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Home My WebLink About03-1935 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 1935 Date _ ~-lf~tJ3 BUILDING ELECTRICAL MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F,'s: Radon Gas: ~ NO OCCUPANCY BEFORE C.O. FINAL - 03 ). Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector !<(.Cj ,f I/TO Permit Fee Signature Company Address Telephone# /t1"-~ 9'b a< R~ JQ.../~ , Valuation or Contract Price f~33o d5 [) 0 City license Registration # State Certified license# t,qs-.- 9..99 ?r 7?0 ~ / 1!6 ~A~ BUILDING Ftr. Pre SLB lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 1"")", Final v/' 3 --R1 .- 03 Rl V r 1-1 'J () Breakers Ducts Insl. Compressor Final ! I ! SLB Tub Set Water Sewer Final MECHANICAL 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 BUIl,lJING DBlI?ARTMIllNT 5335 8th S'rRElIllT ZIllI?HYRUn,I.S, P'L 331;40 PhonElI a13 -780 -0,020 'ax 1813 -780 _ 0021 .,.., \., 'i). '. .-:::> lJA'rBJ RJlnnVllIo ~_o.~:~ PI.ANS RIllVIBIW Jl'J!lIl_.______!_._.__.. rMNEJR'S IlM1El ~ \ - ~ ~ PHONE CON'l'1\(~'!'_bj~~9'j_[_._.h.....;. ,TOB BI'I'. MHJR";;;;-=.ggJt;=C~:~IJ_-==;':~--~~<,J1;~_OM'S _gk)_. ... J.JE01\L DB1SUR T PTIDlll LOT (S) -.-._.<:lJ._____ B!J()(~K ________ ..__ SUBlJIV I81()N ________._._..___.-._____ PARC!ElI, IJJ # _.._iZ_ 4- ---~~-=-~L:-_.QO~9 _ D~~~O _=~_~~~~<i.R(~~._!~.~>.~~~=_:._='~~__.~~~I~CEl_~... WURK PROP8BHll [jNElW CONSTRlJCTION [1 ATlDI'l'ION [JALTERA'I'ION (] RI<JPAIR [) IN8TAIJI, [J 8 JGII o ~10VE o DElr"10LISH PROPUSEJIl !JSE! I (JSGlI, FAMILY DWELI,ING [h1tJI.'I'I ... FAMII,Y [J# OF UNITS LJSNlfilMING POOL U MOBII,El Itof1Bl I] OTHER [J COHMElRC 1A r, [J INDUSTRIAl, L:J RE1S'fAURANT & HEJAl,TII DElPARTf,1ENT l\PPROVAL, IlBJSCRIPTIUN OF HORK .._~~-~_-.l2.. ~~---"____H'_______'_ BUU.THN(~ SIZE ______..._.____ SQUARE F'OO'CAGE: __~Q_____ H8JIllHT REl8IDHlNTIAT.1 COf\1MBlIWIAT, : ATTACH (2) PI,O'f PIJAUS & (2) SEl1'S OF BUIlrDING PI,lINS & (1) BErf ElNElRr~y FOR~1,9, A'I"I;AC!H (3) SETS OF BlJILfJING PLANS & (1) SE'f E:N8JR(~Y FORf1S, PROPERTY SURVEY REQUIRED FOR ALL NEN ruJNSTRUCTION, PERMITS REQUESTED [) 8tJIJ,lnN(~ $__.J j._~ 3_QQ_._. VAl,tJATJON OF TOTAL, CONSTRtJC'I'IOU Ll ElIJElC'I'RlCAI, -.------______ At1P ~EJRVICEl [J FI,QRInA PONER [J \'l,R,E),n, [] PI.lJHB ING U J..JElCH1\.NTC!AL $-- --.- --'-- VAIJUATION OF ~..JE:CHANCIAI, INSTAIJIJA'I'TOH f] (JAS [] ROOFING LJ ElPElCIAUrv [] OTHER TYPE OF Cot,18'I'RtJ(~TION I [] BLOCK [J FRA!1El [] STElEll, [} OTHER FIlHSHElfJ FLOOR EllJElVATIONS IS PRO,TElC'I' IN FLOo!> ZONEl AREA. n YES 0 No BUILDSlR -'.-.. ~..._-,. _.,--------..~-----,-_..- <"""'-----.."._-_._~- ~._._--- CDr..JP II N Y__.._______.._____________._....___._._.. ____...__._..__ STATE CFJRT OR RElGlS'!' # ..____.d_..._____. U _____.. CITY PROCESSING # B 1 Gl-1ATURBl . - _._._---- ---.,_......~_... ._- ._-,-_.. ****************************************************************** 1l1,JlICTRICI1lN S J cHTA'1'UREl _..... . .----.-". -,. --~._--~-- '.--.-.---... ----------.-------.---------- Cot1 PAN Y _.____._________ _____ ._______...._ STATE CERT OR REGIST # CITY PROCElSS nm # .----.---. .,-.---- -. '-- -._-~-".- "-.'- ...- -.-.-., --.- *********************'*****************************************'** .----- ----.- +'------"-'- --....-..- -.----..-.--. ..-.---- PIJUMBBlR ..".........---..-.----...- .._~-- -._-~-- {!OlYl PAN Y -. ---.-- .-__..___._._________._.._____..__.__._.. _._.__.______._ STATE: CBlRT OR RE:llIRT # _____._____..__.__._.....______._. CITY PROCESSING # BWNA'I'IJREl MEC!HAIHCAI, "** **** ***** ** * **** * * *** * * * * ******* *** **** **** * * ***** *** * '**" **" ..-----.,--. .-.. --__._._~__h___.._.___.,_+.___.._. _->_ -----_._._-------~------._-~....,'---..~,--- COlvIPANY__.___________._.._______.__.__.un._ . -'-'-.'- STA'rEl (!ElHT OR REGIS'r # ---___.___._u.___...____________.._. CITY PROCESSING # STGNA.'I'UREl ***************************************************************** _.__.+.__._~_..------_.__.._-- -_. - -_. ---~.+._~ OTIIBlR ~.0!_~o.. .J:cJY) 'fL~olt... 8WIlA'I'IIRE: ~ _ ~.s--- c..~ (~0I,1PANY ~!JC ...u.CL-cqYl~____~~C:_':"'___'_'h .__'__ S'!'ATE! CERT OR RE!llIST # 1I'lS<:p... t"'V'\.Ci' "!:IN _._____ CITY PRClCElSBING # _,.. ~ "---~-.