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Home My WebLink About96-6056 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit NC? - '6056A Date ~ - &/- y .t:. ~~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Zoning: Description of Work Water Meter: Property Owner: Job Address: Parcell.D. # T.I.F.'s: FINAL 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. Inspector d;TE Permit Fee ~O. Signature~~ O!.. Company Address Telephone# C.TD \ )~ I Valuation or /. o-L; Contract Price ,s. U - City License Registration # State Certified License# ('!J.-t)n tlJ'\ __ BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Serv. Rough!n Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME iJbI-..J Y Kl 'At h J~ OWNER'S ADDRESS ~ 15 7 i / PHONE A o-{ / c,( JOB ADDRESS ,s~ LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL I.D.'/" 61 - D6 -oV-/~O--I SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -..Alteration _Repair _Install _Sign. _Kove _Dellolish PROPOSED USE: _Single F8Ilily _KIF _' of Units _K/H _eo..ercial _Indust. _Swiat Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: 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. PERKITS REOUESTED hUlLDING _ELECTRICAL $ i ':) O. [) V Valuation of Total Construction AMP Serv'ice Florida Power Corp. W.R.E.C. --'lECHAlUCAL $ Valuation of Kechanica1 Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other FIRISHED FLOOR ELEVAnONS: Fr. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION Blrri.DER . Si_ture ~ COMPANY ~. State Cert. or Regist. . -~ City License Registration' . ****************************************** RT.RCTRICIAN COMPANY State Cert. or Regist. t City License Registration t ****************************************** SignAture PLUKBER COMPANY State Cert. or Regist. , City License Registration t ****************************************** Signature .. MECHANICAL COMPANY State Cert. or Regist. t City License Registration t ****************************************** Signature OTImR COMPANY State Cert. or Regist. f City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to .deed restrictions" wbich tay be lOre restrictive than City regulations. 'I'be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the 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 tay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireaents tay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departtent, (813) 788-6611. FurtherJOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the "Contractor Sections I of this application for wbicb 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 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 peraitting 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 - HOteOIfJler's Protection Guide" prepared by the Florida Departlent of Agriculture and consuaer Affairs. If the applicant is sOteOne other than the .owner", I certify that I bave obtained a copy of the above described docutent and prOtise in good faith to deliver it to the "owner" prior to cOlleDceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas COJJenced prior to issuance of a pertit and that all work will be perforted to teet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies tay apply to the intended IOrt, and that it is IY responsib,ility to identify wbat actions I lust take to be in cotpliance. Such agencies include but are not litited to: * DepartJent of Environaental Requlation - Cypress Baybeads, Wetland Areas and Invironaentally Sensitive Lands, Water/Wastewater !reatJent * Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Aray Corps of Engineers - Seawalls, Docks, Kavigable Waterways * Departlent of Health & ~ehabilitative Services; Environaental Health Unit - Wells, Wastewater Treattent, Septic 'I'anks * US Environaental Protection Agency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood ZOne IA" or "A, etc. " , it is understood that a drainage plan addressing a .cOlpensating volUte. will be sublitted wbicb is prepared by a professional engineer registered in the State of Florida ~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 Bet aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frOt thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued sball beCOle invalid unless the work authorized by such perait is cOlleIlCed 1dthin sillOnths of issuance, or if wort authorized by the perait is suspended or abandoned for a period of sillOntbs after the Ute the work is co.enced. One 90 day extension of tite, tay be allowed for the pert~~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 sillOnth period, or the project will be considered abandoned. WARKIHG '1'0 OWKER: YOUR FAILURE TO RECORD A NO'I'ICE OF cOIIMDClMBMI MAY RESUL'I' IN YOUR PAYIKG !VICE FOR IMPROVEIIIMIS TO YOUR PROPERTY. IF YOU IMlBHD '1'0 OB'I'AIK FIKAHCIKG, COKSULT WI'l'H YOUR LIIIDER OR AK A'l"l'ORDY BEFORE RECORDING YOUR NO'I'ICE OF cOMHEKcEHBlft'. JOBS UKDER $2,500 IK VALUE DO KO'I' fflED TO RECORD AND POST A 'KO'I'ICE OF COHHDCEMm". c~.~ I~ SIGNAtURE: OWIIER OR AGIK'l' SIGKATURE: cOK'l'RACIOR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19 by ----.- S'I'ATE OF FLORIDA cOUlft'Y OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an o~tb. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC , CITY OF ZEPHYRHILLS BUILDING DEPARTHBNT .-0 . t OWNER L/? r:-L b h ~/..t?_ JOB LOCATION ~d./g .3$?~1 CR5~L: ~~9-IrMLl,6'",J2J%.~2 PARCEL LD. # SHOW ALL EXISTING &: rtIV ~/W~cL.. 15'L.c""'l $<: I::J/,AN "'.b 0"... /;r J9f! /' r ~ vvr ~ L~"t- 18. ~Nder J4~~$tr~t J7 ~/)I/ ~u---- fi2 MJtV/-h'( jr 7J )fl'rA ,1-7' ~"""A., 71f4f It.. 1L m.-i!..&/J ei....fr (S. -{ e;:~'jr · ,oS /341 J..JjAi,., G oi 'L- ~~;;. PROPOSED STRUcruR.ES GIVING DIMENSIONS &: SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ''i UTILITY SUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~ \~-A P ;r' ~~~~ ~ I~ifl~ ~~'f 1:'- ,. 1 f/II~.- () -2 V r r t'J. 1?-V I~J . l'/..?" )l.t ,.' \'t -l ~ . V'1~jl l' X I~ I , <;' ,...AJ. J-:- <' )Zb\ u~'+ frP~~f\> . ;' ,,, ~t.' e~4'" - .... N \T\. 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' FROIft" PROPERTY LIME 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' FRONT PROPERft LIME