The URL can be used to link to this page

Home My WebLink About96-5788 ~ ;-- /1.0 ~~~~ Property Owner: Job Address: Parcell.D. # Zoning: Description of Wor BUILDING PERMIT-- CITY OF ZEPHYRHILLS permit:.! (813) 788-6611 '. ;-'5788 6 Date 5-/- ~ef. E~- P~' MEC4-lAfJlGAL ~~~9~~~~L- //- ~t. .-21- 'DO In - 1'7700- V/~ () Sewer Conn Water Conn: Water Meter: T.U:.'s: NO OCCUPANCY BEFORE C. FINAL C.O. L Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price ~ ~ .. .2, /0 0 ' ~ \),j, Inspector Permit Fee Signature Company Address Telephone#~7f?~.- ~ f e:J :5 City License Registration # .> <_.. State Certified License# _ BUILDING Ftr. Pre SLB Lintel FRM. Insul. CL WL CAL 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 ($15.001 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 C. OY\ 'f'\ 'C '- L. Rr')v~ ~~ \ \\ f\ LE JOB LOCATION .5~ 3~ )8.+~ S\,<~_e..~ PARCEL 1. D . # / 1- ~ ~ - ~ , - D ('1 1 n - 1 1"'1 'I n D - D I 'cl 0 OWNER SHOW ALL EXISTDIG &: PROPOSED STRUC'TUIUCS GIVING DIMENSIONS &: SETBACKS. ~3 L.{'>~ ~ t Q,'~, € Lc-\- '4 less rtoR\\\ J 4.t: 0 F.\. ALL iN B L 0<"\-\ \ i) '1 ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) ,~ 1 i:l l \ <::) \f:) \ '~ ~ I. -J ("( ~ !~ j - ~ I - $,()$..s~ 1 FRONT PROPERTY LINE STREET 1. SETBACKS FOR Rl, 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' FRORT PROPERTY LIRE FRONT PROPERTY LINE ~ ~ 1 0' /~obert OWNER'S ADDRESS C)2 3 (0 I B li--r JOB ADDRESS ~ rn--f , c.- h (V1l/-ff LEGAL DESCRIPTION: LOT(S) ItJ /1 c lif Y>'BWCK 1,1 SUBDIVISION PARCEL 1.D.' /1-c:20 - ~/-OOID-1770o - O/~D (OBTAIN FROH PROPERTY TAX NOTICE) OWNER'S NAHB APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~k (2 nru /~ c;:f gr~f~ s PHONE ,g g - 4 ~o3 .-~ . 3-J~SL/.O WORK PROPOSED:____New Construction ~A4dition Alteration ____Repair ____Install ~.y Snc<\ ---- ____Sign ----..Move ____Deaolish PROPOSED USE: ~Single Faaily ____H/F ____, of Units ____H/B ____eo..ercial ____Indust. ____Swim. Pool ___Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: y-e~')lo CL- I BUILDING SIZE: m-x LQ (' t lW ",-l ~ol 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 0'(,) $ c52.) /00' - Valuation of Total Construction -- ELEGTRICAL AMP Service Florida Power Corp. W.R.E.C. , MECHANICAL $ Valuation of Kecbanical Installation -PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Fraae ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FWOD ZONE AREA? YES NO ****************************************** ro~CTOR ~~ BUWlER _ t2J....~AIlYm 17?u.Q<..:n,.~) , e Cert. or Regist. t Signature ~~ ty License Registration' ****** *********************************** ELECTRIcIAN COMPANY State Cert. or Regist. , Sianature City License Registration , ****************************************** PLUMBER. COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** KEGHANIGAL COMPANY State Cert. or Regist. f 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 pertit lay be subject to ndeed 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 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 wbat licensing requirelents lay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, 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 wbich they will be responsible. If you, as the owner sign as the contractor, you are indicating tbat you, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that lay be an indication tbat 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 tbat I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsDler Affairs. If the applicant is SOleOne other tban the wowner", I certify that I bave obtained a copy of tbe above de~cribed docUleDt and prOlise in good faith to deliver it to the "ownern prior to couencelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, 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 pertit and that all work will be perfoIled to !eet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goveInlental agencies laY apply to the intended work, 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 DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treablent A Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses A ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks A US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fIll laterial is to be used in Flood Zone WAW or "A,etc.", it is understood that a drainage plan addressing a nCOlpeDsating volDle" 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 reguiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid unless the work authoriled by such perlit is cOllenced within Sil IOntbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sillOnths after the tile the work is c~enced. One 90 day 8Itension of tile, laY be allowed for the perlit with fee charge of $15.00. Tbe extension sball 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. WARHING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CotUtENCKHBNt' MAY RESULt' IN YOUR PAYING TWICE FOR IMPROVBllBMTS TO YOUR PROPERTY. IF YOU IHTEND TO OBTAIN FINANCING, CONSULt' WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICH OF CotUtENCBMENT. JOBS UNDER $2,500 IN VALUE DO NOt' NEED TO RECORD AND POSt' A wNOTICE OF COMMENCBMEMT". SIGNATURE: OWIIER OR AGEHT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STAt'E 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