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Home My WebLink About96-5585 BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit IV! (813) 788-6611 t~558QJ3 Date ;L -/~ -rye, ~LD~) ELECTRICAL PLUMBING p~pertyown~~<2 .1i'l'/i; Job Address: _ _ 6 _ _-4Z- Parcel 1.0. # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ;z. Energy Code: Description of Work 4- TJL ~1-- C ~ A- Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. ?'-/~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ~LJ Pe,mit F~~' ~ Slgnatur l Company Address Telephone# Valuation or Contract Price -3 crt? - p-o City License Registration # State Certified License# tfkI)o1 ~ 11 BUILDING ELECTRICAL PLUMBING MECHANICAL - Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Ftr. k-- Tp. Servo Pre SLB~ l.ltl) Rough In Lintel Meter Can Const. Pole Pool Pre-Meter Final 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 ($15.00) 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. APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT _'S IWIE _J1J~ J!)d~L OWRR'S ADDRESS .5 grt 0 / tI& a!-r~. PHONE 7po ?:? ~,7 JOB ADDRESS . ~'-0 - LEGAL DESCRIPl'ION: LOT(S) PARCEL I.D.t(jU /1 1 , BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED :_New Construction ----Addition 1..AIteration --Repair _Install _Sign ---..Hove _Deaolish ~OPOSED~E: _S~eF_i~ ---..HI F _' of Units ---..H/H _ec-ercial _Indust. _Swia. Pool _Other _Restaurant &: Hea1th Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (l) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS &: (l) SET ENERGY FORMS. ~OPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED -----BUILDING $ Valuation of Total Construction _ELEC'l"RICAL AIIP Service Florida Power Corp. W.R.E.C. -'lECBARICAL $ Valuation of Mechanical Insta1lation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUcnON: _B1oclt _Fr_e _Steel Other FD1ISBED FlOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZORE AREA? YES NO ****************************************** CONTRACTOR SECTION BUTT.DER Sipa~O ~ ~ ampARY State Cert. or Regist. f ) ..A. City License Registration f **** ************************************* RT.RCTRICIAR COMPANY State Cert. or Regist. f City License Registration f ****************************************** Sf IDTUllture PLUMBER COMPANY State Cert. or Regist. # City License Registration , ****************************************** Signature IIECllARICAL COMPANY State Cert. or Regist. , City License Registration f ****************************************** Signature OTRRR COMPANY State Cert. or Regist. , City License Registration f ****************************************** Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this pemit laY be subject to ndeed restrictions" wbieb lilY be lOre restrictive than City regulations. Ibe undersigned assUles responsibility for cOlpliance 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 lily be cited for a .isdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJeJlts lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the nContractor Sectionsl of this application for wbieb 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 perlitting 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 - lDeoJmer's Protection Guide" prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is soeone other than the lowner", I certify that I bave obtained a copy of the above described docURJIt and prOlise in good faith to deliver it to the "owner" prior to COlllenCeJeJlt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is bereby lade to obtain a pemit to do work and installation as indicated. I certify that no work or installation bas COMenced prior to issuance of a pemit and that all work will be perfoIJed to .et standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in colpliance. Sueb agencies include but are not liJited to: t Departlent of BnvirOlllelltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllf!lltally Sensitive Lands, Water/Vastewater TreatJent t Southwest Florida Water HanageJeJlt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways t DepartJent of Health i Rebabilitative Services, BnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US BnviIODJental Protection Agency - Asbestos abateJeJlt I also certify that, if fill Iilterial is to be used in Flood ZOne "AI or nA,etc.", it is understood that a drainage plan addressing a lCOIpeJlsating vol.R "ill be subJiUed "bieb is prepared by a professional engineer registered in the State of Florida prior to pemit issuance. A petlit 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 sball issuance of a pemit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued sball beCClle invalid unless the work authoriled by sueb perJit is COIIeDced within sillOnths of issuance, or if work authorized by the petlit is suspended or abandoned for a period of six IODtbs after the tile the work is C08eDced. One 90 day 81tension of tile, lilY be allowed for the pemit with fee charge of $15.00. The 81tension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb six IODth period, or the project will be considered abandoned. WARlUMG TO CMfBR: YOUR FAILURE TO RECORD A MorICE OF COIIMBRCBIlEMt' HAY RESULT IK YOUR PAYIMG NICE FOR IMPROVBIID!S '1'0 YOUR PROPBm. IF YOU IJl!BIfD TO OBTAIM FIWCIMG, COISULT IIITH YOOR LBIIDER OR AIf A'1"1'ORDY BEFORE RBCORDIKG YOUI MorICE OF COIIHBlfCBHBIf'1'. JOBS UlfDBR $2,500 II VALUE DO lor NBBD TO RECORD AIfD POST A "MorICE OF ClIlMEIfCBIlEMt'l. SIGMA'1'URB: 0WJfER OR AGBIf'1' SIGIATURB: COIf'1'IIAC'1'OR srAR OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STArE 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 ZEPBYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL I.D. # SHOW ALL EXISTIHG Ii: PROPOSED STRUCTURES GIVING DIMENSIONS Ii: SETBACKS. I /, 30 / -J.f""'"-l I i ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. \. -\ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1f R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T S I E N D G 20' FRONr PROPERTY LINE FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 1 0' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX FRONT PROPERTY LINE