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HomeMy WebLinkAbout98-7646 BUILDING PE_RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7646 !3 Date J.j-~-7~ e ELECTRICAL PLUMBING MECHANICAL "'operty Own., !Ii ~tf. Q~- Job Address: ;S ~ '- d!- <;IJ ~ ~ S- Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcel J. D, # Zoning: --r-jnergv. Code: Descriotion of Work ......,d.,( t7 :I ___'? X 0 Radon Gas: FINAL ~- NO OCCUPANCY BEFORE C,O, Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector City License Registration # State Certified License# Permit Fee ~ t7-I) Signature ~ r b7'1.. !~'~4 , / Company Address Telephone# Valuation or Contract Price /.:rv - t::?-z7 d)..-. .Nl..t;7./L.... BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM, Insul. CL WL Tp, Servo Rough In Meter Can Con st. 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 ($.1-5-:00) shall be made for each trip for each trade: ~-: c:7Z) 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. CITY OF ZKPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL I.D.' # SIIOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. .,.- I' 6 / / /' (' ( /D / I~- ) J.=I 1/ /7.________ / '/ / -r- / / / / /~ / / / / / ,./ / / / / )if' ~J ({~V- / / ",;J S // UTILITY UILDINGS MUST S OW SIZE & FOUN ATION INFOR- MATION. \ ('W' V / (' (NOTE EXAMpt~ s 1 Or 2 ) - - ---:-:-~:,::.~_:__..- STRE"ET -' 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 LINK FRONT PROPERTY LINE APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE ;t1 / L T cJAJ C- OWNER' S ADDRESS .387;'-/ Cfi- E ./J~ , ~A YVES X~45 PHONE 5'/3 - 785'- 8~6cf ~ c:7~J5~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) s- BLOCK SUBDIVISION PARCEL 1. D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition ----..Alteration _Repair _Install _Sign _Move _Deaolish ...--: PROPOSED USE: _Single Faaily _M/F _, of Units _M/H _ec-ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: srle,4D BUILDING SIZE: 3 _Restaurant & Health Departaent Approval ~)~ />2)/ ~c2.. 3x~ x~, JJ.~""7 , 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. --"ECHARICAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BIJTI.DER COMPANY f~ c? State Cert. or Regist. , ~ City License Registration t / * **************************************** Signatur~~ ELECTRICIAN COMPANY State Cert. or Regist. , City License Registration , ****************************************** SiimAture PLUKBER COMPANY State Cert. or Regist. , City License Registration t ****************************************** Signature KECHANlCAL COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature OTHF.R COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undersigned assWles responsibility for cOlpliance with allY 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 with 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 IaN, If the owner or intended contractor are uncertain as to wbat licensing reguirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. Furtberlore, if the ONner has Ilired a contractor or contractors, he is advised to have tile contractor(s) sign 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, ratller than the contractor, are responsible for the work. If the contractor wisbes you to sigo as contractor that lay be an indication that he is not properly licensed and is not entitled to perlittiog privileges in the City of Zephyrhills, C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~, D. CONSTRUC'I'ION LIEN L1\W (CHAPTER 713, FLOIUDA STA'fUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOI801Oer's Protection Guid~" prepared by the Florida Departlent of Agriculture and ConsWler Affairs, If the applicant is sOl8One 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 COllenCelent. E. CONTRACTOR"S/OWNER'S AFFIDAVIT I certify that all the inforlation in lhis application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perfolled to teet 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 goverDlenlal agencies lay apply to the intended work, and that it is IY responsibility lo identify what actions I lust lake lo be in cOlpliance, Such agencies include but are not lilited to: * Departlent 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, Docks, Navigable Waterways * Deparllent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treallent, Septic Tanks * US EnviroDlental 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 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 set 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. Every per.it issued shall beCOlB invalid unless the work authorized 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 the tile the work is cOllenced. One 90 day 81tension of tite, iiI be allowed for the perlit 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 six IOnth period, or the project will be considered abandoned. WARNING TO OWIER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHEIT MAY RESULT IN YOUR PAYING twICH FOR IHPROVEMHITS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIEY BEFORB RECORDING YOUR MOIICH OF COHHEICHHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AID POST A "NOTICE OF COKKKICKMKNT". . I SIGNATURE: OWNER OR AGENT -SIGIATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19 by STATE OF FLORIDA COUITI 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 oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC