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Home My WebLink About97-6578 BUILDING PERMIT Permit N! 657815 CITY OF ZEPHYRHILLS (813) 788-6611 Date .3 - a 0 ~ 1 ~ @G ELECTRICAL PLUMBING Pwperty owne,,--::t.;. ~~. a ~ Job Address: S 9 3~ ~-- ~ Parcell.D. # MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work El: Code )LI ~ Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ~ 0 6- cJ-U Signature Company Address Telephone# Valuation or ') /'-7.. Contract Price 0<.......:> U, crv City License Registration # State Certified License# ~ 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 00/100 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 ZEPHYRBILLS BUILDING DEPARTMENT Gfl ' OIIllER'S NAII1l J /~zV ~;t;r OWNER'S ADDRESS -5 J B If q ~~ I ~. PHONE '1 I ~- I ':) 1- ?- JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. f (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition ~teration _Repair _Install _Sign _Move _Deaolish . PROPOSED USE: _Single Faaily _KIF _' of Units _M/H _~ercial _Indust. _Swia. Pool _Other ~estaurant &: Health Department Approval DESCRIPTION OF WORK: 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. PERHITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. ---1IECHANI.CAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDlISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** Signature ~ ~HTRA=~ECTIO' .- ~ . State Cert. or Regist. . .... - City License Registration f ****** *********~************************ BIITl.DER RT.RCTRTCIAR COMPANY State Cert. or Regist. . SignAture City License Registration * ****************************************** PLUMBER COMPANY State Cert. or Regist. f Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. f Signature City License Registration f ***********~****************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS rhe undersigned upd.r.t.ads tbat Ibl. P.roft oa, be subJ.ct to 'deed r.strlctIOP" oblcll oa, he .... restrictive than Clt, regolatlons. 110 UDd.r.lgood ....... t08pOOSlblllt, lor cooplf.pc. ollb any appllcubl. deed restrlcll.... B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tb. ....r bas blr.d · cootr.ctor or cootr.ctors to upd.rlal. oorl, Iber oa, be r"lulred 10 be Ilcesosi 10 accordanc. olth at.t. andloeal reg.l.tI..... If tb. cootractor f. pot lleeaoed as regolred by I.., bolb the 0tIIIer and __ .., he cited for a .Ied.....or vfof.tl.. UPd.r .t.t. I.., ff the UIOer or ioteaded cootractor are oocert.iD as to oIot 11....I.g r.gulr....t. .., .pply for the fpt..d.d oorl, the, .r. .d'lned to conl.ct tb. Clt, of Z'ph,rhlll. Bulldlog Departo,qt. 1813) 788-6611. Furtberoore, If the ON'" bas hired · contr.clor or cootr.ctor., be i. .dvlsed to have the cootractorl') .Ign portions af the 'Cootractor Sectloo.' 01 thl. .ppllealloo for lIblclllb.y 011I b. responslbl.. If JOU, as the ...er sign as the coolractar. roo are Indlc.tlng that fOu, r.tber tban the cootr.ctor, are r"POnslbl. for the sorl. If the contr.clor .iahes ,.. to .Ign .. cootractor that oay be an Iodlcatloo that he I. not properly IlcOP.ed and Is not OPtllled 10 peroilllog pelrllages I. tI, City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ",~ D. CONSTRUCTION LIEN UAW IClmPTER 713. FLORIDA STATUTES, AS AH8HDED) I c.rllfy thai I, the appllcanl, have bOOP Provided olth . copy of 'Florlda's COnstrucllon LlOP Lao _ Buoeoeuer', Prolectloo Gulde~ prepared by lb. Florida Deparbleul of Agricuilur. aad Coo'WI.r 8ff.fr., If tho appllCOPt I, ....... other than 1Io .....r., I cerllfy tbat I ha,. ohlal.ed a copy of the 'bove described doc....t and prOlI.. la good f.lth 10 deliver II 10 1Io "owner" prior to couence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I cerllfy Ibal .11 th. Infor..lfOP I. Ibl. appIfeation I. accural. aad Ibal all ..rl 0111 be dnoe I. coopJl.... .ltI .11 applicable laws regulating construction, loning, and land developlent. I I Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wari or I..lallall.. has ......ced prior 10 Issuanc. of . per.11 .od thel all oorl 0111 be perf,,"", 10 ...t .laadarde of all 1aea regulating con.lrucllon, City codes, .onlog regulation., aad laoi devolo,","1 regulatloo. 10 the jor1ollclloo. I al.. cerllfy thel I uDderslaud th.1 the tegulalfOP' of other gorernaesl.1 .gencies oay .pply 10 1Io ioteoded sorl. and thet It Is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: · Deparbleul 01 IDrironaenlal Regul.llo. - Cypr.s. Ba,beads, NOtland Areas and Kn'lr.....lally 8eosltive lauds, Water/Wastewater Treatlent I Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · De arbleul of Health , Rehabllllatlve S",I... Envlronoenlal Beallb Unll - H.II.. Rasleoaler rreableul, Septic rants I US BnviroDlental Protection Agencl - Asbestos abatelent I al.o cortlf, 'Iot, If fill oaterl.f I. to be used in Flood Zoo. '1' or 'I,.tc.', it I. uoder.lood thai a drainags piau addresalag a 'COIpeP.allng '01.... 'III be 'oIaltted ,bleb I. prepared by a prof...louaI engineer reglateroi In tie Slat. of Florida prior to perlit. issuance. . I perllt I.sued shall be oonstrued to be · Iicens. 10 proceed 'ith tbe ..rl sod not as sutlerlly to violate, caaoaJ aller, or set "Ide .ny provl.ions of tbe tecbnlcal cod.., nor shall Is,","" of . per.il pr....1 the Building Official froe lheoeofter requiring a correction of error. io plans, conslroctlon, or Ylol,II... of auy code. Seery perait IBBUOd shall becoee !oIalld unles. tbe IOrl aullorl.ed br sucb peralt i. ........a .Ilblo .1. 100110 of lasu..... or If IOrl sutlorlsol by the peralt I. ...peodoI or ahandooed for · period of .is 100110 after the U.. 1Io sari I..........s. Doe 90 dar 08teDsl... of tlas, .., be .llooeI for lb. perolt ,ilb f.. cb,rge of $15.00. rb. 08lenslon shall be requesled I. 'rltlog to the Building Official. 80 approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. RBBIIJG TO 0IBIIlI: YOOII FAlLURll TO RICOIlIlI 10TieD 01 CllllllilCBllRlIIIY IIISULr II _ PIYIJG TIlleD !llII iIll'IIOYIIIIII TO IOOlI PROPllRTY. IF YOU IHTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LBIDllR OR AN AnORlllY BBFORll RllCORDING YOUR "orlCB OF COHHIiNCBHIiHr. JOBS UNDIiR $2,500 II VALUIi 00 NOT NIiIiO TO RIiCORD AND POST A "NOTICB OF COHHllNCEHBHT". SIGNATURB: ONlfBR OR AGENT " I SIGNATURE: COHTRACTOR STATB OF FLORIDA counl OF The foregOing instrument before me this was acknowledged , 19_ by STATIi OF FLORIDA COUHTY 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 OWNER JOB LOCATION PARCEL 1. D .' # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. Ifr- \, tv .._sJ / / J ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. / UTILITY BqILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~ FRONT PROPERTY LINE / / / / ~( ~1Y / (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, 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' FRONT PROPERTY LINE FRONT PROPERTY LINE