HomeMy WebLinkAbout93-3136
BUILDING PERMIT
Permit
_ 3136,8
1-- rP-7~
~
::~:::,~,:~., ~!;>!jO -~~ ~~
Parcell.D. # Ja-~~ -~/- 0 IJ 9D-- ()O/l)O - 62.-91)
CITY OF ZEPHYRHILLS
(813) 788-6611
N~
;:/
,~ --~
~)
Date
~sewerconn
Water Conn:
Water Meter:
T.LF.'s:
Zoning:
c.o.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
!\/
p..m;l F'~O~
S;gnaM' " 0/ d~
Company
DATE
Valuation or .J:... ' ~
Contract Price !; I ~ () D
--...
City License Registration #
State Certified License#
Address
Telephone#
BUILDING
Ftr.
Pre SLB
Lintel ;;r-~3 O~
FRM. I. -A -(3
Insul. CL
WL
Tp. Servo SLB
Rough In i~Jb'73 ~Tub Set
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
Final
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 ($15.00) 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.
-~ ~
OWNER
J;. 0 II
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
~~ ..a,-
3tf/f)O 6/4 #Ve.- 2l-/~v vLI/;; ;CZ. SJ!"t"r)
/J, - 2(,- 2/ _ Ob~O - ~o /00 -02~6
JOB LOCATION
PARCEL I. D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
E:
<:
-'
......J
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT PROPERTY LINE
-. f. I
, i..)
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E
R X
0 I
10' P S 101
0 T 1 'J I
S I
E N
D G
20'
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
..
-- ':.....~..,.
" .~ ~"".... '", '
~. '. I... , ,t. .
1.
(,;;1....
t.l, G~)
~l
~
_._ ~f'~ _ -r; P
GA__~~_' -Hj
~U 01f YM~
o1SLdb. .
:z;..11 akJove
"dt atK.
"
atfil . .. I" d ..L ...J, I -
WfNl,U/]. ~Jem I"~ ~ ~
~ :t" d~iatJ
I
i"'~
-~--
IJ I' C.
g~ q"
tx/s1/t/q. H~U6e
Ii. - ~.~ .
eo~
set
.!(r/J
".~ j
_, t~
(
'-...
~~
~i
~~ ~
~~
~
,
I
I
~,
~
'"
,
I:
I
... I'
"'-l
~.
I
I.
. ., u-.. ':t
\:t~_
~...}(
o ~ '--'
~H)~~i
~~ <'< Jr
~~~
I
I I
..,..c. h
/~ SW'
~ . /. . f, . .
e4fl~ U~p-3-0 ~ ~-{'
doa"
?~~~
./
~
~i \\
~.
\
../
,//
/
~I'-,,,
i
~
~--
./
.tI
ve-r
.Y u,1'
\YEa t\e61. 0
,-
~... - .~----- --- 1'j.-,
~~:~
)I
- . -- ]''''-'--
- -- - ---'j ..--- -- . ---1
--- '", -:::'.
-..- ._. '-- ~('.::.,--. '. ---... . .
..1 fkb~R@ /1:,1' wjfu( ..'7t::(t~ ~tt.'
.!J cw Cell T~r{ tf) e,M..o4l,,?/,
.:..
.
i
A:,
....:. .
---
-:>")
(:"~ ,/ ~ ,
BOUNDARY SURVEY
MERIDIAN PER RECORDED PLAT
SCALE:
I I
O' 10'
111 ~ ~O'
I
2.0'
!
40'
CD th AVE~UE
ED'R./W B1 Dee..
CQUAlT::J R.OAD PER PLAT
20.'2.' ASPHALT PAVEME!1T
"
~
..0
--
',..c- / /.-" M. AI
('c r. 41/ LJ?'" ]2
/: (,.e',
<S>-.c &6'S~ 7It1c,P)
o
~\J'
~= ~~ ~
...
tJt
7t'1u~
'"
, ~
~ t,
~ ,.P'
~
~
~
:>
Z /t:J::'~ Z /0. t?..P C-,P)
---1'----=--
'-.~ .
----of,,-------()""------
~
-~. ---0 --,
~
.\J
'eI) \'
11.\1&
oJ I
_ ?O
~
p
~ .
" ,~/.? (.st9.//,IP,e~)
S)
~
~
~
'"
.,..
T../-."
o ^-IE STO R. 't
MASQru~ ,
R.ESIDEllCE ~
, ... 2.114
It
1'\
/.,.7'
.
ii)
"
~ ,f
"
~
'\
~
c;:)
'"
,
\)
'"
Ii)
\oJ
If-."r'
,
~
'-\
/1."'7'
~6' .,i
/ NI
00+'
//} .",/ Q'nm,
/ /' .sHED
,AV /'
-r/
,0
/'
LOT
2'1
LOT 2.8
LOT
30
f......l
. "
,/'
~/ er
Al./
/' /'
/
.. ."..
.....
.....
. .
:..:
. .
; ......
........
'w/ --
-------:;~
yJfl'
&c1S-l"
---
,.-Fi/." CS411111~1)
- --- ---;'IF---O-Z:, UrlL'TY
/; /. "e. .'
LOT
'7
LOT 8
LIQPIl
.. -.-
I. - Set
I.'. - I.... Pi,.
J.I. . I.... led
c.lI. . Cln....U-
c.l.'. - I"", Pi,. . ClI,
C.J.I. - t...... led . Cop
. . II . ..n, 1I1._
. I . . I ",.11
ruOTE: I. U^-IDER..(;R.OUi\JO
EAlC.R.OACHMEIUTS UOT.....
LOCATED
"Th18 18 to certify that I have CXll'\Sultod the Fedaral
Insurance AaIl1n1atraUQl Flood Hazard txJundary
1lIiIP, a:-an1ty tIo./Z (72. :7 S- . P_l No. ~a 5'~
.ffecUve date "-'-6~,4Ild found thoat tilt;! above
d88cribecJ pcoper~ 18 in zaw C .with a base
. . . . bsi..... I,Sh .
a.a.s. . elcrvaUan of "'0 ~ MSL. ".18 ZOI'lfil is not located
IPI . 'lot liS_oS...
('1 . 'Sold _......'" in a special flood hazard area to the best of my
Ill) . IlMll Jaro.-tSoO krDIledge and belief."
.... . ,...... '010
L.P. . LiCht '010
II.". . lIet or Iltur
Z~ / ,$OVl?d;U' .Y &1 ~C "'-!'/'I'I B()()K~Q:.b,s.~o/~~GE NO. 3Z -3?-
A Survey of Lot ,Block , 5'urye.!_._.__ JOB_ tiQ:._'-~ - '--t~_~ -------..--.---...-..--
__,?:.~.m~ ~/7h71 . . GENE COPELAND SURVEYING
--------~ RUSCH PLAZA SUITE 102
'-' -, LUTZ, FLA. 33549
as Recorded in Plat Book ~-, I CEfm~Y THIS PLAT to CORRECTLY RI:.PRESENT THE PHONE: (813] 949-4595
SURVEY OF THE LANDS SHOWN AND DESCRIBED HERE. 949-7165
Page_?~ , of the Public Records ON, AND MEETS OR EXCEEDS THE MINIMUM STANDARD PREPARED FOR:
REQUIREMENTS OF CHAPTER 21 HH.6 flORIDA ADMIN.
ISTRATIVE CODE. /. SCt:1# ~ A?e.H~(:" ,A.?6\:" ,cA961
of ,Pasco County, Florida GENE COPELAND SURVEYING z. 'p.,sco r,W~ Z"HG.
a..~___~ :1. Cd' 5 r?t:1,..~9"!$~ c-'" .
NOT VALID UNLESS BY:
EMBOSSED WITH SURVEYORS SEAL Fla. Reg. SurveYOLZ"$ .!'/__ Dat.LZ-:!.'Z-8~ DATE ~I C. OF P'I DWG. I CKD.
/2-8-88 re.. ,tf..r: a~.C.
O&J f) ry LI-
-
APPLICATIOIN1 FOR PR1UIIT
CITY OF ZE.'PIIYRIULI.s
BUILDIIN1G DEPAR'IHE',I/IT
Ok"NER 'S NAME
'~ol/
)Pr-20 9 <;
j"Js-y- 0
.Y:-c.. 1" 3 15-' 0
,
2~~y A-eY'{~5
R:
--#7i'(j"Lt"'e~ ,.;..
OWNER'S ADDRF..SS 79/110 6!t,. Ave 2~1t'". ~/;;
31 ( 60 6' f-l... 4v--c 2 ~,?A't1'/,4/ 16
LEGAL DF..sCRIPTION: LDT(S) 29 RL.OC.K I SOODH"ISION'
t~'r ..,PARCEL LD.I 12-2'-],/- 0036-00/00 - c) 290
(lV
PlIONE
JOB ADDRF..SS
"'URK PROPOSED:_!!i!eW' Construction --t..L,Addition _Alteration _Repair -----=:Install
_Sign
_Hove
_Demolish
PROPOSED USE:
~gle Fanily
_H/F
_, of Units
_MIll
_Coaaercial
_Indust.
_Swim. .Pool
Other
_Restaurant & Health Departllllen.t Approval
BUILDING SIZE:
/J x4.
~
Square Feet, g 1/
Height
RESIDENTIAL:
COHHERCIAL :
ATTACH (2) PLOT PI..ANs & (2) SETS OF nu;u.nING PI,ALli1S Ii: 0) SET ENERGY FORMS. **
ATTACII (3) SI!.TS OF BUll.D~G PLANS & (1) SET ENERGY POR~IS.~~
~~COPY OF COllITRACT REQrnmED.
PERMITS REQUP.STED
V-;;~LDING
_\....m.ECTRICAL
s
..-., )... ...... -
r:./ c.. 1;. }.)
Valuation of-Total Constnlction
/o,J
MfP Service
~ida PO\<'er COrp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLlJMBIHG
GAS
LBloCk
ROOFING
SPECL\LTY
TYPE OF CONSTRUCTION:
_FraJlle _Steel
Other
FINISHED FLOOR EI.EVATIm~S:
IT .
IS PROJECT IN FInOD ZONE ARR~?
YES NO
~~~~~~*~~~~~*~~*~~~~*~*~*~~~~~***~*~~*~***
Run.DY.R
CONTRACTOR SRCT'ION
'. cnHPAtJY 0{LryJ7~
f'~' / If 'St:ate Cert. or Rcgist. #!
cJtl ~ Cit:y License Registxation ;I:
~****~*~******~**~****~**********~********
Signature i/
Si
F.T.F.CTRICTAN
a tllre ~
aMfPANY (!) I.rryUA_)
Stat:.e Cert. or Rcgist. if
Cit:}~ :.icense Registration iJ
********************~~~*~~~***************
PT.UKRER
Signature
CO'MPAJIlY
State Cert. or Regist:. ~
City License Registration g
~~**~****~**~~********~*****~*************
HF..ClT.MqCAL
Signature
COHPAJIlY
State Cert. or RcgisL 'If
City License Registration ~
**********~******~~***************~*~*****
Signature
COHPA~~Y 'G.-~~ otS(l,.J ~ C(JI\ST ~ rY) ( ,
State Cert. 0 Reg st.. i# CRe '-f~ll '--
City License Registration !If ~ ~
******~************************.****~***~* ..
APPLICATION APPRO\TD BY
PERmT OFFICER.-
~
CONDITIONS OF PERMIT AFFIDAVIT
,A. NOTICE OF DEED RESTRICTIONS
Tbe u~lersigned understands that this per.it ~ay be subject to .deed restrictions' which may be sore restrictive than City
regulations. The undersigned assules responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contracto~s to undertake work, they may b;-;~~uired ~-icensed in accordance with
state and local regulations. If the' cn'nt'ractor is not,"licensed as required by law, both the ('Hner and contractor lay be
cited for a .isde.eanor violation under state law. If. the OHn~r 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 Departlent, (8131
788-bb 11.
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, rath~r than th~ tbntractor, are responsible for the work. If the contractor Hishes you to sign
as contractor that aay 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 pr~vided with a copy of .Florida's Construction Lien Law - HOleoHner's Protection
Suide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. if the applicant is soeeone other than the
"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
~owner" prior to coelencelent~
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will be done in COlpliance with all
applicable laws regulating construction, zoning, ~nd land development.
Application is hereby lade to obtain a perlit tc do work and installation as indicated. I certify that no work or
installation has cOlllenced prior to issuance of. ~ perlit and that all Hork Hill be performed to !eet standards of all law5
regulating construction, City codes, zoning regulations, and .land developeent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
ey responsibility to identify what actions I lust take to be in cODpliance. Such agencies include but are not Iilited to:
f Departlent of Environeental ReQulation - Cypress Bayheads., Wetland Areas and Environ~entally Sensitive Lands,
'Water/Wastewater Treatment
f Southwest Florida Water ManaQelent District -' Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways '
f Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells: Wastewater Treat.ent, Septic Tanks
f US Environaental Protection AQency - Asbes~os abateDent
I also certify that, if fill laterial is to be used in Flood Zone .n" or .A,etc.', it is understood that a drainage plan
addressing a "colpensating volule" will be sublitted whic~)s pr~p_ared 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 froD thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per!it issued shall becole invalid
unless the Mork authorized by such perlit is comDenced within six months of issuance, or if "(,rk authorized by the permit is
suspended or abandoned for a period of six lonths after the ti~e the work is cocgenced. One 90 day extension of tiie, lay be
allowed f~r the perait with fee charge of $15.00; The extensiun shall be requested in wriling to.the Building Official. An
approved 'inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OHNER: Y~UR FAILURE TO RECORD ~ NOTICE OF COMMENCEMENT MAY RESULT IN YOUR rAVING THICE FOR IMPROYEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIH FINANClIlS, CONSULT ~lTH your: LENDER OR AN ATTORtJE'I BEFOF:E RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMEtlCEMENT".
S
SI
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
befell-e me this , 19 by
STATE OF ~LORIDA
COUNTY OF
The foregoing instrument
before me this
who is personally known tQ ree or ~ho ~a5
produced
as identification and who did/did not
ta~~e an oath.
who is personally known to me Dr who has
pl-oduced
as identification and who did/did not
take an oath.
(Signatul-e)
(Signatu'l-e)
(Name Typed, Printed Dr Stamped)
I2LQ..T ARY PllPL I~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC