HomeMy WebLinkAbout92-2531
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 2531/3
7- d-(J-- 9 ;;L
Date
~
~
~
ME~L
Sewer Conn
P<opertyOwn., ~~:; ~ .HI/;
Job Address: 3_J) _ _M.
Parcell.D. # / L/... C2t - ~/ -- 0 DoC - 0 Od.- 0 0.- 0 C) c:;') C
Zoning: Energy Code: Radon Gas: 7 fr-! -<2...1-(1
Description of Work_ ~ A.i?"2..4--t _.ll.......~ cf- ~~./\~4
Water Conn:
Water Meter:
T,I.F.'s:
"'"
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
P~rmit Fee ~6. D ~
Signature ~~C),
Company
Address
Telephone#
;;:./7
--f '
Valuation or
Contract Price
.?'()(J. 0--0
City License Registration # / .{;, 0
State Certified ~cense.H
~()~
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E~ICAL
---..
PLU~G
---
MEC~AL
----..
Tp, Servo
Rough In
Meter Can
Const, Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Ftr,
Pre SLB
Lintel
FRM,
Insul. CL
WL
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.
APPLICA'l'lON l.'ul< PUUIl'l'
CITY OF ZIWlIYRlIlLl.S
BUILDING D~PAH1~ENr
APPLICANT /JCC /lLt1/J1.
AD()RESS .:]R'Stfr- j'IJ/fl1 tRtJtI.I! /).4..
I-! "./<- /If/)lt) ,It~S"
fJ/1#~
PHONE
7cf.J ....Jtlb
OHNER
JOB LocATlON-1K/P 7
/)/< .
.
.
LOT S IZE-Sk..X. PI? AREA SQ. i"T . 7~?
,
LEG,^1. DESr.RIPTlON: LaT(S)
BLOCK
SUBDIVISION
llARCEL 1.0 .It
/tf-:lf- /)/- ~tJ~tJ- ~"dloO-~tf)~CJ
HaRK pROPOSED:____New Construction ____Addition ____Alteration ____Repair ~nstall
____Sign/Temp.
l'R()l'OSEl> USE: VSingle Family
_Sign
_Hove
____Demol ish
_M/F
_II of Uni ts
,_tl/ll
____Commercial
____lnduGt.
_Swim. Pool
Othcr
_Restaurant & lIealth Department Approval
mHLDING SIZE; //1 ~.
;2t?D
Sq\lal'e Feet,
J>'7t?~;'
Height
Rt::SIDENTlAL: ATTACH (2) llLO'f PLANS & (2) SETS OF BUILDING l'LANS & (1) SET ENERGY i"OHHS, Ai
CUmtEHCIAl.; A'l"fACtl ()) SETS Of' BUII.DING l'l.ANS Ii (1) S1::T ENI::HGY FOHNS. *.
*toCOPY OF CONTHACT REQUIRE[).
~UILDING
PERMITS REQUESTED
$
0'~t:J, & p
Valuation of Total Construction
_ELECTRICAL
AHP Service
Florida Power Corp.
._H,R.E,C,
__MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOnNG
SPECIALTY
.J
TYPE OF CONSTRUCTION: _Block
_Frame ____Steel
.19~ d flI .
Other'
n Nl SilEO FLOOR El.F.VATTONS: FT.
. ,
.......................*.**.......*.......
Signature
,'L' A CONTRACTOR SEC'llON /U-r- ~"/fII
~ Co",,,ony ffl--~ fl' .
~. .. Stafe Cert. or Regist. U CeCP~if~rO
- - - City License Registration II //-t!)
.......~.............*.~.....*.*......***.
.\IUlLUfR
Jl.LeGTRTCTAN
Company
State Cere. 'or Regist. #
City License Registration U
*to......**.*.*...*.*.****........*.*.*....
Signatllre
l'LIlNBER
~~~nature
Company
State Cert. o' Regist. #
City License ReBhtration II
*.....*.......*,***........*..........*...
m:CIIANl CA l.
Company
Stale Ce~[. or Re~l~t. #
Ci ty License HCBlstnltlol\ II
*..*....*.*.......................,....,.*
Signature
OTllER
Company
State Cert. or Regist. U
City License Registration #
Signature
*.*..**..****..***.*......*.****.******...
AP1JI.ICATlON APPROVED BY
fERHlT OFFICER,
"
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Cu\'m 11' i u\~S
,d- HH\V n
A. NOTICE OF DEED RESTRICTIONS
lhe und~ni9ned uflder'\i~d' \hit thi, pnlit 'i~ ~. illbiect to, 'deed rutriclillr,,' wbich uy bi: IlIrt re~tric\ive \1,.11 City
reguli\loJl~. the IIl1dtrugned .nUlI!i rupollliiblllty for ClIlplulIU lilt" .IIY ipplit.~le d~ed u:~\r ic\illll~.
