HomeMy WebLinkAbout92-2759
BUILDING PERMIT
, .3.5>-' t7V , .,.2@ __ cro
CBUllDI0~r~ PLUMBING
P,"perty Owne, P1/D^'~.
Job Address: "'? i ___ _ __--=
Parcell.D. # /;J-~. J-/-OOYO ~ 6 0.:.1-00 - DcJ/ D
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N?
2759 B
Date / / - Y -9..2..
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: Energy Code:
Description of Work ~ ~if e. ~
~ _ Radon Gas:
.A'~ "
NO OCCUPANCY BEFORE C.O.
FINAL 3
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector G?~
City License Registration #
State Certified License#
P~rmit Fe~ ~t7V ~" ~
Slgnature~ _ /( ~ __
Company
Address
Telephone#
Valuation or
Contract Price
..3~~o . C/O
"
Ftr,
Pre SLB
Lintel
FRM. 1"2. -2q,,'12.. B\ ~
Insul. CL
WL
p, Serv, SLB
Rough In 'd-~ Tub Set
Meter Can Water
Const, Pole Sewer
Pool Final
Pre-Meter
NICAL
Breakers
Ducts Insl.
Compressor
Final
Driveway
JJ -I?,. 1M; jL!inal
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,
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SHOW ALL EXISTING & PROPOSED STRUCTURES G1VING DIMENSIONS & SETBACKS.
I- L1Cf ,
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT
15 FOOT SETBACK
REQUIRED.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2)
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1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E
R X
0 I
10' P S 10'
0 T 1 0'
S' I
E N
D G
20'
FRONT PROPERTY LINE
#,
\....vI 0" \!....
:...>'
l.. ~ r4?S
")- I. ~ 4 t. :!)
-~'h"H
4, ~/.t~/x~
":;1 Of
I
FRONT PROPERTY LINE
STREET 574/J1I<'- It
2. SETBACKS FOR R3 ZONING
60'
10'
10'
EXISTING
10'
PROPOSED
20'SGL FAM
30'DUPLEX
FRONT PROPERTY LINE
:-
~N
1 0'
APPLICATIOlNl FOR PERKIT
CITY OF ZEPBYRIIILLS
BUJII.DlliG DEPAR1'1!If!.lNIT
OWER'S NAKE m-e/VJ'/I) f toue {Ia ~O H tv 50V~}
- ? r t, /J v-c.....
? r + /!It'~
LEGAl. DESClUP1'IllIIg tareS) / ~ IlI.OCI<: ~SDBDIVISION 2.y I~r :- 'J';(1t, ~"I LJd }NJ
PARCEL I. D. f r' 8 . ~ f -: / ""'" / 7 ). t 1;/, '/7 cJ 002 ~ a . l?tJ / 0
WORK PROPOSED: V';;ev Construction _Addition _Alteration _Repair _Install
PHO~ 7g;J. - 9 //~
OWNER'S ADDRESS 39 3 ~O
JOB ADDRESS .~Cf 3 S- c; -
_Sign
_Move
_Deaolish
PROPOSED USE:
Single FaJlily
_KIF
_, of Units
_K/H
9 d r tJ J -e... Other
_<=<-ercial
__Indtltst.
_Swa. Pool
BUILDING SIZE: J.fL-x~,
_Restaurant &: Health Deparblent Approval
L3~1'
Square Feet,
13
Height
RESIDENTIAL :
COMHERCIAL :
ATTACH (2) PLOI' PI..MllS & (2) SEI'S OF BUILDING PLAlNIS &: (l) SET EHERGY FORMS. "'...
ATTACH (3) SETS OF BUIIDDG PI..MllS & (l) SET ENERGY FORKS."''''
"''''COPV OF CONTRAC1' ~UJIlUlD.
XBUILDING
VELEcrRICAL
$ tJ.;. 00
~
PERlIIITS REOUJRSTIID
Va1uation of Tot:a1 Construct:ion
AKP Service
I'lorida Power Corp.
W.R.E.C.
_KECHAlUCAL
s
Valuation of KechanicaI Installat:ion
_PLlJKBING
GAS
ROOFlliG
.
SPECIALTY
TYPE OF CONSTRUCTION: _Block -$Fnme _Steel
Other
YES
-X
NO
FInSHED FLOOR ELEVATIOltiS:
FI' .
IS P.RO.JEC1' IN FLOOD ZONE AREA?
...........*............................................................................................
COlWl'RACIOR SECTION
BUILDER
CO!IPAlfi
Stat:e Cert. or Regist. 4#
(:it:y License Regist:rat:ion ,
........"'.................. ........ .........:1'"...................... It-..........................................'''
Signature
ELEcrRICIAN
CO!IPANY
Stat:e Cert. or Regist:. ,
City License Registration I
................................................*..........................................................."'...
SiPn3t:ure
PL.UKBER
CO!IPMY
State Cert:. or Regist:. 4#
City License Regist:rat:ion I
.................."'......................................0, ......*...:11:..........................................
Signature
KECHAJnCAL
<DIPANY
State Cert:. or Regist:. I
City ~icense Regist:ration ,
.........................................*.......*v.....................................................
Signat:ure
OTIIF.R
CO!IPJiln'
St:ate Cert. or Regist:. I
City License Regist:rat:ion ,
........................................................................................................................
.
S ignat:ure
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTICNS
The undersigned understands that this periit 'lay be subject to "deed restrictions' which lay be lore restrictive than City
regulations. The undersigned assules responsibility fer co.pliance with any applicabl,e 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~co~~actor is not licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state law. 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 Depart.ent, (813)
788-bbl L
Furtherlore, if the owner has hired a contractor or contractor~1 he is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for which they will he 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 FEES,
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a CJPy 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 ~ave obt~inerl a ~~;~ ~f thE ~bo'~ j~5[rib'd docu~p~t an~ promise in good faith to deliver it to the
'owner' prior to cOllencelent.
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 regulati>>y construct!on, 'QninQ: ~nd land dpveloplent.
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 perforl'ed to leet standards of all laws
regulating construction, City codes, zoning regulations, and lclnd developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 liaited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, ketland Areas and Envir~nlentaIly Sensitive Lands,
water/Wastewater Treatment
f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Water"~ys
f Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestos abate.ent
I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainag~plan
addressing a 'co.pensating volule' will be sublitted whicb 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, 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 becole invalid
unless the work authorized by such perlit is cOllenced 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 cOI.enced. 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 to nth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND~R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO ~ECORD AND "OST A 'NOTICE OF COMMENCEMENT",
SIGNATURE: CONTRACJOR
SIGNATURE: OWNER OR AGENT
was acknowledged
, 19_, by
STATE OF FLORIDA
COUNTY OF
The foregoing iristrument
before me this
STATE OF ~LORIDA
COUNTY OF
The foregoing instrument
befol-e me this
was acknowledged
19_ by
who is personally known to me Dr who has
produced
as identification and who did/did not
take an oath.
who is personally known to me Dr who has
produc2d
as identification and who did/did not
take an oath.
.
(Signatu;-e)
(Signature)
(Name Typed, Printed
NOTARY PUBLIC
01- Stamped)
(Name Typed, Printed Dr Stamped)
NOTARY PUBdC