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Home My WebLink About98-7616 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7616 .6 Date .3 ~~----7 r ~ ELECTRICAL PLUMBING MECHANICAL Property owner~ th-\.. 7~~K Job Address: -..!J~ / -.S ':3 - ,/,~ /..,1- Parcel 1.0. # / J - d-b' ;).-/ - 00/0 -.. D--) 0 (./ - 0 0 J.-- cJ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: ~y Code: Descriotion of Work V \. ..;;t;~ Radon Gas: 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 City License Registration # State Certified License# Permit Fee Signature Company Address Telephone# :2 ~ ---.. ch.-) ~~-,;/U.. ~P.f./~. Valuation or Contract Price .4/ /;t / (rYI f'VL,.QA- 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 ($~) shall be made for each trip for each trade: ~--. ()'ZJ 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER t S NAKE (.l() lid... Id I? / orp~ lip.. '7'700 Fa,e-,- K /A) b- Hw Y .5/ S3 '-It!. ~r-. PHONE '7 p.;l -..;l,,) 9 OWNER t S ADDRESS JOB ADDRESS LEGAL DESCRIPTION: LOT(S) B~SU8DIVISION PARCEL 1. D. f (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: V New Construction _Addition ~lteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Deparbaent Approval DESCRIPTION OF WORK: Feh c. e~ 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 _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frtme _Steel Other FDlISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUTlllER COMPANY ~ State Cert. or Regist. t ~~ ~,1p . City License Registration , * **************************************** Signature 1tV. ~ ~ - RI.RCTRICIAR COMPANY State Cert. or Regist. t City License Registration , ****************************************** SiQflAture PLUMBER COMPANY State Cert. or Regist. . City License Registration , ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. . City License Registration , ****************************************** Signature OTHER COMPANY State Cert. or Regist. . City License Registration t ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. ~YTY~ UF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be .ure restrictive than City regulations. The undersigned aSSlmes responsibility (or cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRAC'l'OH RESPONSIBILI'l'IES 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 aay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requiruents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. . Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(8) 8ign portions of the .Contractor Sections" of this application for which 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 wort. 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 L1\W (CHAPTER 713, FLOlHDA STA'l'UTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOIeowner's Protection Guid~" prepared by the Florida DepartJent of Agriculture and Conslmer Affairs. If the applicant is sOleone otber than the .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 co-.encuent. 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, laning, 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 has cOllenced prior to issuance of a perlit and that all work will be perforJed 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 govern8ental agencies lay apply to the 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: · DepartJent of Envirofilental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, . Water/Wastewater Treatlent · Southwest Florida Water "anaguent 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 Treallent, Septic Tanks · US EnviroDlental Protection Agency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood Zone "Aft or "A,etc.", it is understood that a drainage plan addressing a "colpensating volOle" will be sublitted which is prepared by a professional engineer registered in 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 Bet aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued sball beCOle invalid unless the work authorized by such perlit is cOllenced within sil IOnths of iSSUance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eatension of tile, JaY 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 sil IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCBHBNT HAY RESULT IN YOUR PAYING DICE FOR IHPROVEIIHIIS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIBY BBFORE RECORDING YOUR NOTICE OF COHHENCRHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHKNCKHKNT". . I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or wbo bas produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC OWNER C~TI OF ZSPIIIRJI.lLLS DU~LD~NG DEPARTHENT ~oD Q'6p~lIe, ..5'15""3 I.../.-d.s r; JOB LOCATION PARCEL 1.D. # /I-di.-,;;}f-O()/D -1.5'700 -(){~() 2ffA1/JI P&-$// L6JJ.:z.,.3tJ:tcr(LoT'I- ELK J~7 leA. Cfy.l> PIr /3'1 SHOW ALL EXISTING & PROPOSED STRUCTURES G~VIHG D~HBHSIOHS & SETBACKS. 75 I CiJ./le.- f I .:; f. -,: ( ( .J '" y I " (!o' ~--~ I f ! i ---- .......-.------... . .-....--- ""-'-''''''----''''-l r !- .~ ( <: ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. t- " 1',; r.' , 't ~b' <-;( 6 ~ 3;;l.1 '---""""".,"" f\Je;y,h"rs ~...e __..c;~L._--(::;oO:.o......., --... ~ ..: -ft Ft<. ON"! PC; 1<'::" l-I- /~t>fDStt'J Pi":' i..;.:,.+- t ~'1' (, ..:.,.~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MA'rION. I ::J-O '" FRONT PROPERTY LINE / STREET '75 'IJ-~ S /, /"\_/\~{~(\ _' i' () ....... - -- - = d . i II r j i' ! I I I : ~-'-------1i. ;...._..~. "-'" -- - j .. I. , 11' --, .--- - - - . -.i-~-.._J....J Lu c:,c. b Cb'J<;;''1 t~\.'r.::T 1:- 1--1 3 ~ / fr;..1!