B. IJNLICENSED CONTRACTORS AND CONTRACTOR RESpONSIBILITIES
If thl IIIlIlH hili hind. c!ln\ru\or or con\ruhra h underhkl 1I0rk,. thlY uy be requlred tll bl lice~lId ill "cord.llce Mi\h
.\ile ind toul relju\iUIII\l;. If lhe nnhic\or I' not Uunud .. requihd by hll, bo\h till OIlIlU i/ld clInhulH uy be
cUed for . 1l1lduunllr vto"\i~n ulldl!r ihhl I ill. If \lIe IIl1l1l!r IIr 'Ilhnded collh.uhr u' ullcuhill .. \II IIha\ hCeh~11I1J
requirlllent5 uy apply fllr lhe IlItellded Ilor~, they if. advhed h Ullhct thl CHy of Zephyrhill. BuHdillg Depifheht, 18\1l
'188 -bb II.
Further.ore, if the IIWlltr t,a' hired. clIn\r.c\or or contractllrl, h_ ia idvi.e4 \0 have the clIntr.,tllrli' sign portilllli III tIle
'ColI\ractor Sectioll5' of \lti. .pplication fllr IIhlcll they 11111 be re5plln5ibl.. If Y"U, al \h. !llIlIer sign al 'hi C!lnlrictllr,
Yllu are i~diciting lh.t YIlU, ri\her tbin \he tlllltric\or, are reipllniib'e fllr the IIl1rk, If lbe ClIlIlr.c\IIr Iliillta y"u III ~ilJlI
a, cllntractllr \ha\ .ay be in illdicatilln \ha\ he i. flO\ prllperly licl!hied ahd is 1111\ entltled \11 perlit\ihg privilelJ~s ill I~~
City IIf Zephyrhilli.
C. TRANSPORTATION IMPACT fEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAP~ER 713, FLORIDA STATUTES, AS AMENDED>
I certify that I, \lte .pplie.n\, bave been prov~ded 1I,'h,. copy of 'florl~i" Con,\ruttl~n ~ien ~.M - "1IlellMller's Prlll~(li~1I
6u~dl' prepared by \hl florid. Depar\len' of Agrlcul'ure aod Con'Ullr Affair., If \he applic.n' 15 illlallOI "'~Ir lbill l~M
'~Mller', 1 cert~fy l~a' I hive ~~lained a ClIpy of 'hi abllvl delcribed d~culell' alld prll.i.. ~n g~od,f.l\b 10 dMI\ver II l~ Il,~
'~wntr' pr~lIr \0 cOI.ence.I!II\. \
E. CONTRACTOR'S/OWNER'S AFFIPAYlT
I certify 'ha' all the lnfllr.ati~n ~n tbi. .ppl~tatllln ls accuri\. and th.t .11 llllrk Ilill be dlllle in c~lpl~'hce Mith .11
applicable l'll~ requl.tinq elln~\rue'i~nl z~ning, .lId 1.lId dtvelopaell'.
Applicitlon i. hereby .ade \11 ~b\.in a per.i\ \D dD work and ~n.lilli\~~n al indici\ed.1 cer\~ft lhi\ II~ M~rk ~r
in~'alla'illn h.. cOI.eneed pr'llIr to ~5~uance of i perait alld IlIat all wlIrk Ilitl be ptrfllrltd '" lee' ~\illd.rdi IIf .11 I.~~
regula',nlj con5\ru,lion, CI\y C~~I!S, zoning regul.t~.n', and l.nd develllplllI' regul.'illn~ in 'he iur'ldiclilln. I .1111
cer\lfy llt.':1 understand \bat \lte regul.'ioni of .\her gllverll.en'al agellcll!' a.y jpply \11 'he in\thded MlIrk, alld Ihil il I~
.Y responiibHity to idenUfy IIha\ acUons Ilu,\ tiki 'II be in cfllpliar'te, Such a9trlC~1I5 irlclude ~lIt .Ie II~\ Illil~d 1111
7
I Depar\.en\ of Environ.ental ReQul'~~lIn - eypr... 'ayheadi, Wetl.nd Are.. alld Envlrllnlen\i\ly Sflliili1e lihds,
Water/Waitewi'e' lre.t.ent
I SouthMe.t florida Water "anaQelen~ Dli\rlLl - Welli, Cyprei5 Baybeadi, We'lalld Areas, Al'trillg Wa'ercllurifi
. Bray [lIfOl of EnQloeer, . SeaMalll, D~ck" ".v~,abl. WilerMiYI
I Dt iarhellt IIf "tilth L Rthabil'htlve Ser Cli nvironaen iatJ!!jlth Un~\ - Welh, Wulewihr heilee,,'. Septic links
. ~S Envirllnaen\il rr~Ie('\~n Aqency - A.be.lo, ab.teaenl
I .110 certify that, If fill .alerlal Ii 'II bl uie4 in flood 2l1ne 'A' or 'A.ete.'. ~\ II underilll~d l~.\ i dl.~nigt plih
iddnuinlj a 'cupenu\lnlj v~luall' MU I be .utl.ltted IIh~cll il prepued by . prohnifln.1 er,gir,ur rllqllil"icli'ill Ihe SI.le ~I
floridi prlllr \0 per.i\ is,uiante. I
..
