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Home My WebLink About02-1558 ~ JfD ~ BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 (813) 780-0020 1558 Date_ IO-./~-o~ ELECTRICAL --,. PLU.M8IN6-' Mf("U^~JICAL Sewer Conn Water Conn: ~~.~ ~ Property Owner: \. il~ . . - J"Add~.. ~ _ - }:~:i~ S _~r/! Parcel 1.0. " 6l - I 0 tJO - / Water Meter: T.I.F.'s: Zoning: OescriDtion of Work NO OCCUPANCY BEFORE C,O. FINAL C.O. 'tJ- 2~~ c1 2- DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ~/3 Valuation or,) h ,'Jf) Contract Price .4,2. .2_ City License Registration # C:<50~ State Certified License# Permit Fee ~o- Signature~--. ~~~ Company Address Telephone# ~ ~ -, c;" 9S" - 79 F? L/qO,-j(1~ (~~ BUILDING ELECTR!.CAl - PLU~- Ml:l..HANICAL 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 REINSPECTlON 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. J CITY OF ZXPHYRHIl.LS BUILDING DEPARTHBNT OWNER D~ \ - c:::L~ 'S ~ JOB LOCATION Lo, ~V 77S ( rz&rif2JE Dv,]e5 )'t. 2-4-- -Z.c'-2/-Cboc) - 00 I OC) -- 00'10 PARCEL I.D.' 1# SHOW ALl. EXISTING & PROPOSED STRUCTURES GIVING DDtENSIOIfS &: SETBACKS. 401 "- N r-J L' I ~ ~ Q l .:-..J It! 7-"2- ~ .) - l;; 0 ~ 0 C- o ... ~~ ?- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 6.0' 10' P E R X 0 I 10' P S 10' 0 T S I E N D G 2.0' FRON'I' PROPERTY LIRE ~\\'~ VJ ill\::;" FRONT PRO ERTY LINE 2. SETBACKS FOR R3 ZONING 60' 1 0 I 1 0' 10' la' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX FItOIIr PROPERrY LINE e~TY OF ZEPHiiHILLS PERMIT APPLICATION :eUII,DING PBI?ARTMBlNT 5335 ~th S'l'RBlBJ'l' ZBJI?HYRHILLS, FL :33540 JilhoneI813-780-0}120 Fa:X:1813-780-0021 . \ D/..' ..J DA'l'B1 RBOIllIVllID __J(o+Q.~__. PI,ANS RBlVIJlIW rJlllll______~..-___ OWNEJR 'S NANEl Be\.::::::~~_~_____ PHONE CON'l'AC'~_fdq_5.-=-_~ <t._~ ,JOB B1'1'El ADDRBl88 ,...1--6. T -LC?L----'"32-5-L_-P_~4if? Ie;;- . i).h1e.S___~---.___._._.____~- LEOAL n'SCRIPTION, LO'rls) ~o~ sweK ___ S"smVISION # '/ A (OBTAIN P'R.OM PROPElR'l'l{ TAl< mnr, (.:!Bl) PARCEL ID __~!-2-(.-_"l-.J=_?2Q:;>_..9010D - OOG{ 0 -----_____u_._.________._ , WORK PROklSBlDI ~w COHS'I'RUCTION [] AODI'J'ION o AurERATlON [J REPAIR [) lNS'l'M,I, OSI(m Ll MOVE o DEMOl,ISII PROPOSED (J8E1, llSGlL FAMII,Y DWELLING o MtJI.'I'I - FAMIl,Y 0# OF tJNI'l'S o S~ntIJMnlG POOl, [] MOBlliBl 110MB []OTIlIllR fJ UDtIJMBlRCIAI, o INDUS'l'RIAT, DliJ8CRII?'rWN OF 110RK D RESTAURANT & HEAI.'l'H DEPARTMENT APPROVAL \ L ~ 5 D ~: ...){2.v 0. y / 4..;' ~?$:-; -_____ SQUARE B'OOTAGE ____~ 20 Bun.nING SIZE HIilWH'r RBiS IDBlHTIAL I A'I"rACH (:a) PLOT PI..AllS & (2) SETS OF BUU,IJING ElLANS & (1) SSlT 1lINlil~qy J!'()RMS, COMMERCIAl.. I A'l"l'A<'!H (3) SE'I'S OF BUll.DING PLANS & (1) 8E'r ENElRGY FORM8. PROPERTY SURVEJ1i REQUIRED FOR ALL NEW CONSTRUCTION. FBlRMITS ~~aIlllIT.m1 [] BlJILlHNf3 $--J2 ~o VALUATION OF TO'l'AL CONS'rRU(!'l'TOW Ll BlLBlC'I'RWAL --___ AMI? I3ElRVICEI [] FLORIDA POWER [J W,R,IiI.fl. o PLUt1BING LJ MBlUHAl:HC1U. $ VALUATION OF MIWHANCHAr, INS'l'AI,LA'l'ION o (jAS Ll ROOFING [J SPEUIAlffY o OTHER 1'YPIil OF CONSTRUCTION l [J BLOCK o FRANE D STElEI. fJ OTHER P'lNISHElll FI.QOR BII,EVATIONS I S PROd ElCT IN In,Oof) ZONE AREA [] YIilS IJ NO BUILDmR ------~._._---..._----- COrlJPANY .~..___.____._._ STA'I'Bl CBlR'I' OR RElGIST # _.____..____-.___ CITY PROCESSING 'L-_._________________ EllGNATURE **************.*************************************************** llll,IOTRICIAll cor~ PAN Y STATE CERT OR REGIST # CITY PROCESSING # 8] C.:llH\'rUREl __.____________________~ .~--,---,~- -------~"--_.,---~- ****************************************************************** ~-.~~_.---'-----_.. ..--..-......-".--- JilLUMBliIR -----___<P___ cOMPANY--_____~---~_____.._.._.___ STATE CHlRT OR l\ElGIST # _____________. CITY PROCESSING # SI13HA'l'IJRBJ 8IGNJ.\TUREl *******"*************************'*******~****'******'*'**"*"" COMPANY_________...__..______.__.,_._._ STATE CERT OR REGrST # CITY PROCESSING # ------.---.--- MECHANICAl, o'rUIllR LO~e,...+-e C~c+olL SI(mATU~_ ._.L~~ *."****************"************"'*~**'******'**********'***** CO/>1PANY ~ ~ C:/~L." Cc.Il. c.d~ -k.-i-~...k1tLe'l 1 it, ___ ElTA'I'E] ctR'TOR REiGIST #p;l1CO.J.LDOQ77-') CITY PROCESSING # -~--.l-..___.L...-.______ -------- '?--_J.!t-4. ii- -?:-s 0 ?:._____ "*"*****"*'***'*'*'**'*'*'*'*"**"******'***"""'*"*'*"*' CONDITIONS OF PEPMIT AFFIDAVIT A.. NOTr~E OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsH which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRAC'l'ORS AND CON'rRACTOR 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 SectionsH 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. 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 GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. It the applicant is someone other that the "ownerH, I cerity that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownerH pd.or to corrunencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 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 corrunenced 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 "AH or "A,etc.H, 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 slx 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 '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT", SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 19_ 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) Dwho is personally known to me, or o who has produced (type of identiflcation) and whoDdid Ddid not take an oath. (name of person acknowledged) C1ho is personally known to me, or Owho has produced (type of identification) and who Ddid O: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