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BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1260
1'0 ()u- (813) 780-0020
J 0 - ;25
(~ C~E~ECTRI~Av ~ M~NTcAC.
P'operty owneO ~ 7:f P~9:nJ
Job Address: ~C;O/ ~ -- rr a~~
Parcell.D. # l~- 2t-:2 /- I? % - r? 0 JOO- OD?V
Date _
t,-I/~OL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.',s:
/11~ :
NO OCCUPANCY BEFORE C.
FINAL
C.O. _
DATE
Zoning:
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or
Contract Price
/, 5' DO
Inspector
Permit Fee 115 0..12-
@natur~ ' ~ ~~
Company
Ad~~u
O;lePho~~B/~) ?1.t;--O/7 s--
C;ty Ucense Reg;s".tion # () · 1.vJ
~rtjf;ed Ucen.e# '~
~ 1<-J-J'J-R1 " - 'l>71~/}
BUilDING ElECTRICAL
PlU~-.
~
~
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 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
BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRRILLS, FL 33540
Phone:S13-7S0-0020 Fax:S13-7S0-0021
DATE RECEIVED ft? -4--0:J. '
PLANS REVIEW FBB
OWNER I S NAME D.,U"tlb Ju.JS- n-v
JOB SITE ADDRESS 39t:>is far ~
~pi.fII,J.;11 F/
,
PHONE CONTACT BIt>,. '/~.Ol?~
3 SS'~i!)
LEGAL DESCRIPTION: LOT(S) BLOCK
(~CEL ID #-.-:-? -~/.. eeJD .. t)C!)/6D ~ 60 70
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
[J ADDITION
[JALTERATION
[J REPAIR
[J INSTALL
[JSIGN
[J MOVE
[J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
[J# OF UNITS
;:fSWIMMING POOL
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
[JMULTI-FAMlLY
[JMOBILE HOME
[J OTHER
[J INDUSTRIAL
DESCRIPTION OF WORK I~ pr R.wh AJ.~ ,/l.Gcutlb I.. f rv..)3T!AX:- FE-tJ!E
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ILDING
~EL~CTRICAL
[J PLUMBING
$
tJo
</; Soo
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
[J FLORIDA POWER
[J
W.R.E.C.
[J MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIALTY
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES [J NO
BUILDER
10
v~~~
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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ELECTRICIAN
. (j5/--COMPANY /J z,JUd}./f ./
~ ~ STATE C~R REGIST-#
~ CITY PROCESSING #
*************************~~ ***********************************
SIGNATURE
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
KBCHANlCAL
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" 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 under~a~~ work, th~V may be required
"":"'\i.J:";l'~:J.i...~sed in accordance with state and local regul."tU.Ons.: ..Idf:tlhflc:ontractor is not
~ . l~censea as required by l~~,. bo~h toe. pwne.c a~ contr,c1:~~:ma~t:;..~ed for a misdemeanor
v1olation under statt!\.',)it'1i >:..If tp~ ow.JU!t.lloel\l~ende~'G!t:mtractck kre"uncertain as to what
licensing requirements may apply for the ihtended 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 "~on~r~tp,ljo, ~Ft~'h~"f~hi1!i. aPPJ."1~tion 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 Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~owner" prior ~o commencement. , ,
E. CONTRACTOR' S/OWNE~~~~F~"i{p';',~;, Clr".'):" ~"~....,~,.',
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 ~A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" 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.'. ~Th~ ..,e~terision, shall be requested
in writing to the Building Official. An approved ~nspebtlon'mustb~~ogged 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 COMMENC~ENT'. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST k:NQTle~'OF COMMENCEH$NT".
to'll
. <
,,:'
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 acknowledged)
o who is personally known to me, or
o who has produced
(type of identification)
and whoO did Ddid not take an oath.
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type of identification)
and who Odid Diid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
\ CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER '\..~;b ALeC.........,I
JOB LOCATION 3'4'/~ IS"- A-Jt...
I~ - ~(, -:JJ..&)~/O.... SJSIBD -eS70
PARCEL 1. D.' #
SIIOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1 'I'" A "-t
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
2. SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 ' DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
06/134/2002 113:25
813-715-0824
FPc: ZEPH HILLS OPS
PAGE 131
~
Rorida Power'
Af'IIIa~E.....,C~
June 4, 2002
Ms. Stephanie Nelson
39013 lit Ave.
Zephyrhills~ Florida 33540
SUBJECT: PROPOSED SPA/SWIMMING POOL CONSTRUCTION AT:
LOT- SUB:DIVlSION
39013 lit A~VENUE
ZEPBYRHlLLS, FLORIDA
T:lank you for notifying us of your proposed swimming pool construction attIre above
location.
The pool proposed for com,1:ruction at the above address does not conflict with any
underground or overhead fdcilities of Florida Power, provided that the pool is installed in
the location shown on the attached site plan provided to us by the pool contractor,
Please call Sunshine State One Call of Florida (1-800-432-4770) a minimum of 48 hours
before you dig.
If you have any questions Of require any additional information., please can our office at
(813) 783-6944,
Sincerely,
FLORIDA POWER
J+- - J? - J. ~~-v!
~ ~
Stephen F. Bunner
Service Coordir..ator
Distribution Engineering
SFB/mw
~53 Eilend Blvd,
:ephvrr.i!ls. FL 33541
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