,
, I
A perlit iSlued ahall be con5trued \0 bl a lleen'l '0 proceed willi \hl IIl1rk and nil' a. .u\lI11rity I~ vi~I~Ie, callctl .lltr, ~I
ie\ aiide any provi5ioh5 Ilf \be \echn~cal clIdei, nor iball iilu.nce of a p~rli' prevent the BuildinlJ Uffici.1 fr~1 ~h~re~lltl
requirin~ . cllrrtc\illn of eHlIrS in plin., cllnitrl!CUlln. IIr Villl.tilln, IIf .ny Hld~, Every perai\ is~u~J ~I'il\ ~ec".e ili~~lld
unlllf>i the work .uthllrized by such penH ~Ii COlleneed .."bin liil lor,\h, pf iuuanct, or if IlIlI k iU\~lIllZed by thl! ~er'll i~
suspended or .~ahdoned f~r . peri~d of i\l lon'bli .f\er \be \il' 'he NlIrk ii Cll..ellced. Olle 90 dif c~lill~IOII 01 lilt, &4t Lc
.lIl1l1ed for the perail wilh he ,hir~e IIf U:i.OO. lhe uhnli\lIn fil\all lie requelihd ill Ilrlling \11 Hill Dui IdilllJ Olfici~1. (,1'
ii~proved in~pectillll IU'\ bt 109ged during eacb Ii~. 11I1I'h ~eriod. Ilr ~be prlljecl lIill be cllr,sidered "b~hdllr,id.
5IGNATUR
TO RECORD A NOTICE OF COMMEHCEMENT MAY
I PROVEMENTS TO YOUR PROP.ERIY. IF YuU
ULT ITH YOUR LENDER OR AN A'TORNEY
COMME CEMENT. JOBS UNDER "'2,500 IN VALUE
A "t;et ICE OF COMMENCEMENT ".
c."f
..
WARNING TO OWNERs YOUR FAILURE
RESULT IN YOUR PAVING TWICE FOR
INTEND TO OBTAiN'FINANCING, CO
BEFORE RECORDING V R'
DO NOT NEED ECO
NOTARV AS TO'1fi6! ~;rl; "-JIl
OWNER OR AGENT__ }_5I~_~~~~-
1<- 11{1...C CiJ .:J llhl? ttWN
MV COMMISSION EXPIRES______________________
KATHLEEN J. BROWN
S1ale of Florida
..,=~~~995
NOTARY AS TO ~
CONTRACTOR___~~- ~~~~ .~~~~
k; TH u:=:.DU 'f:. l!if;;;j CIj
MY COMMISSION EXPIRES
ti\
KATHLEEN J. BROW!,
Slate or Florida
U,=~';U1i995
j)PpO ~<</<},
1)-2? <7 L-
SITE PUN
(J:.ESL,ENTlAL USE ONLY)
PARCEL 1.0.
SEC
TWP
F.lG
SUBD
BLOCK
LOT
DATE
7t/?~
'7, ;2 ?~ ?~
CURRENT OWNER8
)b afL,--.-
l1 ~R.- m.J-H-fJ Nt '-- ~
PROPERTY MEASUFEMENT
All drawings S 111 be drawn to scale for all parcels or 1pts five acres or less.
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SHOW ALL EXI:,"ING AND PROPOSE,') STHUC11JRES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE
A},"i BODIES (iF WATER AND ROA;)WAYS (It\CLUDING NAMES) ADJACENT TO THE. PROPERTY. INDICATE
THE SIZE, Y:':,\R, AND NAME OF MOBILE: SUCH AS 121 x 601. 1981. FLEETWOOD.
"
HOUSE CONSTRUCTION l-"-
"ALL: .-. ..,'
roar (6011.) ,
PROPOSED ADDITION
MOBILE HOME SETUP
IC..&\.[; 1-. .0'
'CALl: ,-. 10'
J
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o
Q:
roor ( 60 It.)
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20'
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20'
~O' 40'
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0 0 '0 0
on
7,~' 2 ,., 2~' \Do! ul.llnO on
- - M D Sl,.d ~
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M M ..
110'
P/L
ROAD NAME
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ROAD NAME
ROAD NAME
sit.enl:}l\:cP'