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Home My WebLink About97-7340 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7340 I!> Date /.J -~~ -77 ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn P<aperty Owne'~ .~~ _Kl"';;J"~ Job Address: ~ (f-I/ - J ~ ~ _ ~r- Parcell.D. # Water Conn: Water Meter: T_I.F.'s: Zoning: DescriPtion of Work Energy COde:~ I..J'" /' L L c. ~" ~ Radon Gas: 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. City license Registration # State Certified license# Permit Fee ~c;J-D . S;gnatu'e ~ - - --tr~ Company Address Telephone# Valuation or Contract Price YA- {)-"h~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Canst. 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 ($ t'5-:66) shall be made for each trip for each trade: .;L!, '- . OV 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTKENT ONNEN'S HAHN ;;k/'//t ~ ?:/ff! OWNER' S ADDRESS S g' ) 7 T) r 5 ~ J'I1 t=.- PHONE : 7"f'o - /tJtfJ? - JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---..Alteration _Repair ~nstall _Sign ---.Jtove _Deaolish PROPOSED USE: _S ingle Paaily _KIF _' of Units _K/H _ec-ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant 1& Health Depart.ent Approval c; I chl9,/1/ if 1// .{ ~F ttrc L BUILDING SIZE: x Square Feet. Height RESIDENTIAL : COMKERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS 1& (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKlTS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. ----1fECHARlCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FlRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUILDER COKPANY ~ ~~ State Cert. or Regist. . - City License Registration . *** a*.*************************** Signature ELECTRICIAN COKPANY State Cert. or Regist. . City License Registration . ****************************************** SiQTIAture PLUKBER COKPANY State Cert. or Regist. . City License Registration . ****************************************** Signature tlECHANICAL COKPANY State Cert. or Regist. . City License Registration . ****************************************** Signature OTRRR COKPANY State Cert. or Regist. , City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERKlT 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 undertale worl, 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 wbat licensing requirelents lay apply for the intended worl, they are advised to contact the City of Zephyrbills Building Departlent, (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 which 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 worl. If tbe contractor wisbes 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 " l D. CONSTRUC'l'ION LIEN L'I\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOlsone 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 AFFIDAVIT I certify that all the inforlation in this application is accurate and that all worl will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wort or installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet standards of all IllS regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies laY apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Trealient, Septic lants t US EnviroDlental 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 drainage plan addressing a "colpensating volUle" 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 the work 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 frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOle invalid unless the work authorized by such perlit is cOllenced vi thin six IOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, laY be allowed for the perlit 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 six IOnth period, or the project viII be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RBCORD A NOTICE OF COHHENCBHRNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIMBITS fO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORREY BEFORB RBCORDING YOUR ROrICE OF COKMINCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NBED TO RECORD AND POST A "NOTICE OF COHMBNCIKKNT". . I SIGNATURE: ONNER OR AGBNT SIGNATURB: CONTRACTOR STATB 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 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 ZEPHYRHILLS BUILDING DEPARTMENT . OWNER JOB LOCATION PARCEL I.D.' # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ~ ( / Y" c.L, ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. / / \ ~ '" UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. PROP Rly LINE FRONT (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, 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