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Home My WebLink About96-6315 BUILDJt~!~HY~L~RM!! NG~ (813) 788-6611 Date I J- -b.- 96 . C9 ELECTRICAL PLUMBING PmpertyOwne, ct /jJ~~!~ Job AddressS$..ll!.. ~ ~~ Parcel J.D. # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work -J2);e] Code: Radon Gas: FINAL :)/'""' " NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or Contract Price J i/b-.. cru Inspector City License Registration # State Certified License# Telephone# t'~ 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 00/1 00 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER J-Frery fr . mJ.L~ JOB LOCATION ~2l ~n-- Or- PARCEL LD. # J~-~W-~)- bo3D- DOLfco- DJ)LdD SHOW ALL EXISTING &: PROPOSED STRUCTURES GIVING DIMENSIONS &: SETBACKS. f~f\ '-E- ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. - '~-'r~ i \ ..., I I ! (:fi u y---- L UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE STREET 5327. (S-LL~r""\. Or . (NOTE EXAMPLES 1 & 2) 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' 1 0 PROPOSED 20'SGL FAM 30'DUPLEX FRORT PROPERTY LINE FRONT PROPERTY LINE APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME .--j eMr( It- ' f1\~l(__ OWNER'S ADDRESS 53Zl ~M- ()- - a., ~ ~).U.. S~ (Y'J (~ PHONE-=:] 83 - 3 "i 9 0 JOB ADDRESS PARCEL 1. D.' BLO'"" Lt SUBDIVISION ~ J.., ',- "~ I ' 0<0 I~r LEGAL DESCRIPTION: LOT(S) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Sign _Kove _Deao1ish PROPOSED USE: V:ngle Faaily _KIF _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval SW a(GdlWm'~~),____) f '"rr. Square Feet. ~/S Height DESCRIPTION OF WORK: \ ~ 5 iq \ \ to )C 1'Z... ,~ BUILDING SIZE: lOx (J . flu RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~LDIRG PERMITS REOUESTED $ 3 CY() _c9() Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Kechanica1 Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel . ALvvr. '(\V~ Other / FINISHED FLOOR ELEVATIONS: FT . IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER IA- COMPANY State Cert. or Regist. , ~. City License Registration . ****************************************** Signature =~ tlA COMPANY State Cert. or Regist. # City License Registration # ****************************************** PLUMBER /VA , COMPANY State Cert. or Regist. . City License Registration t ****************************************** Signature Signature /VA ! COMPANY State Cert. or Regist. f City License Registration t ************~***************************** MEGBANICAL - --1/ Signature .V it COMPANY State Cert. or Regist. f City License Registration t ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peflit 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 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 JaY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing requireJents JaY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. 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 the contractor, you are indicating that you, rather than the contractor, are responsible for tbe 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 peflitting 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 - HOJeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne other than the "owner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the "owner" prior to cOlJenceJent. 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, 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 perfofled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developJent regulations in t4e jurisdiction. I also certify that I understand that the regulations of other govefDIental agencies JaY 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: t DepartJent of EnviroDJental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally 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, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abateJent 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 uCOlpensating volUle" will be subJitted 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 is~uance of a perJit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall heCOJe invalid unless the work authorized by such perlit is cOllBnced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOnths after the tile the work is co.enced. One 90 day extension of tile, JaY be allowed for the peflit with fee charge of $15.00. Tbe 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. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING YVICE FOR IMPROVEIIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIMAMCING, CONSULT WITH YOUR LENDER OR AM AftORMEY BEFORE RECORDING YOUR MorICE OF COMHEMCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: O'rIllBR OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum 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