HomeMy WebLinkAbout92-2375
BUILDING PERMIT
Permit
237;uf
Date -r-:2 7- 9 fL
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0ECTR1CA:u
CITY OF ZEPHYRHILLS
(813) 788-6611
N<!
ME~AL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: ',7E~e'QV C,Ode, . A,don G..,
oe'e';Ptlono~ ~;i(j/::::!:JA.) .A~
,
NO OCCUPANCY BEFORE C.O,
FINAL 7- ~-Cf7...
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C,Q.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or ~ . e ~. ~
Contract Price ~ ~ .-
Inspector
Permit Fee ~ dl)'
Signature ./fI e4/1./V\~Tj" t.~
Company
Address
Telephone#
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r:;;~ILDIN(,.J
0~E~~'~~ SO
PL~-
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MFr~^f>J1CAt-
Tp. Servo SLB
Rough In ~ "'-''5.-q2-~~ub Set
Meter Can Water
Const, Pole Sewer
Pool Final
Pre-Meter
Final
Ftr,
Pre SLB
Lintel
FRM. -'D -\ 5- q:J. 51 LL
Insul. CL
WL
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 ($15,001 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.
Glass room \vall construction
ullcler \vOOLi roof
. 2x3x.070 top beam
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I I 2'1/4" thunderbots
! I fastening wall through botton
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I.! plate to .Iab 24" ole
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I 1..1 )(3x.070 bottom plate
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! 3x3x.125 uprights
154 1/2" ole max.
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I 12x3><.070 cross
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! I uprights with
I 11x1x1/16 angle
I i and 4 #-10 screws
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1><-1><1/'16 angle clip on both
'., sides of uprights fastened
to top beam with 4 #10
::;crews in each
uprights fatened to bottom plate
with 1 x 1><1 /16 angle and 4 #1 0 screws
CITY' OF ZEPHYRHILLS B1JILDING DEPARTMENT
O\VNER Mr. klein
JOB LOCATION 5827 '11 th street
PARCEL LD. #11-26-2'1-0010-03600-0030
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS
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REFL.t\CE EXISTING H' AND '\ O' SCREEN i I I ./ i
\tVALL:3 VI/!TH 14 X'10 GLASS\IV..".LLS ----I-' +-~ ! I -F--4~:7-----11
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,ADD ELETRl C ..."CCORDI NG TO CODE-- i I 111 ~ Ii
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44.78'
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]'1 TH 3TREET
APP1..:J.CA'ITO:j FOR !'P..:RKIT
CIft (;JiI' ZEPIIl'RIIILLS
BUII:;YJ<<; DEPARJMF..Nf
OWER'S RAKE 111[/1. )~----
OWER'S AnDRESS jg d' '7 II t::b C;~.'-_ ._-
PHONE
789- 7/t'JR
JOB ADmlESS_
:r" A /YVI J2.
LEGAJ~ DESCRIP'l'Imi: wr(::;;
~smmIVISION
'PARCEL LD.t II--::Lb - ,:J- J
00 I ('/ ~ C "? (,~ C. 0 ~o () ~~ 0
WRIt PROPOSED:_lIlew Construction .---.Addition ~A1teration
_Repair
_Install
_Sign
_Hove
_Deao1ish
PROPOSED USE:
v"'Single Faaily
_KIF
.__' of Units
_KID
_~rcia1
_Indust.
_Swia. Pool
Other
_Rest:aurant 5: Hea1t:h >>epar-.ent Approva1
,10 F X /.'r//.
BUILDING SIZE: . ~':L
Square Feet.
Height
RESIDENTIAL:
COHKERCIAL :
ATTACH (2) PLOJ' PUUIIS 5: (2) SEIS OF BmLDH'G PLANS 5: (1) SEt' RNERGY FORKS. **
ATI'ACB (3) SETS OF BUII.DIHG PI..DS &: 0) SET ENERGY FORMS. **
**COPY OF COMrKACT RIlX!m:KED.
PERKlT~ REQUESTED
_BUILDING
$
;;J933
Va1uation of t'ot:al Construction
_ELECTRICAL
MIP Seryice
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
_Va1uation of Kecbanica1 Installation
_PLUMBING
GAS
BOOFDiG
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Pralle _Stee1 (l1l,1-v1 /~'1Nh/\.
Other
FINISHED FLOOR ELEVAnONS:
FI' .
IS PRO.JECY IN FLooD ZONE AREA?
YES NO
******************************************
COtn'RACIOR ShCI'IOM
Signature
/-(ei1/YljJ~
COIfPANY L-, I? 141 cA> eLl
St:ate Cert. or Regist.' R 13
J2~ City License Registration ,
******************************************
t~J-~
RmTJ)ER
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~~ C~..",
COIfPARY --/ (~/ ~ A-.b
Z( 1 ~ Stab> eei't. or Regist. I e /fJ 0';>" ?' '" ~"
~ City License Registration t ...)-,2:;' ".
***** ***********************************
COIfPABY
St:ate ,Cert. or Regist. ,
Ci.ty Licpnce Registration I __..._._
************************-*****************
PLUKBER
Signature
KECIIAlfICAL COIfPARY
St:ate Cert. or Regist. ,I
Signature City License Registration ,
**********************~*******************
OTHER COIfPANY
St:ate Cert. or Regist:. I
Signature City J.icense Registration I
..********~~~*****************
APPLICATION APPROVIJ'D BY PERKIT OFFICER.
C~NDITIONS OF PERMIT AFFIDAVIT
A. ~~TICE OF D~~D RESTRICTlqNS
The undersigned understands that this per~;,tIiY be subject to "deed r~~ti'\ctions" Mhich lay be lore restrictive than Cii'y
regulations. The undersigned assules responsi~iliiy for cOlpliance Mith any ~pplicable deed restrictions.
B. UNL I CENSED CONTRACTORS {~ND CONT13A~-:TOR RESPOhlS I 1:3 I LIT I ES
If the owner has hired a contractor bT ~ODtractor5 tg u~ertake "Ol~~ they lay bE ~~quired to be licensed in accordance Mith
state and local regulations. If the contractor is not l!censed 2~ required by law, ;~th the uMner and contractor lay be
cited for a lisdeleanor violation under state law. If the o~ne: or l~t~nded contractor are uncertain as to what licensing
requirelE!nts lay apply for the intended work, they are advised" COiitact the Cay of Zephyrhills Building Deparhent, (8131
788-b611.
FurtherlorE!, if the owner has hired a contractor or contractors, he is advised to have the contrartorlsJ sign portions of ihe
"Contrachr Sections" of this application for which they lIill be responsible. If y~u, as the ""nei sign as the contractor,
you are indicating that you, rathE!r than the contractor, .re responsible for the work. If the contractor Mishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting 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 Consu.er Affairs. If the applicant is sOleone other t.han the
"owner", I certify that I have obtained a copy of the above described docu.ent and promise in good faith to deliver it to the
"owner" prior to cO'lence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulatitq 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 Nill be perforled to leet standards of all laws
regulating construction, City codes, zoning rE!gulations, and land developlent regulations 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 Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environaentally SensitiVE! Lands,
Water/Wastewater TrE!atlent
f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, DOCKS; Navigable Waterways
f Departlent of Health l Rehabilitative Services. Environlental HE!alth Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestos abatE!tent
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
addressinq a "colpensating volule" Mill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A perlit iSSUE!d shall be' construed to be a license to procE!ed with the worK and not as authority to violate, cancE!1 alter, or
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 beeole invalid
unless the work authorized by such perlit is cOltenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day extension of tile, 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 COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOP. IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCINS, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMHENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OP COMMENCEMENT".
_if ,p/1/I~-r;t;:.. J,,/I (} 1. ~
SIGNATURE: CONTRACTOR
(3&00 - 517 - 7:;; - c(J/!
STATE OF FLORIDA ~
COUNTY OF ~~
The foregoing in t1-ument V.IrJs. ~Cll~lEdged
before me this , lY by
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SIG MURE~ e ~UF.R fiR AGENT .
j(~ 57J ~ ~;( ,- - ;l (; - ~ rr-
/:
SlATE OF FLOHID~~n ~
COmH" GF ~ ~_-L-U
The fnre;:lo i n9 in,J'i:;;p'. w.s ."knowledged
befol-e me this! 1 , 19..!:lIl by
!-J..OL{O f::, keEI!'./
who is per~n~ltY kno~n to me c~ who has
produced Ld!J()[.(25 Us'fJI.X!l=
~:0~;;t~ Z;~d not
(Si)ilnature U
CHEl2lfL J DEI3'fArI
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
-Dl-P<-A--LJ apAJ .s-I / c; 7 3
KEAJAJE7H R.tdW612-
who is pel-!:'311Y kno\'1ll to me or_whO
produced / 'C..r U~t2 LIe GtlJ(l C::-
as i entification and who did/did not
tal-; lal oath.
has
~
(SignAture) 'A
C t-!EI2VL J. UE8Y4r1
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
--.--L,V-~ {c,p0 6. /'773
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CUSTOMER TELEPHONE
PHONE 782.5312
Chaqe Order No.
, t'
L.B. McKell Construction
35648 Chancey Rd,
Zephyrhills, Florida 34248
Contract No,
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*"'AJUNG ADDRESS
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CERTIFICATE OF COMPETENCY 45
State Registered
Building Contractor RB0012335
T~RMS
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WORK TO BE COMPLETED
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GUARANTEE: McKell Construction
guarantees Work against defects in workmanship
for a period of one year to the original
purchaser. The guarantee does not cover
damages caus~d by high winds, tornadoes.
hurricanes, or any other acts of God,
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Authorized RepreseDtatlve
In event Seller has to sue for collection of all or any part of contract
price. purchaser agrees to pay collection costs including reasonable
Attorney fees.
SlIB TOTAL
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$
SALES T.-\\
RU 11,01 ~(; PER:\IIT
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PURCIIASER
CHAND TOTAL
Please make all checks payeble to Lewis B. McKell.
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