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HomeMy WebLinkAbout96-5752 ~.5 ~I~~ ~ ~--' PL~ :::::::~e' -Cii~~ W4f::~' Parcel 1.0. # /~-::Jh'" t'I. /- ~ tJ. A 0', Co BUILDING PERMIT- CITY OF ZEPHYRHILLS Permit lI! (813) 788-6611 t-~-575~t? ~- /9-?~ Date M~'Sewer Conn Water Conn: Water Meter: T,I.F,'s: Zoning: Description of Work FINAL 'S' '3 q \.. DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or '#- ' Ov Contract Price . ~ I tJ () ..-.- Permit Fee Signature V Company Address Telephone#t/ 5'/3 ~ 7/'5""- 19 <? Inspector Ftr. Pre SLB Lintel City License Regist,.';on # ><--;- State Certified License# (fJ1lJ>fluJ ....- ELECT~ c..---- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final BUILDING PLU~' MECH~L .......-- - ~ Breakers Ducts Insl. Compressor Final FRM. Insul. CL WL SLB Tub Set Water Sewer Final t ~ ry~-th AI! J,;P ~ -0 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 ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAKE .~ be-rT Cf'- G-o (J oe--I....-L OWNER'S ADDRESS .3931 ~ J~~ ~ A Vc- JOB ADDRESS ~ LEGAL DESCRl~~,!~~O!TI ~'~ ~ .i'or- tUJCK .;).. PARCEL 1.D.' O. f?-, I ts.8 c/ PG- 08' 7 & fJ--\\T \\o,k: b' PHONE ~/3 7/ ~ 19{ ~ SUBDIVISION 2-~p Ii '/ R H j;;.1 <!rH T.s (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ----^lteration ____Repair ____Install ____Sign --"ove ____Deaolish PROPOSED USE: -It-S ingle F8IIily --,,'F ____' of Units --"/H ____~ercial ____Indus t. ____Swim. Pool ___Other ~estaurant & Health Department Approval , ~~!L.~.AJ DESCRIPTION OF WORK: '~ BUILDING SIZE: ? X/O, ~o ~ Square Feet, '7 Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKlTS REOUESTED V;UILDING $ I, / trD . en;> Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. --"ECllANlCAL $ Valuation of Mechanical Installation ____PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Fraae ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREAY YES NO ****************************************** CONTRACTOR SECTION BUIWER COMPANY rfl.~ J. ~ State Cert. or Regist. · A"'/. City License Registration' ****************************************** Signature SiROAture COMPANY State Cert. or Regist. . City License Registration . ****************************************** ELECTRlCIAR COMPANY State Cert. or Regist. t City License Registration . ****************************************** PLUKBER Signature Signature COMPANY State Cert. or Regist. . City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. t City License Registration t ****************************************** OTHER Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to "deed restrictions" whicb lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor aay be cited for a lisdeteanor 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 tbe City of Zepbyrhills 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 wbich tbey will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than tbe contractor, are responsible for tbe 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 perlitting privileges in the City of Zephyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. ~ONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HoIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone other than the "owner", I certify tbat I have obtained a copy of tbe above de~cribed docUlent and prolise in good faith to deliver it to the "owner" prior to coaencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance witb all applicable laws regulating construction, zoning, 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 cOllenced prior to issuance of a per.it and that all work will be perf oIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of otber governtental agencies aay apply to the intended worl, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.ited to: t Departlent of HnvirODlental Regulation - Cypress Bayheads, Wetland Areas and Hnvironaentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · Ar., Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treallent, Septic ranls t US HnviroDlental Protection Agency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A per.it 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 per.it prevent the Building Official frOl,thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball beCOle invalid unless the work authorized by such perlit is coaenced witbin six IOnths of issuance, or if worl authorized by the per.it is suspended or abandoned for a period of six IOnths after the ti.e the work is cOlleDced. One 90 day utension of tile, laY be allowed for the perlit with fee cbarge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each sil IOntb period, or the project will be considered abandoned. WARNING TO OIINER: YOUR FAILURE TO RHCORD A NOTICH OF COHHEICEMlHT MAY RBSULT IN YOUR PAYING rlflCE FOR IHPROVKIIKJTS TO YOUR PROPERTY. IF YOU IHTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LHIDER OR AN ATTORIEY BEFORB RBCORDING YOUR HO'lICE OF COMHHNCEtmNT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCKllEHT". SIGNATURE: OWNER OR AGRNJ SIGNATURE: CONTRACTOR STATH OF FLORIDA COUHTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY 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 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT tf ~ I~ ~rL' c< 4et"t'zJ2d-/ {/ . t/ OWNER JOB LOCATION PARCEL 1. D, # SHOW ALL EXISTING Ii: PROPOSED STRUC'l'URES GIVING DIMENSIONS Ii: SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED, UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) {'1 (..:', S' ..... ""'" , -, P:>cr lA) ; I'f I I CJ FRONT PROPERTY LINE STREET 1. SETBACKS FOR R1, 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' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 1 0' FROIft" PROPERTY LIME FRONT PROPERTY LINE