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Home My WebLink About03-2061 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813}780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL .. 1-- () ~I erm. urn er: Permit Type: Class of Work: Proposed Use: Sq. Feet: Cost: Amount Paid: 2059 ssue : 5 08/200 GENERAL BUILDING PERMIT SHED INSTALLATION NOT APPLICABLE Est. Value: 1,415.49 Total Fees: 40.00 40.00 Date Paid: 5/08/2003 i dress: 3803 ZEPHYRHILLS, FL. Township: Range: Lot{s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-21-0160-00000-0150 LE 1ST PRE-SLAB CONSTRUCTION POLE 2ND ROUGH LINTEL 'I PRE-METER WATER FRAME MISC SEWER INSULATION WALL MISC MISC. INSULATION CEILING I MISC. MISC. DRIVEWAY I MISC. J MISC. _I FIRE DEPT. FINAL REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) 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 - nWamin-g 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." NO OCCUPANCY BEFORE C.O. ~--- S SIGN RE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OFZEPHYRHILL8 PERMIT APPLICATION BUII~DINa DEPARTMENT 5335 8th 8'rREBl'r ZBJPH,{RHILI~S, rL 3Hi40 PhoneI813-780~O,020 :ra)C.e13-780~0021 ,.... "-...17.. fJATBl RIIC1ll1IVib s;;2._= L:t2.2.._ nAME! R!llVII!lW rtllli_"__. _ _ ~.'_____._. Ol<lNSa 'S 11..,S _./;,;J,,,z (~ ,<;;,,-, ,./" _, . cd. _". _ . ..._ . _. _.... PHON. "ON'I' Ar"r ?L"E?f',,7~) ,TOB SITE! I\t1DRBlSS -SLO..3.-Y-k.~f.!:.).:.~<i__ti<1P+2___________________ __________ _ __' __ .___ LEGAL 1l!l18CRIPTIOlll LOT(S) (J/5'cJ BWCK. c;}otJOtJ SUBDIVISJON _Q.lc:._tJ_____._______ ~------_._--,_.- PARCEll, In #__l tj- .;2(P ~.ol /_=-?Vt, 0 ~~()a_ 00 - ~ (5 ()__~~~T^-~~_.~~ROM PR~:~~:.~.'~~~~_..~~~:.(lEl_~._ WUR.K PROPBBJD I [JNEW l'ONS'I'RUCTIOH 0 ADDITION [J AI/rElRATION [] RBlPAIR ~ INeTAJ~I, L]SHm o MOVE: [] DElfv'JOI,ISII PROPOSEJIl USE I [Jsr;!!! FAMIl,Y DWElLr,U1r~ [J~1tJI,'I' I.. FAr,u 1,Y [) # OF lJIUTS (J MOBII.El HOME [] Cm1MElRl! 1A I, [] INDlJS1'RIATJ [J SWIMMING POOL f\1 OTHER D R~8TAIJR1\NT & IIEl1\1,TII DBlPJ\t{Tf1ElNT APPROVAL llESCRIPTION OF 110RK __ -I;J5n1lL~_E~_Si71~~)h ~lP/1d~e.-__ s!Je(l!2_____._________...__..______.. I, I , 'ft.' ~I BurLnINC1 !:llZEl !g..6.~....IJdti._5X0 _ SQUARE FOOTAGE --4(::) /1~<i..QO HElHUlT .2~v:~~/~ RBJBIDBlNTIArII (m~1MeJRl!IArJ I A'I"rACH (2) PI.JOT PIJAIIS & (2) 8ElTS OF BUIT rilING PLANA & (1.) 8ElT E1N&1RnV p'nR~1S, A'I"li1\(!H (3) SETS OF BUiI~DING PLANS & (1) SET E:NER(~Y FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, FERMITS RBQUmSTED [1 BllJI,IJINn $ -~.!Ili.. if 7 __LlI-/1_..___~ VALUATION OF TOTA11 COHS'rRIJC'rWN L1 BJLBl(~'1'RWAI, AMP SERVWEI o P'{,r)RIOA POWER [J W,R,tlI,O, [] I?Wf18INC3 U I1ECJHANWAL $----lY.M.. .. VAI~UATION OP' fi\ECHA.NCIAI, U1STAl,l,ATH1N [] (lA8 L!ROOFIN13 LJ SPEcIAUry [] OTHER 'l'YPBl OF CONS'l'RUC!TION I [) BIlJCK [J FRAt1E1 [J STEEL ~ OTHER FIN ISHEll FI,UOR !JlIJEVATIONS r S PRO,TECT IN F'LOO[) ZONEI AREA n YES M NU BUITJOBlR COri\I?ANY~ _~--_...___.._____._.._..____...__ 7~ -d -/ .. c:./. J II STATE CfJRT OR REGIST # ...._______.......____.___...,_______ SIGNATURE V!!!(!~L~_~r;r=-~_---____ CITY PROCESSING L_.