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Home My WebLink About97-7188 .. BUILDING PE,RMIT .7188 CITY OF ZEPHYRHILLS (813) 788.6611 Permit jj m ~~" Property Owner: ~ . Jab Add...., J'I~S- :&; }1 6 Parcell.D. #~'/-d-.b-/)./-o tJ80 - oo/Otf)-. t, () Water Conn: Date II - 7 - <1 '7 Sewer Conn A- J.. f I Water Meter: YfJ. ttv ~: ,-7; ELECTRICAL 3.5'; tTV PLUMBING .;25': ()V MECHANICAL BUILDING ~6tJ T,I.F.'s: Zoning: -::- , EZy Code: U Radon Gas: Description of Work ~ A l/t ~ .. ....;: r A-r." 'Qlf.EC-'~\A-L /1-il-7'7 J1fYl 9/;)-6 NO OCCUPANCY BEFORE C.O. FINAL . Complete Plans. Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price :~;~~:u~~~~ Company Address Telephone# '~ City License Registration # /)::1.3 0 State Certified License# BUILDING ELECTRICAL ~~ 4~~U PLUMBING ...-- ~~ ~~a ~ A.R.. / rc !1 , 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 . a~~=6/' ;J tJ~ L~q 10,,1-:; 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: ~-. o-v Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. a. b. c. d. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT CITY OF ZEPHYRBILLS ~ BUIU>IRG DEPARTIIBllT 0IillBR' S R .l 12 (h4 IZ ET tl 7(fJ W /.; IJ c:- OWNER'S ADDRESS 3L/c;.s:- et:::~ Lj L L /9- )JG" Of:F;'eE PHONE i1!?o -~;;) 1/ JOB ADDRESS 5./9 M ~ LEGAL DESCRIPTION: LOT(S) BI.OCIL--SUBDIVISION PARCEL" LD.' Zt/-,;?t, -d2./- '??ZJl)-dtJ/(/l}- ~ #t:,;. 0 (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROpOS~e;; Construction _Addition ----Alteration _Repair ~nstall _Sign ---",ove _Deaolish PROMSEDUSE: _Si~leF~ily ---"'F _' of Units _K/H _eo..ercial _Indust. _Swiat Pool _Other Restaurant & Health Departaent Approval DESCRIPTION OF WORK;-P ~ fJL &-~7 BUILDING SIZE: x Square Feet. 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 SUR\iEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ~UILDING ~ELECTRICAL V MECHANICAL ~PLUHBING $ Valuation of Total Construction AMP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIlUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION RUTT.DER COMPANY State Cert. or Regist. . City License Registration' d;2.3 0 .......................... COMPANY /lCE' /:;t?~ f/i, State Cert. or Regist. 66"'r~t:: / City License Registration' /R~ .......................................... '-' Signature COMPANY C\. I (~' State Cert. or Regist. . ~Y'( ..(...II City License Registration' c:l 0) 30 ................. ........................ COMPANY /Jet:.- x.P~s.' State Cert. or Regist. (' .JqrO,-=?9?56 City License Registration . ~") ........................................ PLUMBER Signature MECHANICAL OTRRR Signature COMPANY State Cert. or Regist. . City License Registration , .......................................... APPLICATION APPROVED BY PERKIT OFFICER. " ~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be lOre restrictive than City regulations. The undersigned asslmes respoJlsibility (or co.pliance Ifith allY applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake Ifork, they .ay 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 (or a .isdeteanor violation under state IaN. If the ONner or intended contractor are uncertain as to wbat licensing require.ents .ay apply (or the intended Nork, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611. Furtber.ore, if the ONner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which tbey wi]] be responsible. If you, as the OIQler sign as the contractor, you are indicating tbat you, rather than the contractor, are responsible for the work. If tbe contractor wisbes you to sign as contractor that .ay 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 , ~. , D. CONSTRUC'fION LIEN L1\.W (CHAPTER 713, FLORIDA STATUTES I AS AMENDED) I certify tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConSlmer Affairs. If the applicant is sOleQDe other than the "owner", I certify tbat I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "oNner" prior to co..ellce.ent. E. CONTRACTOR' S/OWNER 'S AFFIDAVI'l' I certify that all' the infor.ation 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 Application is bereby .ade to obtain a per.it to do work and instailation as indicated. I certify tbat no worl or installation bas cOllenced prior to issuance of a per.it and tbat all work will be perfotted to aeet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of otber goverDlental agencies lay apply to the intended wort, and tbat it is ,y responsibility to identify Nhat actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: t Deparllent of BnviroDlental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewater rreallent t Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Ar.y Corps of Bngineers - Seawalls, Docks, Navigable Waterways t Departtent of Healtb , Rehabilitative Services, BnviroDlental Healtb Unit - Wells, Wastewater rreallent, Septic rants t US Environtental Protection Agency - Asbestos abate.ent I also certify tbat, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "cOlpensating volute" will be sub.itted 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 is~u~nce of a per.it prevent the Building Official frUl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petllt issued shall hecoIe invalid unless the work authorized by such per.it is cOllenced within Sil IOnths of issuance, or if work authorized by the petlit is suspended or abandoned for a period of six IOnths after the ti.e the wort is cOllenced. One 90 day eatension of tile, l8y 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 .ust be logged during each six IOntb period, or the project will be considered abandoned. WARKING TO ONIER: YOUR FAILURE TO RECORD A NOTICE OF COHHBICIHBHT IlAY RESULT II YOUR PAYING fllICK FOR IHPROVIIIEIts TO YOUR PROPERTY. IF YOU INTIND TO OBTAIN FINANCING, CONSULr WITH YOUR LINDER OR AN AnORIEY BEFORE RECORDING YOUR NOIICI OF COMMENCE ,r. JOBS UNDER $2,500 IN VALUE DO lOT NIED TO RBCORD AND ~T A "N~ICB OF COHHBIfCElllHTII. .Y-t' ~' "-(~ ;f~~ B OR AGENT SIGNATURE: COlT R / , I STATE OF FLORIDA ~ COUHTY OF ~ The foregOing instrument before me this II - '7 STATB OF FLORIDA ~ COUNTY OF -L~ The foregoing instrument was aCknOWledged before me this / /- ~ , 19 9'7 by who is~ known to Be or who has produced as identification and who did/did not take an oath.'-I1. /1 ~ tI.. Jh~, I, . (Signature) ;V AG /1 1A d7f.)- __8-Y\ LJL Cl FI & cJ V (Name Typed, Printed ~r Stamped) I NOTARY PUBLIC was acknowledged , 19-f.2. by who i nown to me or who has produ as identification and who did/did not take an oath2:1 Cl ~ L, (Signature) ;V ;:~<t A &f:- (Name Typed, Printed r Stamped) NOTARY PUBLIC Nancy A. Moody ~}\\il""~~" CC534806 EXPIRES ,~. ,-~\ ~ CQMt.ISSION' """" ',:": :": ftblU8IY 21. ~ Nt ,~. E 1lIOY FAIlIlIlSIIIUIIICE.\ ' ;1."..... 1IOIllIED1\IIU ',M" ' ,\'tUIf"I Nancy .~.,.v.~ A. Moody f.:,~:~ MY COMMISSION' CC534806 EXPIRES ~';;,....., ~~ FebI\l8/Y 21. 2OlIO ',P.f,.!l\' . BONDED ntRU TROY FAIN INSIJRAHCE. INC 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. ---- ~ .6"'7 1 JI) ~_~~It I I /~ ~ \\ \ j' I ,TV' I y, vv \' ~') In vP , l C o~L: I ,I \ E'- /""+ IjI 5-"7 ~,;- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. c 10 r-=;-- / 1 I },"2.- LIN~ (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N . D G 20' 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE