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Home My WebLink About96-6139 BUILDING PERMIT N~ Perm it CITY OF ZEPHYRHILLS (813) 788-6611 n 6139-A Date " _ '"'l -7" / L <<>' C:? ~ ELECTRICAL PLUMBING ;" /J Property Owner: 7/ ../ <:... / ~ I) _~rh.fYL Job Address: J 5' ;2/ tf/ -~- 4.. av--e Parcell.D. # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~nergZ Description of Work 7 7' -d c1 Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL.-1b - LJ- DATE Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit FeeQ' L- "(:..: Signature L Q\l){lo/V\-. Company Address Telephone# Valuation or Contract Price /, ~ . ,vl--D City license Registration # State Certified License# ~-k/l BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl, Compressor Final SLB Tub Set Water Sewer Final Tp, Serv, 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 followin9 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. 9, 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 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S ADDRESS ~. JOB ADDRESS i .............--. NAME~~V\cL~ E brown PHONE 5 -{ d- 39Cl'~ '3~-Av~ 1-~~dt~ \=L uJo 0 \I e., OWNER'S 5 ()I\flt--.:L 0.. S LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION PARCEL 1.D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Hove _Demolish PROPOSED USE: _Single Family _KIF _, of Units _H/H _<:o.aercial _Indust. _Swim. Pool ___Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: ~/ ~~()U5e.. BUILDING SIZE: ~~.~square Feet.~Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~~ING PERMITS REOUESTED $ 1000 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _HECBAlfICAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER COMPANY State Cert. or Regist. , Signature City License Registration . ****************************************** ELECTRICIAN COMPANY State Cert. or Regist. # SianAture City License Registration # ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration , *************~**************************** OTRF.R 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 "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 lay apply for the intended work, they are advised to contact tbe City of Zephyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the "Contractor Sections" 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 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 pertitting 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, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docUleDt and prolise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the infortation 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 pertit and that all work will be perforted 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 goverDIental agencies laY apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvirODleDtal 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 volllle" 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 frOJ 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 cOllenced within six IOnths of issuance, or if wort authorized by the pertit is suspended or abandoned for a period of sillOntbs after the till! the work is cOllenced. One 90 day extension of tile, lilY 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. WARNIHG TO OWHER: YOUR FAILURE TO RECORD A NOrICE OF COMMENCEMEfI'l' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMmS TO YOUR PROPERTY. IF YOU IfI'l'EHD TO OBTAIN FIHAIlCIHG, CONSULT WITH YOUR LENDER OR All AnORREY BEFORE RECORDIHG YOUR NOTICE OF COMMENCEMEfI'l' . JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMEfI'l'''. SIGNATURE: OWHER OR AGEfI'l' SIGNATURE: COfl'l'RACTOR STATE OF FLORIDA COUfl'l'Y OF The foregoing instrument was acknowledged before me this , 19____ by STATE 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC '. <;ITY ~ ZEP OWNER " \et\ . b JOB LOCATION 1~9 cl \ <6 DEPARTMENT ~ PARCEL 1. D. #~ SHOW ALL EXISTING & PROPOSED STRUCT'URES GIVING DIMENSIONS & SETBACKS. i \f' ALLEYWAY ACCESS FOR GARAGE OR CARPORT 15 FOOT SETBACK REQUIRED. I ----.-..---- ""6:11 \\ C>~~ Ie.. ~. ~ -)(-' UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. <v..> .>,... FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' cJ OILl f.JP ,.,r-s ~ ;;. i)' .rJQ 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' 10' FRONT PROPERTY LINE FRONT PROPERTY LINE h DESCRIPTION: LOT 22, BLOCK 5, ZEPHYR HEIGHTS, ACCORDING TO THE MAP OR PLAT THRE:REOF, AS RECORDED IN PLAT BOOK 5, PAGE 50, PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. 50' PLATTED R/W pO <0 " DIAI~ErER F.C.M. CROSS rap )( LOT I 16,3' tJ (, )( I"') ~ tUN ~ · 8 ~2! ~ )( 8 i" <Ii Mff/( SHED ON CQNC. 4.,W " DIAMETER F.C.M. 0.70' CROSS fOP LOT 4 5 th. A VENUE EAST 85. 22lPJ N, 89'56'30' f. 85./6(FJ 0, ~ ~ t It II CQ'>ERED CQNCRElt ENTRY 64.0 ONE STORY MAS. RES. 11 39218 COlIC. WALK 20.5' ASPHAL T in i-,. ~ ~ iVC ~ D. CQ/lCRf:T! DECKING POOL CQ/lCRET! DECKING ~. C/\. LOT 22 BL OCK 6 .II' ('/1 N. 89'/4'09' f. S. 89'58'00. E. f 09.70(F) Ilo.OOCPJ . . " DIAMETER F,C.M. CROSS TOP c09 .1_----- o ~IO~ " ., )( ] ,-- 15.3' ~ ..... ~ .... - ~ ~ ~ f'o,., " tJ , f'o,., l"l t.U ~ . 8 Sl cri~ ~ 8 <Ii " 0.30' 15.6' C-I CURVE DATA RADIUS" 25.00' ARC"39.44' CHORD. 35.48(P) S. 45'23'08' E. 35.25(F) I-- Lu Lu ~ (J) . -0 ~ rv) (\J , ... f-. ~ Jl. V) q:- \I) cS . (\oJ TASK: BOUNDARY'SURVEY SURVEYOR'S NOTES I, Thl. I. a BOUlldary SUlVty. mode on the ground UIld" In. supffVfslon of a Florida Regl.tved Land SUlVtyor, FIeld .UlVty wa. ,"ompleted on ~-3'-~' Z. B,arlngs ar, baud OD .}klSo r.,"'sf "I"'~ oY {,of "'~ a.S S.C)(}- -z,J'-S(1'~. -rer ?t..t. 3. No UIIderground utmtlu. UIIderground enerooehmenr. or but/ding follldatlons were mea.ured 01' located as a Pa't of thl. SUlVty, unl". otherwl" ,hown. Trffs and ,hrubs nol local'd. un/us otl1"wls. ,hewn. 4. ThIs sUlVty wa. conduct,d for th, purpe$l of a Boundary S'J/V8Y only, and /.s' nol IMlnd.d to dentl,al' the rtgulalory }urIJdlct/on 01 any f,d"aJ stal'. rtg/onal or local ag,ncy. board. CO/MlIHlon or oth,r simIlar ,Mlty .5. ThIs surv,y was conducl,d wlthoul tll, b,ntflt of an abstract of tltl" therefore. then may be other eaumentJ, rlQht,-of-way. urbade I/nu, ogfffm'nfs. rUff'YalfonJ. rtJirlclloM, or olh" simIlar mot1ffs 01 public r,cord. not depicted on tN. ,urv,y, 6. Flood zon, d.termlnatlon baud upon a scaled lnterpffla1/on of th, Flood In.uranu Rate Mop a. shown hereon. prior to c-onst11JI;tlon Bu/fdilg D,panm'M $!loWd be c-onto~ted for ....'Hle-atlon flood zone. 7, Attention I. d1re~ted to m. fact that thl..JUlVtY mc!y have bun reduced or enklged /Jl size due to reproduction. T1l1. 1fI0uJd be taken Into fOnsJ<hra1lon when obtainIng scaled data. 8. Thl. sUlVty Is not YCllld UII1eu imprinted wIth an emboued Survtyor', Stal Q: 16.3' ..... ".30 ~ ~ ~ ~ - ~ 8 )( () ~ o.~. " DIAMErER F,c.M. CROSS TOP LEGEND M.a.- toW ., IHt/IN' AND ABBREVATIONS: ""' .ow" ~ I',o.c,. t!;~;n:,,~~;.,WllntU Corn.r '.U,. ,..)oM rH F.!.CW,.flDUII".. /). ftM I',A. tkrIlH" lJ1I,. VtIIt1 FJ./'.. 1Nl4 te. ~ CltWllM . 0.&. hM koot '''' ~ fur',. 'lIHIMtIf ~a',~ '" $1''' t'i::'::= If'. flaJd _1nII1Ut ~::~ H.G.VA- ~.^'" .,._ ..... ~. ~ (p'. tw _..-nI "'.. rI.._ .,..., ftOht1c wrlle<ll -...... " "...,., ~.. . ..... /Ioa.' DGnW1 J)ft.. ",lt4II Hr.- SJ.4: AI"" I",. ........IItdtI... ~... ruJHt>c. '. 1IVr. w.4 1MA CA.' cha h 1wlcr ~.~ ~ .... ililillf AAIA. ~... '''A- ,..."""" .-" I' .~ tM" (tJ).Ott~ srw.fidnr. (CJ.'~ ~ FLOOD ZONE CERTIFICATE: rbl. Is to curlf'y thar th, prop"l! shown lw'OD folu wIthin Flood Zone ~ ~.r the Flood Insuran" Rate Map. Community Panel Number/e.'" N#I"(;' ,dat,d I z-n,~1 Cer1lfled To: Vicki Brown Absolute Trust Title /Attorneys' Title Insurance Fund, Inc,; First Union SURVCYOR'S CERTIFICATE: National Bank of Florida 'Ill. r.,,,,,,, ,..r . ..,n,.' 'h '""'" Iuulhi h,,,. .... _I. u;" .., lV,"V/./u IIi th., ,.. ,.,vo, ...,. 'h. It/al_ ,,,hlul 1I1ft/1l~' "' """ ., ,.. "., II. f..,~ .1 "...",.." Lui SitU"" I. C.."., 1/1I700t, ".,It. Aa,.,.,,,rlY. e,i.. ,.,....r " $u"" .re.0I7. I""'d' II...".. A1t~. 'Ill' ,At .h'rll At,,,. r. . ',n '/l~ .HU"U ,.t,...."".. '''1'1.1 " IAt ...r " IfII h,."I,. '/l~ """. dl'iflL-' ..... ..",.. EddIe P. enklns PLS f~ w~ IItfAPF'CI !tOlt1lA RC6lStAA TIClI ~ R,vls/ons Da1. DavId L. SmIth PLS PJl{)f!JJIONA. $lJ~ I /tW>PU lto.o.llA RCGlSTTlA noN ~~ R,vfs/ons Dal. Jenkins & Smith SURVEYING AND MAPPING /900 HWY. 41 NORTHI SUITE 1/11 LUTZ Ft. 33549 LOCATtD IN LAKE FRANCISCO PUZA - PH (8/3) 9<48-2~~6 r AX 949-'817 P.c. JJ.~. f.B. v- pg. Job ~ ,!)t,()S-I// LOT 2' Draft f. ;T Sta.~ Z. S.c. - Check t:r Mlsc, g"",,~~ Sheet / 01 /