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Home My WebLink About98-8133 BUILDING PE^RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 8133.6 . IILJO/9L I I ~ Date ,$'.00 BUILDING ELEC~ P<aperty Owne' ~~ t:,. ~ J,I'fLJ Job Address: 34 - . /J-ri1' , -- ~of /ILf - PLUMB~ MECHrAL Sewer Conn Water Conn: ~ter Meter: E, ,1:F.'s: Parcell.D. # Zoning: Descriotion of Work Energy Code: ~) ud Radon Gas: FINAL DATE NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.O. DATE Permit Fee ~gnature .(J(jI'r} II A rf( ~ /l~ Company AdjTess ~Iephone# 7~olo 5> E~, 1111'f Valuation or P\A ''''0 Contract Price h ()(fL/ . City license Registration # State Certified license# Z))AJ7\fU1 BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr, Pre SLB lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.001 shall be made for each trip for each trade: 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 PERKIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME P(7AJ.4/.J K G c It VF..s OWNER'S ADDRESS .? ~f ~ / .41 AS .4 file ~ jJ R. , , PHONE i?~O - j06Y E1- /1 J/~/ JOB ADDRESS II"! LOI LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. t (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition -----Alteration _Repair _Install _Sign. _Kove _Deaolish PROPOSED USE: _Single Faaily _KIF _' of Units _K/H _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: S' /I F 0 - () ^ ( ..J Ooc-i . BUILDING SIZE: ;f x/I, .~ 70 Square Feet, r 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. _BUILDING $ bOO .00 PERKITS REOUESTED Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. ~CllAlU.CAL $ Va1uation of Kechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... 'CONTRACTOR SECTION BUILDER COMPANY /) ,1/ .-..vI State Cert. or Regist. t Signature 11.An1~ tf - ~ ~ City License Registration t .......................................... F.I.F.CTRICIAN COMPANY State Cert. or Regist. t SignAture City License Registration t .......................................... PLUMBER COMPANY State Cert. or Regist. t Signature City License Registration . .......................................... KEGBANICAL COMPANY State Cert. or Regist. t Signature City License Registration t .......................................... OTIIY.R COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... '{>>LICATION 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 assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR 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 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 Zephyrbills Building Departlent, (813) 788-66U. Furtberlore, if the owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the "Contractor Sections" of this application for which tbey will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wod. If the contractor wisbes rou 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. 'rRANSPORTATION IMPACT FEES AND U'!'ILITY CONNECTION FEES l' D. CONSTRUC'rION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOIDer'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 COllenCelent. 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 COIpliance 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 certifr that no worl or installation bas cOllenced prior to issuance of a per.it and that all work will be perf oIled to Ieet 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 goveCDIental agencies lay apply to the intended worl, 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: · Deparllent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroRlentally Sensitive Lands, Water/Wastewater Treallent t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · Arly Corps of Engineers - Seawalls, Docks, Navigable Waterways · Deparllent of Healtb , Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic lanks · US EnviroRlental 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 volUle" will be sublitted whicb 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 autboritr 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 perlit Issued sball becOle IDvalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit Is suspended or abandoned for a period of six IOnths after the tile the work is CDllenced. One 90 day eatenslon of tile, IaJ 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 _ust be logged during each six IOnth period, or the project will be considered abandoned. NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHKENCKHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIBI1'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ArTORREY BEFORE RECORDING YOUR NorICI OF COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COIfHKNCKlllNI". SIGNATURE: OWNER OR AGENT , I SIGNATURE: CONTRACTOR 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 oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~ CI"l'Y OF ZEPIlYIUULLS BUILDING UEPARTHEN"l" OWNER JOB LOCNI'ION P1\RCEL I. D. . It SIIOH ALL EXIST J.tIG & I"UOPOSItD STUULTURItS GIVING UIHKNSIONS & SK'l"SACKS. I r OS~J \-----~~l I,. I Jt) ~ \ :., t/ \~^ \\rJi . ~. \Jl -5{ , ; , i , I l-~ UTILITY BUILDINGS MUS'I' SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) S'!'RE E'!' 1. SETBACKS FOR RI, R2 ZUNING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P -E R X 0 I 10' P S 10' 0 '1' S I E N D G 1 0' 10' , 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' 20' FRONT PROPERTY LINK FRONT PROPERTY LINE