________________.__..______...._...____.. ****************************************************************** st,B1olrRI dUll S J <mATURE _."__ . .~-_._-- --- -._----_.-- - ----.-.--- .---_. ._-,._------------~ cot1PANY ______________ _____ ________. _____ __ _____ STATE CERT OR REGIST # CI'rY PROC:E8snm # ._~-_.--- .~'-.'.-". ---.-.------... ...._...__.~ ..... ---- ****************************************************************** _._---,---~ .--.---.--...--.. . .--.--..------ PJ~UMBBlR .-...-....,.......__._~.~...-...__..._-....- ----- C!OM PAN Y ---------________.,.--_____.._______.._.__._~__..._ STATE CBlR'l' OR REGIST # ______~__.___..__.... CITY PROCESSING # S WNA'l'I1REl 8 WNA'1'tJlUl ****************************************************************** Cot\1PANY --..---_________ ...--.------.____..__..u..______._.. 8TA'rEl (~HlRT OR REiG 18'1' #____ _._____..._____________.._ _..._..__. C1TY PROCESSING # --...---.~.--'___4_____~__~_____ MBlCHANICAf, -"--._.--._------~--_.~---_._-_....,------.._---- ***************************************************************** - ----..-.------------.-- -----,- ._-,._~_..~~ OTHER ---~_.__.,._------~.----_. r.!CJ!.1PANY S'T1\1'El CEJRT OR-MGIST ~r----_.-----u----------- CITY PROCESSING # -----.------------.---..-----__.. 8 WNA'l'tJRE **********~*********************************************~******** ------~.. ---_.__."._--~._...-_._- "--- ... ". -~.'-'----~' 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 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 conunencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforrnation 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 conunenced 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 Bayhead~1 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.S. 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 conunenced 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 conunenced. 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 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 --.Pay of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 19 (name of persou ackno\'/ledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid []did not take an oath Dwho has produced (type and whoD did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or st~~ ._---~._---"- _io ___,,.-_c_._- . .....------- CITY OF ZEPIIYRHILLS BUILDING DEPARTMENT OWNER (J/J/ it/; C S/'I/)-h. JA JOB LOCATION :5 cPO 3 L/ ,( ,4;'vrJ;v{\l"l -<00 LJ I' PA EL . # Jd -dJ(p -.;:2/- OIf40 ~. outJoo - 0/::/0 RC I.D. ':L snON ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 7b I ..5 (( ?-/a $~ \~y &0 ,.. f? 0 /('0 ,. 'J~ ;:tS.,V. (Vb~~ J\ ~ ~ ~~ f"" \~ SAed fO' I---~L/~# ~ - //'3" ---. -- ---2_ J____ 018' '\tJl -' jt) ~ f\:7 \v.~- ~o'O\ V lj 0' '-0tf- . /;.' Sl;~d 5~L~ q' ~cJ y~t~ Q-. tj)t\ jJ . ~t? ~~ .if ~?~'V i ~_nn r - dOl t f\Q.. I I QOQ.--< 3JI~/,/ II I 1 i I --I '1/lrY" cJI-{ I // ). UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. - FRONT PROPERT 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' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRONT PROPERTY LINK FRONT PROPERTY LINE