-I-- -+ ~ ~I:(['(~-L'-'~--~~_~"__'__hh"__'___'._ **************'********************************************~***** CONDI'rIONS OF PERl'1IT AE'FIDAVIT Po. N(trICE OE' DEED RES'l'RIC'rIONS 'rhe undersigned understands thqt this plarrnit may be subject to "deed restrictions" \-Jhich m~y be more restrictive than City regulations. The undersigned assumes responsibility for oompliance with any applicable deed restrictions. B. UNLICENSED 'CON'l'RAC'l'ORS AND CONTRACTOR RESP9NSIBII,I'l'IE:S If the (mner has hired a contractor or contractors to undertake work, they may be required to bl:: li censed in accordance ~d.th state and local regulations. If the contractor is not: Ii uensed as required l.Jy law, both the ovmer and cont.ractor may be oj ted for a mJademeanor violation under state law. If the owner or intended contractor are uncertain C:lS to vlhC:lt licensing requirements loay apply for the intended work, they are advised to contact the City of Zephyddlls 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 vlill be r.esponsible. If you, as the owner signs as the contractor, you are indicating that you, lather than the contractor I are responsible for the wot'k. I f the contractot' \"iishes you to siyn as contractor that may be an indication that he is not properly licensed and is not ellUtled to permitting privileges in the City of Zephyr-hUls. C. 'l'RANSl'OR'l'A'rION IMPACT FEES AND U'I'ILl'I'Y CONNECTION FEES D. CONS'I'RUc.:'l'UION LIEN LAW (CHAP'1'ER 713, FLORIDA S'l'ATUTES, AS AMENDED) r certify that I, the applicant, have been provided with a copy of "Florida's Constrllction 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", 1 cerify that I llave obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to corrunencement. El. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'l' I certify that all the information in this application is accurate and tllat all work will be done in compliance with all applicable laws regulating constt-uetion, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no Hork or installation has conuoenced prior to issuance of a permit and that all work will be performed to meet standards of all law~ regulating c6nstruction, City code.s, z.oning regulations, and land development regulations .in the jurisdictlon. 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 action5 I mllst take to be in compliance. Such agencies include but are not limited to: *Department of Environmelltal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensttive Lands, Water/Wastewater Treatment *Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses AArmy Corps of Engineers-SeaHalls, Docks, Navigable Waterways *ilepartmenL of Health & Rehabilitative Services, Environmental Health UnJt-Wells, Wa.:ltewate! 'l'reatment, Septic 'ranks *II.S. Environmental ~rotection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~A" or "A,ete.", it is under.stood that a dralnage plan addressing a "compensating volume" 'wiLL be f:lubmitted which is prepared by a profess! anal engineer registered in the. State of Florida pdor to pennH 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, Ilor 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 iSrJu~d shall become invalid unless the Hark authorized by such permit is cOllunel1ced Hi.thin six montl1s of issuance, or if \'iork authorized by the permi.t is suspended or abandoqed far a period of si.:K months after the tillle the work is corrunenced. One 90 day extensi.oll 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 lIIonth period, or the pt'oject Hill be considered abandoned. WARNING 'fO OWNEJRI YOUR FAIWRE TO RECORD A NO'l'ICE OF COMMENCEMENT MAY RESUL'l' IN YOUR PAYING TWICE FOR IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU IN'I'END TO OBTAIN l!"INAlH:;lN~, ~qNI1!UL'I' WITH YOUR LENDER OR AN A'l"fORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. ,JOBS ITNfJER $2,500 IN VAW&: DO NOT NEED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'l'''. ~/Z,J~ S I GNA'l'URE I OWN ER OR AGEN'l' ~_ /2a-o ~ -- ,- S I GNA'l'URE I CONTRACTOR STA'r! OF FLORIDA COUN'l'Y OF ___, '1'he foregoing instrument was acknowledged Before me this ____ day of ____, 19~ by __ (name of person acknOWledged) [] ~;ho is personally known to me, or STA'I'E OF FLORIDA COUN'1'Y OF _________ 'fhe foregoing instrument W~S aoknoHl edged Before me this __day of--------, 19 by _______ _"_ (name of person acknowledged) C1ho .is personally known to me, or o who has produced (type and who[] did []did not of identification) take an oath. o who has produced______.______ (type of identification) and Hho .Ddid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment l'lame typed, printed or stamped Name typed, printed or stamped /7 CITY OF Z{EFYm.!ILLS BUILDING DEPARTMENT (/~L'-a:.-, _~ JOB LOCATION 39//'/ r?o'J ,Lj,./ / oLQ~ (/n/fi~/);c. t)JtI[r- . # ~4--C)..to-;;J...../ - Oe>OO - Oc:YDO - 009 ~ PARCEL I.D. OWNER (v) SIJOW ALL EXISTUIG & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 40 (Pl UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~1 -'" /) f , ~ (NOTE EXAMPLES 1 & 2) STREE'r 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' FRONT PROPERTY LIRE 1 0' t~ (" '"2....L -1 ROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRONT PROPERTY LINE