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Home My WebLink About96-6114 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit NC! 6114/3 Date 9 -0<.3 -76 ELECTRICAL PLUMBING MECHANICAL Sewer Conn WatElr Conn: ::::::::~.:~~~-~ /!l~ Parcell.D. # Water Meter: T.I.F.'s: Zoning: Description of Work ,~/~~ NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Permit Fee Signature Company Address Telephone# ~o~ _ - ~~ .~~A/ Valuation or Contract Price o ~, crv City License Registration # State Certified License# t/)A JYu1A- BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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. APPLICATION FOR PERMIT CI TY OF ZEPIIYRlIlLLS BUILDING DEPARTMENT OWNER'S NAME fp. 112. OWNER'S AIJORESS ,') g II JOB ADDRESS 6~ I / H (fSS AI{ FJ /l./N F (({51 _ ~1/2.. rl/2.S1 ~1~1 LEGAL DESCRIPTION: LOT(S) BLOCK PHONE 7;7'.- (!) :3 gO Z /3. P HY fJ.. H II.~L5 Z If. fJ Hf/ p.. HI J..L5 ~,;; SUBDIVISION ~~2 PARCEL LO.t WORK PROPOSEIJ: ____New Construction -^ddition ----^lteration _Repair _Sign ----"ove _Demolish PROPOSED USE: _Single Family ----"I F ---- # of Units _M/D _Connercial - Indus t . _Swim. Pool _Other ____Restaurant & lIeaIth lJepartment Approval DESCRIPTION OF WORK: BUILDING SIZE: ~xL. . ..2 ?JJ Square Feet. g:> ~ lIeight 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 Florida Power Corp. W.R.E.C. ~LEL'TRIGAL AMP Service _MECHANICAL $ Valuation of Mechanical Installation SPECIALTY _PLUMBING GAS ROOFING TYPE OF CONSTRUCTION: ~lock ____Fr88le _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? L YES NO .......................................... CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. t Signature City License Registration t .............................*.*.........* ELECTRICIAN COMPANY State Cert. or Regist. # SiROature City License Registration t ............*...........*..........*...... PLUMBER COMPANY State Cert. or Regist. # Signature City License Registration # *.*.........*.*.*...........*............. KECBANICAL COMPANY State Cert. or Regist. t Signature City License Registration t .......................................... OTHF.R COMPANY State Cert. or Regist. t Signature City License Registration t .......................................... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT. A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to 'deed restrictions" which tay be lOre restrictive than City regulations. The undersigned aSsutes 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 188-6611. 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 tbe contractor, you are indicating that you, rather than 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 (CHAPTER 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 Agricultur~ and Consuter Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docutent 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 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 perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 governtental 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 lilited to: · Departlent of EnviroOlental Regulation - Cypress Bayheads, Wetland Areas and EnviroOlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways · Departtent of Health & Rebabilitative Services, EnviroOlental Health Unit - Wells, Nastewater Treatlent, Septic Tanks · US IInviroOlental Protection Agency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. I', it is understood that a drainage plan addressing a "colpensating volute" 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 cOllenced. One 90 day extension of tile, Jay 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. NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMENT HAY RESULT IN YOUR PAYING 'fIfICE FOR IHPROVEHllfTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COHHIINCEHENT. JOBS UNDIR $2,500 IN VALUI DO NOT NEED TO RECORD AND POST A "NOTICI OF COHHINCEHENT". ~ L. GN,AT . OWN OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument before me this SIGNATURE: CONTRACTOR was acknowledged , 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 CITY OF ZEPHYRHILLS BUILDING DEPAR'l"MENT ::~ J T z. 1-1 U 5s (7114 ^/N I JOB LOCATION ,~g {I {/{{Sf STft 2 E P/-l'((1.. 1-// L. to. S OWNER PARCEL I. D. # SHOW ALL EXISTIRG IE PROPOSED STRUC"1"UR.ES GIVING DDlEHSIOMS IE SE'l"BACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. fJ{ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (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' FROII"I' PROPERTY LDIE l I -'" J",..-. /..-...,.-.1 - \ I l ~\v I \ \~ ~- ,~ ,~'?~ -+ \ ~ IQ' e -., . 11' ,v v 1, ~~" FRONT PROPERTY LINE 1 0' 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' FROII'1' PROPERTY LDIE