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Home My WebLink About02-1562 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 1562 Q Date /0 -/6 -oz~ . ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. II Zoning: Description of W Water Meter: T,I.F.'s: NO OCCUPANCY BEFORE C,O. FINAL C.O, o ,- .;l9 -0 '2...- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector RJ I( IIro Permit Fee Signature Company Address Telephone# lj-/~ r<...f"'..r -?9YP Valuation or Contract Price 1320' - ;2S0xJ ~O~t!./ilD City license Registration # State Certified license# 01PnY"F BUILDING ELEe'I1fICAl PLU~ ~ ~CAL 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. ~~ ~s BUIJ.DING DIlP1UlTltllNT L Of ) 3 - ,59 S44-Au.f'V51-u- W~ +~~ 2-4--l~- 2-/-0000 - 001 DO .- 00'1" t) PARCEL I.D.' tt OWNER JOB LOCATION lk, SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DDtKHSIONS & SE"l'BACKS. 4-6' ~ I UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~ ~- /2- { Q~ ~ ~ !~ 0- I Z2.. -1 ~ - V'. o (/l~ vJ I {Lt:: FRONT PROP R Y 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 0 G 20' FRONT PROPERTY LllIE 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAN 30'OUPLBX 1 0' FROR'l" PROPBIlTY LINE CITY OF ZEPHYRHILLS PERMIT APPLICATION SUII,DING DEPARTMBlNT 6335 ~~h S'l'RBlEl'l' ZBlPHYRHILI.S, FL 33840 Jilhone I 8:13 ~ 7 80 -Q,020 Faxl 813 -780 - 0021 \ 0/ [/- lo'L nA'ra RBOIllIVJlID ~ 5lr.ANS RlIIVIBlW J'lilI__~~=~=-=-==~~ D"N8R'. HAM8_ b~\~~ 5~_____~_~_ PHDN8 mN'J'A(''[(.,'(~-=1~? ~ ,JOB 81'1'&1 ADDRBl8S_~c;L:J~___J~___3_1 S~_~_.____!3-~_~S~__NCt t~~"ttiL _~_-'--__________ LEGAL DHlBCRIP'rION, LOT(S) Lo,\ l?:' BI.oCK SUBDTVISIOll ----.--- PARf!WL If) # '?4- - 2~ - 2 (-0000 - Oolot> --OoclQ (_OBTA_~J:i'ROM~ROPJjjR'l':__.:AK_.~n'l'f~Hll).._ ~w C[~S'l'RlJC'rION rJ ADDITION OAIJrElRATlON [] REPAIR IJ TNS'l'M.l, WuRK PROPSHlD, [JSHm o MOVE o DElMar/ISH PROPOSEIl !lSEl I [JSC1l, FAMII.Y nWElLI,JNGl OMtJW'I - FAMIlN 0# OF {JNI'l'S o s~nMMING POOl/ {] MOB r I,m 110MB! l] O'fIlHlf\ (] Cot1MBlRC rAI, o INDUS'l'RIAL DESCRIPTION OF l'lORK D RBl8TAURAl~T & HBlAl/l'H DBlPARTMElNT APPROVAL __J'2- X 50.. ~OA.,u.e.~ / l-v ~~'!.4-S SQUARBI Foo'rAGE ~ 20.::.--_ ~ ,---- BUII,DINO 8IZBI --.----- HBlWH'f RES IDBlHTIAJ, I AT'I'ACH (:a) PLOT PI"A1l8 & (2) SElTS OF BUU,IJINGl PI,ANS & (1) SIiI'f BlNIilRI1Y J.l'ORMB. COMMBlRerAl", A'!"l'ACH (3) SBI'I'S OF BUII,DING PLANS & (1) SElT ENIilRGY FORMS. PROPERTY SURVEY RElQUIRED FOR ALL NEW COH8TRUCTION. J?lIl!U4ITS RBJQYlJIT>>ID [] BtlILlHl'lf3 $ 13:56.oD VALUATION OF 'I'O'I'Al, CONS'fRUC2'rION rJ BlI"Bl<J'I'R WAI, AMI? ~ERVrcE o FI,ORIDA POWER o W,R,BI.r.. o Pl,UMBIN13 o NBlUHAl:HUAI" $--- VALUATION OF MI1JCHANCIAI, INS'1'AI.LA'l'ION o (jAS f] ROUP'IlKi [J BPBlCJIA1,'fY o O'I'HIiIR 1'\fPHl OF CON8'l'RUC'l.'WN I LJ BLOCK o FRANE: [] S'l'ElEL c;(6THElR FINISHHlIl Fll)OR BII,EVATIOHS I S PROd ElCT IN l<"LOClf) ZONBl AREA 0 YEllS rJ NO Bunnllll uor1PANY _____ __._._ STAtI'BI CElR'!' OR RElGIST # _._ ______ CI'l'Y PROCElSSING L-__._______~__ 8 HlNATURE **.*******..**.***.************.*.***...******.***.********.*****. ~I.laTRIdIAU' COf1 PAN Y__ STATE CElRT OR REGrST # SJGllA'ruREJ -.,-'-.---------____..____~____ CITY PROCESSING # .~___'R____ __.__~___...___......____.~_ ***********.*************.*****.*********************.************ --_.--,._.-----.....-~._'..._....._._-- ilLUMBilR .._~----~-_...._-_._. COMPANY-__ _______._.___ STATE CElR'l' OR ftEGIBT # ___~_,_________ CITY PROCffiSSING # SIGNA'l'IJRffi 8I<3l'lATllRE *'*"***'."*"*""*'*'*'*"'**"*'*'*"*"'*"*"'*******"*'*** Co/VJPANY ~____'_________'_______"___,,, STA'l'ffi CIilR'r OR REGIS'!' # ________________ CITY PROCESSING # ---.~-~'-~--------- MBK1HANICAI, OTHSlR G"v\_c.~ c....<!'"nS.hL'-l---r,~. SIliHA'l'UR~ ~.r.~~ ******'*"'***'****""'*'***'***'***'~'*'*'****"'*"**,.******* COr>1PANyL5C~<"" ~ 0-. ~ <:j ~c; 5~ ~.=--.:.... STATE CElRT OR REGrST # 00 . CITY PROCESSING # -:--~~..J}55i::.q:._--- Z~J' ~~____ **t******************************.**,******************'****t**** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS T~e undersigned understands that this permit may be su~ject to "deed restrictions" which may be more restrictive than City regulations. ']'he und'~rsi9ned 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 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 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 & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.5. 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 perroit 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, CONBULT 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 , 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 ' , - of identification) take an oath. (name of person acknowledged) [1ho is personally known to me, or Dwho has produced (type of identification) and who Ddid DUd not take an oath (name of person acknowledged) Dwho is personally known to me, or Dwho has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ,"/