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Home My WebLink About97-6422 BUILDING PERMIT N! CITY OF ZEPHYRHILLS (813) 788-6611 Permit --6422A Date /~;l7-9~ , ~;;,~ ELECTRICAL PLUMBING MECHANICAL P,oportyowno,;Z~ pE~d Job Address: ~'?) - ~~_ ParceII.D.# 1/-J.b.JJ- 00/0 -OJ.-VOiJ-- 0090 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~erLde: Description of Work oS ~ L Radon Gas: 9 X /'-:1- 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 Permit Fee Signature Company Address Telephone# ,9- CJ 0- 0-0 ilaAut~ R ~.fb--" Valuation or Contract Price r rz;; . iJD City License Registration # State Certified License# /J).., ./v1.L..J'L.-. BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME .Q rdJ AL- ~ fJ, 1 DPE.LL [ PIIONE 18;; -.;ld> j q OWNER'S ADDRESS JOB ADDRESS ~g3J lDth. ~,:J, LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION PARCEL I. D. , IJ - ~ IP - .;J } - 00 I b .- Q.;J.l.fb 0 - 0 D 9 t) (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ____Install ____Sign ____Move ____DellOlish PROPOSED USE: _Single Fallily _KIF ____, of Units ----1t/H ____eo-ercial ____Indust. ____Swi.. Pool ___Other DESCRIPTION OF WORK: 5 HE.h BUILDING SIZE: q' X I d. I, ____Restaurant & Health Departaent Approval i. I q 'J. Id. Square Feet, Height RESIDENTIAL: COHHERCIAL 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 REQU~RED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUGTION: ____Block ____Fralle ____Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJEGT IN FLOOD ZONE AREA? ."'''1 YES NO .......................................... CONTRACTOR SECTION BUILDER Signature )j IJAL~ COMPANY I State Cert. or Regist. , ~pj1~J City License Registration' .... ..................................... ELECTRICIAN COMPANY State Cert. or Regist. , Sianature City License Registration , .......................................... , PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... KECHANICAL COMPANY State Cert. or Regist. f 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 pertit .ay be subject to "deed restrictions" whicb .ay be lOre restrictive tban City regulations. Tbe undersigned assUles responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay 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 tay be cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, be is advised to bave 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 wisbes you to sign as contractor that laY be an indication that he is not properly licensed and is not entitled to per.itting 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 witb a copy of .Florida's Construction Lien Law - Hoteowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsDler Affairs. If the applicant is sOl8one other than the "owner", I certify that I have obtained a copy of the above described dOCDlent and pro.ise in good faith to deliver it to the "owner" prior to couencetent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify tbat all tbe infor.ation in tbis application is accurate and tbat all work will be done in co.pliance witb all applicable laws regulating construction, zoning, and land developlent. Application is bereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a per.it and that all work will be perf OIled to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of 'other governtental agencies .ay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to: A Departlent of EnviroOlental Regulation - Cypress Baybeads, Wetland Areas and EnviroOlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways A Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks t US EnviroOlental Protection Agency - Asbestos abateJent I also certify tbat, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan addressing a .cOlpensating volute" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frUl,thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pellit,.issued sball beCOle invalid unless the work authorized by such per.it is cOllenced within six IOntbs of issuance, or if work autborized by the perlit is suspended or abandoned for a period of six IOnths after tbe tite the work is cOllenced. One 90 day extension of tile, I8Y be allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCEHENT MAY RESULT IN YOUR PAYING IVICE FOR IMPROVlHEHfS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AI ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AID POST A "NOTICE OF COMMENCEMENT". SIGNATURB: ONKBR OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 19 by STATB OF FLORIDA COUNTY OF ' The foregoing instrument was acknowledged before me this , 19_____ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this 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 JOB LOCATION CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ,ftO/.J4L~ rQ lb (>8 LL € 583/ I Dilt s.T, '. OWNER PARCEL 1. D. # JJ-.::J ,- ~ 1- D () ; f') - (5 ~ lJ-Df') - e>oq ~ SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 1 @~b I b I Ch. I~ ~I She.J , ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. I )ID+ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. [t 1ST I A.> b- 1+0 uSe FRONT PROPERTY LINE -.:.. (NOTE EXAMPLES 1 & 2) STREET 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' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FROIft" PROPERTY LINE FRONT PROPERTY LINE