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Home My WebLink About97-6867 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 686~ Date 7-.12' 97 ~G Property Owner: Job Address: Parcell.D. # PLUMBI MEc~~er Conn Water Conn: Water Meter: ) T.I.F.'s: s.?~ Radon Gas: /1J , Zoning: Description of Work En:::r COd~ ~ 'U/L NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, Permit Fee Signature Company Address Telephone# Valuation o~ --II g 79 . .~. Contract Price .- City License Registration # ------. Qce";t;ed Ucense# _:;-- ~~ 6VILDING ~ ELE~L -- PLU~' --- MECH~1r \L -- 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 ($15.00) 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 JOB ADDRESS L1~~~ ~n~ ?:~~ rat tPh UB /-)&, t (; ,: ILfq 3,5. ~, PHONE '1%'6 - ~ 338' OWNER'S NAMB OWNER'S ADDRESS LEGAL DESCRIPTION: CfA;~;~~~~~f) WORK PROPOSED: LOT(S) BWCK SUBDIVISION HI PI.,,:;- U;- / 141 <;;:: ooo-/i.f..Cfo _Addition ---Alt.erat.ion _Repair _Inst.all PROPOSED USE: -~ ~ingle Faaily _Kove _Deaolish _KIF _' of Unit.s _K/H _<=<-ercial _Indust.. _Swia. Pool ___0 t.he r DESCRIPTION OF WORK: ' _Rest.aurant. & Healt.h Depart..ent. Approval -5,^cd 8" X I () , 150 Square Feet., "7 I Height. BUILDING SIZE: RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~~DING $ PERMITS REOUESTED --::2. N () ~ t?~oSr-- o f -, - Valuation of Tot.al Const.ruct.ion _ELEC'I'RICAL AMP Service Florida Power Corp. W.R.E.C. _KECIIAIUCAL $ Valuat.ion of Kechanical Installat.ion _PLUMBING GAS ROOFING SPECIALTY t) I/J M; 11 0....... Ot.her TYPE OF CONSTRUCTION: _Block _Fraae _St.eel FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION' BUILDER ~ COIIPANY ~~( ~ ./ , L.L:J Stat.e Cert.. or Regist.. · Signat.ure L ~ City License Regist.ration . .......................................... ELECTRICIAN COMPANY St.at.e Cert.. or Regist.. t SiRnat.ure Cit.y License Registrat.ion . .......................................... PLUMBER COMPANY State Cert. or Regist.. . Signature Cit.y License Regist.rat.ion t .......................................... MECHANICAL COMPANY Stat.e Cert.. or Regist.. f Signat.ure Cit.y License Registration . .......****.............*....*....*....... OTRRR COMPANY Stat.e Cert.. or Regist.. . Signat.ure Cit.y License Registrat.ion f ............*......*....*................. APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to 'deed restrictions' whicb lay be lOre restrictive tban City regulations. rhe 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Deparblent, (813) 788-6611. . FurtherlOre, 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 wbich 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 wishes you to sign as contractor that laY be an indication that he is not properly licensed and is not entitled to perlitting 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, bave been provided witb a copy of 'Florida's Construction Lien Law - 8oIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleODe other tban the 'owner", I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the "owner" prior to cOllenceJent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cDllenced prior to issuance of a perlit and tbat all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber governJental agencies laY apply to tbe intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands, Water/Wastewater rreatlent t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, BnvirODJeDtal Health Unit - Wells, Wastewater rreablent, Septic rants t US finvirODlental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood ZOne "AI or 'A,etc,", it is understood that a drainage plan addressing a 'cOlpensating volDle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 issuance of a perlit prevent the Building Official frOJ,thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued sball becOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after tbe tile the work is cOBenced. One 90 day I!Itension of tile, IIilY be allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNBR: YOUR FAILURE TO RECORD A NOTICE OF COHHBICBIlHNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVBMBIl'S TO YOUR PROPBRTY. IF YOU INTBND TO OBrAIN FINANCING, CONSULT WITH YOUR LENDBR OR AN ATTORBBY BBFORB RBCORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHBNT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 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 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 ZEPHYRllILLS BUILDING DEPARTMENT KA-'i~Q)'1..d boRte. ~ gea ( ( A ( Ph,q to Vi: 3>5'- .lS--;ZI-OO~A- ooooo-/t./q() OWNER JOB LOCATION PARCEL 1. D. # SHOW ALL EXISTING & PROPOSED STRUC'TlJRES GIVING DIMENSIONS & SETBACKS. ZI I l:) " I~ IRoh,~Ccl..." _l' ~ 4r '6'-+ .., ...."'1' l 5'-) o~ (ov.-.dlitt'ON '5nie I P'eAM/~ iP"f&-'" '71(5t1I2E -M>F ?rrUJc~ t ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. {levEREd ~:loQ.;6A ,...,~~ 1'--\ l Lf7.S I ~ '3~,"lt' ..., ',..'" .,. l - I 1\1,' '"'-' "(I I ; If.:. ,-g I ..~......,'- () () ,l.o ....g \4..1' I ' ~~~-L I ,,"l UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. - ~ ~ ,. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1f 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' FROR'l" PROPERTY LINE FRONT PROPER"I'Y LINE