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Home My WebLink About98-7706 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7706 fJ Date '7- ~ g----~y ~ ELECTRICAL PLUMBING MECHANICAL ~~ Property Owner: ~ Job Address: .3 R-I /...s. - ~~ ~ Parcel I. D. # / '7 - ,;2 (., -~ _ /".) L) I:) 0 - t::> 0 .,)... 0 (;) - () CJ CJ 0 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Radon Gas: Oo,crip,'on of Wo,1I.. ~:;::T ZZ:~g NO OCCUPANCY BEFORE C.O. FINAL ~ -- / &--1 DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE ./C~ Permit Fee Signature Company Address Telephone# tu~'-. JV . ~1V'~ Valuation or Contract Price ~""-c/7:). cro City License Registration # State Certified License# ~ 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 ($ Hr.e9i shall be made for each trip for each trade: ~:(}t) 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 ZEPHYImILLS BUILDING DEPARTMENT , ,0,,'/ "j Li - ~ (jr i/' I/)~U' '/ OWNER'S "AIlE E ~ "-- \ :,.) l:---e- ~ OWNER'S ~DRESS 'i>JJ ~ \01 ~p~ S bR t,-l ?:HD?!!-? JOB ADDRESS ~--"'-- a..s:. LEGAL DESCRIPTION: LOT(S) ~~}~ BLOCK SUBDIVISION PARCEL I. ~;.f/ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Faaily _M/F _, of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval . ,;2 cJ' l j A{?-?, T- a,..,..,.,'Zc Square Feet, He' t 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. ~LDING PERMITS REOUESTED $ eE- S- O{) . Valuation of Total Construction _ELECTRICAL AtIP Service Florida Power Corp. W.R.E.C. -"ECllAllICAL $ Valuation of Mechanical Installation _PUJHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO BUILDER Signature ,/-L'lkt.f'" WRTBACfOR Sf'S _ ~ ~ QJKPAIIY ~. - YIY/R~ f' State Cert. or Regist. , ~. City License Registration f ****.* *********************************** ELECTRICIAN COMPANY State Cert. or Regist. # SignAture City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** MECHANICAL COMPANY State Cert. or Regist. * Signature City License Registration , ****************************************** OTHRR COMPANY State Cert. or Regist. * Signature City License Registration . ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The Undersigned und.r.I,nds Ib,l Ibl. ..r.11 soy be .ubJ.cl 10 'deed r'.lriction.' >bleb soy be sor. reelricti.. than Clt, regulations. rhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTJmCTOn RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay 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, .I.d......r vl.I,li.. und.r .1'1. I... . If !be ....r or 1.lended coolracl.r 'r. uncertoi. as to obat 11....lag r.guir....ts soy 'pply for lb. Inl.nded oorl, lb., 'r. odvi..d In conlocl lb. Cily of Z.pbyrhill. Building Deiortsest. (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 'Conlractor Secti.... of lbiB 'pplication for odtieb lb., .iII be respon.ibl.. If,.,.. as the usner .iga as the cootractor, you are indicating that you, rat'ler than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that .ay 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 U'l'ILl'rY CONNECTION FEES ", D. CONS1'RUC'l'ION LIEN L'1\W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law _ HoIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If the 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 couencelent. E. CONTRACTORrS/OWNER'S AFFIDAVl'r 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 .ade to obtain a per.it 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 perfofled to leet 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 goveIDIental agencies lay apply to the intended wort, and that it is .y responSibility to identify what actions I .usl take lo be in cOlpliance. Such agencies include but are not lilited to: · Departlent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRleDtally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways · De artJent of Health & Rehabilitative Services EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abatBlent I also certify that, if fill laterial is to be used in Flood Zone "A. or "A,etc.., it is understood that a drainage plan addressing a "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A per.it issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frQl thereafter requiring a correction of errors in plans, construction, or vioiations of any code. Everl per.it issued shall hecOJe invalid unless the work authoriled by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the peClit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day Bltension of tile, III 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 .ust be logged during each six IOnth period, or the project will he considered abandoned. WARNING TO OWNER: YOUR FAILURB TO RBCORD A NOTICB OF COHHBNCEHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVBIIDrS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN AnORIBY BEFORE RECORDING YOUR NOTICE OF COHHENCEHBNT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COHIIBIiCBllBHf". SIGlt\TUIlI~ (~~ ~ SIGIt\t1JIIl: LOOlIYRICTOIl srATE OF FLORIDA /) LL4 /_ ?l COUNTY OF r rr ../ LA:./ The foregoing inst~ent was acknowledged before me this 1( ,)-.7 , 19--ZX by srArE OF FLORIDA .t?A r ~ COUNTY OF L-!r..;. ~ The foregoing instrument before me this tf?/)-7 was aCknowledged , 19~ by who is personally known to me or who has produced as identification take an oath. who is personally known to me or who has produced as identif.ica~d W.bo ~~ take an oath. ~ (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLI , ~'l:lu.. KEITH CORREIA . ~"'$\ MY COMMISSION' CC 451416 *l EXPIRES: May 13. 1999 Bonded 11mI NolaIy NIIIc l.IndIlIwrIt8rs KEITH CORREIA MY COMMISSION' CC 451416 EXPIRES: May 13. 1999 ",- Bonded TIlru NolaIy PubIc ~rs OWNER CITY iF (/' .(" ~ '7 /'7 . 3,p II J--- OF ZEPHYRHILLS BUILDING DEPARTMENT {~ ~~/r/ :}J< ,?/,z ,~",</ I JOB LOCATION PARCEL 1.0.' # s {J /J~ 1:.- SIIOW ALL EXISTItIG & PROPOSED STRUCTURES GIVING DIHENSIONS & SBTBACKS. /J j/;?? R e. tV Lj.-.2)7- ? j) ( tf~ ICI F'f ( S 7<,4) <7 DdU"b w,'bL e )( I' S Tt',u4. C II~ Po!!.,' Crt I~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. r ().... / FRONT PROPERTY LINE I'~OP/J.5E~ '-I)c;)-o' /' /W u,i/e.t?. (NOTE EXAMPLES 1 & 2 ) STREET 1. SETBACKS FOR Rlf R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE T i ~ i Ev IS 77;c) 0. H 6 DIce. t011~ -:3 --. I l.f b2- 't c./ ,feT aulf. ~~ -''I r. I -"(T'" _-----'"~I E>G' 57/ ,u <5 CAi(jJO,lr ~'JC $L (ruB~ '] )C :? ?O..5 r '3)( 3 as/"