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Home My WebLink About96-5703 BUILDING PERMlt- -- . CITY OF ZEPHYRHILLS Permit II! '- 5703 (813) 788-6611 Date <\. \ ~ \q~ BUilDING ~l P~ MEC~l Pmperty Owne" J. It ~ ""l. e rL ~ '^ I\!..\ '& "- Job Address; ~ ~ to \ 'i ~\t )OO\) _p .I.:)~ \ Parcell.D. # \?> d.l.., ..t \ 0 \~ 0 oOCOa a~ "it: Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work Energy Code: ,)\ l() \.A-t-4L Radon Gas: ~ ~E.o 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. Inspector ~ Pe,m;tFee ~ ,p Signatur~ ... " ~ Company Address Telephone# Valuation or Contract Price ~aa- City License Registration # (J\>...) ~ oec/L- State Certified License# BUILDING ELECTRICAL SLB Tub Set Water Sewer Final Breakers Ducts Ins Comp Final Tp.Serv. Rough In Meter Can Const. Ie Pool Pr 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 PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAHR !J{YfI/IZO /J IJc:-t(C/J14~ r::)1I'. PHONE? 1:1-2) JX1 OWNER'S ADDRESS ,59? / 5 /llE/f-Qr;a/~D.f) ~tJ~ Z-c-P/~V~J.l-IL~~ l~ <5"'~~E LEGAL DESCRIPTION: LOT(S) lr7 PARCEL 1.D.' J3 cZ' d-J ()/L/D ~ ()~~() JOB ADDRESS BLOCK SUBDIVISION /l1t:5'7a:uJt:e.JiJ 6/7ITeS (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~New Construction ____Addition ----^lteration ____Repair ____Install ____Sign ----",ove ->>e.olish PROPOSED USE: -Xs ingle F~ily ____M/F ____, of Units ____M/H _eo..ercial _lndust. ____Swim. Pool ___Other ____Restaurant Ii Health Department Approval DESCRIPTION OF WORK: BA&F OV17 ?X I D PJ~"tI- ~IJ //11 &C~ YIl/lP I BUILDING SIZE: ~ / X } 0 ,., Square Feet, Height RESIDENTIAL: COI1M.ERCIAL ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQU~RED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~BUILDING $3CYJ Valuation of Total Construction ____ELECTIUCAL AKP Service Florida Power Corp. W.R.E.C. -"EGllARlCAL $ Valuation of Mechanical Installation ____PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Fr-e x-'Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ....,." YES NO *********************************....*.*** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. . Signature City License Registration' ************************************....** ELECTRICIAN COMPANY State Cert. or Regist. . Sianature City License Registration . ***.*..*...*.............................. , PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . **..............*......................... MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration , .............**.**.*******.**.*.**....***. OTHER COMPANY State Cert. or Regist. , Signature City License Registration t .....*****************.**********........* APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS _ Tbe undersigned understands tbat tbis peflit lay be subject to "deed restrictions" wbicb lay be lOre restrictive than City regulations. Tbe undersigned assWles responsibility for cOlpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired 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, botb the owner and contractor aay be cited for a lisdeieanor violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing require.ents lay apply for tbe intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the "Contractor Sections" of this application for wbich tbey will be responsible. If you, as tbe owner sign as the contractor, you are indicating tbat you, ratber than the contractor, are responsible for tbe work. If tbe contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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, tbe applicant, bave been provided witb a copy of "Florida's Construction Lien Law - HDIeOWDer's Protection Guide" prepared by the Florida Departllent of Agriculture and Constmer Affairs. If the applicant is SOJH!One otber tban the "owner", I certify tbat I bave obtained a copy of the above described docWlent and prOlise in good faith to deliver it to the "owner" prior to co..encelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and tbat all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies aay apply to the intended worl, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: A Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and RnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Soutbwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood ZOne "AR or "A,etc.", it is understood tbat a drainage plan addressing a "cOlpensating voltme" will be sublitted wbicb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with tbe 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 frDl,thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peflit)ssued shall beCOle invalid unless tbe work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day extension of tile, Jay be allowed for the perlit with fee cbarge of $15.00. Tbe extension sball 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 COMMENCEMHNT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCKHlNI". ~ S GNATURR: ER OR AGENlb' SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNlY 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 o~th. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC CITY OF ZEPHYRHILLS BUILDING DEPARTMENT .' O,!,<ER MCfMtVJ If. fY:/lc."''lA..I;SR. ) :Jt)NE Ii. ~m,q-J JOB LOCATION 3CfC /5 me~lUoo(J ~p) Zr.f'#fl?H-IU-~ 3'1S'Lf(J PARCEL I. D. # ):J - C2t -;) I - () I~D - ()OOO() -())l7 () SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. /r-. t\~~\\K tJ\ L -S\\t~ s ~~ '\. ----- ~ ./ rq I S~,ea I ~-~ '- , ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ~) i~ " ~ K ~G kJ~A :) Uk~ '-.J/ ( i I i i i r , i .'-1 0 If) {- 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 R o P o S E D 10' E X I S T I N G 10' 10' 10' EXISTING 10' 1 0' 1 0' ;'\) " ,\\:..\1';' ;';.y PROP , -..\ ,\,., ,~ ,,,\\--...,., " ~'f:\\}o E\;'-- ",' ,/ \' ~/',. --;r.s L-FA~ '''~ ", FRONT PROPERTY L~\\:. '//c' "" , FRONT PROPERTY LINE ...., \;' . \ L",\\\\.\.\\\ -, .):: . 20' 30'DUPLEX CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~ . OwNER .iJ 0/"7 ill) J? ~Y:j2 G fr/ /I>4j.5k, ) :JVA)(i;:f, &-7t6/1t41J JOB LOCA'I'ION :felt: /.'S I) )c~;-IQ9,(,'(\~)<) herJj Lrf-J/Ij/?HI,t.Lr/i :f?St{CJ PARCEL I.D. # J3-~~ 'j) 1-- ()/~/[) -()OO{)O'-()??7o SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. /. t\\...)('\\\t ~\).~ -S\Vf\-y S trJ\.~ ~ ~~~ -~~-\- " _. J ( ~:: @~ - -I lv, I> "\, I i ~!/ //1 ) I ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ~ K \l~ ku~~A j &k~ ------------ ---------- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATIbN INFOR- MATION. I , , ; ) ')/i ,7 , ,I )/ FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 10' ,", \'\ " \~~) ")\ V'- . 2. SETBACKS FOR R3 ZONING 60' P R o P o S E D 10' E X I S T I N\\ ~ . ~ i<;& ~.^ ,x\"G' , {., 10' - 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 10' ~ 29-' 0"~' /" ~\~ -,>, -< \( "'\>"'- \ ~. FRoH1;'. 'plWfEltn LINE < ' \r,>-~"" FRONT PROPERTY LINE .-- ~. ~ \ :\