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Home My WebLink About96-6142 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit Nt? --614~ Date J 0 -.J> - 7 .b C;;:~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ::~::~,~s:ne'~ / 1!T~ -:b ~ Parcell.D, # Water Meter: T.I.F.'s: Zoning: Description of Work f) En.ergy Code: ..v~~ 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 Permit Fee cJ-O. cr--l:) Signature tip ~ YV\ e ~ Company Address Telephone# Valuation or Contract Price ~..JO . de:> City License Registration # State Certified License# ~g-'L BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Ins!. Compressor Final SLB Tub Set Water Sewer Final Tp, Serv, Rough In Meter Can Const. Pole Pool Pre-Meter 11'. Final It')- /~IIJ g.J,LL 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 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER' S NAME G L-E dJ (\J OWNER · S ADDRESS 5' <;;; 2-0 JOB ADDRESS 5" c;, :2>2 ~(!('~ I 5 7" . ..51' S7 &T PHONE )g5 R36/ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' 1/-:1J, -d-/ - 00/ tJ- d8 2J 0 (j - 0/ V 0 (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install _Sign _Hove _Demolish PROPOSED USE: _Single Family _H/F _' of Units _H/H _Commercial _Indust. _Swim. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: .pWT C _ F---a-r 4!!:,U ? /N , ]//2-( II ~~) ~ Height BUILDING SIZE: X Square Feet. RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED -LBUlLDING $ 550.. Valuation of Total Construction _ELEC11UCAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _FrUle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER ~~ COMPANY /t{ ~ State Cert. or Regist. , City License Registration t ************ **************************** Signature ELECTRICIAN COMPANY State Cert. or Regist. , SiRnature City License Registration , ****************************************** PLUMBER. COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration t *************~**************************** OTHF.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 peITIit lay be subject to "deed restrictions" which lay be lOre restrictive tban City regulations. Tbe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe 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 .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the RContractor 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 peClitting privileges in the City of Zepbyrhills. 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 DepartJent of Agriculture and Conslller Affairs. If the applicant is sOleone otber than the Rowner", I certify tbat I have obtained a copy of the above described docUleDt and prolise in good faith to deliver it to the "owner" prior to coaencl!IeDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, ioning, 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 cOJJenced prior to issuance of a peClit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developJent regulations in the jurisdiction. I also certify that I understand that the regulations of other governJeDtal 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: * DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent * Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartJent of Health & Rebabilitative Services, Environaental Health Unit - Wells, Wastewater TreatJent, 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 volllle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a peClit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peClit issued sball becOJe invalid unless the work authorized by such peClit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six IOnths after the tile the work is COlleDCed. 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 IOntb period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOflCE OF COMMENCEMENT MAY RESULT IN YOUR PAYING NICE FOR IMPROVEMEUS TO YOUR PROPERTY. IF YOU IUEND TO OBTAIN FINAlfCING, CONSULT WITH YOUR LENDER OR Alf ATTORREY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMEU". ~ /U.~ SIGRATURE: OWNER OR AGElIT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUN'lY 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ;i,l' JWNER CITY OF Cl~(}JN Sb20 ZEPHYRHILLS BUILDING DEPARTMENT fL{CWhf( 7..5-, Sr, JOB LOCATION PARCEL 1. D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. (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 1 0' 6 I E N D G 20' FRONT' PROPERTY LINE ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. -- ~ FRONT PROPER ry LIN~ 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE