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Home My WebLink About96-6146 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N4} 6146& Date / c - <:F- -9--0 ~ILD~ ELECTRICAL PLUMBING :::::'~S:~:=M'A!; ~ LT Parcell.D, # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~ ezg Code: . _. Radon Gas: # _ 0-' \./ / ( .. Description of Work ~r. L.d....-..J NO OCCUPANCY BEFORE C.O, FINAL J- I~- q DATE C.O. DATE Inspector g; L Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. City License Registration # State Certified License# P~rmit Fe~ ~) Signature ~_ Company Address Telephone# Valuation or Contract Price c2 ~ . ~ -' ~/A BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr, Pre SLB Lintel FRM, Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl, Compressor Final IO/2-? Ida k 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 ZEPHYRJIILLS BUILDING DEPARTMENT OWNER ~~ r;.2E~n JOB LOCATION :5-o/';'~ ICJ~ ~ :;>~eM~ilS -Pu4- /Y;~ , /(r J-7f PARCEL I. D . # SHOW ALL EXISTING &: PROPOSED STRUC'TURES GIVDIG DIMENSIONS &: SETBACKS. r- I 1/ I T -5"' -,rl ALLEYWAY ACCESS FOR GARAGE OR CARPORT _ 15 FOOT SETBACK REQUIRED. ?R'OPD5E 0 (s Her,,) EX.IST IN (;, UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. I FRONT PROPERTY LINE (NOTE EXAMPLES l' & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FROR"l" PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' FRONT PROPER"I'Y LINE ~ APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT ~ , OWNER'S NAME +>A-LJ L J'l (;. f2LErl PHONE ~J? - 21rK-;;L99.9 OWNER'S ADDRESS .s l./.5..;l. JOB ADDRESS SJI9""c... IO~ .<;+- . 2... J:+ l LLS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Hove _Deaolish PROPOSED USE: _Single Faaily _H/F _, of Units _H/H ,.,- _eo..ercial _Indust. _Swia. Pool ~ther _Restaurant & Health Depart:lllent Approval , , DESCRIPTION OF WORK: U'f-ILJi-y 5h LiD BUILDING SIZE: ~X~Ot /1.ttJ Square Feet. ~ Height 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. ~UlLDING PERMITS REOUESTED $ c><.,OOo,O<:) Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _MECllANICAL $ Valuation of Hechanical Installation _PL~ING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FlRISBED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BIJII.Dm ~ COMPANY I Y1. nOML 0 vJf\ e.e. ' }1 State Cert. or Regist. . Signature ' ...R'\.l\ Q O/Y\. City License Registration . ****************************************** Rl.RCTRIClAN COMPANY State Cert. or Regist. # City License Registration . ****************************************** SiMaAture PLUHBER COMPANY State Cert. or Regist. , City License Registration t ****************************************** Signature ~ MECHANICAL COMPANY State Cert. or Regist. , City License Registration . ****************************************** Signature OTRRR COMPANY State Cert. or Regist. f City License Registration # ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait lay be subject to Ideed restrictions" whieb aay 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 lisdeaeanor 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 Zepbyrbills Building Departlent, (813) 788-6611. FurtberlOre, if the owner has bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections' of this application for whieb tbey will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather tban the contractor, are responsible for tbe work. If the contractor wisbes you to sign as contractor that lay be an indication that be 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, Jiave been provided with a copy of "Florida's Construction Lien Law - HOEMler's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOIeODe otber than the "owner", I certify that I bave obtained a copy of the above described docuaent and pro.ise in good faith to deliver it to the "owner" prior to couencelent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all tbe inforaation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develo~ent. Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perait and that all work will be perforaed 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 governaental agencies aay apply to the intended work, 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: * DepartJent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departaent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t 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 tbat a drainage plan addressing a Ucoapensating volUleR will be sub.itted wbicb is prepared by a professional engineer registered in the State of Florida ~rior to perlit. issuance. , A perait issued sball 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 tbe teebnical codes, nor sball issuance of a perait prevent the Building Official froa thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid unless tbe work authorized by sueb per.it is cOllenced within six IOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of six IOnths after the tiae the work is cOllenced. One 90 day eztension of tile, aay be allowed for the perait with fee cbarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEIlCEllENT MAY RESULT IN YOUR PAYING !WICE FOR IMPROVEIIEIft'S TO YOUR PROPERTY. IF YOU IIft'ElID TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN AnORm BEFORE RECORDING YOUR MOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOT HEED TO RECORD AND POST A t'NO'fICE OF COMMENCEMKHT". SIGNATURE: CONTRACTOR SIGJlA'l'URE: OWNER OR AGENT STATE OF FLORIDA COUnY OF The foregoing instrument was acknowledged before me this , 19~ by STATE OF FLORIDA COUHTY 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