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Home My WebLink About98-7639 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788~6611 Permit 7639J] 'l-1-9~ Date /-.---~ C~ E~- P~--' :::::,~:~"~/l:ll:;~;/:/#-q;1j~ Parcell.D. # t'J /2 - .tl/n - ~ 1- I-SO - ~ Zoning: Energy Code: Radon Gas: ~ Description of Work <;? i< / D / L;11?~ ~ _1& /- M~:..verConn Water Conn: Water Meter: T.I.F.'s: BUILDING FINAL /1 DATE C.O, DATE Inspector NO OCCUPANCY BEFORE C,Q, Complete Plans, Specifications and Fee Must Accompany Application, All wo,k shall be pe,bmed in acco,danc. wi'h City ~nd O,dina ~/ Valuation or ~ ~ Contract Price c20V . City license Regi..,a'ion . ~ State Certified License# Company Address Telephone# PLU Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($+&:-ee) shall be made for each trip for each trade: ..l!:J"7tTV 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 ZEPHYRBILLS BUILDING DEPARTMENT I' (/ ; '}I,(I,[' I J I' OWNER'S NAKE;, _ ) I S ~b I t(r(/s{/'. PHONE C. / j /.SL~ j /f ./ - ....-. _ttB5S ~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) ~3J ~~~~~,)O,Q - ~/,., -:2 (- 1- SO - 3. ~ r .3 Y; (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: ~New Construction _Addition ---Alteration _Repair _Install BLOCK SUBDIVISION ~ _Sign _Move _Deaolish PROPOSED USE: _Single F:mily _M/F _' of Units _M/H _Swim. Pool ~~r _eo..ercial _Indust, DESCRIPTION OF WORK: >? >< I() '--;/l?-R'tiJl Approval r5~-LA{ _Restaurant & Health Department 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 ~LDING $ ~DO' .---." Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C, -- MECHANICAL $ Valuation of Mechanical Installation ~UHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr:me _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** Signature~ / CONTRACTOR SECTION COMPANY C~7'~A~ State Cert. or Regist. t City License Registration . ****************************************** BITH.DER SiQllature COMPANY State Cert. or Regist. . City License Registration . ****************************************** ELECTRICIAN PLUMBER COMPANY State Cert. or Regist. . City License Registration f ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. f City License Registration . ****************************************** Signature OTHRR COMPANY State Cert. or Regist. t City License Registration t ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigne~ understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assu.es responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CON'l'HAC'l'On RESPONSIBILI'l'IES If the ONner 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, botb 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 Departlent, (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 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 the contractor wishes 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. CONS TRUC'l' I ON LIEN Lnw (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection Guid~" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If tbe applicant is sOleone other 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 COllenCelenL 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 that no wort or installation has cOllenced prior to issuance of a perlit and that all wort will be perf oIled 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 otber goverRlental agencies lay apply to tbe intended worl, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: * Deparllent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treallent * Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docts, Navigable Naterways * De arllent of Health' Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US EnviroRlental Protection Agency - Asbestos abatelent I a180 certify that, if fIll laterial is to be used in Flood Zone "A" or "A,etc,", it i8 understood tbat a drainage plan addressing a .colpensating volUle" will be sublitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance, , A perlit issued sball 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 per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beCOle invalid unless the wort authorized by such per.it is cOllenced within six IOnths of issuance, or if wort authoriJed by the per.it is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, iiI be allowed for the perlit with fee charge of $15.00. The exten8ion shall be requested in writing to the Building OffIcial. An approved inspection lUSt be logged during each six IOntb period, oc'the project will be considered abandoned. NARNING TO OIINER: YOUR FAILURK TO RKCORD A NOTlCK OF COHHENCEHKNT HAY RKSULT IN YOUR PAYING !WICK FOR IHPROVIillm'S TO YOUR PROPKRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LKNDER OR AN ATTORNKY BEFORli RliCORDING YOUR NorlCl OF COHHENCKHKNT, JOBS UNDER $2,500 IN VALUK DO NOT NEED TO RKCORD AND POST A "NOTICK OF COHHKNCKMlHT". SIGNATURE: OIINER OR AGENT SIGNATURE: CONTRACTOR . I STATK 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 has produced as identification and who did/did not take an oilth. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER . ' , _ i J(. i (. " I \, f '-~ \,.( \. '. 1(', 1 f t ' ( i,_ JOB LOCATION ') ". }' rJ I (! I:..' ~2/ l I /...( :; c. ) " ).'1 1 3 ~- {"j -,.J,'l' ,/!. I PARCEL I. D, # 5( s SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. " , . 1 f, r \ " I , (, " \,. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK RE~UIRED, <..., " I (' '-(.,\,I i: ,1 ~ " " \ . ~-1 " " "~: , I UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. "- - i'., ~ ........ "- , ., h>-,.--, .,l FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1f R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 10' P E R X o I 10 IPS o T S I E N D G 10' 20' FRORT PROPERTY LIRE FRONT PROPERTY LINE