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Home My WebLink About96-6217 BUILDING PERMIT N~ Permit CITY OF ZEPHYRHILLS (813) 788-6611 -6217.[3 Date /b -31-?, ~ @ ELECTRICAL PLUMBING MECHANICAL Property Own., _7/;A~~~~ Job Address: ,~ (tJ Y / - ____ Parcel 1.0. # /1-,!)..6 -:J..-/ - (;) 01 tJ .- ~...3() 0 - 0 O~-O Zoning: En~y Code: ~adoJ? Gas: Description of Work tiL.1g~..:l!;";^-.~ ,-Z- ,~L Sewer Conn Water Conn: Water Meter: T.I.F.'s: 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 City License Registration # State Certified License# Permit Fee ~ 0 ~ d-i:::J Signature ~ ~ O'U~~ ~/\ Company Address Telephone# Valuation or Contract Price 0 ~. 0-0 ~~A_ BUILDING ELECTRICAL PLUMBING MECHANICAL ~:~ SLB/ N- 9/p /;06 Lintel FRM, Insul. CL WL Tp, Serv, Rough In Meter Can Const, Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15,001 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 PERKIT CITY OF ZEPllYRHILLS /J ) ~LDING DEPARTMENT OWNER'S NAME ,~~ -;:-~-z::.c-4'~" OWNER I S ADDRESS J'- () '9' / f? CI( Sf' -r-P PHONE 7fJ-- O?03 JOB ADDRESSC:Z ~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL L D,' I J -;;L 6 -;)/ - e L7 /0 - r:2lS bY u. 00 -5. D (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ition _Alteration _Repair _Install _Sign _Kove _Deaolish PROPOSED USE: _Single F_ily _KIF _' of Units _K/H _eo..ercial _Indust, _Swia, Pool _Other _Restaurant Ii: Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: /~ xl" , / ~d Square Feet, '7" Height RESIDEIITIAL : COMKERCIAL ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, ~UILDING PERMITS REOUESTED $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp, W,R.E.C. _KECllAllICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr_e _Steel Other FINISHED FLOOR ELEVATIONS: Fl' , IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION , BUILDER ~J "~ COMPANY ~~.p~~~~'<l) 'r/. L _. / State Cert, or Regist. , Signature ~ ~.., City License Registration' .......................................... ELECTRlCIAIJ COMPANY State Cert. or Regist, . Sionature City License Registration , .......................................... PLUKBER COMPANY State Cert, or Regist. , Signature City License Registration , .......................................... KECHANICAL COMPANY State Cert. or Regist. I Signature City License Registration , ............~............................. OTRRR 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 perJit 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 ower and contractor laY be cited for a lisdeleanor violation under state law, If the ower or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813) 788-6611, ' FurtherlOre, if the owner has bired 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 than the contractor, are responsible for the work, If the contractor wishes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting 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 tbat I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HOIeowoer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs, If the applicant is sOleone other than the .ower", I certify that I bave obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the "ower" prior to couenceJellt, 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 bas COJIeDced prior to issuance of a perlit and that all work will be perforJed to !eet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt regulations in tq~ jurisdiction. I also certify that I understand that the regulations of other goverDIeDtal agenCies JaY apply to the intended work, and that it is IY responsibility to identify wbat actions I lUst take to be in cOlpliance, Such agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Baybeads, Netland Areas and EnviroDlentally Sensitive Lands, Nater/Nastewater Treatlent t Soutbwest Florida Nater Hanagelent District - NeIls, Cypress Baybeads, Netland Areas, Altering Natercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways t DepartJent of Health & Rebabilitative Services, Environaental Health Unit - NeIls, Nastewater 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 volUle" will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance, A perJit 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 is~uance 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 cOllBnced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tile the work is cOJlenced. One 90 day extension of tiE, JaY be allowed for the perJit 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. NARMING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEIff HAY RESULT IN YOUR PAYING !NICE FOR IHPROVEHEIflS TO YOUR PROPERTY, IF YOU IIffEND TO OBTAIN FINANCING, CONSULT NITH YOUR LINDER OR AN AnOmY BEFORE RECORDING YOUR HO'rICE OF COMHENCEHBIff, JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEHHIff", SIGNATURE: COIffRACTOR SIGNATURE: ONHER OR AGEIff STATE OF FLORIDA coum 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 OWNER BUILDING DEPARTMENT ~t' ~ If#-( JOB LOCATION Y'" 0 ~ f -7@-o-c... 1/ ~ 1r-1 PARCEL I,D,' # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ~ ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED, Ci:l 1~ ,.:.. .- - ~ ~ ~ ... :z ~ ' /(,'0 'f ~ ~1'0 '- . c---- ( 7- ::0. \. 4Jt '\) ..... Ar ". - ~ /(,'0 J.--- f)~~ !b..Y(1 (C1 ~ ,- {1J ~ . . FRONT PROPERTY LINE 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' 2, SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' FRO1ft' PROPERTY LINE FRONT PROPERTY LINE