HomeMy WebLinkAbout92-2310
BUILDING PERMIT
Permit
23108
Jj- ;) 9- Yd.-
CITY OF ZEPHYRHILLS
(813) 788-6611
N~
Date
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pmpertyowne~~j-~ j:~~f'5~ a~d
Job Address: 0 ~ - , A.. ..
Parcell.D. # //- ::2l. -:2/ - i - / </'1 - / }-..,.Ir~o
~Il!g,"."
--~......"
M~l<;:!,L
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
Oe'.,;ption 0; Wo,k ~ j__ (- ,;J.
~7--/ -.'. >'
/'
t-.
~ ;?~7A
Radon Gas:
?~j(
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
-0' ~'"'"IJ
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#- .--1 <.t.'/1.-1. -
._ L
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or
Contract Price
7 t/:tJ
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Permit Fee
Signature
Company
Address
Telephone#
Inspector W II I5l
,:-2 () in)
1(f"11 1-,,04, ~/U~__/''-
City License Registration #
State Certified License#
~7
.
c!:t;::; 1JMk
-;;;;~LDING - -
EL~___
PL U M13tN.G....
~'--..~.,
MEC~L
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv,
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 Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site,
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATIOIl FOR PERKIT
CIn OF ZIl1'UIKH IU,S
BUILDDIG DEPAR'IKEm'
OWNER'S lWtE Sf,
."j"o--.d.D p.L ''eN ~ e-
rh , .I ,{JcL PIImiE
3.8 .80-d-.
"/2>'"J-- ;). 8' I 3>
.$' :e.h A ue
OWIiER'S ADDRESS
.- .'
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.:. ".... j
JOB ADDRESS
3~ ht/o
b~
Clu~
d
LEGAL DESCRIPl'ION: UJI'(S)
Il10CX
SUBDIVISIOIl
PARCEL I. D. t
WORK PROPOSED:_Jlew Const:ruct:ion
~t:ion _Alteration _Repair
_Install
_Sign
_!love
_Deaolish
PROPOSED USE:
\/ Single Faail}"
_"IF
_, of Unit:s
_K/H
_~rcial
_Indust:.
_Swia. Pool
Other
_Restaurant &: nea1t:h ~t: Approval
;
BUILDING SIZE: .: --, A, I ' ,i. /I X;lt--/ / Square Feet:,
Height
RESIDENTIAL:
COttKERCIAL :
AtTACH (2) PUJI' PLAIIS &: (2) SEIS OF BUILDING PLAIlS &: (1) SET ENERGY FORKS. **
ATrACB (3) SEI'S OF BUILD:urG PLUS &: (1) SET mmRGY FORMS. **
**COPT OF CONTRACT REQtlJIRED.
PEmlITS REQUESTED
_BUILDING
$
700
Valuat:ion ()f Total Const:ruction
_ELECTRICAL
AIfP Service
Florida Power Corp.
W.R.E.C.
_HECIIMlICAL
$
Valuat:ion of Mechanical Installation
_PLUMBING
GAS
ROOFlliG
SPECIALTY
TYPE OF CONSTRUCTION: _Block. _Pralle _Steel 5c eet'/1 rrr;orYl Other
FINISHED FLOOR ELEVATIOBS:
PT.
IS PROJECT IN FLOOD ZONE' AREA?
/
YES NO
******************~****~*****************
(DJI'I'RACI'OR SECTION
BUILDER
COl!tPMff L. B. IlYkt'rll
~ Stat:e Cert:. or Regist:. , R'I?
1( A e./l~ City License Regist:ration ,
******************************************
z iy.:;h ,:pe O/lIlt? wotek.>
001 ;)-3:5 5
JT7
Signat:ure
ELECTRICIAlf
COIIPARY
Stat:e Cert:. or Regist:. ,
City License Regist:rat:ion I
******************************************
SiplUllt:ure
PLOIBER
Signat:ure
COl!tPANY
Stat:e Cert:. or Regist:. ,
City License Regist:rat:~on I
******************************************
ItECllARICAL
Signat:ure
COl!tPARY
Stat:e Cert:. or Regist:. I
City License Registrat:ion I
******************************************
O'T'IIF.R
Signature
COl!tPANY
St:at:e Cert:. or Regist:. ,
City License Regist:ration ,
******************************************
APPLICATION APPROVED BY
".~'1
/ ( dAU"AD
~ i
"> J ,L/)./i1.... r
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contract~r is not licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
reQuirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
798-6611.
Furtherlore, if the owner has hired a contractor Dr 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 sign 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
D. CONSTRUCTION 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 - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
"owner" prior to cOlleneelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIl
I certify that all the inforlation in this application is accurate and that all worK will be done in co.pliance with all
applicable laNs regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worK or
installation has cOllenced prior to issuance of a perlit and that all work will be per~orled to leet standards of all laws
regulating construction, City codes, zoning regulations, Jnd land developlent regulatiors in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, W2tland Areas and Environlentally Sensitive Lands,
Water/Wastewater Tr~at.ent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
+ ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environ.ental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating voluee" will bp. sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as ,authority to violate, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole Invalid
unless the work authorized by such perlit is cOllenced witnin six lonths of issuance, or if worK authorized by the per~it is
suspended Dr abandoned for a period of six .onths after tne tile the work is cOltenced. One 90 day extension of ti~e, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth 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 ~ITH 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 OFCOMHENCEMENT".
I
~..ro" ~lfa"-9:rQ~
~ATURE: OWNER OR AGENT
.~.~~
k.p~ IJ~
SIGNATURE: CONTRACTOR B &M' - 5 J Q - /d -;) II
STATE OF FLORI9A'/ _"'\
COUNTY OF <-f~c..v
The foregoin? ~)trum~t
before me thlS7~ ~
I
was acknowledged
, 19~ by
STATE OF FLORIDA ~
COUNTY OF ~<::i2.>/C c:>
The. foregc,ing inV?tf.me~It-Jas aCknc.,It-Jledged
hefnl-e me t.h i s _ I Z- ~ 19 _1.._'"?-:-. by
who is personally known to me or,whD has
Pl-Dduced
~en 'flcatiDn
~ 'loath.
~~2~C~A'
(Name Typed, Printed Dr
NOTARY PUBLIC
a tun~ )
-r J!.. tl!- I A-
(Name Typed, Printed
NOT ARY PUBL I C :;otary Public, State of Flor;[;
My Comm. Exp Sept. 3. 1994
J:~
Stamped)
:';otal"\l Public, St8te of Fir'
.MY. Comm, Exp Sept. 3, L
\
\
OWNER
<.J-:
-
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
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.::rn,~~ph_~ ,~+}y, Ie CntA ICe "-
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315(, '-10 b.t::b- ..4-~ e
JOB LOCATION
PARCEL 1.0. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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c~: $/--'113 gu,'kI;"'J;
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
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1.97 r
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ALLEYwAY ACCESS FOR
GARAGE OR CARPORT
15 FOOT SETBACK
REQUIRED.
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FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
.
SETBACKS FOR R3 ZONING
60' \\
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
10' V
P E
R X
0 I
10' P S 10'
O. T 1 0'
S I
E N
D G
20'
FRONT PROPERTY LINE
t.
10' ' !
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 '\UPLEX
1 0'
FRO~T PROPERTY LINE
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