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Home My WebLink About97-6383 BUILDING PERMIT N~ Permit CITY OF ZEPHYRHILLS (813) 788-6611 6383 (3 ~ Date /- /o-Cj7 ~v ~ ~l ~-' M~ ::~:~:~.,6? t;~xf k~~i~~th) Parcel 1.0. # ~ ~ ;2 ~ - ;).../- -:;- - 0 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: l? cr-6~~~\ ~ . NO OC PANCY BEFORE C.O. ~ Complete Plans, Specifications and Fee. st Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE DATE Inspector City license Registration # ------ Sta rtified license#--------- ". Pe,mi. Fee ~. - ~ Signaturl\~ " ~a ~~~ t-- Company Address Telephone#""""'---- 7/..5--:. YdFd.. Valuation or '$. ~ Contract Price ,.$ -~I) , BUilDING E 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 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. C'l J'-:- /Y,c~ 1..'1 r OWNER . \ , "I-' - ' CITY OF ZEPHYRHILLS BUILDING DEPARTMENT s:' I,'; ('(, , I ~l '..-yl /,1/1 /, /, llr , ,I ( \,';A,'nf /r; f,' L.J II ((",,{IA. [').,."(: (- / IJ /1 r r \; r JOB LOCATION PARCEL 1.0.' # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 't)' 6l'"< ~'\ o~ \'" I :; 3 '- . ,~ E I-rni..:(., :Ct".., '- Ra';:, ,':>1'.: 4'.1'- N." ,C; rlt i- fj.'~ ~,($ (!LJ f(...[l ...:...'.'if..: l!.t:Y;V:"" SitttJ rt' ,ldJ,S.... _n.~_'-~-~ ~~ ::~),:-v~r; { " S.4'; \ 1'1,\:,;' ~, .. f..J " T . :..------ ,:5. ALLEYWAY ACCESS FOR GARAGE OR CARPORT 15 FOOT SETBACK REQUIRED. ~ ,~ t;;: ~ - :, \.:3' ~ I (- l:",I!. , I;'t:J ~ tA:~#, ,x {!M '.}' .~ t,i ";~...- " / 'J (';" ~ \.t] ~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~ '~, ~ ,~~-E '-:l~;: ,~ ~..;;;;"~ ..... 1.0- \ '" t' !. I "~\ :> .;, j~ t' ~ '" >( '- S I' I~ (;/.L' 1 I \:..: /1../ ~ ~:- ,~' ~ -...... I Z '/..., ,.( I'Ill'/ ---. j ~ -),,y FRONT PROPERTY LINE " i~) STREET C. 'j ()/'J L J I.... N $-' I S' r (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' FRO1ft'" PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRONT PROPERTY LINE APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT iO- OWNER'S NAKE d;i.ri r i il", ll\t:'l.~ /.-, , , 'S', {~'.(', L, '"\ / / I, I' It (I ^ \ i t d f l~,- .!.. / , '''', (/ I '-. PHONE 7/)~ ~ ~>f2. OWNER'S ADDRESS r:- ~/.I L I}I../ LJi T 5 ( . :z- L-=-J.4yP/1 ,) h 38,) - ;/cJ JOB ADDRESS S:4 ""''\. t' LEGAL DESCRIPTION: LOT(S) PARCEL LD.'X BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction .....l..-Addition _Alteration _Repair _Install _Sign _Move -LDeaolish S:rf,n} l:'J':;: y' J PROPOSED USE: ___S ingle Family _M/F _, of Units (-~.-;/U\ .--' ".-- _eo..ercial _Indust. _Swim. Pool _Other Restaurant & Health Departaent Approval 1 " '-., !Vlct'lf [-P,l-t fl.'''''/< f/~.-r 1'- (;1-'':t?/.-ll~ISrli:f''(<!1''''(''.rrl flt-/1 A~.~' /.j4tn,.l-c'!:'t'- DESCRIPTION OF WORK: (tJ/...' r. rl!.iiLr C>I.H.l t(},,- tti..4L. ~ ~':'l ( !. ') .'...' 51 IJ'-Uc '.f ")"'~'" g'1t/; h ' IN~rA'(- ":.'t/'i./J. (:'-I.l"',,,'{-:J:f'P..-'.'tJ" -e,.) t:'A~Lh,...L(S' ,:').(c:- ~& ~~ AI BUILDING SIZE: q::.:" X 1'1/, ';'t,"' Square Feet,' /f" Height of ~~fI-;j ~L~ 1/1 . r:J , /-02--/-17 TI~ 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. jt ,,' ritai.i'x'") . := /,f,:. .'- (t-t PERMITS REOUESTED _BUILDING $~ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. .-MEGHARlCAL $ Valuation of Mechanical Installation _PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUlLD~ COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** ELECTRICIAR COMPANY State Cert. or Regist. , Signature City License Registration t ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration , ****************************************** OTRF.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 peIlit lay be subject to "deed restrictions" which JaY be lOre restrictive than City regulations. 'he undersigned assUles responsibility for COIpliance 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 reguired 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 requireJents lay 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 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 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 ConsUler Affairs. If the applicant is sO.leOne other than the lIowner", I certify that I have obtained a copy of the above described docUJent and prOJise in good faith to deliver it to the "owner" prior to cOlleDceJent. 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 cOJpliance 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 peIlit and that all work will be perforted to leet standards of all laws regulating construction, City codes, zoning regulations, and land developleDt 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 If responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water HanageJent 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 'anks 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 IIcOJpeDsating volUleR will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A peIlit 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 issuance of a perlit prevent the Building Official ffOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid unless the work authorized by such peIlit is co.nced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tite the work is cOlleDced. One 90 day extension of tOe, JaY be allowed for the perlit with fee charge of $15.00. The extension shall be reguested 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 COMMDCEMElfT MAY RESULT IN YOUR PAYING TIIICE FOR IMPROVIIIEIft'S TO YOUR PROPERTY. IF YOU IlfTlHD TO OBTAIN FIfWlCING, CONSOLT WIm YOUR LEIfDER OR AN AftOlIHEY BEFORE RECORDING YOUR NOTICE OF COMHENCEHE)l. JOBS UIfDER $2,500 IN VALUE DO NOT KEED TO RECORD AND POST A "NOTICE OF COMMENCEMElfT". ).. /'1 :c/ rM'-. 4/ ~', . '. c~-/~r'-- l/://L;//;11 t&P", SIGNATURE: OWNER R AGElfT ". S GNATURE: COIfTRACTOR 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