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Home My WebLink About02-1560 BUILDING PERMIT CITY OF ZEPHYRHILlS Permit N~ 1560 (813) 780-0020 Date /0 -/~-O"2- (r fM.IlLn~ ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Pro~rtvOWM' ~~{- ~ tdl~ Job Address: " . ~ 'J1 P"",0I1.0. . ,;1'1- ~ (,- ;Z /- & () Ii ~O /) ;li~ ()/J H7J Water Meter: T.I.F.'s: ~oT /~- Zoning: Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O, e'- 25..- C;'z.. DATE NO OCCUPANCY BEFORE C.O. DATE Inspector ~ertified ucen22 ~ I!I t'- 0 () JJf!/? EVF BUILDING ELECTRICAL__ ~ Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final ."'mit Fee ;. 0 - Signatur,~-. ~_.J'~ Company Address Telephone' ? 3 -c;. 9'5" - crP7'? Valuation or Contract Price ~~ $0 -- City license Registration' ,-2. sof1 PL.YMBIN(3 -' .::---- IVlt:CHANICAQ Ftr. Pre SLB lintel Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final 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 ?F Z~~I!-D~N: ~EPAR"l'1tEHT OWNER \.-:)..e-( ~ ,'--;>. ~ . ~ : JOB LOCATION Lo -r ) 5 34' S]C- Av{~uJt~ rlJ/a+d~ '2-4- - 2 c.. - z. (- 00 OD - 0 C) {o e - C 0 <( 0 PARCEL I.D.' # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHHNSIONS & SETBACKS. 4-0 ( ref UTILITY BUILD INGS, MUST SHOW SIZE & ''it FOUNDATION INFOR- MATION. -;J rJ I'L' -~~ ~ 10, 3 ~~ cL6. 0-( ~- , It AI ^.'1 I.IJ./" Gr> ~ -- vJ'K.C FRONT PROP RTY LINE (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 20' FRONT PROPERTY LIRE 1 0' 2. SETBACKS FOR R3 ZONING 60' - - 10' 10' EXISTING 10' 1 0 PROPOSED 20'SGL FAM 30' DUPLEX FROR'I' PROPBIlTY J.J:NE mmlilR' 8 HAJI1El ~L~_ ,JOB SITE ADDRE8S_l:.::0~ C~TY OF ZEPHYRHILLS PERMIT APPLICATION BUII,DING PBPARTMBlNT 5335 ~t:h S'l'RBlEl'f ZBlPHYRHILI,S, FL 33540 Jilhon. I B 13 ~ 7 B 0 - 0,0 2 0 Fax I 813 -7 80 - 00 2r;A'rB1 RBCJIlIIVIID t 0 )L~LOk: .~__._ fI,ANS R!IIVIJIIW '11I111___.____ ____ PARUElL If) # d-4-..,) (..- ~(-oocv- OOf 00.- 009 () _~_(~~~_IN ~'ROM.~~~:IiIR'l':_..:A~.~n'q~:Bl).__ WCJRK PRCWSIlIIJ I ~w CONS'l'RlJC'rIOH (J Af)DTTIm~ 0 AurERATlON [] REPAIR IJ IwhM,I, PHONE r'.ON'rAcT&fJ:i___c:l~-" --- S -------- ()' z:< \) f rd'vIJ.. ~ f ___3_j23J,I2_______~~---JJlq--- ___._____ .______~. LEGAL DBJSCRll?TIONI LOT(8) BLOCK SUBDIVISION DaWN [J MOVE o DEMOLISH I?ROJ:lllSElil USE I [JSGl, FAMII/t DWELIJING o MtJI/1' I - F AM n,y 0# OF {lNI'l'S DSWIt1MING POOl, [] MOB n,Bl 110MB! D nTIlE~ (]CDt1MBlRCIAI, o INDUSTRIAL o RESTAURANT & HEJ\I.'l'H DEPARTMENT APPROVAL BUn,DING SIZE _--12 y 5o__C1tjueLJ~ ~'--/J1t~1 . SQUARE Il'OO'rAGE __.(p 2-q__ OE8CRIPTION OF WORK HBllllH'r RES IDBlNTIAL I A'1"I'ACH (J) PL,O,!, PLAlIS & (J) SE'l'S OF BUIl,IJING PI,ANS 6c (1) sHI'r i1INHlRI1'i FORMS. cUMMBlRmAI~ I A'l"l'A<m (3) BETS OF BU!LnING PLANS & (1) SElT ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NBlW CONS'l'RUC'l'ION. F.~ITS RBlQI1J1.a.T1D [] allILIHl'lG L_ r 33c?rOO VALUATION OF 'l'O'l'AL CONs'rRtJC'l'ION L1 BlLBlC'l'RlCAI, ____ AMI? /3ElRVICE [] FLORIDA POWER o 11,8,8.(1, o Pl:tJNBING o i'1BlC1HAU WAI. $ _ VALUATION OF MBlCllAl'1CIAI, INSTAI~LA'l'ION D GAS o ROOFING [J SilECJIAl/f'l o OTHER 'l''iPE OF CON8'l'RtJC'!'lON I [J BLOCK o FRANE o 8'l'E1ElL [J OTHER l!'INISHElJ FLOOR 1l11,ElVATION8 IS I?ROtJECT IN b"LOOn ZONIll AREA 0 YUle [] NO BUlLnlllll CC)ti!PANY STA'I'Bl CERT' OR RIllGIST # _,._~____ CITY PROCESSING # --------------..--- a J IJNA'TlJRE ********.*........******.*.*************.*..*..*************.**... HI,lOTlUCIAH COHPAlW STATE CERT OR REGIST # CITY PROCESSING # S] GIH\'l'lJREJ ___'___._______________~_ .----.-----. ----------.-.---.....- -~-----_.__..._..._-,-- *..*.**.*.*******.***.***.**.********************.**********.*.... PLUMBBR -------..._----------------~.._-- COMPANY __~_.._____ STA'!'E CERT OR REJGI8T II _________. CITY PROCESSING # 8IGNA'l'IIRBl .*..*.*.*.*********.********************************************** MBlClHANI CAI, COlvlPANY STATE CElR'f OR RElGIST # CITY PROCESSING # SIGNATUREl ----_....-------~-_..- ***************.**********************~*****************,....**** OTHBlR __r; ~ ~ CVh +L.tlc.f oft... SIlmA'l'UR~_ _._~~___,_____ COlvlI?ANY'& JC-(l..;"'c C(f)~~...t'!.-'''''-.L.L~ STATE CERT OR REGrST # -, _ J/ . ~7 c lTY PROCEl8 SING #. ;J.J1..J.5JL...rt::..__J?.!?.____~=z-_._._ 2. - I-IIL-( ~ _ :L.. C' 0 c- ---.---..--____::::....v__.....f)__~_.__.__._.___ **'**************'*********'****'*'*******'*'******.,*******.,*** -- 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 CONTRAC'I'ORS 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 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, CONBTRUCTUION 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" pd.or to commencement. 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 & Rehabi.litative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.8. 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 NO'r NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT", SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 19_ 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 Dwho has produced (type and whoD did Odid not (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Owho has produced (type of identification) and who Odid []:lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped