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Home My WebLink About98-7600 BUILDING PERMIT .7600 CITY OF ZEPHYRHILLS (813) 788-6611 Permit f3 7" 0'.. ,"7tJ BUILDING ..2-5' . tTv ELECTRICAL Date ...3 - J.1J- ??- c..5~ '. ~ PLUMBING ;;L S-. cJ-v MECHANICAL Sewer Conn P,"perty Owne' cJ ~ QC~ Job Address: &> / (9. 71 . r '---;;~A/-dr Parcel 1.0. ~ -r2t .;L/ - 0 tJ/O. //;L # 0.- boY / Zoning: ;J:7. COde~ Radon Gas: DescriPtion of Work JJ1 d ( ~, ~/~~~ tJ~1J :3-dl,~f .B.:0Jf ~~~~~;Y~~~ ~S ~- NO OCCUPANCY BEFORE C.O. Water Conn: Water Meter: T.I.F.'s: FINAL Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# ;L3/7 P~rmit Fee ~ ~-. SIgnature ~ :J-a-? Compa~ Address Telephone# ~ ~~et5 Valuation or Contract Price I <Jj.0-0 .....L . o-:v c1 6~~ A/-lIJp' BUILDING ~J1J R"7 ELECTRICAL ~<~ PLUMBING ~YLJ /77 MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers 7. '9 Ducts Insl. ~:1 71 g C 05 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 ($~) shall be made for each trip for each trade: OU-:o-o 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT S3,3S g1~~ OWNER'S NAME OJ.irNfl V, hrl,f/~ PHONE OWNER' S ADD~S JOB ADDRESS ~/ l') 0 II A R /{ / A f- (""' .,1-. .2~~~~4IS' rL /-1-. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~~~~__~~..0 3 -:;J.6 -;;Lf- lJ% -ll()oo -ODt( ,I (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Const.ruct.ion _Addit.ion ---Alt.eration _Repair _Install _Sign _Move _DeJlolish PRO~ED USE:#lngle F..ily , _<=<-ercial _M/F _' of Units ~ _Indust. _Swia. Pool _Other _Restaurant. &: Health Depart:llent. Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet.. Height ~IDENTIAL: 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. t/'/BUILDING V'ELECTRICAL /MECllARICAL V~UtlBING $//.0 ~ 0/) . PERMITS REOUESTED Q " Valuation of Total Construct.ion "- ---...", AMP Service Florida Power Corp. W.R.E.C. $ Valuat.ion of Mechanical Installat.ion GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _St.eel Ot.her FIRISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** JU BUILDER Signature ~"" CONTRACTO~ION 00/fP~" 0 //-< ill IV -:;),,), ~ <r.~~ &+- '" p "7,J'/ State Cert.. or Regi ., 7#0000 ~ ~~ " City License Regist.ration' .;;b{J; J t1- ****************************************** ' I COMPANY L i I } A-;r 6Jnciib bn( n ~ 11 P () ..0 St.at.e Cert.. or Regist.. t ~ 'rJ-rf_____ City License Regist.rat.ion , ****************************************** Si MUll t.ure :7,5/ 1. F.T.RCTRICIAN )5 rJ.0lIlJIl ~ ~ OO/fP~oo77+ m/#])..II(<~ t--5...+-'^-P , ,Stat.e Cert.. or Reg/st. #~H- 00/ 7t!? Signature /h;': ~ - - ~ City License ReEistration t ...2 Cll '7 , ****************************************** Signat.ure ?2 COMPANY U " ).' St.at.e Cert.. or gist.' ~~6 ~. City License Registration , ~***~*****************.********. / ,- ?.5 MECHANICAL OTRRR COMPANY St.at.e Cert.. or Regist.. f Signat.ure Cit.y License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject lo "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility (or 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 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 work, they are advised to contact the City of Zephyrhills Building DepartJent, (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 wiU be responsible. If you, as the DIRer sign as tbe 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 perlitting privileges in tbe City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES " D. CONSTRUCTION LIEN LnW (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDerts Protection Guidft" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone otber tban 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 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 witb 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 that no wort or installation bas cOllenced prior to issuance of a perlit and that all wort will be perfoCled to l8et standards of. all laws regulating construction, City codes, zoning regulations, and land developlent regulations in tbe jurisdiction. I also certify tbat I understand that the regulations of otber goverDlental agencies lay apply to tbe 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: · Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, . Water/WasteNater Treatlent · Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic rants · 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 understoodtbat 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 perlit issued shall be construed to be a license to proceed with tbe 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 perlit prevent the Building Official lrOl tbereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall heCOlB invalid unless the Ifort authoriled by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is suspended or abandoned for a period of six IOnths after tbe til8 the wort is COllenced. One 90 day 81tension of tile, aay be allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEHBNT HAY RBSULT IN YOUR PAYING TlIICH FOR IHPROVBllBIIIS TO YOUR PROPRRTY. IF YOU INTBND TO OBTAIN FIIIANCING, CONSULT WITH YOUR LBNDRR OR AN ATTORNBY BBFORB RBCORDING YOUR KOTICH OF COHHBNCBHBNT. JOBS UNDBR $2,500 IN VALUR DO NOT NEBD TO RBCORD AND POST A "NOTICB OF COHKBNCBHBNT.. SIGNATURB: OWNBR OR AGRNT . I SIGNATURE: CONTRACTOR STATB OF FLORIDA COUNTY OF The foregOing instrument before me this was acknowledged , 19_ by STATB 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 identificatiQD 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 LD.'# SHON ALL EXISTING & PROPOSED STRUCTURES GIVING DIHKNSIONS & SETBACKS. II 10./1" ~ l\~ f\ SL ~#fj/~ , Vi \(): I , 1 i ~i 7' I I I I ~~ ,'} .~ ~'-~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRO~ 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 LINE FRONT PROPERTY LINE