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Home My WebLink About96-5755 BUILDING PERMII- CITV OF ZEPHYRHILLS Permit ]I! (813) 788-6611 -;~575~8 Dati! Ij-;f-rb ~ ELECTRICAL PLUMBING :::::,~:~~~4;Ld- #- Y-- Parcel 1.0. # (b -:16 - ;;L/ - 1- / 0 A- Zoning: Ener~y Code: "/ Description of Work 6 )( b. ../ L "';. MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. 'i~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE City License Registration # State Certified License# Inspector Permit Fee # # 6iJ~ S;gnatu,. ('-L'c, P.. r{j ~ Company (j _ Address Telephone# Valuation or /-/ L....... _ /.,....,""\ Contract Price "'-J :::2 ....... l.-/ t:/"v. /'V1 .//1 _ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER S h; f \ ~ ~ (I c tllD-t r oL [L/t7 f{-v-A'(rAL- JOB LOCATION $729 Hpo I/o Sf , PARCEL I.D. # '.J - :26 -~J - / .... 10 /f- SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. I:v' ~ ii. '",l. c-- ./ ~~'i or \. pi'" i~ I -I _-S _ ."T - - ( o ) /Z0 '-1 ~@-- ~ 1\- ~~'TLO , v ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. Ii '~."._- ....~---- II i ll1i<. Pi'R, r- $(" (r - F ~ -?'b ~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION, FRONT PROPERTY LINE (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 S I E N D G 20' 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' FROft PROPERTY LINE FRON"l' PROPERTY LINE RIVERVIEW LAWN & PATIO FURNITURE, INC. 1325 W. BRANDON BLVD. BRANDON, FL~11 684.4422 "A FIC'rlda Tradition For Over 25 Years." Sold By EO. Date Date Stock EO. Name Address (H) I Referred By: City DELIVERY INFO. Date Promised LENGTH CUSTOMER IS RESPONSIBLE FOR I' lor-MIlS Serial No. , t ! ~ (FAX) Date Delivered i1 j. I I TERMS OF CONTRACT: ~ % DEPOSIT REQUIRED; BALANCE DUE UPON DELIVERY UNLESS OTHERWISE NOTED. UNITS WILL BE HELDAT SAlES lOT TWO WEEKS PENDING DELIVERY UNLESS PAID IN FULL THERE WILL BEA 10% CHARGE FORALL CANCELLED ORDERS. ALL BillS ARE DUE AND PAYABLE UPON RECEIPT. A 1%% FINANCE CHARGE (PER MONTH), WHICH IS ~ ANNUAL PERCENTAGE RATE OF 18% WILL BE ASSESSED ON ALL OUTSTANDING BALANCES WHICH ARE DUE FOR 30 DAYS OR MORE. THE UNDERSIGNED CUSTOMER GRANTS TO TED'S SHEDSAPURCHASE MONEY SECURITY INTEREST IN THE SHEDAND/OR EQUIPMENT DESCRIBED ABOVE, WHICH SHAlL BE DEEMED PERSONAl PROPERTY. TED'S SHEDS SHAll BE ENTiTlED TO RECOVER ALL THE COSTS OF COlLECTION FOR ANY AMOUNTS DUE AND OWING UNDER THIS AGREEMENTS OR IN CONJUNCTION WITH THIS AGREEMENT, INCLUDING, BUT NOT LIMITED TO: ATTORNEY'S FEES, COURT COSTS ~D ANY OTHER COSTS OF COllECTION. WHEN A SPECIFIC PLACEMENT OF A UNIT IS REQUESTED"THE BUYER ACCEPTS FUll RESPONSIBILITY FOR DAMAGE INCURRED BY OBSTACLES THAT HAVE NOT BEEN REMOVEDAND FOR UNDERGROUND UTILITIES WHICH INTERFERE WlTHANCHOR INSTALLATION. IT IS AlSO THE BUYERS RESPONSIBILITY TO CHECK ON AND COMPlY WITH ZONING AND BUILDING PERMIT REQUIREMENTS AND ANY DEED RESTRICTIONS FILES OF RECORD. ! 11 " : I' , J!, '.'" I ,::~l..!.IjORIZED BY:, ' " '" : I ; CUSTOMER: ___ ' , DEALER. White CUSTOMER. Yellow Style: Color: Wall Door(s) Type: Vent(s) Type: Options: Size: Width , x Length Roof Windows Size & Finish: Electric: , I \ , \ Trim Reverse \ Hin e: " : t . I Cash ,\ Check No. ,.'/ i , , Credit Card: Other , ' WIDTH l II { I i !~ ( Sub Total Tax B.O,S. Labor Total Deposit Balance DELIVERY. Pink PRICE I I, . r " \ I -. , I , ". r- " /,\ I ' ) .~, I r:, ( ) (") ( , t,)C\ )rJ. 1/ () ('i''; l),' , ~t '-'\1 I ( Or. ) ./ ., " ,: APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT '- OWIlER'S - -<..~~ ~ d.~ i r" ~ OWNER'S ADDRESS ~ JOB ADDRESS s-}7 ~;; ~~ PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# /1/ -;26 - d/- / -r"G> ~ ~ (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -..Alteration _Repair _Install _Sign. -.JIove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Deparbaent Approval DESCRIPTION OF WORK: ~ ,-I 6 .Y b BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COKKERCIAL 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHARlCAL $ Va1uation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDlISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION 1lllI1.nU ~ . COIIPAIIY , ~ State Cert. or Regist. . Signature 1.). f ~ . City License Registration # I r ...................................... F.T .F.CTRlCIAN COMPANY State Cert. or Regist. f SianAture City License Registration , .......................................... PLUKBER COMPANY State Cert. or Regist. , Signature City License Registration t .......................................... MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration , .......................................... OTHF.R COMPANY State Cert. or Regist. , Signature City License Registration # .......................................... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peClit aay be subject to Ideed restrictions I wbich aay be lOre restrictive than City regulations. Ybe undersigned assUles responsibility for cDlpliance with 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 tbe contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents aay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has bired a contractor or contractors, he is advised to have tbe 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 wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting 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 IFlorida's Construction Lien Law - HOIeOIDer's Protection Guide" prepared by the Florida Departlent of Agriculture,and ConsUlar Affairs. If the applicant is sOleone other than the lowner", I certify that I bave obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the "ownerl prior to cOllencelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cDlpliance 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 bas cOllenced prior to issuance of a peClit and that all work will be perforJed to lIeet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also certify tbat I understand that the regulations of other goverDIeDtal agencies aay apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in cOlpliance, Sucb agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Yreatlent t Southwest Florida Water HanageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AClY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater YreatJent, Septic Yanks t US EnvirDnleDtal Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone HAl or "A, etc. I, it is understood tbat a drainage plan addressing a UcOlpeDsating volUleN will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it 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 tbe technical codes, nor shall issuance of a peClit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued sball beCOle invalid unless the work authorized by such peClit is cOlllellced within six IOnths of issuance, or if work authorized by the peClit is suspended or abandoned for a period of six IOnths after the tile the IfOrk is cOlleJlced. One 90 day extension of tile, lay be allowed for the peClit 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 COMMENCEMEIn' MAY RESULT IN YOUR PAYING !WlCE FOR IMPROVEIlEIft'S TO YOUR PROPERTY. IF YOU INTEIID TO OBTAIN FINANCING, CONSULT WITH YOUR LEIIDER OR AN AnORHEY BEFORE RBCORDING YOUR IfO'fICB OF COMMENCEMENT. JOBS UIIDER $2,500 IN VALUE DO NO'f NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGJlATURB: OWNER OR AGENT SIGJlATURB: CONTRACTOR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 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