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Home My WebLink About03-1972 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 1972 Date '1- 1- 0 "-3 BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn P,oP.rtv Own., ~.J!",,^,- S-Dx, JobM...., ')(;24 ~L~ I.h&oy, (;)0 Parcel 1.0. " Water Conn: Water Meter: T.I.F.'s: Zoning: Oescriotion of Work ~En~rgy Code: (' YIVewo- Radon Gas: FINAL 9'- 2 ~o 3 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Valuation or -J <; Contract Price I ~ ~ . e-v DATE Inspector JZ L L-(,I ~ 1/ . @() Permit Fee .-C'. [) )<signature .--~ -?_ K::U:"~H Company Address ~elephone# & r; 5 - ? c; 7 lJ City License Registration # State Certified License# ~So8 fl<;c; (/0 '<) (f)r"\W~ BUILDING Tp. Serv. Rough In Meter Can Const. Pole/I Pool Pre-Meter Final / 1/t(~2-0J / ~ ~ '1'-Ifo SLB Tub Set Water Sewer Final PLUMBING / / / r ../' MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Breakers / Ducts Inz Compre or 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 ZEPHYRHILLS PERMIT APPLICATION BUIUJING IlEI?ARTMEN'r 5335 8th S'rREBl'f ZBlPH'{RHII,I,S, P'L 33540 Phon. , 813 -780 . 0,020 >ax. 813 .7 eo " 0 0 ~;A 'r. '.".rVlbo S .::-?,~:-_ ':c">,_ , PLANS RBVrmW rsa - ---.- -.-.--- - OWNSR' 8 IIA".J3~,.: ~ ~ __'_,__. _______ ,._" ~__. PHONE "ON'j'^,"r.;?,/~. :.,C:;?:<j"'i9 J ,TOB 8l'J'ID AOnR 88 J l:.-:r.:l. 'l__.__R~ 't~--r ..""",,~,S.J ""(F.--- __. _ __ __ ____ _.,__ _. ___,.. _ __. _'. IJEl(31\L DBJ8C!RIPTIDll! LOT (S) _._.~_~__ BIJ0C!K ________.___ SUBlJIVIS lON -.-.-.-~------.-.~ .-~.,_..'..__w PAR (,!E 1. III ff;;)..3:..::-::l. ~.:-,.d__\...:_"'Q.Q~_=_~p J O~tl~~O~TA~FRO"__""~~"':V .'I~A~_~(l1'T('S -'_ ~~lJRf( PRnpE:lBlTJI LJN8JW CONSTRUCTION [J ADIJI'rIClN o Af/l'EnA_TION [1 RElPAIR LJ IN8T1UJI, [lawn o i'10VE [1 DEr10I,ISII PROPOSEJIl USEJ I [Jsr;!I, FAfvlILY DWELrJUI(~ [Jr.1tJI/1' r.. FAMILY [J# UF tlNT'I'S []SWn-IMUlG POOL IJ MOBII.E 1I0Wil [J (J'l'H111R [J Cur'1MERC! rAr, o INDlJS1'RIATJ ---------.---... -------- CJ REJ8TAURANT & HEALTH DBlPARTr1ENT APPROVAL /~ .Y 5 6 ~~ C;..:;-- .. V:;------...-----.-..-.-----.----...-----..-____ SQUARE FOOTAGE b c):9 IJ81JGH'f DESCRIPTION OF NORK BUu'flIN!3 Slzrn RE8IDlllNTI1\JJ I (~QI\1MlllRCI1\JJ I A'l"rACH (2) PI,OT PTJAllS & (2) SETS OF BtJII,DINC3 PLANS & (J.) eElT E!NElR(~Y FORi'18. A'l"l'AC!H (3) SE'l'S OF BUILDING PLANS & (I) SEl'r ENEFWY FORMS. PROPElRTY SURVF.lY RElQUIRElD FOR ALL NEW CONSTRUCTION. ._-_._-._~------ [1 B\JII,IJINn FERMITS REQUBSTED $-_:_! J .3 3> -:~___ VALUATION OF TOT1\JJ CONSTRlJC'l'roN [J BlLBlC'T'RHJAl, ---------__ AMP SERVICEI o FI,ORIDA POWER [J W, R . BJ . (! . [] pwr1BING o f.1E1UHANIl!ATJ $-- ---. VALUATION OF tIlElClIANCIAr, IITS'l'AI,I,ATTON [] (JA8 LJ ROOFING [J SPECJIAI/ry [J OTHER TYPE OF CONSTRUCTION I [] BLOCK o FRAME [J S'!'EEIJ [J OTHER FINISHEl) Fl,c)OR IlllJBlVATIONS -------- IS PRO,JElC'r IN FLOOf) ZONEl AREA [J '{BlS o NO Bt1UnBlR ****************************************************************** Cot" PAN Y------.----___.__ _________ ______ _ . 'm __.__ .. _ ___________. STATE! CERT OR RElGIS'!' # _____.h________________.__.. _______ CITY PROCESS ING lL__. ___________.____________.__._.__ 8lrJNATUREl --.--.-------.-------------------- ml,BCTRICIAN S J mlA'l'lJRE _..___ ------.-~.._ n'AA__. ___ ._~.____._.._ ,.~._.~.________..____,_____ CO!"1PANY _____. .__..______ ______..____._.._.___.__.________. ___..___ STATE CERT OR RECHST # CITY PROCESSING # .----- -.-. ---~---- .-.--..----.,...,-.--, ---_.__.~ _.'--- ****************************************************************** --..----.---..- .------. ---..-..---. --~-.--.._. ---~--_.- PIJtJMBBlR ._4_~___~___~_.____ _. ------.------ (!OMPA1'1Y -.---_______.________________.._____..___.__.____ STATE CElRT OR RElGIST # ____~__._~____.. CITY PROCESSING # SWHA'l'IJREl MBCHAIHCAr. ****************************************************************** ._.~.._----~------~-_.__.---- ~_._--------~~._~--~_...-.- CUI\1PANY ___________.__...___________.__.____..__.. STA'rEl (!I1lR'r OR REiCHS'!' # _______________________.._ CI'1'Y PROCESSING # S IGNA'l'IJREl OTHIlIR ._C ~ ~ .-e0Jt ~~4<::/~ 8I(~flA'1'IJR~c. ,.~~ ***************************************************************** ~--_.__._...~.._---- C!O!:IPANY ~c/~ ("~~__~~_:.____..___ STATE CEJRT OR RE<1IST # /J,#yi::Z). 0 df7 71 CITY PROCESSING # ~----_____________ "?_:&,..d~f.!'~______?- 5"'~~._~ ___ ___. ___ ***********************************************************~***** l:UNU1'!'10NS OF PERMI'r AFFIDAVIT A, . NO'flCE OE' DEED RES'l'RICTIONS 'l'he undersigned understands th~t this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. TIle undersigned assumes responsibility for compliClnca: with any applicable deed restrictions. B. UNLICENSED (~ONTRAC'l'ORS AND CONTRACTOR RESPONSIBIJ.I'rIES If the o\"wer 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 ovmer and cont.raclor 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. t'urther1l101:e, it the owner has hired a contractor or oontractors, 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 own-er signs as the contractor, 'lOll are indicating that you, lather than the contractor, are responsible for the work. If the contractor wishes yo\~ to sign atil contractor that may be an indication that he is not properly licensed and is not: entitled to permitting privi.leges in the City of Zephyrhi.lls. C. 'I'RANBPOR'l'ATION IMPACT FEES AND UTILI'l'Y CONNECTION E'EES D. CONS'I'RUC'l'UION LIEN LAW (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED) I certify tllat 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 bave obtiiined a copy of the above described document and promise in good faith to delivar it to the "owner" prior to corrunencement. E. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'I' I certify that all the informati.on in this application is accurate and tllat all work will be done in compliance with all applicable laws regulatlng construction, zoning, and land development. Application is hereby made to obtain a permlt to do work and installation as indicated. I ce~tify that no Hork or installation has commenced prior to is:;.!uance of a permit and that all work vJill be performed to meet standards of all laws regulating construotion, 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 "mst take to be in compliance. Such agencies include but are not limited to: "'Department of Envirollmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensttive Lands, Water/Wastewater Treatment *Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alteri.ng Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *lJepartment of Health & Rehabilitative Services, Environmental Health Unit-WeLls, Wastewater Treatment, Septic Tanks "U.S. Environmental I?rotection 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 whicll 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 nrit 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 iSfiued shall become invalid unless the work authorized by such permit is cOllunenoad within slx months of issuance, or if work authorized by the permlt is suspended or abandoqlild for a period of silt months after the time the work is commenced. One 90 day eKtension of time may be allowed for tbe permit with fee charge of $15.00. The extension shall be requested ill writing to the Buildlng Offioial. An approved inspection must be logged during each' six month period, or the pt'oject Hill be considered abandoned. WARNING TO OWNER: YOUR E'AUURE 'fO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR PAYING 'I'WICE I!'OR IMI?ROVEMENTS '1'0 YOUR PROPERTY. IF YOU IN'fEND TO OB'rAIN InNANqINq, (:qN~UL'I' WITH YOUR LENDER OR AN A'l"l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMl-tENCEMEN'l'. JOBS UNDER $2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'I'". SIGNA'l'URE: CONTRACTOR STATE OF FLORIDA COUN'I'Y OF The foregoing instrument was Before me this --1iay of by S'l'A'l'E OF FLORI DA COUNTY OF The foregoing instrument was acknowledged Befote !fIe this __ day of , 19_ by__ (name of person aoknowledged) Dwho is personally known to me, or aoknowledged 19 (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. Owho has produced (type of identifiQation) and Hho Ddid DUd not take an oath Owho has produced (type and who[] did [] did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed o.r stampi::ld ~ ...., CITY O~ ZEP~~ILDING DEPARTHENT OWNER ~~ - 0-4.--, ~ ~ . JOB LOCATION L07-> 9- /?~ -7~ Z--"Jr (~'edi.c r..lM'(: ..../U, . # ;;;;4-~ ..,;) / - .t'C'O.o.. ~/ t!)z> -- co 90 PARCEL I.D. SHOH ALL EXISTHIG &: PROFOSED STRUCTURES GIVING DIMENSIONS &: SETBACKS. ~ M L ( Jl\ ~ ! LL ~ .JV \ \' ~ J! ~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROP RTY 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 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 LINK FRONT PROPERTY LINE