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Home My WebLink About96-5608 BUILDING PERMIT. CITY OF ZEPHYRHILLS Permit lI! (813) 788-6611 f~5a{j~~ Date ;J. - ;1../- 9' " ~:;J Pmperty Owne< ~ ~ Job Address: k/r/tJ . ' ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # Zoning: Energy Code: Radon Gas: r-- - /} DescriPtionOfWork..!!-h...IA-tUL- ~~':".''t ~n ~ A/..~ ~~ (j - NO OCCUPANCY BEFORE C.O. FINAL C.O. 4- Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. Inspector \JJ ;~;~~:;:e&~ ~~ Compa~ Address Telephone# Valuation or Contract Price ~ /J - ()f) City License Registration # State Certified License# CJ)...Vn 11./\ BUILDING ELECTRICAL PLUMBING MECHANICAL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor 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 ($15.00) 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OIlNER'S lWIE~ ;JI ~ OWNER t S ADDRESS b ( Y" $I' h J PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~~teration _Repair _Install _Sign ---'love _Deaolish PROPOSED USE: _Single Faaily ---'II F _' of Units _M/H _ec-ercial _Indust. _Swim. Pool _Other Restaurant & Health Department Approval DESCRIPTIOII OF WORK: J.....1d.fJ ~7t L ,. ~ ~ ~ """'- BUILDING SIZE: X Square Feet, Height ~ ~ ~~ RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLARS & (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 ~' _BUILDING $ ~ZJ - v-rv Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _KECBANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CORSTRucnOR: _Block _Fraae _Steel Other FIRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION RlITIDER c:2L.... Signature / ~r COMPANY State Cert. or Regist. , City License Registration . ****************************************** RT.RCTRIGIAN COMPANY State Cert. or Regist. , City License Registration , ****************************************** SiOOAture COMPANY State Cert. or Regist. . City License Registration . ****************************************** PLUMBER Signature COMPANY State Cert. or Regist. . City License Registration , ****************************************** KECBANICAL Signature COMPANY State Cert. or Regist. , City License Registration , ****************************************** OTRRR Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS fbe undersigned understands that this Perlit JaY be subject to "deed restrictions" wbich 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 .ay 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 .isdl!lleaDor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguiruents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartEnt, (813) 788-6611. Furthemore, if the owner bas bired a contractor or contractors, be is advised to have 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 pemitting 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 "Plorida's Construction Lien Law - lDeolmer's Protection Guide" prepared by the Florida Departlent of Agriculture and COnsUler Affairs. If the applicant is SOEH1a other than the "owner", I certify that I have obtained a copy of the above described dOCUleDt and pr~ise in good faith to deliver it to the "owner" prior to COIIeIlCeEllt. 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 COIpliance with all applicable laws regulating construction, zoning, and land developlent. Application is bereby .ade to obtain a peait to do work and installation as indicated. I certify that no work or installation bas CDIeI1ced prior to issuance of a pemit and that all work will be perforJed to Jeet standards of all laws regulating construction, City codes, zoning regulations, and land develoPEDt regulations in the jurisdiction. I also certify that I understand that the regulations of other govl!Illlel1tal agenCies laY apply to the intended wort, and that it is ~ responsibility to identify wbat actions I .08t take to be in co.pliance. Such agencies include but are not liUted to: t Departlent of Envil'OlllleDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDleDtally Sensitive Lands, Water /Wastewater !reatlent t Southwest Florida !fater HanageJellt District - !fells, Cypress Baybeads, !fetland Areas, Altering !fatercourses t AI'IJ Corps of Enqiileers - Seawalls, Docks, Navigable Waterways t Departlent of Health' Rebabilitative Services, EnvirODlleDtal Health Unit - Wells, Wastewater !reatlent, Septic rants t US EnviI'ODleJltal Protection Agency - Asbestos abatuent I also certify that, if fill oterial is to be used in Flood Zone "A" or "A, etc. ., it is understood that a drainage plan addressing a "COIpenSating volUJe" will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to peait issuance. A Perlit 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 sball issuance of a peait prevent the Building Official flOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peait issued shall becCIIe invalid unless the work authorized by such peait is COIIeIlced within sillOnths of issuance, or if work authorized by the pemit is suspended or abandoned for a period of sil IODtbs after the tHe the wort is co.enced. One 90 day utension of tile, laY be allowed for the peait with fee charge of $15.00. !be extension shall be requested in writing to the Building Official. 'An approved inspection .lUst be logged during each sil IODth period, or the project will be considered abandoned. WARJfIIG 'fO OIRfER: YOUR PAILURE fO RECORD A NOUCH OF COIIIlDCBIIBIft' HAY RESULf II YOUR PAYIIG DICE FOR DIPROVIIIIIfS 'fO YOUR PROPmY. IF YOU IIImD 'fO OMAIN PIIfAHCIHG, COIfSUL! WIfH YOOR LBJIDER OR U AnomY BIFOHB RECOHDIIG YOUR IfO!ICE OP COMHIlCEMBtI!. JOBS UlWBR $2,500 II VALUE 00 IOf HEED 'fO RECORD AID POS! A "mICE OF aJOIBJfCJDIIIf!". SIGIfA!URI: 0IIIfKR OR AGBIft' SIGIfA!URB: COII!RAC'lOR S!A!B OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S!A!K OF FLORIDA coum OP 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 d ..5)TY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER ~ ~~ JOB LOCA~ 6/(/;/ /~-p-<4e ~ ~~e u PARCEL 1. D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVIHG DIMENSIONS & SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ~y}~ ~~.{ I (/0 i .~~ .r~tE~ j ~7J~ lor! f~ -I' I C\j. , I i I I i I I \C\" i, UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 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' FROIft" PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRONT PROPERTY LINE