HomeMy WebLinkAbout93-2971
BUILDING PERMIT
~S-:cro ;LtJ.O'V
~D~ ~TRI~ PLU~ MEC~AL
::::,~:~s~Y)1-c f! :'y~/p I /-.5-
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<!
2971-8 ;
Date /-:z~- 9...5
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Energy Code: .2n Gas:
Z-rv ..~-~ -~ ~:r?V7 dZ
Parcell.D. #
Zoning:
Description of Work
FINAL
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
p~~mit F~~~~-;
Slgnatu ~-
Company
Address
Telephone#
Valuation or
Contract Price ~? a-tJ t o-v
City License Registration # ..2.
State Certified License#
JI ~~ l2k~n
C~L~
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
4bJYz.L,/J ~
CECT~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
1'tt:J.MatN G
---
M~NICAL
------.,
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
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.
a CITY OF ZEPllYRlULLS BUILDING DEPARTMENT
PWNEP. r"':?h. ~#;v.iJ,nz/
JOB LOCATION stY 7--1- / C'-<<. --5-~C--#z.. ~c/T //-5-
PARCEL 1.0. # ~/~/ F~c ~c/--#-: r
SHOW ALL EXIS'TDIG Ii PROPOSED S"l'RUC'l'URES GIVING DIMENSIONS Ii SETBACKS.
~. tfu1i fJ~
Z ~ pm, R//oJJ-2-
~f~~~'
;1~~~~
YJ .
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
--
f-O I
/IS
]RY1-t1lDoI'l ,1:'\1 . ov.15
" A if
~ij
a~
73ft /I-(fh Tj/ tlWI
/h'P-Jj'p/ ~ .4"'a
/.
Ov)5
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'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPSRTY LINE
FRONT PROPERTY LINE
He: nJ;;;'''' a ......Of:;:<< ,[ l-E .t.-ttH'.'U:;: IP.NO. '~'t......LJ'vt:r NUM EH~:~. ,~y ), C;L'
~:; ;=;"'1' -~ -c-i-~-A 13 ~-..:~-~~~" ._.~~..~.: 'I~~.~~~"..' "H---'-~1i)~'-?7-~7 /~. ?
. 'ZEr::."IYF~"-~ 1 LLS, r'::-Lor~:r DI='., ~3'::'354tZ1 51('('" ,b~',J;:
, T~ELEI='I-'ONE: t: (a 1. .3 ) -7 L~;~-::::"--';;~;;;;:;;-
~./ /, <(?;!'/rr7 .,' / 1(' /- /
flAREI;MENT w~r~., L:1~ '_.~'" " 1>Il"/ ,/;1 ',':: ' , ' ,
STREET."Sf;y?4.l~C-:7~ L.,k.//.//j- JIIIJ NIlMI, ,/),;.",,/ ,
. . ~ /1 _ J-.:- -V / '-J -- 335y1) _\ L' .--
CITY-ZIPI-.38 Jc/I L/7~:;&/'~~.:S:l.'_~.""____H.....m....._.......... JDB LOCA-r ION:"r~(-~--.
. ,
TELEPHONE. 7 YCZ- ,733~ ~_..-".--.... '.' .'ELEPHoNE,.oclo;",,--
THIS AGREEMENT MAD~ THIS If_Df-W OF' __..:f((~... 1'3f3.Er:::TWEEN HERB'S _MOBILE HOME
AND ALUMINUM SERVICE f-1ND ..----. ___.__.__n_.._.._____l-1.1oUHES lHAT THE ABOVE NAMED
COMPANY IS RESPONSIBLE TO ASSEMBL~ AND INSTRLL COMPLETE THE FOLLOWING ITEMS
4: L(-~~ ~~L_._._...__.- " . . .' .
-. .-;- ;::;~,,2 d __=_~L.-- 7-t:~;J~~~!~<:~<-~2:','------
. /{'/a~r<(r~ ~~~:-:t-:----.------
{.d;. .' ',~ -' ~- __-,__-/a:<t(:i&'L5~ (?/~r'~/
~~4/:4~~ d ~/aO ~-t?~;U' .\~c-{~' .
, ALL MATERIALS REMAIN THE PROPERTY OF THE CUNfRnCHIH UNrIL PAID FOR IN FULL.
ALL JUB'S MINIMUM OF 50_ DOWN UNLESS ARRANGED WITH CONfRACTOR BEFORE SIGNING.
ALL MATERIALS REMOVEU FROM J09 9ECOMES PROPERTY OF CONTRACTOR.
ACCIDENTS OR bTHER CAUSES BEYOND HIS REASONABLE CONTROL. THIS S~mLL
CONSTITUTE THE ENTIRE CONTRACT. ANY WORK OTHEH THnN SPECIFIED ABOVE SHALL BE
EXTRA ABOVE THE CONTRACT PRtCE.
,
WE PROPOSE HEREBY TO FURNtSH MATERIAL AND LABOR - COMPLErE IN ACCORDANCE
WITH THE ABOVE SPECIFICATIONS, FOR THE SUM OF /~' ') .)
