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Home My WebLink About96-5742 ~ ~f) ~~~. ~. ~op.rty OW~" :;f;;;}/~j;g GtJ% Job Address.,' 'A1 ~ . I~ -,aG, --~/- c2{/- 0 - BUILDING PERMIT-- CITY OF ZEPHYRHILLS Permit B! (813) 788.6611 1--'574~,8 "1- /'" - ~6 Date ~AL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Parcell.D. # Descri NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # '-- < State Certified License# ~ (j)~,~) Permit Fee Signature Company Address Telephone#V 7/~" /..3:2:2 Inspector VJ Valuation or l ~ ---- Contract PrICe C 00' BUILDING ELEC~" - PLUMB~-- ----- MEC~' -- Tp. Servo Roughtn 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. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT .. OWNER JOB LOCATION 1'1 ~~\\.\ \)'\)t~\.0 t\\l ~ . PARCEL 1. D. # SHOW ALL EXISTING &: PROPOSED STRUCTURES GIVING DIMENSIONS &: SETBACKS. ~~\, . l~~lL ((),,~ llJI \\)\~ #~';~J" ~ or _ ~0 . vJ~~ r\""'~ ~ ' ~ ~~\/l..D~: '" --l \\ ALLEYWAY ACCESS FOR .,~;~ J;0'--' GARAGE OR CARPORT _:-., .:\"'.7 / ~ \'~ 15 FOOT SETBAC~ "<.~) '.._/ /~, .' REQUIRED. ~s ~ "'. ,(.) .~,,~ \~;,t~ '~'\'\ v ,.~x /' /' ~., \' :-\X- / ,"" 0\h . ", '\)\ /, , ) t <IV "'E <;::.~ J ~-t' t. ~ ~v. /~~v~AA ~ 't . W\f """Li ~ '-,1 ~', I"'()/' -4 "~ .L..--.. JII / ____.-:> l ") UTILITY 2~ILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION, L\N('x)w A:u<--, FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1f 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' FRONT PROPERTY LINE FRONT PROPERTY LINE (1- 3 (-- , \ -$ - . \ ~~ . , ,)\-,-\ I \2-"""'- '2.- 3 l:j --- -~~_./' r ' '5\~ -------~-~.. c,\~~\.\\-JV\ . b0.:;:M J. b(ri -S\\~ ) ''') ~o:.. \ ..-.---~--_..-- e (J-\j (': ~ te- c=:- /JJ " { (; 'l .-J 1",_ " _ -Co ~'^' b l 'lUv J' ~ \0~" \ / ./'-7\ .--~- VAIl ~ ~ c~"\",,, w\" L tlJjYI'. '\.. \.:-)( {~ .\ ,}, -'\ ' \ 1-k''Ij~ ~_ \.0 ..- / .1 I ~' . I " " ~ I ~.../::,:--"",L-- .......1 -+- 2- X ..I, . I./~,>-" ...&. ~,~. ~ ~~ .A~ .A #~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWJJER' S t:"I "fir Ii N Cl U. {) f) 'J- fJ. 5 / b OWNERtSiADD~' 'J9'JIf1 LJ ^ CO/IV fJ Vi-- JOB ADD~' SS J 9' '3 Sf ~ 1.... rN C 0 I IV fJ '1/6 ~ LEGAL D CRIPTION: LOT(S) BLOCK PARCEL I.D. PHONE 7/5-- ~/32J SUBDIVISION _Sign _Move (OBTAIN FROM PROPERTY TAX NOTICE) *-Alteration _Repair _Install _De.olish WORK PROPOSED:_New Construction _Addition PROPOSED USE: _Single Fallily _M/F _, of Units _M/B _eo..ercial _Indust. _SwiJa. Pool _Other _Restaurant & Bealth Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQtJ.IRED FOR ALL NEW CONSTRUCTION. ~BUILDING _ELEC'fRICAL PERMITS REOUESTED ,$ Valuation of Total Construction . AMP Service Florida Power Corp. W.R.E.C. _MECHARICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FDiISHED FLOOR ELEVATIONS: F'f . IS PROJEC1' IN FLOOD ZONE AREA? YES NO ................................********** CONTRAC1'OR SECTI.9' ). J BUTlllRR COKPANY lL//)Iff?'Yl-L-~~) f '-fi' /)~State Cert. or Regist. · Signature J~~.'(/44 City License Registration' \, ****** ****************.***************** F.1.R.C'fRIc1AN COMPANY State Cert. or Regist. t SiQDAture City License Registration , ***....****.**************.*************** , PLUKaER COMPANY State Cert. or Regist. . Signature City License Registration t .****.***.*.****************..************ MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . **.*.*********.*****.**..***************** OTHF.R COMPANY State Cert. or Regist. f Signature City License Registration t .*.***.************************.*.*****.** APPLICATION APPROVED BY PERMIT OFFICER. "" . .. .. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penlit lay be subject to Ddeed restrictions" which lay be lOre restrictive than City regulations. fhe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has'tiired 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 laY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" 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 lay be an indication that he is not properly licensed and is not entitled to perJitting 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 wi th a copy of "Florida's Construction Lien Law - HOIIl!owner's Protection Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is SOIeone other than the Downer", I certify that I have obtained a copy of the above described docUleDt and pro.ise in good faith to deliver it to the "owner" prior to couencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infonlation in this application is accurate and that all work will be done in cOlpliance 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 CDIIeDced prior to issuance of a penlit and that all work will be perf OIled to teet 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 goveInleDtal agencies lay apply to the intended work, 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: * Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Mavigable Waterways * Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic fanks * US Environaental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone RAR or "A,etc.", it is understood that a drainage plan addressing a .co.pensating volUleD will be sublitted which 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 the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid unless the work authorized by such perlit is co.enced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntha after the tile the work is c_enced. One 90 day extension of tile, lilY be allowed for the perlit with fee charge of $15.00. The extension shall 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. WARRING TO OWMER: YOUR FAILURE fO RECORD A MOTICE OF COMMEMCEMEIfT MAY RESULT 1M YOUR PAYIMG rwICE FOR IMPROVEJIEMt'S TO YOUR PROPERTY. IF YOU IIfTEID TO OBfAIM FIIfllMCIMG, CONSULT WITH YOUR LEImER OR All AnORIfEY BEFORE RECORDING YOUR NOTICE OF COMKENCEMRNf. JOBS UNDER $2,500 IN VALUE DO MOT MEED fO RECORD AID POST A RMOTICE OF COMMENCEMElft'''. SIGNATURE: MER OR AGEIfT SIGNATURE: COIfTRACTOR STATE OF FLORIDA COUIfTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUHTY 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC