OTIIRR COMPANY State Cert. or Regist. . Signature City License Registration f .......................................... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that tbis perlit lay be subject to Bdeed restrictionsB wbich lily be lOre restrictive tban City regulations. Tbe undersigned assDles responsibility for co.pliance witb any applicable"deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, tbey uy be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lily be cited for a lisdeieanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing requirl!lents laY apply for tbe intended work, tbey are advised to contact tbe City of Zephyrbills Building DepartJent, (813) 788-6611. FurtberlOre, if the owner bas bired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe "Contractor Sections' of tbis application for wbich tbey will be responsible. If you, as tbe owner sign as tbe contractor, you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign as contractor tbat, lay be an indication tbat he is not properly licensed and is not entitled to perlitting privileges in tbe City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify tbat I, tbe applicant, bave been provided witb a copy of IFlorida's Construction Lien Law - HOIII!OIIDer's Protection Guidel prepared by tbe Florida Departlent of Agriculture and ConsUJer Affairs. If tbe applicant is SOJeOne otber than tbe lowner", I certify tbat I bave obtained a copy of tbe above described docUleDt and prOlise in good faitb to deliver it to tbe "owner I prior to couencl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe inforaation in tbis application is accurate and tbat all work will be done in cDlpliance witb all applicable laws regulating construction, Joning, 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 perforJed to Eet standards of all laws regulating construction, City codes, Joning regulations, and land developleDt regulations in tbe jurisdiction. I also certify tbat I understand tbat tbe regulations of otber goveIDIeDtal agenCies uy apply to tbe intended wort, and tbat it is If responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of Environaental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Havigable Waterways t Departlent of Healtb & Rehabilitative Services, EnvirOJllental Healtb Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abateJent I also certify tbat, if filluterial is to be used in Flood Zone HAl or "A, etc. I, it is understood tbat a drainage plan addressing a .co.pensating vol.. will be sw.itted wbich is prepared by a professional 'engineer registered in tbe 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 authority to violate, cancel alter, or set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official frol tbereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCCIIe invalid unless the work autborized by such perlit is COMellced witbin six IOIltbS of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after tbe tiE tbe work is COIIeI1ced. One 90 day eztension of tile, lily be allowed for tbe perlit witb fee charge of $15.00. Tbe eztension sball be requested in writing to tbe Building Official. An approved inspection lUSt be logged during each six IOIltb period, or tbe project will be considered abandoned. IfARKIHG TO OWHER: YOUR FAILURE TO RECORD A HOtICE OF COHMBliCEMENT HAY RESULT IN YOUR PAYING 'NICE FOR IHPROVEJIEJft'S TO YOUR PROPERTY. IF YOU IIft'BMD TO OBTAIH FIKAlCIHG, COHSULT WITH YOUR LEIIDER OR All AnoRRIY BEFORE RECORDING YOUR DICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOt NEED TO RECORD AJID POST A BNOtICE OF COIOIEHCEMEIft'". SIGNATURE: OIfNER OR AGE1ft' SIGNATURE: CONlRACTOR srArE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by srArE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an o~tb. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC CJ.TY OF ZKPIIYRJULLS BUJ.LDJ.NG DRPARTHKNT OWNER DE I?()C IF fin ~y q A f\J\ fY1 _ JOB LOCA'rION S-I5..3 LJTV\ 5r Z.CY~5 I} ;)(;, ;); (XJIO If:; lOa O(J ;)0 . PARCEL 1. D. ## ~ .5$'-11 SHOH ALL EXISTING & PROPOSED STRUCTURES GJ.VING DJ.HENSIONS & SETBACKS. .t ,'...., \ ? I \. ,.,.... r, .:.:> \ \) " - ,'e.,,.t .. <-.. 'r- i \.('\~ ,,,d' " ALLEYWAY ACCESS FOR GARAGE OR CARPOR'I' _ -J 15 FOOT SETBACK REQUIRED. \ UTILITY BUILDINGS ~l MUST SHOW SIZE & ~~ FOUNDATION INFOR- ,.,\\~ MA'l' I ON . ?\;' ,It. kr-t-e Lv; \ I T~ w',)\ pq"" .~ls . - -,-~~._-,~. -'~--'-,. - "! 'Y ;... '.- <:\ Ip f )1:)~ .,J ,,"--_J. (. .... i.-L. 10' ~ ~ ! -- J FRON'r ------.--.-----.-. R1PEH'ry LINE 15/ IlIaI 0T STREE'l' 5;~ , , I ~ - J ~ roYrl po f'Cp(, r ~,qt l.,' n(. o C (;;< t '\:hcSS'qe ~ 'fl" (, ~t- d 0~c)(_ k ~ ~e \ \ , f' "...,0' l 1 C <.;;. r .$ \ r 'I" I'l ('\