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Home My WebLink About02-1559 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ (813) 780-0020 1559 Date /IJ--I b - 0 '"Z- C~ ~- PLUMRllI.lg 'MECI:fANIC"'^b. propertYowner:~.~ ~~~- Job Address: _ / ~ ..'0011.0. .,jl/ - ;;} (. - ,t1/- - - . Q-c:. .--- . Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: DescriDtion of Work ,. NO OCCUPANCY BEFORE C.O. FINAL C.O, '2-. 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 /$$.0 Inspector City license Registration # .550 i ~~:mf;ed License' .If/flzt' J J../.. 0 (l...d71 t!Jvh BUILDING ELECTRICAL Signatur Company Address Teleph~eJ c;,~ 5 -?9YR' PLUMBING MECHANICAL 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. CITY OF ZEPHYRHIl.LS BUIl.DING DEPARTIfENT OWNER &( - a.,~ ,,\~_' JOB LOCATIONLoT0~{) 3"'1f?/9 Cl:JtJ-!,// .Loo~ 2-4-Z~ -2/- 060 fJ - 00/0 () - D () <TD PARCEL I. D . . 4# SHOW ALL EXISTING & PROPOSED STRUCTUR4o,.VING DIHEHSIONS & SETBACKS. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET l. 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 2.0' FROII"I' PROPERTY LIRE ......... ~ r } '2... ( (pI ~~ ( !....J \'-' IU :J U\ .Z-L L \./\ '" o J () ~- ~~ 0- - - ~l~~ Lv ifl..-c FRONT PROP RTY LINE 2. SETBACKS FOR R3 ZONING 60' 1 0' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX FRORT PROPERTY LINE L:l'.l'Y OF ZEPHYRHILLS PERMrr APPIJICATION JmU,DING DBlPARTMBlNT 5335 ~\:h S'fRBlBl'l' ZBlPH'iRHILI,S, 11'1. 33540 Phon.'813-780-~020 FaxI813-7BO-0021 \~~ DArn RBCJBlIVBlD l.0J_4?lQ?:::~__ PI,ANS RIIIVIBlW rllll__________ OWHER'S HAlIE~(_~ ~,\;c _~~_"~_"_.-- PHOHO ""H'1'A"'rlo<(5~"i"t1g-- ~ ,WB BI'l'E ADDRE8S_____t2_J~ 5 l-'JfJ:l____S 0!~' / L!.?.'!..~_________h__~__'______ LElGAL flBlSCRIPTIOlh LOT(S) ~_._~ BIDeK _____._ SUBDIVISION _'_~__.......-_____ PARUHlL ID # 24 -2G-2!....,..6ouo -- 00/00 ..coCj O(OBTAIN F'ROM PROPER'!''! TAl{ NnTf(!BJ) - ...... --_..._._----_.._.._.~....---~~---_...- WORK PROI?BBl~~ ~W cONS'rRtJ~'rrOl~ rJ AODITION o AUl'EJRATION 0 REPAIR [) lNf3rrAl.I, DSIGN Ll MOVE o DEMOLISH I?ROJ:108EIl USE I LlSGII. FAMII.Y DWELLING OMUW'I - FAMn,y 0# OF llNI'l'S (J MOBH,Bl i10MBl D O'fltlllR (]COMMERCIAI, o INPlJS'l'RIAL OSWIMMU1G Poor, lmSCRIPTION OF WORK D RESTAURANT & HElAW'H DEJPARTMElN'r APPROVAL \ Z- )1)0 ~ .~~ lJAt / w' r:.j-.l SQUAREJ FoO'rAGE ___G 20 ___ ----.-...--- BUn,OING SIZE HE!Jl1Wl' RBJ8 IDBlHTIAL I COMMBlR(!IAI" I ...- --.........--......_-- AT'I'ACH l:a) Pi,OT PI"AllS & (J) SETS OF BUI! ,DIN(1 PLANS &; (1) SElT EjN&lRqy li'ORMB. A'!"l'ACH (3) SBl'I'S OF' BUILDING PLANS & (1) SEJT ENERGY FORMS. PROPERTY SURVEY RElQUIRElD FOR ALL NEW CONSTRUCTION. iBlRMI:'l'S ~EQImfiTiD Ll au II.1Hl'lf3 L_133o,oo VALUATION OF TO'l'Ai, CONS'l'RUC'rrON IJ ELBlC'I'RlCAI, AMI? /3ERVICE o FI,ORIDA POWER o W.R,B.f]. o Pl,lJt1BING o J.1B1UH1UIWAI" $--.----- VALUATION OF MEC!HANCHAIJ mS'l'AI,LA'l'ION o OAS II ROOFING o SI?&::cJIAl/fY o OTHER 'l'YPE OF CONSTRUe'rION I [J BLOCK o FRANE o STEEl. o OTHER P'lNISHEIJ Fr.ooR BlI,EVATIONS IS PROdEC!T IN I:<"LOOf) ZONE! AREA 0 YUlS (] NO BUILOIllR ---......---.. C()tiJPAN'i__ ____._.___~_.__ STA'I'E ('ElR'l' OR RE!GIST # ~_____'.'______ CITY PROCESSING # -------------------....----- SllJNATI1REl "'***'*'**'**.**'*"'*'**'**'******************'****'"**'*'***** lllI,lCTUCIAH COflJPANY _~______________._,-_...__..~_._ STATE CElRT OR RElGIST # SWNATURBl ----'-----.------_______~___.__ CITY PROCESSING # .-.--'*------. _._~-_."._"---..._--...--- '******'.**.**"**********'**'*"*'*********'**'*'******'**'*'**** ----.-- .--....-.-.---.-.-....,..._....ri_....._..__.._____. JilLUM!:lillR ..---..----- COl'-IPANY ________._________ STATE CHlR'I' OR f(EH1IST # ____________.____ CITY PROCESSING # 8WHA'l'IJRHl MillClHANI CAI. "***'*****'*'*'*"'*****'****"*'**********'***'****'***'**'**'*' .....---.--.-.-----____ri_ ____________ COIVll?ANY_________..___________,___... STATE CElR'r OR REGlIS'I' # _________._____ CITY PROCESSING # 8ICnTJiTIJREl OT.E' ~("'<- +-e r'anM,f/c!cL "OI'PAl>Y &rc "c h C' f>~ 4 /l1.j l<&u:~' '_._._ ~TATE CERT OR REI<1IST o~ '17 SI\JHJi'l'UREI ~ ~J/J~ CITY PROCESSING # _ jQ2XQ i --_ .----------r------ /~ .- .--- ----.-- . Z 0~O# ;2S~~____. *****"'********************'**'******~******'~*******'****"*'" ---..-.---------. **'****"'****'******"*'*'*'*'****** **"**'~~*'******'**'****** '--- CONDITIONS OF PERMIT AFFlDAVlT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that thi,3 permit may be sU:Dject ':0 "deed restrictions" which may be more restrictive than City rec;Julations. The lll1::io::u:si';p:led assumes responsibility for compliance with any applicable deed r:estJ:ictions. B. UNLICENSED CONTRACTORS AND CONTR~CTOH 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 Sections" 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 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 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 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. 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~ 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) Owho is personally known to me, or o who has produced (type and whoO did 0 did not (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. Owho has produced (type of identification) and who Odid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment me typed, printed or stamped Name typed, printed or stamped