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Home My WebLink About96-5616 BUILDING PERMII- CITY OF ZEPHYRHILLS Permit II! (813) 788-6611 1~5~1~g Date ~ - d.3- -90 ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcel I. D. # ift'~ri /q~~. '~:1j-. Water Meter: T,I.F.'s: Zoning: FINAL C.O. DATE NO OCCUPANCY BEFORE 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 $~D'~ D Inspector W& :~;:::,:e LL))~ Company Address Telephone# t/ "/ ~ t..t 8 i (' City License Registration # State Certified License# ~&-mL~V? ~ ELE~ - PLUM~/ ...",- M~ -- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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. APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTKENT OWNER'S NAME GIl} J! I TH LL D Y D OWNER'S ADDRESS b / ()"2._ f LEt').s A '0 PHONE ;7 Y "6'- 6 () ~-J s- .- , -:Si JOB ADDRESS J'A 0 C: LEGAL DESCRIP'I'ION: LOT(S) BI.OC1L--.SUBDIVISION PARCEL 1.D.' (OBTAIN FROM. PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ---Addition ---..Alteration~pair _Install _Sign --"<>ve _Deaolish PROPOSED USE: _Single Fsaily ---.Jt/F _' of Units ---.Jt/B _ec-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: J N .~'-A.LL \JJ I tV D 0 w..s (u.5 c~) I tJ E" X I <T I tV (; .5 C Ref:,J R () o!.") - BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : A'lTACH (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. PERKITS REOUESTED ~UILDING $ .-- (351;) Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. V.R.E.C. ---.JIEalANICAL $ Valuation of Hecbanical Installation _PLtDlBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FraIIe _Steel Other FIIIISIIBD FLOOR ELEVAITONS: FT. IS PROJECI IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACIOR SECIION RIJTT.DRR COHPANY r ~ r, State Cert. or Regist. . j ~-' ~.'. City License Registration . **** ************************************ Signature RT .RC'l'RTCIAII COMPANY State Cert. or Regist. . City License Registration . ****************************************** SionJlture PLIDIBER COMPANY State Cert. or Regist. . City License Registration , ****************************************** Signature tlECllANICAL COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature OTRRR COMPANY State Cert. or Regist. . City License Registration , ****************************************** Signature APPLlCAITON APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'fbe undersigned understands tbat this perlit JaY be subject to "deed restrictions" wbieb lilY be lOre restrictive than City regulations. !be 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 .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 .y be cited for a .isdl!lleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing reguirellents aay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections. 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 JaY be an indication that he is not properly licensed and is not entitled to perIIitting privileges in the City of Zephyrbills. 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 - HCIIeOWJler's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is SOIeOBe other than the "owner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner" prior to coaenCl!Hllt. 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 coapliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has COMeIlced prior to issuance of a perlit and that all work will be perfoI.ed to leet standards of all laws regulating construction, City codes, loning regulations, and land deve10paent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agenCies aay apply to the intended work, and that it is ay responsibility to identify wbat actions I atlst take to be in coapliance. Sueb agencies include but are not lillited to: t Departaent of Bnvirolllelltal Regulation - Cypress Baybeads, Wetland Areas and Bnvirolllelltally Sensitive Lands, Water/Wastewater Ireatllent t Southwest Florida water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Aray Corps of Engineers - Seawalls, Docks, Kavigable Waterways t DepartJent of Health & Rebabilitative Services, EnvirOBleBtal Health Unit - Wells, Wastewater 'freatlent, Septic !ants t US EnvironleBtal Protection Agency - Asbestos abateaent I also certify that, if fill aaterial is to he used in Flood ZOne "A" or "A,etc.", it is understood that a drainage plan addressing a "COIpeDSating voluaeH will be subtitted whieb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A peIlit 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 fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perIIit issued shall becoIe invalid unless the work authoriled by sueb perlit is COB8llced within sil IOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of sil IOnths after the tile the work is co.enced. One 90 day I!Itension of tile, .y be allowed for the perlit with fee ebarge of $15.00. 'fbe extension shall be requested in writing to the Building Official. An approved inspection aust be logged during eaeb sillODth period, or the project will be considered abandoned. WARMIKG fO OWNER: YOUR FAILURE 10 RECORD A KOliCH OF COIlHBHCBHBH! MAY RESULI 1M YOUR PAYIKG filCH FOR IHPROVBIIBI!S !O YOUR PROPERlY. IF YOU IJl!EIfD !O OBlAlM FlIfAlfCIKG, COMSULI WlIH YOUR LBIfDBR OR All AnORllY BEFORE RECORDlMG YOUR 1IO'fICH OF COMMBKCBMBJI!. JOBS UlmBR $2,500 1M VALUE DO 101 NEBD 10 RECORD AI1D POS'f A "KOliCH OF C<IIMBICBHBH!". SIGJfAfURI: OWIIIR OR AGEJI! SIGMAfURI: COJl!RACIOR SIAIB OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by SIAIB 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 OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTHEIft' q h - J-,Jd-/ G- /-<,'J ~>.... ~ '\ ft-" JOB LOCATION , /I/"'~' U V ,,0<' PARCEL I.D. # .L~_ ~.. .... '; ~ j ... ", ;-.. j' ~ ',,10 " .",) ~".. SHOW ALL EXISTING & PROPOSED STRUCl'URES GIVING DIMENSIONS & SETBACKS. '2'n- 'F+J 5H4LL pi- I~StL.b L& 3 j(.2- [;fL C~l'JltL+ICtJS of Wt./IJ be.J~ / f' $-L-1U:/f'Llc (R.1i]u tt'l4U) ) It} p (:)'{ Ti> (0 i) Jl.. .1t~ 'T fA.) tU- fI I( t!t7f <:>Ik.l ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION,.---- R O~ N\ ~ (\).{ C-- ~ 6 2.." A-P of' 1a:T ~'~I p' ~ I w joO';::~ IN -r ...,-.-. l . ~ . .. ~ .f'YI;;-;~, r;.. ~ O .. s c: ;".! t t'; 1.J /. ~ J' "".} 'V', 4 \.l . ... 'W yJ ..-..i D ';>!)!~ "I' ~ C u N.s1'7e.o er, ,.1 1 ()",n '::'>/J / j"./.J .~ __ / ~ V rr, f ~ ...,' ?; .. 1> /2..' _~1~ FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET i / t:I -<.- '-; f ~~. '1 hr. "".' ,:-.;' T" 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 LIME 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX FRONT PROPERTY LINE .. ~ ~ c. ~.. .... c S~ ' u.I a ~~ !:t8 0.. \ C::': c.!:J c:=~ ...,0 1-::' <( =; c:l ('.- I" ~" .J, 1 0'