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Home My WebLink About95-5486 BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit 1ft .r' 548613 (813) 788-6611 L/ /1. 0-0 7 L/ d~':o-v 3S. cYv ;LtJ ~ (]V ~~ ~TRI~ OUJMBING --=:> CME~HANICA0sewer Conn ~ J7y ..2s- Water Conn: /..3 /. ;l~- pmpertyowne~-;~~ . , Job Address: _ _ _ _~/ 0 Parcel 1.0. # c2Y--d-J;.~ ~f' - 8 CJ cJ 0 · 00/ 0 ~ .- // 0 . Zoning: -::> En~y Code; , 'yadon Gas: Description of Work t-~ >>; ~ I ~ ~./ - Y VJe EC /0..d}S-9t, iJ~ 9/30 111'1 Date Ir;l -.:2~-9-S- Water Meter; T.I.F.'s: J.;2 tJ, 0 0 NO OCCUPANCY BEFORE C.O. FINAL /o-~- DATE C.O. /0 -~..s-- 7~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # State Certified License# Permit Fee Signature Company Address Telephone# ~~ Valuation or Contract Price ~* ~ &7)., /V1 .P.A C0-t./YL.a/L ~~^- BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can /::1~"'" YS- 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: ,.--., / -+ /).. .:;r- IJ.. I /J. -;l~-.eJ- a. Wrong Address A/d...<tA-e ~4-J ~ b. Condemned work resulting from faulty construction. Il J C. Repairs or corrections not made when inspection called. r 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. APPLICAnON FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S N P€...Tr '7 ~\.J \ C:. E OWNER'S ADDRESS JOB ADDRESS /~Ol-. ?/IO 1--GTY LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' 6l.. 'f....:J. b - ~ '-0 000 - 0 c 1" QO ---LI cr (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED~ew Construction _Addition ----..Alteration _Repair _Install _Sign ~ove _Deaolish PROPOSED USE:~ingle Faaily ~M/F _~ercial _, of Units _M/H _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: Po... 'I K" t1t.~ ck -r lA..? J. , BUILDING SIZE: / C2.. X qcJ , Square Feet, 'f@4f> 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. .K.BUILDING ~ELECI'RlCAL #ClWfICAL LPLUMBING . $ AKP Service $ GAS TYPE OF CONSTRUcnON: _Block _Fraae _Steel FDUSHED FLOOR ELEVAnONS: F'f . .......................................... YES NO BIJTI.DRR M-r.do~ COMPANY State Cert. or Regist. , City License Registration , .......................................... Signature :=~~ PERMITS REOUESTED Valuation of Total Construction Florida Power Corp. W.R.E.C. Valuation of Mechanical Installation ROOFING SPECIALTY Other IS PROJECT IN FLOOD ZONE AREA? CONTRACTOR SECTION COMPANY State Cert. or Regist. , City License Registration . .......................................... PLUMBER ~~Q~ COMPANY State Cert. or Regist. , City License Registration , .......................................... Signature KECHANICAL 1/ h Signature ~ ~DOO~ COMPANY State Cert. or Regist. , City License Registration , .......................................... OTRRR Signature COMPANY State Cert. or Regist. . City License Registration t .......................................... APPLlCAnOR APPIlOVEIl BY ,f;1 Md )1; ~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF nEED RESTRICTIONS The undersigned understands tbat this pertit lay be subject to -deed restrictions- wbich laY be lOre restrictive than City regulations. fhe undersigned asSDleS 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 lay be required to be licensed in accordance with s~ate and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be ci~ for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents 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, be is advised to have the contractor(s) sign portions of the .Contractor Sections- of this application for wbichthey will beresponsible. 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 be is not properly licensed and is not entitled to pertitting 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 'Florida's Construction Lien Law - HOIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOIeOne other than the .owner", I certify that I have obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the "owner" prior to coaenceleDt. E. CONTRACTOR' S/OWNER 'S AFFIDAVIT . I certify tbat all the inforlation in this application is accurate and 'that all work will be done in cOlpliance with all applicable laws regulating construction, Joning, and land developlent. Application is bereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation bas COIIeDced prior to issuance of a perlit and that all work will be perforted 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 govlU1llental agencies laY apply to the intended work, and that it is Iy responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lillited to: t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, Ifater /Wastewater freatlent t Southwest Florida Water ManageleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Arly Corps of Engineers - Seawalls, Docks, Mavigable Waterways t Departlent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater freatlent, Septic fanks t US EnvirODlental Protection Agency - Asbestos abateleDt . I also certify that, if fill laterial is to be used in Flood Zone "AI or "A,etc.", it is understood that a drainage plan addressing a .cDlpeDsating volUleR will be sublitted wbicb 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 with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOnths after the till! the work is ~ced. One 90 day extension of till!, laY be allowed for the pertit with fee charge of $15.00. fbe extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during each six IODth period, or the project will be considered abandoned. WADING fO OWHER: YOUR FAILURE fO RECORD A MOfICE OF COMMDCEMlN'f MAY RESULf 1M YOUR PAYIMG fiICE FOR IMPROVEMEN'fS fO YOUR PROPERfY. IP YOU IN'fElm YO OMAIM FIWCIMG, COMSULf WITH YOOR LBlfDER OR AIf AnOBlfEY BEFORE RECORDIMG YOUR MorICI OF COMMEMCEMElft'. JOBS UlfDER $2,500 1M VALUE DO MOf IfEED fO RECORD AND POSf A .MOfICE OF COMMDCiMEN'f.. SIGlfAtURE: OWIIER OR AGEN'f SIGlfATURE: CON'fRACYOR Sf ATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this ___..__' 19__ by SfAfE OF FLORIDA coom 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 didldid not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC --_Jl_ OWNER o CITY OF ZEPHYRHILLS BUILDING DEPARTHEH'.r j\:O~eYT PeT yo ~ C~ \..J : c. ..., h) ~oo '._~'--" ~ m -0' . JOB LOCATION t9 'f-aCo-~J -0000 - C> Cl Lc> tl- L e:.T Ila PARCEL 1. D. # SHOW ALL EXISTIRG & PROPOSED STRUC'l"URES GIVING DIHENSIONS & SETBACKS. t.;,g' (NOTE EXAMPLES 1 & 2) STREET , 10 -f_______ ' , , la~ ,J./rJ r ,~')( 'It)' I~}( I~ I w.~~ GI6.SS i P4,,( ,.c;~c. Roo W\. I ~6 ~c: ) r I ( ,= c.. . I 'r ~ F lJoJ~ <:> ( ,- J l~ l~ ~ ~, ~ \i5~ .30.91' 2. SETBACKS FOR R3 ZONING 60' -t: (,/) .L 0(' ALLEYWAY ACCESS FOR GARAGE OR CARPORT _ 15 FOOT SE'rBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. 1. SETBACKS FOR Rlf R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T S I E N D G 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' 20' FRONr PROPERTY LINE FRONT PROPERTY LINE Ok ~~0~