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Home My WebLink About96-6337 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! - -63378 Date /cJ- -/3 -f'b ~ ELECTRICAL PLUMBING P<aperty Dwne' "~":::1 ~ Job Address:.....f'...::2 () ~ ~ ~- Parcell.D. # Zoning: Energy C~e: Radon Gas: De.enption of Wor..? /-t. AO;,. R A.A71>ro-, "he --:- JL;, ~ /-.1 - MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: 1:1 La / NO OCCUPANCY BEFORE C.O. FINAL C.O. 3-11- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ~;:~::,~ ~:iO ~~ Company Address Telephone# Valuation or Contract Price ]JH ~ o-v City License Registration # State Certified License# C/)A l'yt 0/\_ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Con st. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 00/100 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 "9 .fa. ,.~ - J ;)-- - OWNER' S ADDRESS /,f 19 JI/ Je. ".2 tic) SlimE /)?/J /II' IYJ.5 r )//HrYMLJ PHONE (3/)-)7 8 ~ -0' 1) t;, ;Z G,P // y~ #4. L- > OWNER t S NAKE ~T- JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: /Single FOlily _H/F _' of Units V;;'H _~ercia1 _Indust. _Swta. Pool ___Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: 5'" c.~ te-/VcO f(t>OW1 Vi1 k,... fl\f. PDR.., - STEE/_ 8(,)1 IJIN~ (8'1- F) BUILDING SIZE: x 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. V<UILDING PERMITS REOUESTED $ ~c--o. c-0 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: _Block _FrOle _Steel Other FlNISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION nUlLUB ~ ~ COMPANY - State Cert. or Regist. , Signature ~ t211A~ City License Registration' v****************************************** F.1.RCTRICIAN COMPANY State Cert. or Regist. . SignAture City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ***********~****************************** OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that tbis pemit lay be subject to "deed restrictionsR wbich lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions. B. UNLIC~SED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, tbey JaY 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas hired a contractor or contractors, be is advised to bave the 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 the contractor wishes you to sign as contractor that lay be an indication that he 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 that I, the applicant, bave been provided with a copy of RFlorida's Construction Lien Law - HOJeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sOleone other tban the "owner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the "owner" prior to cOIlenCetent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in tbisapplication 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 cOllenced prior to issuance of a perlit and that all work will be perf oIled to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in th~ jurisdiction. I also certify that I understand that the regulations of other governtental agencies JaY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not li.ited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Soutbwest Florida Water Managetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone RAR or "A,etc.", it is understood that a drainage plan addressing a UcOJpensating volUle" will be sublitted wbicb 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 the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance 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 sball beCOle invalid unless the work authorized by such perlit is cOIIBnced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tiae the work is cOllenced. One 90 day extension of tile, JaY be allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during eacb six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMBlft'S TO YOUR PROPERTY. IF YOU IIft'END TO OBTAIN FINAIICING, CONSULT WITH YOUR LEtlDER OR All AnORHEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AIfD POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OIfIIER OR AGE1ft' SIGNATURE: COIft'RACTOR STATE OF FLORIDA COUNfY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUIft'Y 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 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT flZ/fwk S.; Yt"J PIPe- V.l9.RL> ~~71~ OWNER )11 /J J1/ IY' / $/:-- JOB LOCATION PARCEL 1.0.' # ~/- ZE~/I f/RI'//LL $ SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. \~I I 0 --:tc~---o I?s''' lJ ~ , / I ...."'\"'~-cJ I , _/0- ~~e:.lI,vl-+-~ , I ~ q, L.... _ _ _ _ _} 'f'.... Jr,Do , 5tt-~'S(,,'l.1 , ... - V-=: ~O \ J... XfD'XO~~ p , ~ ; 0C)!)fJ-~' \' ~ J ~ ~c- ^'~V - - "J 'II ~ I.J " . . -1- i-- ~ \ 'J..~ . . \ +\.,~ e. t , FRONT PROPERTY LINE ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~(;)KA~ ~ '"'\.# ~- STREET V/1 r;- VA-It-D f S, (NOTE EXAMPLES 1 & 2) 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' 1 0' FRONT PROPERTY LIME 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRONT PROPERTY LINE