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Home My WebLink About96-6025 BUILDING PERMIT Permit N! CITY OF ZEPHYRHILLS (813) 788-6611 602513 Date f(''''d...9b ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: ~ _~. WJtt~) Job Address: 55 It.lo-J ~-z:.a ~t.. Parcell.D, # I J-~ lo-~ \-l!)a\~-lL~~O-Ol4-0 Water Meter: T,I.F.'s: Zoning: Ene~ Code: DescriPtionofWork~ ~..h.~('I~ Radon Gas: NO OCCUPANCY BEFORE C.O, FINAL C.O, DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector City License Registration # State Certified License# (/1// A- (V/~ '" Permit Fee MQ ~ 0 SignatureVf . L ,d; . Company Address Telephone# Valuation or Contract Price Jiaso eo u....~ (!>to K>E-R. BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In 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 r~j0.~e,lIe L- ~h+e. JOB LOCATION (')0 L1~ I~ "C'Jree.f) Zep),\.,yhiIJS) FL ,'~,~;=j40 PARCEL I, D, # -LJ -:2LL> - ;( I-CJO 10 - J I ;;()O - 01 LID SHOW ALL EXISTING &: PROPOSED STRUCTURES GIVING DDlENSIORS &: SETBACKS. I qs '-~~-~~ l~'\...- ~ 1 {t,. '2 -1 f.f - '7LL4/Jf;V~1t-L ALLEYWAY ACCESS FOR < GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. I 10' "ID -~~Ifro~[&' 10' Q~.3' lL10 ,0 I Z)3' EXI st'tn,3 ;{ ::{, -3 UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. .'}""" 3' ote", . FRONT PROPERTY LINE (NOTE EXAMPLES l' & 2) STREET 45' 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 15 I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FROIft" PROPERTY LIRE FRONT PROPERTY LIRE ~ APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME (YJ i che lie L. -U, OWNER'S ADDRESS \. ~5 l/l..c 1'6 - JOB ADDRESS 56 LJLo J<3t:1 LEGAL DESGRIP'l'ION: LOT(S) I .( nik S+~eeJ ) Z eph '/ ,. h; U-s St{ee+, 2ppJ,y,hi J is 3.3540 I ~ .J.5/j') J J ~LOGILl.La.SUBDIVISION PARCEL LD.,-11-QCc-a\-oOJo- '1~-0I4D PHONE 'n~ - 5/l.o~ , ::S~5qO (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: VNew Construction _Addition ~teration _Repair _Install _Sign --1Iove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _M/H _~ercial _Indust. _Swia. Pool V Other _Restaurant & Health Departaent Approval DESGRIP'l'ION OF WORK:-1l.hJity BUILDING SIZE: 'l X J 0 . s.hecl JOr S+Orae~ <60 Square Feet. G /:< I Height RESIDENTIAL: ATTACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. COKKERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~BUILDING $ , ~:=-O Valuation of Total Construction _ELEC'l'RIGAL AMP Service Florida Power Corp. W.R.E.C. --1fEGllANIGAL $ Valuation of Mechanical Installation _PL~ING GAS ROOFING SPECIALTY TYPE OF GORSTRUCTION: _Block _Fraae _Steel Other FIliISHED FLOOR ELEVAITORS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** " CONTRACTOR SECTION RIITl.DER GOKPANY . . lAllA .0 State Cert. or Regist. , Signature InfA:\MJ!XJL 0) ,~ City License Registration' ****************************************** ELEC'l'RICIAR COKPANY State Cert. or Regist. , City License Registration , ****************************************** SiRnAture PLUKBER Signature COKPANY State Cert. or Regist. , City License Registration . ****************************************** ,. KEGBABIGAL GOKPANY State Cert. or Regist. . City License Registration , ****************************************** Signature OTRRR COKPANY State Cert. or Regist. . City License Registration . ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions" which aay be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for cOlpliance 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 the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!lents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 tbe 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 that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOJeOlfDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOJeQne other than the "owner", I certify that I have obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the "owner" prior to couencl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation 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 cOIIenced prior to issuance of a pertit ann-that all work will be perforJed to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also certify that I understand that the regulations of other govetDIeDtal 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 liJited to: t Departlent of EnviroDlental Requlation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, WaterfVastewater TreatJent t Southwest Florida Water HanaqeJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Al'If Corps of Enqineers - Seawalls, Docks, Navigable Waterways t Departlent of Health i Rehabilitative Services, BnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abatl!lent 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 .cOJpeDsating volDle" will be subJitted which is prepared by a professional engineer registered in the State of Florida p'rior to perlit. issuance. A pertit 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 pertit issued shall beCOle invalid unless the work authorized by such pertit is cOlleJlced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tile the work is cOllenced. One 90 day extension of tile, laY be allowed for the pertit 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. WARlfHlG '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICK OF COHHBNCEHBlft' HAY RESULT IN YOUR PAYING TlUCK FOR IHPROVEMBftS TO YOUR PROPER'l'Y. IF YOU Ilft'END TO OB'rAIN FIMAHCING, CONSULT WITH YOUR LENDER OR AN AnOIlRBY BEFORE RECORDING YOUR IfOTICK OF COMMENCBHBIfT. JOBS UNDER $2,500 IN VALUE 00 NOT HEED '1'0 RECORD AND POST A "NO'rICE OF COHHEIfCBHEIfTII. (Y)(01o~fuL rfi ' ~ SIGIIA'lURE: OWNER OR AGEIfI SIGIIA'fURB: COlft'RACTOR STATE OF FLORIDA COUIfTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUIf'l'Y 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