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Home My WebLink About98-7785 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 7785 J3 Date G- ;l-?~ ~L~ ELECTRICAL PLUMBING MECHANICAL PmpertyDwne, ~~ Job Address: 3 / / ~. A~ Poroel 1.0. # /1 -J..{,' d-/ - _ . -=.lL - L:L- Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: ~f) . ~ DescriPtion of Work ~AA ~ r --nJl d Radon Gas: -7<r/ 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 gJ., Valuation or Contract Price ~/4 Permit Fee ..2..s'.. cJ-D Signature Company Address Telephone# 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 (H S.OOI shall be made for each trip for each trade: :.2.~"-;OV 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 ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME }Ij} ,t:J.r)y E. P " dVCI-t JOB ADDRESS 3g-5// wI; RotC- PHONE 7150 - 7:S'c. J-' LEGAL DESCRIPTION: LOT (S) i I q / '- PARCEL ID # J / - ;) (p - f) / BLOCK J J 7 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICRl WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL Os I GN o MOVE o DEMOLI SH PROPOSED USE: DSGL FAMILY DWELLING D COMMERCIAL DMULTI-FAMILY D INDUSTRIAL D# OF UNITS D SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL /) / - . . //(') I i./h.vUt?~ ~~ 'Lo BUILDING SIZE SQUARE FOOTAGE 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 REQUESTED Ol. BUILDING o ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER D W,R.E,C. D PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY D OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER " ~ SIGNATURE~ ~c. ~ ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT "A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsH which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611, Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor SectionsH of this application for which they will be responsible. If you, as the owner signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownerH prior to commencement. E, CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated, I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction, I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance, Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S, Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "AH or "A,etc,H, it is understood that a drainage plan addressing a "compensating volumeH will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code, Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15,00. The extension shall be requested in writing to the Building Official, An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTH, SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrwnent was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath, Dwho has produced (type of identification) and who Ddid [)did not take an oath Dwho has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ..Oc? - -:;/ ~ . ~c.> ~ w F .; 0 10 t- w (!) t!) ~ <( 0 ll.. 0: 0 <i u U :lC Q <( 0 0:: 0 0 en ro -J .-J t- l.J... :=! <( ~ :J: ...J ~ ll.. Z :c !!: ::> ll.. 0 W 0 U N W 0 0 l.J... 0:: U 0 0 (J) ~ U <( W ll.. 0:: l.J... U 0 (J) a> <( (J) l.J... 0 0 0: :lC W 0 U 0:: U 0 W W -J :J: 0:: CD t- U c.\j 5 :J ro 00 ll.. ::> ll.. 0:: W 0 :J: (J) a:. t- t- o <( l.J... -J ::!: 0 .. z 0 t- a- n: u (J) l.J...I a 4X4FCM o 24o.00(P) 24o.02IF) '/'- SIRI:t5334 LOTI3 Q:: l.J...I Z Q:: 0 U - (f) u.. (f) ..... IJJ cO Z - t- a.. ..... ~ 8 0 d t- V - u. ..... ~ ~ v '/;."FI!? Ci:u:: 8~ dd NN 60,OO(P) 60.13(F) ALLEY OPEN AND IN USE 60.00CP) 60. I I Cf) ~ ~ u.a.. ~8 dd NN .900 ?;o'(p) /~, /~. C<:;; lJIR ~o ., p) .~\ ,";)4'0 o~ <:tJ0) LOTI2 LOT 11 B L 0 C K II" I'l III WOOD FRAME S D ON CONC. '- o 0\ CONe. STOOP ....00 ..' .... . . . <- b ~..' o . II'::, co CONe, " .' . SiEPS :~,' .' \ .~. I TWO SJORY - to <d" FRAME RES. 10 t J:I 3851 1 17.5 .. 10.5 ( ) - u.. ..... 00 - ~ a.. 8 d v I/Z"Flr SIRI:t5334 17.8 .~ .. 00. 00.' . ~ :y{:.//: COV, .' '.' 3' S/W .-...... CONe :',:'. - '.' .'. .'. 10.7 32. 16.9 ~ .~ .~ q, o';/- ~ v ICi (\J .!bo.o /17, 1717 .. . t;:.. 30 (p) '.J SIRI:t5334 30 (p) 60.00(P)8(f) o d N 24' ASPHALT 60' R/W STREET 9 T H. . o d N .~\ ,,4'0 D~ ~O) 17,7 '" .. ~ \I \i ~ :.... ~ . ~ , IX <:> cD w ::) z w > <( . :r: t- ~ <i :I: 0.. I"- (I) <C ';;t t\I bO.OO(P)&(F) -p A X4 ran o TASK: BOUNDARY SURVEY SURVEYOR'S NOTES I. This Is a Boundary sLrvey, made on the ground under the supervision of a FlorIda RegIstered Land Surveyor, Field survey was completed on ~ -24 -94- 2. Bearings are based on N. /Tt ,3, No underground utilities, underground encroachments or buildIng foun~atlons lI'ere measured or located as a part of thIs survey, unless otherwIse shown, Trees and shrubs not located, unless oJherwlse shown, - . - 4, ThIs survey was conducted for the purpose of a Boundary Survey only, and Is not Intended to delIneate the regulatory Jurisdiction of any federal state, regIonal or local agency, board, commIssIon or other sImilar entity 5, ThIs survey was conducted without the benefit of an abstract of title, therefore, there may be other easements, rights -of-way, setback lines, agreements, reservatIons, restrIctIons, or otfler sImilar matters of pUblic record, not depicted on thIs survey, .' 6. Flood zone determInatIon based upon a scaled Interpretation of the Flood Insurance Rate Map as shown hereon, prIor to constructIon BuildIng Department should be contacted for verIficatIon flood zone, ' 6, AttentIon Is directed to the fact that thIs survey may have been reduced or enlarged In sIze due to reproductIon, ThIs should be taken Into consideration when obtaInIng scaled data, 7, ThIs survey Is not valid unless Imprinted wIth an embossed Surveyor's Seal LEGEND ANDABBREVATIONS: p.o.e.- polnl of begInning P.O.C.- polnl of commenc.menl F.I.R.- found /ran rod F.F.Elev.'Fln/sh Floor D - delta p.e.- pial book UtIL: UtIlIty F.I.P.- found /ran pIp. Elevation D.B.- desd book Pg.- page Esm I- .asem.nI Fnd. - found A/C- air condli/on.r (FJ. field measuremenl R - radius N.G.V.D. - nal/onal- S.I.R.' sel Iron rod 5/8' C.B. - chord bearing (p)_ pial measurement R/W- rIght 01 way geodetic vert/eoI- 115265 or 5334 Ch. - chord. Mas. _ masonry Typ. - ryplcal dalurn S.P.K.' sel nail I} disk C/L- chaIn link Res.' resld.nce W/f- wood fence C/!;-chaln IInkf.nc Encro - Encroachment Conc.' concre" Bldg. - buIlding Alum - aluminum P/A - pool pump assembly f.C.M. - found conc.monument -:--P-- - overhead power (F) - field (D) 'Deed (P) -Plat S/W' sIde wale flOOD ZONE CERTIFICATE: ThIs Is to certIfy that the property shown hereon falls withIn Flood Zone, >( . os per the Flood Insurance Rate Map, Community Panel Number/2()l!.15 (Joo5c ,dated /2-/7-9/ Cert/fled To: Mary E_ Ridout .. Astra Title/First American Title Insurance Company Mortgage Services of America SURVEYOR'S CERTIFICATE: we hereby certify, to the best of our knoWledge and belief, that the survey depleted hereon Is true and accurate and that It meets all applicable provisIons of MInImum TechnIcal Standards for Land SurwJys,as S6t forth In Chapter 6/617-6, Florida Admlnlstratlv6 Cod6, pursuant to'S6ctlon 472,027, FlorIda Statule s, nklns P.L.S. Reg/stra on Number 5334 State of Florida Revisions Date David Lee SmIth P.L.S. Registration Number 5265 State of Florida RevIsions Date I