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Home My WebLink About98-7615 BUILDING PE<RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 761515 S-~S- 9~ Date ~..._.. C;:LDI Property Owner: Job Address: Parcell.D. # E~I::'''' PLU~ MECH'ANIC~L !7&~gcf1!.~1 C'~-;;C Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: ~ -2~D () Radon Gas: (p I H;- (J~#(.~,if~1l to--b?t~ NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE 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# (() .~1 ------ ~ Signature Compa Addre s Telephone# ,,/ . Valuation or --.fA Contract Price (' ' 7)'0 ~DO'- BUILDING ELECT~-- --- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PLUMBI~ ------ M~- -- SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 ($16.00'1 shall be made for each trip for each trade: ~-:cTlJ Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. a. b. c. d. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. (:'J :! 0, '~"1' / q 1. 71~~d r-- '- !. '. ) /}:'/LG /'\ (;).f....\.lA' ( \ JI.. 11f-t/ , lJc;>/' 0IlIIER' S NAIlB, &$ j L4 111, ~ " sLQ ~t IroA /l /.1 k ..,,) ':;:"N: -,9 / .31[;8- 57 tP '! OWRER'S ADDRESS 3d 46 ( C,~, I \ -r4 & <., j ? _ IrI(/~ Sq /YI -e APPLICATION FOR PERMIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT JOB ADDRESS LEGAL DESCRIP'l'ION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. f 6 Cl - c?- C. --., 2./ - tJtJ (C - c (P6 (j 0 - 60 '3 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED :~ew Construction _Addition ---..Alteration ~epair _Install _Sign -.JIove _Deaolish PROPOSED USE: _Single Faaily -.JI/F _' of Units _M/H ....~ercial _Indust. _Swia. Pool ~ _Restaurant &: Health Departaent Approval DESCRIPTION OF NORK: ,-3 j-O \ X (;;, ( - )- ~ '1..(7 -e . BUILDING SIZE: x Square Feet, Height RESIDElITIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FO PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED l.BUlLDING cr< $ d-{){)-- Valuation of Total Construction _ELEG1'RICAL AKP Service Florida Power Corp. N.R.E.C. _HEGBAlfiCAL $ Valuation of Mechanical Installation --PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDiISHED FLOOR ELEVAITONS: Fr. IS PROJEct IN FLOOD ZONE AREA T YES NO ****************************************** RlrrT.QER CONTRACTOR SECTION Signature COMPANY State Cert. or Regist. , City License Registration , ****************************************** ;r ;z: COMPANY State Cert. or Regist. , City License Registration , ****************************************** COMPANY State Cert. or Regist. , City License Registration' ****************************************** ;z~ OTRRR / /ture COMPANY State Cert. or Regist. f City License Registration . ****************************************** COMPANY State Cert. or Regist. , City License Registration . ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject Lo "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOIpliance 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 _y be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the ONner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the .Contractor Sections. of this application for whicb 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 wisbes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES .,.' D. CONSTRUCTION LIEN LftW (CHAPTER 713, FLORIDA STATUTES1 AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HoIeoIner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If tbe applicant i8 SOleOD8 other than the .owner", I certify tbat 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 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 perlit to do work and installation as indicated. I certify that no worl or installation has COllenced prior to issuance of a perlit and that all work will be perforled to leet staodards 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 goveInlental agencies laY apply to the intended work, and tbat it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: I Departlent of EnviroOlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRleDtally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health i Rehabilitative Services, EnviroOlental Health Unit - Wells, Vastewater Treallent, Septic tanks I US IoviroOlental 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 volDle" will be sublitted which is prepared by a professional engineer registered iD the State of Florida prior to perlit. issuance. . A perlit 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 issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Ivery plIlit Issued ahall becoIe invalid unless the work authoriled by such perlit is cOllenced within sil IODths of issuance, or if work autboriled by the petlit i8 suspended or abandoned for a period of sill IOnths after the tile the work is couenced. One 90 day l!Itension of tDe, _y be allowed for tbe perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. AD approved inspection lust be logged during each six IOntb period, or the project will be considered abaodoned. WARJlING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHKNCKIIKHT HAY RESULT IN YOUR PAYING 'fIfICE FOR IMPROVIIIIIIS fO YOOB PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ArrOMEY BBFORE RICORDIIG YOUR IOfICE OF COKKENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMKlfCKMINf". . I' SIGNATURB: ONNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregOing instrument was acknowledged before me this , 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC EAsT 54 MINI STORAGE ::? - (., _) :5() - (c ;'( ;l{f, 8M81 CB &4 EAST ZBP~.FL 33540 C,-788- ,('y& 7 ~~ x I~ E;< I'c,--;/)] F"e" (' c .~ 't')( X }\ )( ~ 1/~l r.-~-=*.-I-*------'i-' ! Z.:, i ...... \J CJ 'v) '" )( /co o o -- o v " r-----i 0----.-- -i-~~~~-~-t--_.-----4 c I I Ie r N ~ ""---- -- 0 z. - elL, . Z I - (('/e> -C&(-Cc; -C'C:5r1 ~ ~\~~ Z/& \A) I !? E I AI D. ---- ---- __ C,lTY OF ZRPI~Y~ULLS BUI.LIHNG ~P^RTHKNT ~ OWNER' t::-a~~ 1'"{ ill!,) I Sf,,-,,,; tC ~,{ 4 ;.'1,;" -v6r JOB LOCATION JNi, ~ ~ oal 1- /j~,{7/ PARCEL 1. D. # 0 0( - ~G? -'Z../ - (j(J 10 - tJ (b (JO{J - 00 36 SHOW ALL EXISTING &: PROPOSED STRUC'lURES GIVING DIMENSIONS &: SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. See .4-14-(1 Lt-~/ /) (C{ IA/ I 'rl ') UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE STREET /A/ , ~ e... Nod (. ,1V6 /{/~ ;>