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Home My WebLink About98-7610 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7610 /j Date .3 - () '1-9 r ~;~ ELECTRICAL PLUMBING Property Owner: (f){;,~~~,~ ~ ./ Job Address: ? / tfI 0 ]I Q--^A~ -r- Parcel 1.0. #.3 -.::2(;,- {;).../ - e "/0 -- lid- 0 0 .. MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Descriotion of Work Energy Code: 7' ' I i' ..x ~ %L /, . 00 LlI ~;?;n7: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector &og City License Registration # State Certified License# ~ -~ Permit Fee , . Signature () k)~ . ~~, ~< ~~<.r-- Company Address Telephone# Valuation or Contract Price /CJ () .. t7V ~- BUILDING ElECTRICAL PLUMBING 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 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 s.ee) shall be made for each trip for each trade: :J..!:>""";iT7.J 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 PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER · S NAME 1 {/ tLz'l .l fp/dJ t/ J~J/~ itJ. '-t Ii' {J:jl./UJ / j)T ~rj cUv~-t U . PHONE 1:7 2l gJ - ()..s- / "'I OWNER'S ADDRESS JOB ADDRESS 1r?/u0 , LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. t (OBTAIN FROH PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --...Alteration _Repair _Install _Sign --"ove _Deaolish PROPOSED USE: _Si~leF~ily _H/F _' of Units _H/H _~ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: tll!,1 BUILDING SIZE: X _Restaurant & Health Depar~ent Approval [{aI-i-\] ~ 11 I :} , Square Feet, (/ "\ I J () j 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. PERHITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. -.JtECllANICAL $ Valuation of Hechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr~e _Steel Other FIlUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA 'I *****.*.**........*.*......***...******..* YES NO CONTRACTOR SECTION BUILDER COMPANY /1 (J. t/ A State Cert. or Regist. , (y ~tGL ~. ! ,d~,J City License Registration t **..****.**..**.**.*******..**.*********** Signature F.T.RCTRICIAN COMPANY State Cert. or Regist. # City License Registration t ***.************.******..***************** SilmAture PLUMBER COMPANY State Cert. or Regist. , City License Registration t ***..**.****.****************.************ Signature KECBANlCAL COMPANY State Cert. or Regist. * City License Registration t *******.*************.******************** Signature OTRF.R COMPANY State Cert. or Regist. f City License Registration f **.*****.**.********.********************* Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe 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 CON'l'RAC'l'On 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 for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to .bat licensing requir8lents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of tbe "Contractor Sections" of this application for which they will be responsible. If you, as the OlDer sign as tbe contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the 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 " D. CONSTRUC'l'ION LIEN LnW (CHAPTER 713, FLOIUDA STA'fUTES1 AS AMENDED) I certify tbat I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer'. Protection Gui~e" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant is SOl8ORe other 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 worl or installation bas COllenced prior to issuance of a perlit and that all work will be perf OIled to l8et standards of all laws 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 tbe intended wort, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: · DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands, . Water/Wastewater Treatlent · Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · DepartJent of Healtb & Rehabilitative Services, EnviroDlental Healtb Unit - Wells, Wastewater TreatJent, Septic Tanks · US EnviroDlental Protection Agency - Asbestos abatelent I also certify tbat, if fill .aterial 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 frOl tbereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball beCOlB invalid unless the work autboriled by such per.it is cOllenced within six IOnths of issuance, or if work autborized by the per.it is suspended or abandoned for a periOd of six IOnths after the tile the worl is cOllenced. One 90 day eatension of tile, Jay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to tbe Building Official. An approved inspection lust be logged during each six IOnth period, or tbe project will be considered abandoned. WARNING TO OWNER: YOUR FAILURB TO RECORD A NOTICE OF COHHENCBHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVBIIBI1'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDBR OR AN ATTORNKY BEFORE RICORDING YOUR MOIICI OF COMHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKMBNCBHINT". , I SIGNATURB: OWNBR OR AGRNT --- 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 before me this was acknowledged , 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 bas 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 ZEPIIIRHILLS BUILDING DEPARTHENT JOB LOCATION PARCEL I.D." # SIIOW ALL EXISTUIG & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. f,rJ ( - c. f' -L-- ) v' UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREE'I' 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' FRONT PROPERTY LINE r "'- ~~ '~ ~.. '~~ ~ ~ FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' 1 0' FRONT PROPERTY LINE