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Home My WebLink About98-7396 BUILDING PE,RMIT 7396 IS CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date J- Jb -7~ ~~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: P<opertyOwne, ~~ _ ]~ Job Address: ....3 7 _ ___ --- ~ Parcel I. D. # I;). - a.b - f)../ - () o.l. ('J -- 0 D '" 0 0, l/ .:L r 0 Zoning: EnerjY ~de: .A. Jad~Gas: Description of Work t2 ~~~-... .;z;;- -~~ Water Meter: T.I.F.'s: FINAL DATE 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. c.o. DATE Valuation or Contract Price ~-?Tv ~ 0-0 Inspector City License Registration # State Certified License# Signatu Company Address Telephone# 1J'v..~A _ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Ins!. 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 ($1-&ee1 shall be made for each trip for each trade: ,20"-;iJ1) a. b. C. d. e. f. g. 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. 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 ZEPHYRBILLS BUILDING DEPARTMENT "" .,fit ,~/~ OWNER'S ADDRESS Et.-totJ 3JO'L :,?" SA I~~ ,H PHONE '"'lOA' 6,/ l.... OWNER'S NAME c; ./.; I JOB ADDRESS LEGAL DESCRIPTION: LOT(S) oZ g- .;( q BLOCK o SUBDIVISION PARCEL 1.D.' 1e2 ';J.,' -.;<.) - (jO~ 0 .'00 boo ~ 0.2 FJ () (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction V~~ition ---Alteration _Repair _Install _Sign _Hove _DeJIOlish PROPOSED USE: _Single F8IIily _H/F _' of Units _H/H _~ercial _Indust. _Swia. Pool ~er _~IJ-Aqe \; _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: I / BUILDING SIZE: (;; X ::z 0, / Cl.. u " Square Feet,R- b,{Ueight 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 SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. VBUILDING PERMITS REOUESTED $ '>6- cl7J. ()"7J Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECllAlfIGAL $ Valuation of Hechanical Installation _PLUHBING GAS ROOFING V::' _Fr8lle _Steel SPECIALTY TYPE OF CONSTRUCTION: _Block Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ~ YES NO ****************************************** BUILDER 0 w It./.Q... R- ~'" Signature,/( ..:.I/'; II CONTRACTOR SECTION COHP~ State t. or Regist. . r t_ ''- City 1ce~egistration' *********************..********** F.UO:CTRICIAN COMPANY State Cert. or Regist. . Sian3ture City License Registration . ****************************************** PLUHBER COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRF.R COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** 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 aay be lOre restrictive than City regulations. The undersigned assu.es 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 lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departaent, (813) 188-6611. 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 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. 'I'RANSPORTATION IMPACT FEES AND U'l'ILI'I'Y CONNECTION FEES ~ ~ D. CONSTRUC'l'ION LIEN Lnw (CHAPTER '113, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleOne other than the "owner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the "owner" prior to co..enCelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'I' 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, loning, and land developlent. I Application is hereby lade to obtain a per.it to do work and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and tbat all work will be perf oIled to Jeet 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 govefDlental agencies lay apply to tbe intended work, and that it is IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to: t Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewater Treallent t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways t De artJent of Health &' Rehabilitative Services BnviroDlental Health Unit - Wells, Wastewater rreatJent, Septic ranks 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 tbat a drainage plan addressing a "cOlpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A per.it issued sball be construed to be a license to proceed with tbe work and not as authority to ,iolate, cancel alter, or Bet aside any provisions ,of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official lrUl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becoIe in'alid unless the work authoriled by such perlit is cOllenced within six IOnths of issuance, or if worl authoriled by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is COllenced. One 90 day eatension of tite, III 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 I9nth period, or the project will be considered abandoned. WAMING TO OWNBR: YOUR FAILURB TO RECORD A NOTICB OF COHHBNCEHBlfT MAY RBSULT IN YOUR PAYING 'fIIICI FOR IHPROVIIIIITS TO YOUR PROPERTY. IF YOU IlfTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN ATTORNIY BEFORB RBCORDING YOUR NOTICI OF COHMINCKHINT. JOBS UNDIR $2,500 IN VALUI DO NOT NBID TO RICORD AND POST A "NOTICE OF COHHBNCIIIIITN. SIGNATURB: ONNIR OR AGENT , I SIGNATURE: COHrRACIOR STArB OF FLORIDA COUny OF The foregOing instrument before me this was acknowledged , 19_ by STATB OF FLORIDA COUny 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 OWNER CITY OF Gt!. TO ;() ;-1 3/02- :' / cK - ;:<. ;'; -' r'~ / PARCEL I.D." # ZEPHYRHILLS BUILDING /)1",/" [.;'V i'i [,. JJ" It / " ~/ "/ 7 /, DEPARTMENT JOB LOCATION t/v.P C 0:' .~ -Ci66to - C,~R() SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. / 3,:2.. I t{\ It' I -( 10 1------'- -I' - .. I I ' i f 2. ~ I iJ-'.L l i E'Ilyr/l..)~ ~ CI if I~O & ! \.0' """I i ...- )(,;"' EX I >11 /IJ G UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. d 1 ~ <Z FRONT PROPERTY LINE (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 1 0' S I E N D G 20' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' 1 0' PROPOSED 20'SGL FAM 30 ' DUPLEX FRONT PROPERTY LINE