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HomeMy WebLinkAbout96-5782 BUILDING PERMIT'- CITY OF ZEPHYRHILLS Permit :II! (813) 788-6611 J~5782A Date /;/- ;1..9-9& c9 ELECTRICAL PlUMBING MECHANICAL ::::''':::~.y h ~A~ ~ q .. Parcel 1.0. # )Y-d.-b -~..... O;;L61J.- /)/)oc) 0 - 190VU Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~~ode: Radon Gas: L~ r Description of Work _ '--> d..">< NO OCCUPANCY BEFORE C.O. FINAL ~ q (,. ATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # State Certified License# Permit Fee ~O~:2: Signature r-: 6.A Company Address Telephone# ~~40' Valuation or.... Contract Price /;;l-..s - ()"-o ~ 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 Ins!. 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER · S NAKE PHONE OWNER' S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --.fllteration _Repair _Install _Sign ----"ove _Deaolish PROPOSED USE: _Single Faaily ----"/ F _' of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department 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 REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _HECHARICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BunnER ~ COMPANY /19/ ~'l d '\. State Cert. or Regist. . Signature //( u~~r/ .:b ~ - City License Registration' **************************************** ELECTRICIAR COMPANY State Cert. or Regist. . SiQDAture City License Registration , ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRRR 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 perlit lay be subject to "deed restrictions" whieb lay be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas bired 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 JaY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJents lay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813) 788-6611. FurtberlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the "Contractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor, you are indicating tbat 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 he is not properly licensed and is not entitled to perlitting 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 tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOJeowner's Protection Guide" prepared by tbe Florida DepartJent of Agriculture and ConsUler Affairs. If tbe applicant is sOleone otber than the "owner", I certify that I have obtained a copy of the above described docUlent and prolise ,in good faith to deliver it to the "owner" prior to coaenceJent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOJpliance 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 cOIIenced prior to issuance of a perlit 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 that I understand that the regulations of other goverDIental agencies lay apply to the intended work, and that it is IY responsib~lity to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: A DepartJent of EnviroDlental Regulation - Cypress Baybeads, Netland Areas and EnvironJentally Sensitive Lands, Nater/Nastewater TreatJent t Southwest Florida Nater Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health i Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat 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 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 perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid unless the 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 tbe tile the work is cOllenced. One 90 day eltension of tile, JaY be allowed for the perljtwith fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspectionj'ust be logged during eaeb sillOnth period, or the project will be considered abandoned. NARNING TO OWNER: YOIlR FAILURE TO RECORD A NOTICE OF COMMENCEMEIft' MAY RESULT IN YOUR PAYING TWICH FOR IHPROVBMElft'S TO YOUR PROPERTY. IF YOU IIft'END TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN AnORNEY BEFORE RECORDING YOUR HOIICH OF COMHENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED to RECORD AND POST A "NOTICE OF COMMENCEMEHT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19_____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this 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 ? ~. CJ'"Y ~~IL~ BUILDING DEPARTMENT OWNER~4-d~~~_______,- 7"6~-:S ~~~ JOB LOCATION PARCEL I.D. # /'1-:26 - d-/ - Od-bO - 00 DOO -- 00 Yo SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ....r !J ~ UTILITY SUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. / _ ,r J J A. / fr~N f]! " I !L, -/ /~ FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1f R2 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' FRONT PROPERTY LDIIJ: 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' FRONT PROPERTY LINE