.______.._..__. ....._.-DOLUlRS ($_~Q..".:__. crt )
,d'/?c-:; /) ~ ~.. .~
PAYMENT TO BE MADE AS FOLLOWS.~];2 ~'t!l:.~::'-._._.--.,L._?-:::.._.- ~df . i' ~~!~._-------
wt~ALA~~~~E 11: u1t:o~;\;;!~~~~~~~ ---.------
-JI:I~' e~s;EPTANCE OF CONTRACT- THE AEcrJV~ PRICES, SPECIFICATIONS AND CONDITIONS '""
,~. nnr:- cI)TlSFnCTOAV AND ARE HEREltt-Bt:t:EPJED. YOUJlRE nUTHORIZED III TJ:JE 4ru)l;~'.1 .....
SPECIFIED. PAYMENT WILL BE MAot AS OUlLINED f.WOVL
DATE OF SIGNATURE
nCCEPHlNCE rJ-&({#~-19f1s I BNflTURE. -..-- --.--.
APPLTCAnO~ FOR PERHTT
CITY OF ZEPBYlUULLS
BUTILDHDG DE:PARYKE:~
OWNER'S NAME ~y yL ~~Df--(
OWNER'S ADDRESS ..:l f? ~/ c. R. j/ t( E R" 2-
JOB ADDRESS ~~e
,.-/
PIIONE R/J - 7Yvl - ?3>J
/"
C-o;r-/./ !
LEGAL DESCRIPTION: WI'(S)
BLOCK
S(])BDIVISIO~
PARCEL I. D. #
WORK PROPOSED:_!II!ew Construction _Addition _Alteration _Repair _Install
_Sign
_Hove
_Deaolish
PROPOSED USE:
Single Faaily
_KIF
_, of Units
_MID
_CoBaercia1
_IndUlSt.
_Swia. Pool
Other
_Restaurant & Bea1t:h Depart8ent Approva1
BUILDING SIZE:
x
Square Feet.
Height
RESIDENTIAL:
COMHERClAL :
ATTACH (2) PLOT PL.AIIS & (2) SEI'S OF BUILDING PL.,MS & (1) SET ENERGY FORMS. U
ATTACH (3) SEI'S OF BlITLDllilG PLMS &: (1) SET ~ERGY FO&'I{S.~~
~~COPY OF CONTRACT REQIUflRED.
PEmlITS REQUE.':;TED
_BUILDING
$
Va1uation of Tota1 Const.ruction
_ELECTRICAL
AKP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
s
Va1uation of Hechanica.l Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION!: _Block
_FraJlle _Steel
Other
FII!fiSHED FLOOR EI.EVATIONS:
FT .
IS PROJECT IN FLOOD ZONE ARR~?
YES NO
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
CDNTRACTOR SECT'ION
Signature
CDIIfPMIIY
State Cert. or Regist. *
City License Registration #
~~~~~~~~~~*~.~*.*~~~....~..~...~.*..**.~.~
BUILDER
YSi
OO'IIPMff O~
State Cert. or Regist. #
City License Registration I
.*......~...~**.*.*..*********.*.~.*.~***~
Signa ture
CO!IPANY
S t:a te Cert. or Regis t:. 1#
Cit-y J.ic:ensf" Registration ##
*******.*.*....*...***.****.*..*.*.***~***
KECll.i\NlCAL
Signature
COlIPMn
State Cert. or Regist. ,
Cit:y License Registration j
~~*****..*...***.****.******..*********~~*
0T1IER
Signature
cmtPANY
State Cert. or Regist. ,
City License Registration ,
*..*.*..~**************..*.*******~*.****~
APPLICATION APPROVF~ BY
PERMIT OFFICER.
r-
CONDITIONS OF PERMIT AFFIDAVIT
A. ~OTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to 'deed restrictions" which cay be lore restrictive tha~i.t~
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ONner has hired a contractor or contractors to undertake worK, they may-he reQui~t~iicensed 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 ONner or intended contractor are uncertain as to what licensino
requirelents lay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Departlent, (8131
788-6611 .
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl 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 per.itting privileges in the
City of Zephyrhills.
C. TF:ANSPORTATION U1PACT FEES AND UTILITY CONI\~ECTLQJ'::!. 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 - Homeowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so~eone other than the
"owner", I certify that I have obtained a copy of the above described document and pro~ise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVII
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, loning, 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 co..enced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
regulating construction, City codes, loning reg~lations, and land develop.ent regulations in the jurisdiction. ! also
certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
'y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not limited to:
* Depart_ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatment
t Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
t Department of Health & Rehabilitative Services, Environ_ental Health Unit - Wells, Wastewater Treataent, Septic Tanks
t US Environlental Protection AQencv - Asbestos abatement
I also certify that, if fill .aterial is to be used in Flood Zone "A' or "A,ete.", it is understood that a drainage plan
addressing a 'colpensating volule' will be 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, 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 per.it is co..enced within six lonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day extension of ti~e, lay be
allowed ~or 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 peri~rll 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECURD AND POST A "NOTICE OF COMMENCEMENT".
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befc.q"e me t.h i s
was acknowledged
19 by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
bel cq-e me th 1 S
vJ2S acknovlledged
1 C;'_ to.')"
who is personally known to me or who has
pl-oduced
as identification and who did/did not
take an oath.
who is personally known to me Dr who has
p.,-oduced
as identification and who did/did not
take an oath.
(Signa tun? }
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC