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Home My WebLink About97-6914 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! --6914JS 0~00 ~ ELECTRICAL Property Own." & &11. ~ Job Address: . ~ _ _Y _ - ~ _~ Parcell.D. # /;;l-;)..b-:::i./ ~ IJ DVtJ - 6 O...!>C;o- GO / iJ Zoning: Energ1..2:de: Radon Gas: /. 9'.;;:L Description of Work ~A.R ~ .L!J~ _JA..~ t'7A~ a Date g- --/~- -77 PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: 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 Permit Fee ~ Signature tt2 _~' Company Address 60 Valuation or Contract Price 6'".5.0- lrC> City License Registration # State Certified License# Telephone# ~~A- BUILDING Ftr. ~ /2le I~ 7 BoR Pre SLB Lintel FRM. Insul. CL WL ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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. I " /I L' 16 eJ\ -I').. l,.f1wf- J ....''-H ,); W(()I,;' t4 t (Ot1 j "'''' "" (Z oof PA'" S r~ I I I S(D~ lJ I C:.v --1_L____L._____l____, .1 .----______ _____._.nn_...__....___._____...----, _'__ _._______ _L_ __'____L.__.. .1__..._ " II .,. 2 '1'1 f4t,M "" llUl\'" H~.40~ II II ~1i~ A\.\.C I'M , ~ IA .., .. ~ oM-r ...s fJ lI1-o.cp t f,;;---r7-;,'t dO "t----c:;-; ~c. Go o-;r 00' 00 "" t1 n ~ Qo d 0 'Ot? 'Oa 4-~=---Ct>~Cq6'6 . ~:;-l :=-. /6 I ~ ... 4 SMcIIUJ.- ~ ~ {' ~ ~' ~ 1-1'(" 6' c ,... 0 1- :-\ \) <& ~ 'I. Q ~~ 1'l~~ ,,' '<1' ~ ~ ~' ~ ~~ , i' .......;., S. .--~~ t <S\ ~'"',;;. /' ~ , -..J- - ~ \ ." ~ \N~ ~.ro:"" ~ ~ '4-J~ l .,. "i:~ b' . ~ ('I ~ <?\ ~ -\ 0 ell, Vl'~ 0 S "'0 \j::1 0 Q lJ, '>< \N ':. ~ "l\ l l \0 ~ C' s: 1 i ~ 1 (j o ~. -. - -- - ~- ~~--- -- -y. ~~ - -=t -- ..& ... -. ~ --- '"'t\ '& 1! -\ C' - (l\ t ~OWNER CITY OF ZEPHYRBILLS BUILDING DEPARTMENT ml1J4L6 ~7ZrzoW JOB LOCATION .sCf2"-fr0 5" +11 Ave PARCEL 1.D. # J1 ~ 2(P-;;'1 - 0040 -DOS 00 - 00)0 SHOW ALL EXISTING &: PROPOSED STRUCTURES GIVING DIMENSIONS &: SETBACKS. /10 J J';IJ I)' ! J'Z.' co~tfP (} SLprl!; S(f)(l-~_ ;; ;.wGf.} ~ I ~~J';-? pheP &'fI41J'f'V ftu' I - ..- ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. j /1)0 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 FAN 30 'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE APPLICAnON FOR PERHIT CITY OF ZEPBYRIIILLS BUILDING DEPARTMENT /" :?~/3 .-7'7 tJD~C~ ? C1 Z-Lf b ~ q Z- '1 b 5 fh LEGAL DESCRIP'l'ION: LOT(S) 1F-/ BLOCK ~5 PARCEL I.D..\2 - Ab -1-1 -CJ6<f(j -t:O~() - 00 ( 0 OWNER'S RAKE C-A-QllJ) fA) <5' -fh 1411 C A-Vb PHONE 7~ ~ -/3 {O OWNER'S AnDRaS JOB ADDRESS SUBDIVISION .2~P+-P-((Z-. ~GlfrH t.<. (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:~ew Construction *-^ddition ----Alteration ---...Repair _Install _Sign. -JIove ---Peaolish PROPOSED USE: _Siogle Faaily ---1I/F _' of Units ---1I/B _~ercial _Indust. _Swia. Pool -t'-Other ---...Restaurant Ii: Health Departaent Approval DESCRIPTION OF WORK: C()(VCf(C-r{; 5G4B C~v6rt.6l\ fA) I '7v-1 A1PfYtrv(;- BUILDING SIZE: /2 X 1&, /C(l Square Feet, g Height RESIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. (1 6So~ PERKITS REQUESTED ~UlLDING $ Valuation of Total Construction IU-ECTRICAL AIIP Service Florida Power Corp. W.R.E.C. -"ECllAllICAL $ Valuation of Mechanical Insta1lation -PLUHBING GAS A/,U MlpU ~OOFlNG SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel 1../' SCr1-f!, Other FINISHED FlOOR BLEVAnONS: Fr. IS PROJECT IN FLOOD ZONE AREA? ..................................*..**.** YES ~ BUll llER CONTRACTOR SECTION' mHPANY (3 (JJ ItIG"iL G\ A ,1 ~~ State Cert. or Regist. . ~~ City License Registration . *..*...**.****......*.....*............... - Signature IU.~CTRICIAR COMPANY State Cert. or Regist. . SianAture City License Registration' ...*..........*..*....*.*...........*..*** PLUHBER COMPANY State Cert. or Regist. . Signature City License Registration . ..............**.....*........*..***.***** IIBCHANlCAL COMPANY State Cert. or Regist. . Signature City License Registration . .*..................................**.*.. OTRRR COHPANY State Cert. or Regist. . Signature City License Registration . ..............*........................... APPLICAnON APPROVED BY PERHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that lhis perlit lav be subject Lo "deed restrictions" which aay be lOre restrictive than City regulations. The undersigned assWles responsibility (or cOlpliance wiLh any applicable deed restrictions. B. UNLICENSED CON'rRAC'!'OnS AND CON'l'RAC'rOU RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licen8ed in accordance with state and local regulations. If the contractor is not licensed as required by Jaw, botb the owner and contractor .y be cited (or a lisdeleanor violation under state law. If lhe owner or intended contractor are uncertain as to what licensing reguirelents lay apply (or the inlended work, lhey are advised lo contact the City of Zepbyrbills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contraclor or contractors, he is advised to have the contractor(s) 8ign portions of the "Contractor Sections" of this application for whicb they lIill be responsible. If you, as the OIOlU 8ign as the contractor, you are indicating that you, rather than tile contractor, are responsible (or the lIork. If the contractor Wi8bes IOU 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 UTILITY CONNECTION FEES { i D. ,cONSTUUC'!'ION LIEN L'f\W (CHAPTER 713, FLORIDA STA'rUTES.I AS AMENDED) I certify that I, the applicant, have been provided lIith a copy of "Florida's Construction Lien Law - HOIeOIDer'. Protection Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If the applicant i8 801e0De other than the "owner", I certify that I have obtained a copy of lhe above described doculent and prolise in good faith to deliver it to the "owner" prior to COllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in,this application is accurate and lhat all 1I0rk lIill be done in COIpliance with all applicable lall8 regulating construction, loning, and land developlent. I Application is hereby lade to obtain a perlit to do lIork and instailation as indicated. I certify that no work or installation bas COIIenced prior to issuance of a perlit and that all IIOrk lIill be perfoIlBd to Jeet standards of all III' regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of olher govero.entsl agencies lay apply to the intended worl, ana ~t it is IY responSibility to identify what actions I lUSt take lo be in cOlpliance. Such agencies include but are not Iilited to: · Deparllent of Enviroo.ental Regulation - Cypress Bayheads, Wetland Areas and Enviroo.entally Sensitive Lands, Nater/Wastellater Treatlent · Southwest Florida Water Hanagelent District - NeIls, Cypress Bayheads, Wetland Areas, Altering WatercoUlse. · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Healtb , Rehabilitative Services, Bnviroo.ental Healtb Unit - Wells, Wastellater TrealleRt, Septic lanks t US InviroDleDtal Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a dralDage plan addressing a "colpensating volUle" will be sublitted IIhich 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 lIith the 1I0rk and not as authority to ,iolate, cancel alter, or set.aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official fIOl tber8lfter requiring a correction of errors in plans, construction, or violations of any code. Bverr perlit issued aball becoIe InvaJld unless the work authorized by such per.it is cOllenced within sil IOntbs of issuance, or if work autboriled bJ the petllt i. suspended or abandoned for a period of sil IOnths after the tile the work is cOlleDced. One 90 dar eatension of tile, II' be allowed for the perlit lIith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project lIill be considered abandoned. WARIIING TO ONIER: YOUR FAILURE TO RECORD A NOTlCK OF COHIIENCKllBNT MAY RESULT IN YOUR PAYING IIlIa FOR DIPROVBIIIIr8 10 YOUR PROPERTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT NITH YOUR LENDER OR AN ATTORIEY BlPORI AlCOHOlIC YOUR JOlla OF COHHENCBHKNT. JOBS UNDER '2,500 IN VALUR DO NOT NBRD TO RRCORD AND POST A -NOTICE OF COHKKHCBMIHI". ~~A~. SIGNATURE: ONNER OR AGRNT : I: SIGNATURE: CONTRACTOR STATR OF FLORIDA COUNTY OP The foregoing instrument before me this was acknowledged , 19_ by STATK 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 lie 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