HomeMy WebLinkAbout93-2917
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
NC! 2917-67
/- /~ -93
Date
~ EL~ PLU~_. MEC~SewerConn
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Job Address: 6J:2 ~1' s.
Parcell.D. # ..2 -,;L(.., -()../- / - .
Zoning: :::z ~n~ Code: -z2'
Description of Work - ~ . -.J ~ ofSI
Radon Gas:
FINAL 2-/~
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Pe,m;t Fee ~
Signature I'~ -
Company
Address
Telephone#
~1~
Valuation or
Contract Price i ~ fl-tJ . CJ-i)
City License Registration #
State Certified License#
~
CBG,L~
Jf~ :27-S-7 E
ELE~L
PL U MetNG.....
MEC~
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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OWNER
CI"I'Y OF ZEPHYRHILLS BUILDING DEPARTMENT
S/~~1 -;zk~L~U/ }ffb6/-k' ~"/9r~
JOB LOCATION :!3 f! ~;h.-t? .L#/y,.$/~9 HrY'e.
PARCEL I.D. #
SHOW ALL EXISTING Ii: PROPOSED STRUCTURES GIVING DIMENSIONS Ii: SETBACKS.
.s:u a.z:ti~r- '
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT
15 FOOT SETBACK
REQUIRED.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
I
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FR.OR".I." PROPERTY LINE
FRONT .' PROPER"I'Y LINE
APPLICA1'IOlNl FOR PERKIT
CITY OF ZEPIIYlUIILLS
BmLDIHG DEPARIHE:lNlT
OWNER'S NAKE Slpppy Ho 11 ow Mobile Estates PIlon 78(-]111
OWNER'S ADDRESS 38 6 1 5 ansin9 Avenue Zephyrhills. Fl 33540
JOB ADDRESS 3Rfi?O I ansing Avenuel 7ephyrhills. Fl.
LEGAL DESCRIPl'IOl!i: LDT(S)
BLOC.'K
SlDBDIVISIOIIi
PARCEL I. D. f
WORK PROPOSED :---L-lNlev Construction _Addition _Alteration _Repair _Install
_Sign _lIfove _Deaolish
PROPOSED USE: Single F~ily _KIF -' of Units _H/H
_~rcial _Indust. _Swi.-. Pool ShlJffle S tor .Other
_Rest:aurant &: Health Depart:aent Approval
BUILDING SIZE: R R t ~ 1 II IY t
, ,,?
Square Feet.
R Fitt
Height
RESIDENTIAL:
COHKERCIAL :
A'ITACH (2) PLOT PLAliIS &: (2) SEIS OF BUILDING PLAliIS &: (1) SET ENERGY FORMS. **
ATTACH (3) SETS OF BUILDDG PLAlNlS &: (1) SET ENERGY FORMS. **
**COPY OF CONTRACT RIlQm1mD.
PERKITS REOUESTED
--X......BUILDING
$~' ) ? n n
Valuation of Tot:a1 Construction
_ELECTRICAL
AKP Service
Florida Power COrp.
W.R.E.C.
_MECHANICAL
s
Valuation of Hechanical Installation
_PLlJHBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block. _Fra8le _Steel
Other
FINISHED FLOOR EL.EVATIOlNlS:
PI' .
IS PRO.JE:CT IN FLOOD ZONE AREA?
YES
-*-
NO
******************************************
COlNlTRACIOR SECTION
BUILDER S elf. . COHPANY
~ / _-7.--:',.i / State CerL or RegisL I
Signature ~/Qff~~ Cit:y License Registration j:
. ~ ******************************************
ELECTRICIAN CO!IPANY
State CerL or RegisL I
SiRfiature Cit:y License Registration f
******************************************
PLUKBER COI.fPMiY
State CerL or RegisL 4#
Signature Cit:y License Registration I
******************************************
KECBAI{[CAL COI.fPANY
State Cert. or Regist. I
Signature Cit:y License Registration f
******************************************
01'1lER. CO!IPANY
State Cert. or Regist. I
Signature City License Registration I
***************** ************************
APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay 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 c9ntractors to undertake work, they lay-be require~~icensed in accordance with
state and local regulations. If the contractor 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, the:' are advised to contact the City of Zephyrhills Building Depart.ent, (BI3)
7BB-bb 11.
Furtherlore, 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 sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Nishes 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 - Ho.eoNner's Protection
6uide" prepared by the Florida Depart.ent of AgriLulture and Consuler Affairs. If the applicant is sOleone other than the
"oNner", I certify that I have obtained a copy of the above ~escribed document ann promise in good faith to deliver it to the
.owner. prior to co..encelent.
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 regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perllt and that all work will be perforled to leet standards of all laws
.
regulating construction, City codes, zoning regulations, 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 Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaQe.~nt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigabl~ Waterways .
f Departlent of Health 1, Rphat!.i1itativ~.E~rvices, ~~Aronlent?U.!ealth Unit - Wells, Ilastpllater Trp.ahent, Septic Tanks
f US Environ.ental Protection AQencv - Asbes~os abat~.ent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a .colpensating volute" will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance.
A pertit 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 pertit prevent the Building Official froD thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
unless the work authorized by such pertit is cOI.enced within six lonths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six lonths after the tile the work is com.enced. One 90 day extension of time, lay be
allowed .for the pertit 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 OIlNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCIN6, 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
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknuwledged
before me this , 19_____ by
STATE OF.FLORIDA
COUNTY OF
The foregoing instrument
befol-e me this
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
pl-odLlced
as identification and who did/did not
take an oath.
(SignatLll-e)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC