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Home My WebLink About02-1239 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 1239 ~;;3 If) 2- ( I (813) 780-0020 Date BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. , Zoning: Description of Work ~[. lf~ f/~'5 c:-) I) LA..1ln.t. c;-t , ( &oJ I ~-t~:. 74 ') Water Meter: T.I.F.'s: Energy Code: c.,~~~ ~ f&\ C 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 City License Registration # State Certified License# ~ 'f~ 7 Permit Fee 5 0 . ~ ,lSignature ~. Company Address ~lePhone#@ /~) ~/~..-:r9d... '7 Valuation or Contract Price ...;Z; _ ./ ~?o5ay ~ ~~ BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool / ( Pre-Meter Final // SLB Tub Set Water Sewer Final / / Breakers Ducts Ins . Comp Fin / Ftr. Pre SLB ,/~-:2g--t7~/I~ Lintel FRM. Insul. CL WL 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDINQ DEPARTMENT 5335 Sth STREBT ZBPHYRHILLS, FL 33540 Phone:S13-7S0-0020 Fax:S13-7S0-0021 5~ ~ DATE RBCBIVED ~ I 2..- PLANS RBVIBW FBB / f OWNER'S NAME (4..JJ,n) /-E/ S .~;( \' 'N ....Ja.?41..A/, e ,,-- .:::./ PHONE CONTACT C., JI ~/j/_c: ~d Z /I jl.s JOB SITE ADDRESS ~g ~~ ?7 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: DNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) ~DITION D ALTERATION DREPAIR D INSTALL DSIGN DMOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS ~BILE HOME D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ,,4/-1-/ tY"L.) C;A70/;- BUILDING SIZE /pt'r .y:z..' SQUARE FOOTAGE .<)0 ~ 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 D BUILDING $ VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. D PLUMBING D MECHANICAL $ D GAS D ROOFING D SPECIALTY VALUATION OF MECHANCIAL INSTALLATION , / /... I 0'" OTHER e&>~.::/<:.~ ).)/1 VL ~ ~ /g/?)h/~39A? D FRAME D STEEL D OTHER (<:: '-J '/ TYPE OF CONSTRUCTION: D BLOCK FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA DYES D NO ~ ~ ~~~~~~G~~GI'i;;~Lr>-U SIGNATURE -<.)~~...-?-"'l./"'-- ,/~ CITY PROCESSING # [) q ~ '1 ..................................................................~~:>~ BLBCTRICIAN COMPANY ~l STATE CERT OR REGIST # CITY PROCESSING # BUILDBR SIGNATURE ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** - .../ CONDITIONS OF P?.FM::: AFFT..!)AVI~ A. NOTICE OF DEED RESTRICTIONS The undersigned understands that t:his parmi.l: mil~' be ~;u.b.ieGt: '::0 "deed restrictions" which may be more restrictive than City regulations. Th.:: ,lnd'~r~)i.9ned assumes respons1b111ty tor compliance with any applicable dead rest:J:ict:ion~;.. B. UNLICENSED CONTRACTORS AND CONTRACTOH RI~SP~)NSI]3II~IrIE:~) If the owner has hired a contractor or contractors to underci:tke work, they may be required to be licensed in accordance with state and lOGe,1 :reo;JulatiCln:3. If the contractor is not licensed as required by law, both the owner and contJ:a.ci:OI: may be cited for a nusdemeanor violation under state law. If the owner or intendl~d GOntrcLG'c:or are uncertain as to what licensing requirements may apply for the intended l-lor.k, they are advised to contact the City of Zephyrhills Building Department, 813-'788-6611. Furthermore, if the owner has hired a contracto!" or Gon1:rac:1:ors, he is advised to have the contractor (s) sign portions of the "Contractor' Sec1:ions" of 1:his application for which they will be responsible. If you, as the owner signs CiS the contractor, you are indicating that you, rather than the contractor, are responsible for thl~ lrlork. If the contractor wishes you to sign as contractor that may be an indic,:l.tion thai: he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNEC~rION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA'fUTI!:S, 1\5 AMENDED) I certify that I, the applicant, have been provided. with .:1. copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by thl~E'lorida Department of Agriculture and Conswner Affairs. If the applicant is someone othejr .that the "owner", I cerify that I have obtained a copy of the above described doewnent and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all the information in this applica1:ion :Lsaccurate and that all work will be done in compliance with all applicable laws regulatin<g construction, zoning, and land development. Application is hereby made to obtain a permit .to do work ..md installation as indicated. I certify that no work or installation has commenced prioJr .to issuance of a permit and that all work will be performed to meet standards of all lawst'egulating construction, City codes, zoning regulations, and land development regulat:Lolrls in the jurisdiction. I also certify that I understand that the regulations of other govl~rnmental agencies may apply to the intended work, and that it is my responsibility to id1en1t:ify what actions I must take to be in compliance. Such agencies include but are not limi.ted to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas ,:l.nd Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-WeIll:!, Cyp:re,ss 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 "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating '\folwne" will be submitted which is prepared by a professional engineer registered in the Sti:l.te of Florida prior to permit issuance. A permit issued shall be construed to be a license to p.~oceled with the work and net 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 IOf any code. Every permit issued shall become invalid unless the work autho.rized 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 COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 1!L- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was BefOre me this _ day of by acknowledged 19 (name of person ackno~ledged) Owho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type and whoD did D did not of identification) take an oath. Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped OWNER (~,~'rrl?-r.s fit, i~ JOB LOCATION <18 i-G S c.{Zcuv!;J~ Sr: /II~ IV+t: r \ Pd/t. . -. PARCEL 1.0. . SHOW ALL EXISTING' PROPOSID STRUCTURiS-GIVING DIH~NSIONS , SETBACKS. ;4 "c;> ~ 0 -=:2.. / - 0 2:.-. ?~/~.c'S ~ .~ 1./\- ~( t ' ~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- HATION. ~. ~ !'" ~ CJ () ~ '1 ~ ~\ ~/;..' --t I. 1 } t. -h \\ "2 ~ ~ ~. 3, i t.f IlsJ~1 :s cJ (/0 /"S..L ! cP' ;,bf ~. " j A" j- (;" /.';, c.h,.xJ Ec(J -7 O,vlc.-.vr)h t/ t::>~ . FRONT PROPEaT~ LINE (NOTE EXAMPLES 1 & 2) STREET ~- 1. SETBACKS FOR Rl, 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' ", . t:RONT PROPERTY LINK . I I I I ! 2. SiTBACKS rOR R3 ZONING 60' 10' 10' EXISTING" 10' PROPOSiD .. 20.' SOL rAM 30'DUPLEX ./ 1 0' FOR CARPQRTS OR LlKE ~TRUCTVRE~ PLIAS~. COHP~ET~ TijE FOk~QWI~Gft (1) DESCRIBE WHAT TYPE: ,fREE' STANDING OR ATTACHED (CIRCLE ONE). (2) IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE? FRONT PROPERTY LINK (3) DESCRIBE POST SPACING' FASTENING (IF TO CONCRETE, IN WHAT HAHNIR1) (4) GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT: (5) GIVE AMOUNT OF OVERHANG rROH STRUCTURAL SUPPORT: (6) COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT PLAN. ~ ' _: l ,If 1- .' 4.. I~~ ~0 .~td ~ .~ H' ~ I ~ I' \'1 t ~ : I I I !' \~l~;idj;idf:. r--- j'-' , ~ "10, ~' f\}_ Is \. ~I.W. ~ ~ .~ I ;1 i.N F <:l I~ rd /Ii ~. .~! @ ;l! ~ D fill F ~ _" D _n --,~--=~~F- ~o~ . Wit g ~ ~~~. ~ , a.-I L..j . 110; () I ! I-' 17i b c:: ~~p ~ . ~~~ ~ .N -- [1'_ ~, ~ - T'> " 1< ./l.!~ co_ 'V ~l-i. t 1< .~~_u ..-l'~~~ D J" I ; . ,'1,; f: ~ 0>, --!) o~ .-1 '"I .FT .~ '-.N "'.... v.l ......t, , ~ . --,--- -t::. c::" --= ~ ~J"- ",.~t I'~-'--~I I~ Illijjl:!t ! l::cIW '3! I ' I ,I I I I I I I c~--'~:.i ~ ~ R ! I I - f~- ~:---1 , " . . t!~~;~~~- (0 ~'l5.-'f C c,,~~11i- 4~%-. SU'2ANNti. .fi. Jo fXh \J fW0.l~ 'f - . " . .; .. , ,. C. JII!!!7' JI!E2 ~ .. . ... cau.. .--.a. ~ . C1IB"'l~~._ " S "0 . 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