The URL can be used to link to this page

Home My WebLink About97-6858 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788.6611 Permit N! 6858$ Date 7-/</" ~? r ~~ ELEc.TRIr.~- PLUMBING __ MECHAf\,lIr^b. :J",.."r Conn NO OCCUPANCY BEFORE C,Q. Water Conn: Property Owner: Job Address: Parcel I. D. # Water Meter: Zoning: Description of Work Energy Code: 10 i Y ?,r Radon Gas: --=::--. ~'L~~~3~ FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. C,Q. DATE Inspector "'2L Pe'm;' Fee ~. r----u- Signature""--'-?JL' . ~ ~ Company Address Telephone# Valuation or Contract Price ~DtJ' - City License Registration # ---------. Q, Ce";!;ed Ucense# ~ "< ryJlle? BUILDING ELECT~ ~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PLUMBIN~- ...--- MECHANIr:AL Breakers Ducts Insl. Compressor 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. {;? ~fo- i 1 BUILDING DEPARTMENT . ~~ OliJIER'S BAKE M Po. ~ Y J T tJ !! P.5CJ dL So... G5 aJy\~!rg 7-- 0 If 5 7 ~ OWNER'S ADDRESS 77--5'1 A~PLI:::- G-ATE:- .Dfl~--- --- JOB ADDRESS ;5 A tV) ~ LEGAL DESCRIPTION: LOT(S) / c9 . PARCEL LD.' 90 - 'J-S -2. ( - t!)o~'Z' /}o /)(70 - CJ ,()O ,.... /.APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BLOCKA:Ir! SUBDIVISION A- L tJ 1-1 If. III L-L /t6-E; E:S t' " (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --.ftlteration _Repair _Install _Sign _Kove _DeIIOlish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _~ercial _Indust. Pool Jl'c>j{ A?13- 8 L !)G-, _Swia. _Other _Restaurant &: Health Departllent Approval DESCRIPTION OP WRK, 11>. El;;f!. /./;;r~ f?/ f} -'!!t ' BUILDIIIG SIZE: 10 l\ g , 6.7 Squa e Peet, 7 1 Height _ / ~ RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENER~. .~iI~ COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FO~/"\ A 1"cJ ro tt~ I PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRU~ ~ 0 (~ ~~ $ ',,' --it ' PERMITS REOUESTrntilr:f')u,.u ~ ~ip VBUILDIIIG $ 1/-00. Valuation of Totai C~<uctioncq- ~ _ELEC'l"RIGAL AKP Service Florida Power Corp. W.R.E.C. ---lIEGBANIGAL $ Valuation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block. _Fraae _Steel AL--UM~ Other FDIISHED FLOOR ELEVAnONS: FT. IS PROJECT IN FLOOD ZONE AREA? J YES NO .......................................... BUILDER CONTRACTOR SC~ ~~ QMPAtIY - ~~~~~ State Cert. r Regist. . . ense Registration . ......................................... Signature RT.F.C'l"RIGIAR COMPANY State Cert. or Regist. . Signature City License Registration . .......................................... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration f .......................................... KEGllANIGAL COMPANY State Cert. or Regist. f 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 undersigned 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 aay be cited for a tisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Further.ore, 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 wishes 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 U'l'ILI'rY CONNECTION FEES " ~ D. CONSTRUC'l'ION LIEN Lnw (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer'. Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOleoDe 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 cOllencelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'r 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, loning, and land developlent. , Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that no wort or installation bas cOllenced p,ior to issuance of a per.it and that all work will be perforaed to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goverDlental agencies laY apply to tbe intended wort, and that it is IY responSibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to: I Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater rreatlent, Septic rants I US EnvirORlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan addressing a "cOIpensating volUle" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. 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 is~u~nce of a per.it prevent the Building Official lrOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beCOle invalid unless the work authorized by such per.it is cOllenced within sil IOnths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of sillOnths after the ti.e the work is couenced. One 90 daYl!ltension of tite, tay 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 lust be logged during each sil IOntb period, or the project will be considered abandoned. WARNING TO ONHER: YOUR FAILURE TO RECORD A HOTICE OF COHHEHCKHBHT HAY RESULT IN YOUR PAYING "'ICE FOR IHPROVIIIDl'S TO YOUR PROPERTY. IF YOU INTEHD TO OBTAIN FINAHCIHG, CONSULT WITH YOUR LBlIDER OR AM ATTORRIY BEFORE RECORDING YOUR HallCK OF COHHENCKHENT. JOBS UNDER $2,500 III VALUE DO HOT HEED TO RECORD AlID POST A "HOTICE OF COHMKNCKMlNT". SIGNATURE: OWNER OR AGBNT , I SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 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 bas 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 , OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT M A f<- V &t:?6CVJ?la-.v + ~ ~4)V"" / 7 ;J-,5( .7 1" t> 1/ jJ 5 (? tV A PPL F c.- ,A Yf: DA. I ve:- JOB LOCATION PARCEl. 1. D.' # .- SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. iJ LJ' j ,0 ,/~ , ~'} ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. 5C.i( ~~(t/E~f) /" fC?RC-{.J /D1 \ ~'-, 3'0 I 1- 2ff 1_ 3.::?f ~ < -r ~l:. --71 ... ~ -- - r1 - ;;J ~ UTILITY B~ILDINGS MQST SHOW SIZE & FOUNDATION INFOR- MATION. If?1 FRONT 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