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Home My WebLink About95-5489 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit IV! (813) 788-6611 -: -- 548~-l3 Date I~ -:L9-P~- ~ PmpertyOwne" ~ Job Address:...5' . -' ""~ Parcel 1.0. # / / -;;Lb - c'),/ - 0 (J / D - tJ Y / tJ 0 -- ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: 0/10 Zoning: Energy Code: Description of Work / J-)< d 0 Radon Gas: p~~ Permit Fee ~ Signature ~~ ~ Company Address Telephone# Inspector 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. Valuation or Contract Price /~/A- City License Registration # State Certified License# OV\ JVL?l/L-- ELECTRICAL PLUMBING MECHANICAL 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'S NAKE WI II, ..,.,q ,11/ (j- y ~(#4 Y. I?oJk. PHONE ;?8'z-6'FU'6 OWNER'S ADDRESS J.f'-I:? .3 iT4 /(v~ JOB ADDRESS 5',,/{~ LEGAL DESCRIP'l'ION: LOT(S) IE 1< 1/, I.). -/ ~ BLOCK 71 SUBDIVISION PARCEL LD.' 1/ -.;t-,)[. t:>iJJD - t) '17110 - b ;/0 (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED: ..,:/'New Construction _Addition -Alteration ~epair _Install _Sign ----Hove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _ /<::pX'- .J:::::.Other CA'~ _~ercial _Indust. _Swia. Pool _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: ;1 G 0 H I ~".f1 {> '" IC. ~o IZ 7 - r,.( ~ t ST;f "" I? / P ~ BUILDING SIZE: /~ X .:10 . ~ Square Feet. l' 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 ~UlLDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. --1fECHARlCAL $ Valuation of Kecbanica1 Installation _PLUKBING GAS ROOFING TYPE OF CONSTRUClION: _Block _Fraae _Steel SPECIALTY Other FINISHED FLOOR ELEVAnONS: Y1' . IS PROJECl IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACl'OR SECTION BmI.DER Q)fIpANY State Cert. or Regist. . Signature City License Registration . ****************************************** RI.RCTRICIAN COMPANY State Cert. or Regist. . SionAture City License Registration . ****************************************** PLUKBER COMPANY State Cert. or Regist. . Signature City License Registration . *****************************************. tlECHANIGAL COMPANY State Cert. or Regist. . Signature City License Registration . *..*******************.**.***********.**.. OTRRR 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 pertit lay be subject to "deed restrictions- which lay be lOre restrictive than City regulations. fbe undersigned assUles 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 state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisdell!anor 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 Zepbyrhills Building Departlent, (813) 788-6611. FurtheflOre, if the owner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "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 be is not properly licensed and is not entitled to pertitting 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 - IIoIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is sOleone other than the lowner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to couenCeleDt. E. CONTRACTOR'S/OWNER'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 bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas COIIenced prior to issuance of a pertit and that all work will be perforted to Il!et 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 goverDIeDtal agencies laY apply to the intended wort, and that it is .y responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to: t Departlent of Envirolllelltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater freatlent t Southwest Florida Water ManageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArtY Corps of Engineers - Seawalls, Docks, Havigable lIaterways t Departlent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater freatlent, Septic fanks t US EnvirODlental Protection Agency - Asbestos abatelent . I also certify that, if fill laterial is to be used in Flood Zone PA" or "A,etc.lI, it is understood that a drainage plan addressing a IcOlpensating volUll!I will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit 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 perlit 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 cOllellced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IODths after the till! the work is ~ced. One 90 day extension of tile, laY be allowed for the pertit 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. IIARlfIlfG '1'0 0IfffER: YOUR FAILURE fO RECORD A HOfICE OF C<IIMEHCEIIEN'f MAY RESULT IIf YOUR PAYING filCH FOR IMPROVEMEIfS TO YOUR PROPERfY. IF YOU IN'fElm !O OMAIH FIIfAlfCING, COIfSOLf IIITH YOUR LBlfDER OR AIf AnoRBY BEFORE RECORDING YOUR HOfICH OF COMMEHCEMEIf'f. JOBS UlfDER $2,500 IH VALUE DO HOf HEED fO RECORD AIfD POSf A "MOfICI OF COMMEHCEMDf". SIGlfAfURE: OWIfER OR AGEIf'f SIGIfA!URE: CON'fRACfOR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S'I'A'I'E 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 did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC CITY OF ZEPHYRBILLS BUILDING DEPARTMENT Wi /1 1'1 ~ III 'f V r (; )1 -i Y. 110 S ~ ...11' 1,).:1 ~.,- r( /{ y ~ JOB LOCATION '. OWNER PARCEL I.D. # //-,),6-"<(-0010 --0'17ao-r (JIlt) SHOW ALL EXISTIHG &: PROPOSED STRUCTURES GIVING DIMENSIONS &: SETBACKS. ( /1 I' --;3.S: fos tf) I ,; ff/J ,~u 1~f.1 ~i.( ..l- I c~ __ /s-:' b ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ;1- , 6' - ""'1 ~CJ 5/V .r ( ,..\ oJ f'l.,j I {' A~ 41 \J. ( '\) ~~ ~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ,. S~' ,--+-- ).6 ( FRONT PROPERTY LINE I (NOTE EXAMPLES 1 & 2) STREET .I)?4 10' Av~ 1. SETBACKS FOR R1, 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' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE