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Home My WebLink About97-6618 BUILDING PERMIT N~ Permit CITY OF ZEPHYRHILLS (813) 788-6611 - 6618!3 Date 0/-/"-7) ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn P,"perty DW"e=:!f: ~il. c1.:Y/JP JJ ki.tv, Job Address: c::;l - / 6 ParceII.D.# JI -d6-()./-oOllJ-:JL30D - tJ~/() Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: De,e';O';o" of Wo,; PA.t.~ Radon Gas: F~JL NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector 15,' I Permit Fee~ ~~ Signature r fi. '''"--- Company Address Telephone# Valuation or Contract Price ro-v - o-v City License Registration # State Certified License# ~ BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 1 . OWNER'S NAKE ;jp)A-( j t;" 0 ;J.. if 54111. e- i tet1~~p jJj" r/daJ1l I ~ ~ S-r PHONE'] f12 - 'f}1. '1 ? OWNER'S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --^lteration _Repair v-Install _Sign _Hove _Deaolish PROPOSED USE: vSi~leF~ilY _H/F _' of Units _H/H _~ercial _Indust. _Swim. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: /J./ 1/ h-~ LJ ;::epc...p. / BUILDING SIZE: x Square F~et. 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. PERMITS REOUESTED _BUILDING $ fOO,DO 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 CONSTRUCTION: _Block _Fr~e _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** amID. {2(J / oLd:!..COmA:;~EcrI9N . .. . State Cert. or Regist. t Signature _ City License Registration' ****************************************** ELECTRICIAN COMPANY State Cert. or Regist. . SionAture City License Registration . ****************************************** PLUHBER COMPANY State Cert. or Regist. . Signature City License Registration t ****************************************** MEGllANICAL COMPANY State Cert. or Regist. t Signature City License Registration . ************~***************************** OTHRR COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und!rsigned understands that this perlit 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 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 required by law, both the owner and contractor laY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licenSing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent (813) 788-6611. . , FurtberlOre, 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 wisbesyou 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 U'fILITY CONNECTION FEES l~1 D. CONSTRUCTION LIEN unw (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer'. Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleDne other than the .owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to coaaenceaent. E. CONTRACTOR' SjOWNER' S AFFIDAVI'l' I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. I I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a per.it and that all work will be perfolled to teet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies laY apply to the intended worl, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not litited to: · Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health , Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic lanks · US EnviroDlental Protection Agency - Asbestos abateaent 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 "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. . A per.it 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 issuapce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or vloiations of any code. Every per.it issued shall beCOle invalid unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work authorized by the peIlit is suspended or abandoned for a period of sil IOnths after the ti.e the work is cOll8nced. One 90 day eatension of tile, III be allowed for the per.it with fee charge of $15.00. The eltension shall be requested in writing to the Building Official. An approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned. WARlHNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHRNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVRIIm'S 10 YOUR PROPERTY. IF YOU IIITEND TO OBTAIK FINANCING, CONSULT WITH YOUR LENDER OR AN AnORlIY BIFORE RECORDING YOUR NarlCE OF COKHENCEHINT. JOBS UNDER $2,500 IN VALUE DO NOT NEID TO RECORD AID POST A "NOTICE OF COHHENCIMINr". , I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUIITY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 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 I.D.' # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BqILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. 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' FRONT PROPERTY LINE FRONT PROPERTY LINE