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HomeMy WebLinkAbout96-5554 / ~.!J ~~ BUILDING PERMIT CITY OF ZEPHYRHILLS Permit Jl! (813) 788-6611 ~~555t (3 J --- c:l9 - <Jb /' Date ~G ::~:::::~e' ~i1=~:f!~~~-' Ct. Parcell.D. # /hl- 62~ -.s9 / -11/ - Llto- .~- ME.P~ Ii ~J1CAL --Sewer Conn Water Conn: Zoning: Energy Code: Aa~ De,cript;onof Wo<k ~;;' X ~t ~,- ~ ' ~..u or~ . etf NO OCCUPANCY BEFORE C,O, Water Meter: T.I.F.'s: ).!DT/0 6JlL ~ Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C,Q, Valuation or '# t !l II> c6.-b Contract Price . 7. 0 Permit Fee Signature . Company Address Telephone# V 8/ ?, - Inspector City License Registration # _________ State Certified License# ~ c:52 ~ '--- - fA nJ.LI( "7cS3" - ~39 BUILDING ELE~ --- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PLU~. ~ M~ Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. CITY OF Z HYRHILLS BUILDING DEPARTMENT . LII/9p?7 PARCEL 1. D. # 1l-S3Ylft' SHOW ALL EXISTING & PROPOSED STRUC'TURES GIVING DIMENSIONS & SETBACKS. " e>716 -570~E sABJ/ /&)(Ib ~.IV P7;Lf R ~tJe~ ,../ /1IVu' 1L)'{t- Pi ,5 K ijl; (JjU GJIIC!A 6idG UtI Th 41(/#1 S;di;Vq ALLEywAy ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED, UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION, (NOTE EXAMPLES 1 & 2) " . " ~- I[~ ~ PtNCJ~fz/ , I ~ l() lJ) ~l {~ ~ r t.-lt) lJ ~G- . S:XlST/~ ~ ~ -------.----r ., I C/lVJj/f/::' -L-__ _____,___.~ " STREET 1, SETBACKS FOR R1, R2 ZONING 60' ~ P E R X o I P S o T S I E N D G 20' FROIft" PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' 1 0 PROPOSED 20'SGL FAM 30 'DUPLEX FRONT PROPERTY LINE 3t: co o I() /'-.1J1 I"? o 0Lf) o Z LOT 15 ~) <YO fS> ./ .-' !.> ~o . 0>, ~ // ~:;~~1J'- N 89055'26"1-= 87.16 . SCALE 1 · . OENOT($ I'RM FD · 4281 . DENOTES 5/8" IR SET . LlJ "f" I"') ('-J LOT 16 "- VACANT ~ 0 co 0 0 0 0 (/') ". - ,. <> -' /' - - p. .--- - - -- ----- --- ./ ..---- .~ / \... "tJf~ ~~s '" .-- --- yi 1.1 ~ \ '- \ 1)0 .' / ./ /' \-\_\~ \---- "'^"^ r-\~ c 1\\ .~. \\J(-. ~.. ) ;...----. \ .~-. \) \ CU~VE OflTA ANOlE ~AOtUS C I "'Oloe' .'000. AIIC; TAIIO(Nr CItOIlD ~ 4'. 24 II!> U.2<4' APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME !t/t dl PJ?7 OWNER'S ADDRESS ~cJS- 6?~.:Ss ;Ji , ~hJmbd~tL .9~ ~d PHONE 8/.3 18f?- tp,:J 3'7 7e,P), y.t1,jj: (j~ R .JOB ADDRESS I,EGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I,D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ~Install _Sign ____Move ____Demolish PROPOSED USE: ____Single F~ily ____M/F ____' of Units _11./8 ____C~ercial _Indus t , ____Swim, Pool ~Other S'7()M9~ she/' I (J~ It;? SmlCA?G 5'ha/ ~U P7 jJo/tud~ .t:=/~ 7 Height ____Restaurant & Health Department Approval UESCRIPTION OF WORK: f)tUIn J~ X J h , r , JI))( /10 BHlLJHNG SIZE: Square Feet, RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, ATTA~I (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, rBUlLDING ~ $ /7f)t!J. 6b PERMITS REOUESTED Valuation of Total Construction _EI,EL'TRIGAL Al1.P Service Florida Power Corp. W.R.E.C. -"ECRANICAL $ Valuation of Mechanical Installation _PUIHDING GAS ROOF ING TYPE OF CONSTRUL'TION: ____Block -x'Fra.e ~Steel SPECIALTY Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ~ YES NO .......................................... CONTRACTOR SECTION mLIumR. COl1.PANY State Cert. or Regist. . City License Registration' .......................................... Signature ELEL'TRlClAN COMPANY State Cert. or Regist, f City License Registration f .*.**......*.........*....*..*.......*...* Signature PLUMBER COMPANY State Cert. or Regist. I City License Registration' .......................................... T Signature tlEGHANICAL COl1.PANY State Cert. or Regist. f City License Registration # ...*...............*........~.....!1..,.. llt?i!I "5 51JEZT-S COl1.PANY h1 tv &-.R _ E.: I./-X State Cert.or Regis't. f City License Registration I .......................................... Signature t?j..1O ~ ~ PtJWta! .~ IIUh/1I rG !IDlER Signature APPI.ICATION 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. YNLICENSED 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 tbe contractor is not licensed as required by law, both the owner and contractor .ay be cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of ZephyrhiJls Building Departlent, (813) '/88-6611, FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application (or which 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 per.itting privileges in the City of Zephyrhills, C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES JJ. ~ONSTRUCTION LIEN LAW (CIIAP'l'ER 713, FLORIDA S'rATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture ~nd ConsUler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docUJent and pro.ise in good faith to deliver it to the "owner" prior to couenCl!lent, 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 develop.ent. Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has couenced prior to issuance of a per.it and that all work will be perforled to .eet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also cerlify that I understand that the regulations of otber goverDlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: ~ Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent ~ Southwest Florida Water Hanagl!le~t District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t ~artlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t ~~ EnviroDlental Protection Agency - Asbestos abatl!lent 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 per.it issued shall 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 per.it prevent the Building Official frOJ.thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOIe invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tiae, JaY be allowed for the 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 NOTICE OF COKHENCKHENT HAY RESULT IN YOUR PAYING TWICB FOR IHPROVEMENTS TO YOUR PROPERTY~ IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHKENCKHEKT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICH OF COHHENCRHENT". ..~ OR ~ 9-, SIGIIATORS: ctlIlTRACTOI STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 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 Oiltll. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC