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Home My WebLink About97-6839 BUILl?!~~HY~L~RM!! N!- 6839/3 (813) 788-6611 . . 1,10. c/ZJ .g....s-=- c;/Z:) ELECTRICAL ~ '. t.lV PLUMBING MECHANICAL Date 7- /0 - 7' , ~~. 9-~. -~ j n ..tJ ~-~ Sew r Conn -r ~ ..- c/i? BUILDING P,"perty Owne' ~{ ~_ Job Address: ~ ~_ _ _~~ Parcell.D. # /tJ --:Jt--:J.I - /- V~ - ~ I Water Conn: Water Meter: T.I.F.'s: Zon;n9' :;;Z2'COd~,~on G.. Description of Work >>f. -<' J' '/:Lr~~ -5 )H~ J iJ -~ -Yi>' 4 ~ 3. 'ff!? fJJI.:.< /J WI. NO OCCUPANCY BEFORE C.O. FINAL y- . Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ob P~'m;tFee ~ ~ Signature __ ~ Company Address Telephone# Valuation or Contract Price _~/A- City License Registration # /9. 1'b State Certified License# 1L~.lf Jl/J;t,.J/M.e I -4Ta6l/~-6 BUILDING ELECTRICAL &JLy PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 ($15.00) 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 ---r"- I fl OIIlIER'S RAID! /;1/-. rJ T (y Q,.-<;S. PIRlN~ OliIIER'S ADIlIl1lSS' fi~ 50 ~I-o,;:; e fh \{ ~\-\\ ~\S JOB ADDRESS S7,<;Z) D~.kc-l 'zpJtA.JV2hJl S LEGAL DESCRIPTION: LOT(S) ) 0 BLOCK ~(" SUBDIVISION 2../ PARCEL I. D.' ) 6 - 2.10 - Z I - / - I 0 it ;tI",- ~6 ,~,~\--Y-O I-JoA-- :3 "3~y a ~J- ~/ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---Alteration _Sign -'love _Deaolish _Repair ~Insta1l , R epl.A.c.eJVl~vt PROPOSED USE: -X-Single Faaily -'lIF _' of Units _K/H _~ercia1 _Indust. _Swia. Pool _Other _Restaurant & Health Departllent Approval DESCRIPTION OF WORK: Ke..r I Q~<? mp ~ 1- BUILDING SIZE: J;;( X l( 0, Square Feet, Height RESIDERTIAL: A'lTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: A'lTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING Ije.i-ELEc:rRICAL ~CIIAlIICAL 1j1S-PLUHBING TYPE OF CONSTRUCTION: $ -7/;Y) ,aa Valuation of Total Construction AIIP Service Florida Power Corp. W.R.E.C. $ rv/ft Valuation of Mechanical Installation GAS ROOFING SPECIALTY AI.LJ.J ,Lk~ther _Block _Fraae _Steel FIllISHED FLOOR ELEVATIONS: FT. IS PROJECI IN FLOOD ZONE AREA? ~ YES NO ****************************************** CONTRACTOR SECTION iYle ./ BIITT.DRR Signature~7 i COMPANY S State Cert. or Regi t. . City License Registration . ***************************************** PLUHBER Signature J-, /" ~,CC Stat ~ Cer . or Regist. 0 City License Registration . . ~':''''''''';;~~;~~7Y1~4~ ~~ City License Registration' { 9 ",..., ****************************************** COMPANY , , .~V / HECIIAlfICAL fjJPr , COMPANY State Cert. or Regist. City License Registration . ****************************************** Signature OTRF.R J COMPMff State Cert. or Regist. . A.J A- ' City License Registration I f ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject Lo "deed restrictions" which lay be lOre restrictive than City regulations. The 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 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 requirelents lay apply (or the intended Nork, lhey are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the ONner 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 OlDer 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 peIlitting privileges in the City of Zephyrhills. c. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~~ D. CONSTRUCTION LIEN L~W (ClmPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, bave been provided lith a copy of "Florida's Construction Lien Law - HoIeoIner'. Protection Guide" prepared by the Florida Departlent of ngriculture and ConsUler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doeu.ent and pro.ise in good faith to deliver it to the "ownern prior to COllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work Nill be done in cOlpliance with all applicable laNs regulating construction, loning, and land developlent. I Application is hereby lade to obtain a perlit to do Nark and instailation as indicated. I certify that no worl or installation has COllenced prior to issuance of a per.it and that all work lill be perfofl8d to leet standards of all 1818 regulating construction, City codes, loning regulations, and land developleRt regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies lay apply to tbe intended wort, and that it is Iy responsibility to identify Nhat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * Departlent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanagelent 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, Wa~tewater Treatlent, Septic tanks * US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood ZOne "An or "A,etc.", it is understood that a drainage plan addressing a "cOIpensating volOle" will be sublitted 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 tbe technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Rvery peIlit issued shall becoIe Invalid unless the Nork authoriled by such perlit is cOllenced within Sil IOnths of issuance, or if worl authoriled by the perlit is suspended or abandoned for a period of six IOnths after tbe tile the work is cOllenced. One 90 day 81tension of tile, lay be allowed for the perlit with fee charge of $15.00. Tbe extension sbalI be requested in Iriting to the Building Official. An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. WARMING TO OWIER: YOUR FAILURE TO RECORD A HOT ICE OF COtIIIENCEIIIHT HAY RESULT IN YOUR PAYING !lUCK FOR IMPROVBIIBI1'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR All ATTORBIY BEFORB RBCORDING YOUR 1I0rICK OF COtIIIENCEHEHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKKBNCKKKNT". Sl~~1 ~~ : I STATE OF FLOR~ COUNTY OF Q ..s. 0..f) The foregoing instrument was acknowledged before me this ~R..J.. J ~ 1931. by who is personally known to me or who has produced R# TJ) '.' . as identification and who did/~ not) ~~~~~ . ROBER "BUTTERFI&LD (Name Typed,. Wo~~'" NOTARY PUBLI~~.~~~ STATE OF FLO~ COUtfTY OF '('::t S C!.O The foregoing instrument was acknowledged before me tbiB~ 19~ by who is personally known to me or who bas produced as identif1cation ta a 0 (Si ture) +,''''' ~ (N... TYP.~.~~~ NOTARY PUB ~ Mw.10. 1898 "~Of~" . " CITY 9f ZEPHYRHILLS BUILDING DEPARTMENT /i?~A)-f 6-/tJSS . . --~~ U~. ~ tV JOB LOCATION .~ . PARCEL 1. D.' # - - ~ / "- -j () A OWNER hJ, ~I SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SBTBACKS. (NOTE EXAMPLES 1 & 2) STREET l. SETBACKS FOR R1, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINB ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. \J ~ tU t Q.. ~ ~ - ~ ~ ,i~ Q) ~ "S~ ~ ~ ~ E::;, ~ ~ { .......... V - '-. ~ . ~ ~ t 1 FRONT PROPERTY LINE \0 . 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRONT PROPERTY LINE