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Home My WebLink About96-6082 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 NC? 60826 Permit Date 9-fp-9(P ... .. ' .. ..'..---..... C~~ ELECTRICAL PLUMBING Pwpert'( Owne" -,J1;6P~ Job Address: ~ -s..L _ _ __ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work Energy Code: - f /~.>t / 0 _~ /- Ra,d02 ~ - ~~ '{/- FINAL C.O. NO OCCUPANCY BEFORE e.o. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE 15~ Pe,m;t Fee .;;2.s~ tl'r:> :;; Signature 9n 4~-<A", ~1. ~ A~A 0...-..- Company Address Telephone# Valuation or Contract Price d- cr-z:rO. c.J--iJ , City License Registration # State Certified License# ('/).-t JY\.P ./) BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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 DEPARTHEN"J." OWNER --'!J e.. / V ,. () 1:'" Lor re n JOB LOCATION .s.3, -; 'f~ St. 1..... o-./-- J...~ 7 e.. Ph y ,... h,' J k , ,') i j r h / .:J cit I ~;:) F I, 3=15lfl - PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUC'l'URES GIVING DIMEHSIORS & SETBACKS. {.J lie y W8..y J.4 !> . . ._-7.'1_' -;;>Q1'<E--- PropoSed ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. I'f'> gth · ,:/IJe. '" ... .JS' "'"--""--.............-,.. c c3Y P....Gh .-5(j#~---_.__.- .:I 'f I < -- f1 otJ5~ t ! Jo' I FRONT PROP~TY LINE " \!I/ ..J" \'f ....... ---.- -.. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ,., (NOTE EXAMPLES 1 & 2) STREET f-~ 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 S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30' DUPLEX 1 0' FRO1ft' PROPERTY LIRE FROIft" PROPERTY LIRE APPLICATION FOR PERMIT CITY OF ZEPIIYRlIILLS BUILDING DEPAR1~ENT M e. J" / n --r; J.... () r r- e.. Y"\ OWNER'S AUDRESS .s y 13 '-I~' JOB ADDRESS S If I 3 ~ fh ' LEGAL DESCRIPTION: LOT(S) 1- if OWNER'S NAME ~~Phyr~/IIS :2.e P hv I( I..J//I~ / 1= J · Fl. BLOCK loJ I) SUBDIVISION PARCEL 1. D. t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: ____New Construction -^ddition ____Alteration ____Repair _Install ____Sign _Move _Demolish PROPOSEI) USE: ____Single Family ____M/F - * of Units _M/H - Commercial - Indus t. _Swim. Pool _Other ____Restaurant & lIealth Department Approval DESCRIPTION OP WORK: (Jf 1.. ''I.'x I L' , BUILDING SIZE: _~ __ / CJ 2... Square Feet, ~. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Plorida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _FraJlle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COKPANY State Cert. or Regist. f Signature City License Registration I ****************************************** ELECTRICIAN COKPANY State Cert. or Regist. # SiRllature City License Registration , ****************************************** PLUMBER COKPANY State Cert. or Regist. . Signature City License Registration , ****************************************** MECHANICAL COKPANY State Cert. or Regist. t Signature City License Registration I ****************************************** OTIIF.R COKPANY State Cert. or Regist. t 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" which 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 what licensing requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (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 tllan the contractor, are responsible for the 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 perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection Guide" prepared by the Florida Departlent of Agricultura and Consuler Affairs. If the applicant is sOleone other 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 couencelent. E. CONTRACTOR'S/OWNER'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, zoning, and land developlent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has couenced prior to issuance of a perlit and that all work will be perfoCled 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 govefDIental agencies lay apply to the intended work, and that it is .y responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: A Departlent of Environmental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent A Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses A ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways A Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treablent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abatelent 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 "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 the tile the work is cOIIenced. One 90 day extension of tile, laY be allowed for the perlit 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEHHNT MAY RESULT IN YOUR PAYING twICH FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AM ATTOMEY BEFORB RECORDING YOUR HOTICH OF COMMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEMENT". SIGNATURB: ONNER OR AGBNT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 0' 19__ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 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