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Home My WebLink About96-5584 BUILDING PERMIT --- CITY OF ZEPHYRHILLS Permit l\T! (813) 788-6611 i~558tE Date .;l -/;) '- 9' b ~ ELECTRICAL PLUMBING p,"pertYowne'.~ jL,!~~ Job Address: L) ~y - _ ~ .-I1r Parcel 1.0. # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work 11 En,-gy C9de: ~4 ~ tlJL7~ tI ' Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price /s'z>. &..-0 Permit Fee Signature Company Address Telephone# City License Registration # State Certified License# ~ /)-'Lt7A BUILDING ELECTRICAL PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER 's RAKE 1/. J.9.J~~ PHONE OWNER I S ADDRESS 6-,-!bt',l- /o-7Z g- JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCIL--SUBDIVISION PARCEL LD.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition /Alteration ~pair _Install _Sign -----Kove _Deaolish PROPOSED USE: _Single Faaily -----KIF _' of Units --YtIH _ec-ercial _Indust. _Swia. Pool _Other _Restaurant & Hea1th Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDERTIAL: COMMERCIAL : ArrACK (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ArrACK (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. -"ECllAllICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _Block _Fraae _Steel Other FDlISBED FLOOR ELEVATIONS: FI' . IS PROJEct IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION F.T.RCTRICIAH COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** RUTT .DO COMPANY State Cert. or Regist. . Signature City License Registration . ************************ PLUKBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. f Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fhe undersigned understands that this pertit Jay be subject to Ideed restrictionsH which Jay be lOre restrictive than City regulations. Ihe undersigned asSUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they JaY 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 .y be cited for a lisdelM!anor violation under state law. If the owner or intended contractor are uncertain as to IflJat licensing requirl!ll!Jlts JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurthellOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections I of this application for 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 JaY 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 (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of IFlorida's Construction Lien Law - lbIeolmer's Protection GuideD prepared by the Florida DepartJent of Agriculture and Conslllel' Affairs. If the applicant is 8O.IBOI1e other than the lownerH, I certify that I have Dbtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the "owner. prior to COIIBIlCl!leIlt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infollation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby .de to obtain a pertit to do work and installation as indicated. I certify that no IfOrt or insWlation has ~ced prior to issuance of a pertit and that all wort will be perfoI'll!d to leet standards of all laws regulating construction, City codes, loning regulations, and land developlleJlt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies laY apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: I Departlent of HnvirolllH!lltal Regulation - Cypress Bayheads, Wetland Areas and HnvirollleDtally Sensitive Lands, Water/Wastewater freatlent I Southwest Florida Water Hanagl!ll!Jlt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ACIJ Corps of Engineers - Seawalls, Docks, Havigable Waterways I Departlent of Health & Rehabilitative Services, HnviCOl1lBJ1tal Health Unit - Wells, Wastewater freatlent, Septic lants I US BnviCOl1lBJ1tal Protection Agency - Asbestos abatl!ll!Jlt I also certify that, if fill laterial is to be used in Flood Zone "AI or "A,etc.H, it is understood that a drainage plan addressing a "COIpeDSating vollllel will be subliUed which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A pBrlit 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 pertit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. EVBlJ peI'lit issued shall becoIe invalid unless the work authoriled by such pertit is COBeIlced within six lanths of issuance, or if wort authoriled by the pertit is suspended or abandoned for a period of six Iantha after the tile the IfOrk is co.enced. One 90 day extension of tile, .y be allowed for the pBrlit with fee charge of $15.00. fhe extension shaU be requested in writing to the Building Official. An approved inspection lUst be logged during each sixlOnth period, or the project wiU he considered abandoned. WmIHG 'fO 0IfIfER: YOUR FAILURE fO RECORD A HOIlCE OF CXJIIIDCENm HAY RESULf IH YOUR PAYIHG NICE FOR IHPROVEIIDl'S 'fO YOUR PROPER'fY. IF YOU IIIBIfD 'fO OBtAIH FIIfAICIHG, COHSULf WlfH YOUR LEIDER OR U ArfORIEY BEFORE RECORDING YOUR NOIICE OF COMMEHCEMEII. JOBS UNDER $2,500 IH VALUE DO HOI NEED fO RECORD AHD POSf A HNOIlCE OF ClIIIEliCEllElfll. SIGHAIURE: (MIER OR AGm SIGHA'lURE: COIlRAC'fOR SfAfE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by SfAfE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC CITY OF ZEPHYRHILLS BUILDING DEPARTMENT :::E:OCA~~~~ 1; -;;t .d~ PARCEL 1. D. # .~ \ 0 e... R, 1...3 7 SHOW ALL EXISTDIG .. PROPOSED STRUC'l'URES GIVING DIMENSIONS" SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30' DUPLEX 1 0' FRON"l" PROPERTY LINE FRONT PROPERTY LINE G~S ~ ..... . ~ ~ ~ ';;' t.rJ , ~ ,;. ~"})' "~I C> I ~'" .. "''l' \ ~~~~/ 'u,.. ./' .",. '~.\ \ ~ """.... ..\ .' ,. . ~.... ~ \ - 4"... ....~ " .....' ~ \~.4 ,/ .t<iir$ ..~ \ \t.,..I' \ 'I.' \ \, ~'_'''^~''''''''O'' ! I , f ~ I ,. ~ ~. .I r-".' I I I i "'.. IE' \....... :t r I ..... "';, J_ ...~ f' "" ,':,j I,Jj' ::~ .....,' "" ..,; ., t., ,. t I{J~" ~ ~t: "'.,., ~ !~, ~'} ^",' ' -"~ ~ II VJ....:j CJ) . ..... ~ c......... Lt, c(,:~ It ~~ .J "~ ~~! '. '. ..,..~ ..it"- :,s~: ~"* '1"1" s~ ..,.)0 ~.~ . ~..... ~ .~., c.,; ~,JI ~,it.l,.,f .., f,.: ti"'" tt. 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