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Home My WebLink About98-7564 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 756413 Date -3 -6-r-r- ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: b Parcel 1.0. # a~~~ Water Meter: T,I.F.'s: Zoning: Description of Work Q Ene!gy Code: It ....A.~~ ~~";;J ~?/ NO OCCUPANCY BEFORE C,O, FINAL DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. C.O, DATE Inspector City License Registration # State Certified License# Permit Fee~. ,. t S;gnaMo < < ~ Company C- Address Telephone# Valuation or Contract Price ~ I ,;t~ '... c-t) ~OA BUILDING ELECTRICAL PLUMBING MECHANICAL 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. JOB LOCATION CITY OF ~/1V\tG~ ~ 6M e..6 ~ :>-.1- I ZEPHYRHILLS BUILDING DEPARTMENT \.} a r- v I S OWNER Sr' PARCEL 1.D,'# SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ~ ~~ ~~ ~~ ~~ " ~~ ~~ .- 06 Co .,' ~ -+"' cj t.. ,.. I:::l. <: "- -\. E S).l --<- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. 5T r ...e.A.1 L-; V'\ ~ FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET f. -:1. W-. ..e.. 0 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 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE V (D (/ //1 f- 0 t1 A, J2 rV ( S PHONE XI '1 - 7 X:J - 9 ()O J OWNER t S ADDRESS""'--- (" :J- ~ I CO 'Cl U1 .R. (j .S 1 ' JOB ADDRESS ,~ ~ 1-, r-e d LEGAL DESCRIPTION: LOT(S) ~ J d- (eb"'<.~CK SUBDIVISION PARCEL I.D.' (OBTAIN FROM. PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction -4..Addition --A1teration _Repair _Insta1l _Sign _Kove _Deaolish PROPOSED USE: -L,single Faai1y ---1t/F --1-. of Units _K/H _~ercial _Indust. _Swia. Pool _Other _Restaurant 5: Hea1t:h Departaent Approval DESCRIPTION OF WORK: J/// BUILDING SIZE: / d..- X 40, 1-f ~(j Square Feet, Height RESIDENTIAL: COKKERCIAL : ATTACH (2) PLOT PLANS 5: (2) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~LDING ~.. $ J ( :15 g::O- PERMITS REOUESTED Va1uation of Total Construction _ELEC'I'RICAL AMP Service Florida Power Corp. W.R.E.C. ~CllAliICAL $ Va1uation of Kechanical Installation _PLUMBING GAS,.4 ItA I~OOFING TYPE OF CONSTRUCTION: _B1ock ....)LFraae _Steel SPECIALTY Other FINISHED FLOOR ELEVATIONS: ~ Ff. IS PROJECT IN FLOOD ZONE AREA? ...x.. YES NO ****************************************** -CONTRACTOR SECTION RlIT1DllR COIIPAIIY ~ ~) ~ Q ~ State Ce . or Regist. . Signature ~.. City License Registration . ****~*********************************** RT .Io:C'l'RICIAN SiQDAture X PLUMBER Signature X MECHANICAL Signature X COMPANY State Cert. or Regist. . City License Registration . ****************************************** COMPANY State Cert. or Regist. . City License Registration . ****************************************** COMPANY State Cert. or Regist. t City License Registration . ****************************************** OTRF.R Signature 2/~ COMPANY ~ State Cert. or Heglst. . City License Registration # ********* ..************************** APPLICATION APPROVED BY PERMIT OFFICER. . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigne~ understands that this perlit lay be subject Lo wdeed restrictions" which lay be lOre restrictive than City regulations. The undersigned assOles 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 what licensing requirllents lay apply for the intended worl, they are advised to contact the City of Zephyrbills Building Departtent, (813) 788-6611. . FurtherlOre, if the ONner 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 worl. If the contractor wishes JOu 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 , ~! . D. CONSTRUC'I'ION LIEN L~W (CHAPTER 713, FLORIDA STATUTES1 AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOMDer'a Protection Guide" prepared by the Florida Departlent of Agriculture and ConSOler 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 tbe "owner" prior to COllenCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laNs regulating construction, loning, and land develop'ent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a per.it and that all work will be perfoCJed to leet standards o[all lawa regulating construction, City codes, loning regulations, and land developllnt regulations in the jurisdiction. I also certify that I understand that the regulations of other govefRIental agencies laY Bpply to tbe intended work, and tbat it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li8ited to: · Departlent of EnviroDlental Regulation - Cypress BBJheads, Wetland Areas and EnviroD81ntally Senaitive Landa, , Water/Wastewater Treatlent · Southwest Florida Water Hanagllent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · Ar.y Corps of Engineers - Seawalls, Docks, lavigable Waterways · De arblent of Health i Rebabilitative Services EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic Tanla · US EnviroDleDtal 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 "cOlpeOsating volOle" 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 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~ce of a perlit prevent the Building Official frOl thereafter reguiring a correction of errors in plans, construction, or violations of anf code. avery pemit i88ued shall becoile in,a11d unless the worl authoriled by such perlit is cOll8nced within six IOntha of issuance, or if worl authorized by the pemit is suspended or abandoned for a period of six IOnths after the tile the work is COllenced. One 90 day IItension of tile, 181 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 lust be logged during each six IOnth period, or'the project will be considered abandoned. WARNIIG TO OWIER: YOUR FAILURE TO RECORD A NOTICE OF COHHEICEHBIT HAY RBSULT IN YOUR PAYIIG DICE FOR IHPROVIIIDrS TO YOOR PROPERTY. IF YOU InEID TO OBTAII FIIAICIIG, COlsun WITH YOUR LEIDER OR AN ATTORNBY BEFORB RICORDIIG YOUR HOfICE OF COHHEICKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AID POST A .NOrICE OF COHHIIClMBn". SIGlATURB: ONNER OR AGEIT .' I SIGNATURE: COlrRACTOR srArB OF FLORIDA COUff'lY OF The foregOing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUITY 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 ....--,--.--- I