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Home My WebLink About02-1391 2s"~ BUILDING ELE~CAL PLU~G Property Owner: De;"! .1." \ ;11:'1'\101'1 Job Address: SC:.)'1 G.:. r ~(( LOu/} Parcel 1.0. /I I 2 ~ 20- 21' L1 ~ /U Oov(}lj' C) "'l! u BUILDING PERMIT . CITY OF ZEPHYRHILLS Permit N2 1 391 (813) 780-0020 9./ q !I.! l.- Date , MEC~NICAl Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Descriotion of Work Energy Code: 'J-.", 5 Ie.. II s 1'" I t.J Radon Gas: :> 1r,~oI Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. .-;;<:<_ tl~ DATE NO OCCUPANCY BEFORE C.O. DATE Inspector Permit Fee If-' ~ X Signature rk J~1J I\..l/I/)\}n,L Company Address X Telephone# R I ~- '1 R ). ~-) ~c1 ", Valuation or Contract Price 1.1 f(o ' (J;O I City license Registration # State Certified license# c' U ('J f.e BUilDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SlB Tub Set Water Sewer Final Tp.Serv. 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 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 8th STREET ZBPHYRHILLS, FL 33540 PhoneI813-7BO-0020 FaxI813-780-0021 DATB RBCBIVJlID ______ I?I,ANS RBVIBW FBE .. OWNER'S 1,:tAME DE iJAJ J S /Y7 ,fYJ ; ,077J,J /i6:J-q UfRrC &u~r PHONE CONTACT f!3 - 78)--'7397 ZtfJ/rfijR I/-,/is f! 33SLf/d. JOB SITE ADDRESS LEGAL DESCRIPTION: LOT(S) Jj BLOCK PARCEL ID # 'l- -)t, - J( - CJJ} () - {J()&()O - tJt30 SUBDIVISION 5W5t.1" l:STItTf5 (OBTAIN F'ROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION o ADDITION [JALTERATION D REPAIR INSTAIA, Os IGN o MOVE D DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI - F'AMIL Y 0# OF UNITS [J MOBILE HOME rz;rc;;UER D COMMERCIAL o INDUSTRIAL o SWIMMING POOL DESCRIPTION OF WORK~ST~i( 3fr )C lOfT D RESTAURANT & HEALTH DEPARTMEN'r APPROVAL fx/o ItLulV/) J1) UIY/ j JiJiCA ~ Au J Lv J~'rJ go HEIGHT /()~~'I BUILDING SIZE SQUARE FOOTAGE 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. ~JILDING .-. &0 $\!/KO .- PERMITS REQUESTED VALUATION OF TOTAL CONS'l'RUCTION [] ELECTRICAL AMP SERVICE [] FI,ORIDA POWER [] W.R.E.C. [J PLUMBING [J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY [] OTHER TYPE OF CONSTRUCTION: 0 BLOCK [] FRAME [J STEEL ~HER IS PROJECT IN FLOOD ZONE AREA[] YES ~ FINISHED FLOOR ELEVATIONS SIGNATURE ~ 11. .IY)~ COMPANY U lIJ tV r;=;e STATE CERT OR REGIST # CITY PROCESSING # BU1LDBR ****************************************************************** BLBC'fRICIAN 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 ~he uftdersigned understands that this permit may be subject to "deed restrictionsN which may be more restrictive than City regulatiolls. 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 SectionsN 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. TRANSPOR'!'A'rION IMPAC'r FEES AND UTILITY CONNEC'l'ION FEES D. CONSTRUC'!'UION LIEN LAW (CHAP'l'ER 713, FLORIDA S'!'ATUTES, 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 appllcant is someone other that the "owner", I cerify that I have obtained a copy of the above described aocument 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 accu~te 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 "AN or "A,etc.N, 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 ~he 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 connnenced within six months of issuance, or if work authorized by the perm.1.t is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of thtte 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 'fO 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, CONSUL'll WITH YOUR I,ENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED 'fO RECORD AND POST A "NOnCE OF COMMENCEMEN'!'''. j)~ /YI. /if;,t; SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR S'fATE OF nORIUA f)H II COUW!'Y OF G...Y-I..{) The foregoing instJ::ument was L1.acknowled~~.<.;! Before me this Jl!!... day of Ili/fjUSr , ~~ by (name of person acknowledged) Dwho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by acknowledged 19 (name of person acknowledged) C1ho is personally known to me, or o who has produced (type and whoD did Ddid not of identification) take an oath. o who has produced (type of identification) and who Ddid Q:Iid 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 I). ttJ,J/j 1'1 /YJ//N1t'J OWNER u JOB LOCATION S/JJo; eJhelt {JJ(/if ZtlJlytf Ih/Is fi 33SLjO /J - J{; - J-/- (~6/0 - @OrJOO - cYt31J PARCEL I.D.' # SIIOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. '3/1{ q PRrJ5URC 1/4.,-rrTLYJ FI':;()I~ :]olsn J.'1" CWTtlt~ TRL1Itrcl() A<jWJJiJ H':'Il,u l' ~ .+ ...... ...., '1: ~ J.. )1 o J- '5-& @ J (j) ~ li.lif-*-- fOff:1./ J. Ylf W.rtLL $Tu.)5 .-fiNe J'1 '.. CL')JT~ @ 11 WNI/I\IJ,,,,\ L).:.TOUtX UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY 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 S I E N D G 20' 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 101 PROPOSED 20'SGL FAM 30' DUPLEX 1 01 FRONT PROPERTY LINE FRONT PROPBRTY LINB