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Home My WebLink About01-0485 BUILDING PERMITN~ 0485 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date q -/'/-o / ~B~I~~I~~ ~L ~..- ~AL Sewer Conn Water Conn: Water Meter: Property Owner: Job Address: Parcel I. D. # T.I.F.'s: Zoning: Description of Work ~y Code: ~. ( ~t1#~p NO OCCUPANCY BEFORE C.O. FINAL Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Ftr. Pre SLB Lintel r?90"- City License Registration # I/.J/ State Certified License# ~ \if~~ ~ Otmt!A7k- . BUILDING ELECTBJeAL ---- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final ~. Company Address -0 ~7~2--(J~(~ Valuation or Contract Price PL U M B I r-.LG--'-'. ---- MECHANICAl:- - FRM. Insul. CL WL 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 Twenty Five and 00/100 Dollars ($25.00) 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 ZEPHYRHILLS BUILDING DEPARTMENT OWNER t S ADDRESS ~UJ E ././ 6- J.. E \"'?R ~-3 5 '/-f}N S / /v9 9/-,EGP>J NtJLLo(~/ ~ a )< bO BLOCK PHONE OWNER t S NAKE /:J'V JOB ADDRESS LEGAL DESCRIPTION: LOT(S) SUBDIVISION PARCEL 1. D.' (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:~New Construction ~Addition _Alteration _Repair _Install _Sign _Kove _Deaolish . PROPOSED USE: _Single Fallily _KIF _' of Units _K/H _eo..ercial _Indust. _Swia. Pool _Other DESCRIPTION OF WORK: _Restaurant & Health Department Approval (Y ~.N e. Iv- e;+ c.- f A-i7 () BUILDING SIZE: ;t Y X) 6 Square Feet..:2 VQ 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 $~O~ PERMITS REOUESTED Valuation of Total Construction .... _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECIIAIIlCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF alNSTRUC'l'ION: _Block _Fralle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION ./ / Signature COMPANY State Cert. or Regist. , City License Registration , ****************************************** RUTl.DER " III( f ELECTRICIAN COHPANY State Cert. or Regist. , SignRture City License Registration , ****************************************** PLUMBER COHPANY State Cert. or Regist. . Signature City License Registration t ****************************************** MECHANICAL COHPANY State Cert. or Regist. # Signature City License Registration , ************~***************************** OTRRR COHPANY State Cert. or Regist. , Signature City License Registration f ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penit laY be subject to "deed restrictions" which lilY 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 bas 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 lilY be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtberlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor Sections I! of this application for which they 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 penitting privileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION 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 - HOIeOIDer's Protection Guide" prepared by the Florida Departient of Agriculture and ConsUJeI Affairs. If the applicant is sOleODe other than the "owner", I certify that I bave obtained a copy of the above described docUJent and prOllise in good faith to deliver it to the I!mmer" prior to coaenCetent. . 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, zoning, and land develop.ent. \ Application is hereby lade to obtain a penit to do work and instailation as indicated. I certify that no work or installation has cOlleDced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlll!Jlt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is ~ responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: * DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands, Water/Wastewater Treatient * Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Watenays * DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvirODJeDtal Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "All or "A, etc. II, it is understood that a drainage plan addressing a "cDlpeDsating VOlUie" will be sublitted wbicb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A penit issued sball 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~uance of a perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every penit issued sball beCOle invalid unless the work authorized by such perlit is COlleDced within six IOnths of issuance, or if work authorized by the penit is suspended or abandoned for a period of six IOnths after the tile the work is COIIeDced. One 90 day extension of tile, lily be allowed for the penit with fee charge of $15.00. Tbe extension sball 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. WARHIllG TO OIfllER: YOUR FAILURE TO RECORD A NOTICE OF C(JfHElfCEMEtft' HAY RESULT III YOUR PAYIllG TWICE FOR IHPROVEIIED'S TO YOUR PROPERTY. IF YOU IIft'EllD TO OBTAIll FIllAllCIllG, COllSULT WITH YOUR LEIfDER OR All ATTORREY BEFORB RBCORDIHG YOUR HorICH OF COMHEllCEHEllT. JOBS UlfDER '2,500 IN VALUE DO llOT NEED TO RECORD AIfD POST A IINOTICE OF COHMElfCEHEIn'II. SIGIfATURE: OWIIR OR AGENT ., SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 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 SI'I'I': I'I-^N (RESID~rIAL USE ONLY) PARCEL 1.D. RNG DATE: SEC TWP SUBD BLOCK LOT All drawings shall be drawn to scale or fully dimensioned for all parcels. -~ oJ... ~, ;::::-" () Ie V I 8Y: Q- / - * 'RQ..J3 ~ f( ;::;'8E R \ . ~ ~ ~ .~ ----r- I#' /2- ~/ 0/ 'It) SIIOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE ANY BODIES OF WATER. TREES (INCLUDING SIZE, DIAMETER, TYPE), AND ROADWAYS (INCLUDING NAMES) ADJACENT TO TI-IE PROPERTY. INDICATE TIlE SIZE, YEAR, AND NAME OF MOBILE; SUCH AS 12' X 60 I. 1981 . FLEETWOOD. ALL "EASEMENTS". "PROPERTY LINES", "RIGHT-Of-WAY". and "JURISDICTIONAL LINESII must be shown on all site plans. 00 NOT ENCROACH INTO ANY tASEMENT WITH A STRUCTURE. HOU3E CONSTRUCTION (60') PROP03ED ADDITION rear (60') NoelLE HONE :SET-UP rear (I~O' ) - 150' 40' 0 - - a '8 or) or) o. ~ - -:= . ~ Z fS' .1(-: Elli.rin. . .~ ... ~;z "0 .. .. Shed . ..... :! <( z: o <( o a:: - - (, ~ ~ - . .~ ... .. . ~o' /lOAD ~Ar"E ROAD MANE ROAD HANE PL = PROPERTY LINE R/W = R lCIIT-Of-WAY 0 = TREES APPROVKD SITE PLAN MUST BE POSTKD AT JOB LOCAITCIf. NOTICE 01 DKRD RRSTRIC'l'ICJf TIIIS PKRKIT may be subject to "Deed Restrictiona" which are IIOre rwstrictive than County regulatioIUl. The permit holder &SBlDIe.8 respOIUlibility. for compliance.- with any applicable deed restrictions. slteOS:ce :95035005/A