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Home My WebLink About98-7588 BUILDING PE.RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7588 13 Date c.S--' I ? - ?r ~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: ~operty Own., ~ ~ _I~ Job Address: . <;:.. <' ~ 'I 'f" ~ t?~__ Parcel J.D. # ~ - ~b --d-I- b c::>~ '. tJa/o 0 '.. 0 CJ ~ r Water Meter: T.I.F.'s: Zoning: Energy Code: De",;o';on of W';;;; ~ RadQn Gas: .......~p....,&JI ~ . ~ .Ao .I":L.../\ NO OCCUPANCY BEFORE C.O. FINAL y 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 Signature Company Address Telephone# ~~ 4;;;/~ Valuation or Contract Price /~A ~ 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 ($+6-:e&) shall be made for each trip for each trade: ~-. t:TV 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 ZEPllYRHILLS BUILDING DEPARTMENT OWNER' S NAKE --------- .......~#,(/ Jo~///Ue;c. ~jqL/ to / J' -M ,..s:o /7' Y ~ e. ftve PHONE '7 f- 3 -. f fef, ::z. -/-{-I / /~ ;; / , OWNER' S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' ~ ~;).t - CJ./- (!) Od-r) ....., (9CJ / 0 C',;}.......C)cJ bctBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Alteration _Repair _Install _Sign _Hove _DeJIOlish PROPOSED USE: _Single F8IIlily _H/F _, of Units _H/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRlPTIDII OF 1illllK: fRJ tJ,I,I C '1 F GJUc-C 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 SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ABUILDING _ELECTRICAL $ Valuation of Total Construction AKP Service Florida Power Corp. W.R.E.C. _MECHAlUCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDnSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BIITI.DER COMPANY State Cert. or Regist. , Signature ~ City License Registration f ****************************************** F.I.RCTRICIAN COMPANY State Cert. or Regist. t SignAture City License Registration f ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration f ****************************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit .ay 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 CONTRACTOH RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb state and local regulations. If the contractor is not licensed as required by law, both tbe owner and contractor lay be cited (or a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requir8lents aay apply (or the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtherlOre, if the ONner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of tbe .Contractor Sections" of this application for which tbey 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 tbe contractor wisbes you 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'l'ION LIEN LnW (CHAPTER 713, FLORIDA STA'rUTES1 AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDerts Protection Guid~" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is sOlBOne other than tbe "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 couencelent. 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 laws regulating construction, loning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify tbat no wort or installation has cOllenced prior to issuance of a per.it and that all work will be perforaed 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 other goverDlental agencies laY apply to tbe intended wort, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not li.ited to: · Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways · DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic ,ants · US EnviroDlental Protection Agency - Asbestos abat8lent 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 sublitted which is prepared by a professional engineer registered in tbe State of Florida prior to perlit, issuance. . A per.it issued shall be construed to be a license to proceed with tbe work and not as autbority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~nce o( a per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery per.it issued shall beCOlB invalid unless the Morl authoriled by such per.it is cOllenced within six IOnths of issuance, or if work autboriled by the per.it is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, aay be allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to tbe Building Official. An approved inspection lust be logged during each six IOntb period, or'tbe project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHBNT HAY RESULT IN YOUR PAYING IWICB'FOR IHPROVIMlIrS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORNEY BEFORE RECORDING YOUR KO'lICB OP COHHENCIHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHKINCKKBKT". SIGNATURB: OWNER OR AGENT , I SIGNATURE: CONTRACTOR STATB OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19 by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL I.D.' # SUOH ALL EXISTItIG & PROPOSED STRUCTURHS GIVING DIHKNSIONS & SETBACKS. 1$'0 I UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. 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 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 LINK FRONT PROPERTY LINE