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Home My WebLink About03-1909 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 BUILDING ELECTRICAL PLUMB'NG MECHANICAL Property Owner: -r~. LJ~~ Job Address: 5(P '3 9 ;)...0#1. sT. Parcell.D. # Zoning: DescriPtion of Work 1909 Date 3- 7-0-5 Sewer Conn Water Conn: Water Meter: T_I.F.'s: Energy Code: sL~ NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. FINAL DATE c.o. DATE Inspector Valuation or Contract Price 6co'~ Permit Fee ~ignature- Company Address _ _ -R ~ ~Te'ephone# ~S~!5jj~~~S 11 ctl?7..9 oe ~/3. 7i!5-')03CZ City License Registration # State Certified License# ..J Ok)~ BUILDING Ftr. Pre SLB 0-19 Lintel FRM. Insul. CL WL Tp. Servo 1"!1~L'f;'1IJi; Rough In Meter Can Const. Pol Pool Pre-Me r Final SLB Tub Set Water Sewer 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUIIlfJIN(~ DBJPARTMEN'f 6335 8th S'rRBlBl'f ZBlPHYRHII,I,S, P'L 33540 PhoneI813-780-~020 ra~1813-780-0021 fJA'rBJ RIIC1JilIV!iln __~_,_ _ ~,~ ______ f PJ,ANS RlllVIBIW rJllI( ___on_C. _ u_ _ O""BR' 8 "^"E__~iln~':L L_ ( n) ; C\<:_L /1 S ____ PHO"E ~"lN'I'A( 'r___ ______ __ ,TOB 8I'I'm M>ORE88 5ff)3c;j--dn'1l{s~I-Afiilf{'lk:;cSr_]j 35S~7'a JJEJrJAL DBlSCRIPTIrll'1: LOT(S) B U)(! K SUBIJlVISlnN ----.---~--_.__.--._-- PARCEll, III it -_...,_....._---~-_.. - -- ----_. ..~._~.- -." -------- HURK PROPSBlIl/ LJ NBll'1 ('ONSTRUC'T ION - -------------.--.--------- ~-- ---~------_.._---------------- .---- --.----- - -----------------.---- -.----.------ --.----..--. (OBTAIN FROM PR(JPER'l'Y 'PAX NO'l'H!El) [] ADDITIOn [J ALTERATION Ll RBlPAIR [J 1 NSTA!J!' [) S WI1 o MOVE o DEMOI,ISII PROPU8Ell USE I []8m, FAMILY DWELI,H1GI [lt1UW'T -. FAt"1U,y [J # OF tiN 1'1'8 [] SWIMMING POOL [] MOBII,Bl Itot11lJ [] C<Jt1MIllRt' IA T, o INDUSTRIAl, []OTHBlR llEJSCRIP'l'ION OF 110RK o REl8TAURANT & HElAlml DEPARTt.1IllNT APPROVAL -SLab-__9l_2:L_______..________..____________.. ___ BUH,fHNt3 Ellzrn .-------.----- --.------ SQUARE F'OOTAGrn RBl8IDENTIAIJ I (JOMMBlRC!IATJ: ------.-----.......-- HEIGHT A'I'TACH (;2) PLo'r PIJAllS & (2) SETS OF BUI!,DIN<J PLANS & (1) SEl'I' ENIllRGY FORMS, A'I"rA(~H (3) SEl'I'S OF 8UtLfJING PLANS & (1) Sill'!' ENER(N FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. -------._- ._------~ [] BlIII,IJIN(3 L.1 ElI,ElC'l'RICAI. [] PI,W1BING 0 ItlEIUHAN I (~AI, ~ERMITS REQUESTED $---3~QCl.._--, VAI,tJATION OF TOTAL CON8TRUC'l'ION -----------__.:.. AttlP ~ERVICE o FWR!fJA POWIllR [] W.R.El.n. [] r3A8 f.J ROOFING $-----------~---- VAI,UATION OF MEJCHANCIAr. U1S'1'ALIlATTON [J SPE!(!!AUry [I OTHER TYPEJ OF COl~8'I'RtJc'rroN: [] BLOCK [] FRAJtlHJ [) S'I'BlE1J, [J OTHER FINISHEI) FT,(JOR BlI,EVATIONS --------~--_._-- IS PRO,TElC'I' IN FI;OO!J zemE ARElA 0 YEla o No B1I,llld'I'RWIAN * **************************************************************** L"l~r~!!f :I'.;jili~ !~Ut:~ corti PAN Y --{)1l:d. J'\!-:f.___________ . ._no _____.... __.._____.__ STATE! CEJRT OR REGIS'!' # _____________._________________ CITY PROCESSING IL__ -_____._H_______________ ___.___._._. BUIU>BlR. 81 (3NA TUR EJ~_: _____ S] GlTA'I'IJRBl ____ -.~-~_. ".- ~-------~ ---~---,----- ... -.---. -- "., ---...------- cor'1PANY_.____ __________________________ ________ ___ __. STATE e'ER'!' OR RE(ns'!' 11 CITY PROl'rn88IN(~ 11 .-..------. --- .--- ....----.---..-.-..-----... -'-...--.----- P JJ tIME! BlR ( ~(JM PAll Y ___h____ ______________________________.___._________.__ STATE CElRT OR REGIST # ________.___,__.._________. SI<3HA'l'llREJ CITY PROCESSINi3 # ****************************************************************** ._.~--._---.__. .--.----. ----..-..-. _._-_.--_.._~._--- MBlCHAIU CAJ, CUlv1PANY __________.__________________ ____ --__n_.. STATE: ('ElRT OR RElGIST It _____.___________________ STi-mA1'tJREJ CITY PROCESSIN(3 # ****************************************************************** ***************************************************************** OTlIBlR ~----"'---'-_.'---___4_"'~"'_,,,____________._ _~___~____ -------------....----.--.----.-. Cot,1PANY STA1'E CERT- OR-RE~-#--'--- .-....------.__.___h._..__.__.._~'" u_ CITY PROCESSING # ----._________________________ S IW1A'1'IIREl ***********************************************************~***** _.._-~...,-'._-- --~. ._-----------_.__._-_._-;....---.~. -..-..-.--.. -..., CONDI'rIONS OF PERM!'!' AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'rh'l:: undersigned understands thCjt thi.:i perro.it may be subject to "deed restriotions" which may be more restrictive than City regulations. Tile undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UlnICENSED (~ON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBII.I'I'IES If the D\'/ner has hired a contractor or contractors to undertake work, they nlay be required to be licensed in accordance with state and local regulations. If the contractor is Ilot licensed as required by law, both the ovmer and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to wllat licensing requirements may apply for the intended work, they are advised to contact the city of Zephyrhills Building Department, 813-766-6611. t~urtherlllor-e, if the ovmer has hired a contractor or oontractors, he ls advised to have the contractor(s) sign portions of the "Contractor Sections" of thls applioation for which they vll11 be respon.sible. If you, as the owner signs as the contractor, YQLi are indicating that you, rather than the contractor, are responsible for the work. If the contractor wislles you to sign as contractor that may be an indication that he is not properly licellsed and 16 llot entitled to permitting prlvil~ges in the city of Zephyrhills. c. 'I'RANSPOR'l'A'rION IMPAC'l' FEES AND U'!'UI'l'Y CONNEc'rrcm t~EES D. CONS'l'RIIC'rUION IJIEN LAv~ (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED) T certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Proteotion Guide" 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 document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRAC'l'OR' S/OWNER' S AFFIDAVJ'l' I certify tllat all the informatlon in thls appllcatlon is accurate and that all work will be done in compliance wlth all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtaln a permit to do work and installat10n as indicated. 1 certify that no vwrk or installation has commenced prior to lssuance of a permit and that all work wlll be performed to meet standards of all laws regulating construction, City codes, zoning reyulatlons, and land development regulations in the jurisdiction. ] also oertify that I understand that the regulations of otller governmental agencies may apply to the intended wor'k, and that it is my responsibility to ident1fy what actions I must take to be ln compliance. Suoh agencles include but are not limited tOI *Department of Envlrollluental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensltive Lands, Water/Wastewater Treatment *Southwe6t E'lorida Water Management District-Wells, Cypress Bayheads, Wet.1and Areas, Altering Watercourses *Army Corps of Englneers-8eawalls, Docks, Navigable Waterways *Department of Health & Rehabl1ltative Services, Environmental. Health Unit-Wetls, Wastewater Treatment, Septic Tanks *U.8. Environmental Protection Agency-Asbestos abatement I also certify that, lf flll material ls to be used in Flood Zone ~A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" 'will be submitted Vlhioh is pn;pared by a professional engineer registered in the State of Florida pd.or to penllJt issuance, A permit issued shall be construed to be a license to proceed with the work and not as authority to vlolate, cancel, alter, or set aside any provisions of the technical codes, nor shall lssuance of a permlt prevent the Building Official from thereafter requiring a correction of errors in plans, con~truction, or viOlations of any code. Every permit is~ued shall become invalid unless the work authorized by such permit is oouuuenced within six months of lssllance, or lf work authorized by the permlt is suspended or abandoqed for a period of alx months after the time the work ls conunenced' One 90 day eKtenslon of time may be allowed for tlle permit with fee charge of $15.00. The extension ~hall be requeated in \ui ting to the Buildlng Offlcial. An approved inspection must be logged during eaoh ai K month period, or the project vdll be considered abandoned. WAfUHNG '1'0 OWNERI YOUR FAILURE '1'0 RECORD A NOTICE OE' COMMENCEMEN'l' MAY RESUW' IN YOUR PAYING TWICE li'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'rEND TO OB'rAIN E'INANqING, ~qN~UI/I' WITH YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'I'. ,JOBS UNDER $2,500 IN VALIH.: DO NO'1' NEED '1'0 RECORD AND POS'l' A \\NO'l'ICE OF COMMENCEMEN'I"I. SlGNA'l'UREI OWNER OR AGENT SIGNA'I'UREI CONTRACTOR S'I'ATE OF FLORI DA COUN'l'Y OF The foregoing instrument was acknowledged Before me this ___ day of ____., 19~ by__ (name of persull acknowledged) Owho is personally known to me, or 8TA'l'E OF E'LORIDA COUN'rY OF 'rhe foregoing instrument w~s acknowledged Before me tills _----Pay of.-----, 19 .__~_ by (name of person acknowledged) ~ho is personally known to me, or of identification) take an oath. o who has produced___ ____ (type of identlflcation) and who Ddid [}jid not t.al,e all ()iilth o \'/ho has produced (type alld wholJ dld 0 dld not Signatur-e of person taklng acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped N~me typed, printed or stamped CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL I.D.' # SIIOH ALL EXISTING & PROPOSED STRUCT'URES GI&ING DIMENSIONS & SETBACKS. #) ,l, {' [;,,'l<lh 7;; l-~~/~- i \ ':siAl;; ~~ ~ '1 --,/ //" 8x ~ fO<,t-r."/Z // '^nl-J-.~I -OU ?~/f:-7~;;7 3fXJO -r..s.+ I W/F;bp~ ID {'p~ a,t"" l! " l' UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. " ~ FRON PROPERTY LINE STREET lfJ,2tD (NOTE EXAMPLES 1 & 2) 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 10' 1 0 PROPOSED 20'SGL FAM 30'DUPLEX -- FRONT PROPERTY LINE FRONT PROPERTY LINE