HomeMy WebLinkAbout93-3287
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permilt
N~
3287Lf
Date
~ -cl-9~
@ ELE~
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Parcell.D. # /-5--::2-6-,2/ - CJ /60 -- (J
PL~
MECH~.
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
Description of Work 0 /~
() .D D D - C3/ Y 0
Radon Gas: /" ~
FINAL:2- ,-
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee ~O < , cJ ,
Signature ~ /I . /'J1.#'~
. /
Company
Address
Telephone#
Valuation or
Contract Price ,2 ':I ,-~"'27, t:rzJ
/
City License Registration # '/,7
State Certified License#
J A JI1("R.~J!/ (' /hA/-
0UILDlN~ . ELE~L
Ftr. ~ I 73 tJl2
Pre SLB -to-. pc...>
Lintel
~1'-2c;'-7J ~
---
PL~
~CAL
-------.
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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 ($15.001 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.
APPLICATIO"ttll FOR PRmUT
CITY OF ZEPIlYRlTU.I..s
BUILDI.NG DEPARnm.IN'T
JOB ADDRESS
Ok"NER'S NAME ;1;f; r LJ / /4~'.; ;8o/e~
OWNER'S ADDRESS '160' iZ . .J-rtrc../;
(.~#Ir"
.
/1
/0- ~ - ~/-
pnO~E )8'Cf -c:f2-1 gys--
2 ~ y /-//J/7t;/ *~/
LEGAL DESCRIPTION: LOT(S)
_SUBDI\"ISIO~ /V11'.~ {, +<1- ""/,,p
O(6D-OQ)OOIJ- t:Jltft
RUX'K
~
~A:M
PARCEL LD.#
""URK PROPOSED:_JKfev Construction ~ddition _Alteration _Repair _Install
_Sign _~Iove _Demolish
PROPOSED USE: /' Single FalIIily
_KIF
_' of Units t;rtf~/'I _H/H
_Coaaercial
_Indust.
_Swim. .Poo 1
Other
_Restaurant: & llealth Departlllent: Approval
BUILDING SIZE:
I I
/ ~ x-M-,
').0-"
/~rJ-
.
Square Feet,
/CJ I' ~///
Height
RESIDENTIAL:
GOHHERCIAL :
ATTACll (2) PLOT PLANS. & (2) SETS OF B~ING .PLANS & (1) SET L~ERGY FO~~.**
ATTACIl (3) SlITS OF BUll.DDilG PI..l\NS & (1) SET IDi'ERGY FOR~IS.**
~~GOPY OF CONTRACT REQurnmD.
~UILDING
$
Prom-ITS REQUESTED
~ t;'U?/,.tJ D Valuation of-Total Construction
_ELECTRICAL
MfP Service
Florida POl~r COrp.
W.R.E.C.
_MECHANICAL
.$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION/: _Block f--FraDe _Steel
Other
FINISlIED FLOOR RL.EVATIm~S:
FT.
IS PROJECT IN FLOOD ZONE ARF..A?
YES NO
~~~~~~~**~~*************~***************~*
nun.DY.R
7/A
mNfRACTOR SECTION
COlfPM<Y c/./J', m~ C"6'PiSTr.
/n~~ . State Cert:. or Rcgist. 11. ~, L)t::J/2.'?3\r
City License Regis~ra~ion * ~/7
. ******* ****************~**~**************
Signature
P.T.ECTRICTAN. CO'liPANlY
State Cer~. or Regist. #
Sifmat:ure City License Registration f
~*****************************************
PUMBRR cmlPAHY
Sta~e Cert. or Regist. ~
Signature City L.icense Regis~ration tf
***************************~**************
HF:.ClT.\NTCAL <.::o;HPAmlY
State CerL or RegisL :#
Signature City License Registration ~
*~********************~*~*****************
0TlTY.R CO:m>ANY
State Cert. or Regis~. #
SienaoJre City License Registration *
*****************************************~
APPLICATION APPRO\~D BY PF.R~IT OFFICER.
.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED R~STRICTIONS
The undersigned understands that this per.i~b;-;ubject tD 'deed restrictions' which roay be 50re restrictive than City
regulations. The undersigned assunes responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CCNTR^CTOR RESPONSIBILITIES
If the owner has hired a contracr.Clr or contrado~s t.o undertak~, -;;~~~ey lIIay -b~~quired t;b;!-;-censed in accordance with
state and local regulations. If th~' colifractoT is noti.'licensed as required by law, bClth the {,wner and contractor lay be
cited for a lisdeleanor violation under state lall. If the Orine. 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, (813)
788-6611.
Furtherlore, if the owner has hire~ a contractor or contractors, he is advised to have the contractorlsJ sign portions of the
.ContractorSections. of this application for which they Hili 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. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED)
I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleollner's Protection
Guide. prepared by the Florida Department 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 d2scribed document and pro~ise in good faith to deliver it to the
~oNner. prior to cOlllencellent..
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforllation in this application is accurate and that all work lIill be done in cOllpliance with .all
applicable laNS regulating construction, zoning, 'and land development.
Application is hereby lade to obtain a ,erlit t~ do work and installation as indicated. I certify that no work or
installation has cOllmenced prior to issuance of. a perlit and that all work will be performed to seet standards of all laws
regulating construction, City codes, zoning regulations, and .land development 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
IY responsibility to identify what actioqs I must take to be in co~pliance. Such agencies include but are not liaited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Hetland Areas and Envjron~entally Sensitive Lands,
'Hater/H~ete~ater Tr~at~ent
t Southwest Florida Water ManaQement Distric~ - Hells, Cypress Bayheads, Hetland Areas, Altering Hatercc'urses
+ ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
f Departlent Clf Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treataent, Septic Tanks
t US Environ_ental Protection AQency - Asbestos abatement
I also certify that, if fill ~aterial 'is to be used in Flood Zone .n. or "A,etc.', it is understDod that a drainage plan
addressing a .co.epensating volulle. will be sublitted whicb)s pr~p.ared by a professional engineer registered in the state of
Florida prior to perlit issuance.
A per.it 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 perllit prevent the Building Official froll thereafter
requiring a cClrrection of errors in plans, construction, nr violations of any code. Every per~it issued shall becole invalid
unless the work authorized by such per2it is com.enced within six aonths of issuance, or if HorK authorized by the permit is
suspended or abandoned fClr a period of six 1I0nths after the tile the work is cooQenced. One 90 day extension of ti~e, lay be
allowed for the permit with fee charge of $15.00: The extension shall be requested in wriling te, the Building Official. An
approved inspection aust be logged during each six ~Gnth period, or the project will be considered abandoned.
WARNING TO OHNER: Y~UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR rAVING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINAHCIHG, CONSULT HITH JOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO HOr NEED T~ RECORD AND POST A "NOTICE OF COMMENCEMENT'.
,Q/~,p - r.?~f..-rJ-J - /J8 - 0 rn -,.ltfc_,:-~~{'2--:S;; -/17- IJ
/IMdd jkl?~ ,?f{L~pL
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTO
STATE OF ~LORIDA;J
COUNTY OF . ~~~
The foregoing instrument was acknowledge~
before me th i s7/ /7ld...Ytt'i../" 19..2.:i.. by
c A//'tU~ ~x. 4u...r
'~who is pel-s9na11y, kno\'Ill/}o me ,01- who has
produced d:.f:c.t~1.. ~ ~Qh'L~
as identification and y/ho EI-i-d--/did not
t~;; .,V oa:th.. d !J?
__~~~ /n t to/l.I!U./L./v
(Signatul-e)
STATE OF FLORIDA ~;7
COUtm OF l-a~
The foregc.ing instnHnent /Ias acknc,\.J1edged
bef::;" :~ \h i t::~ ,;!/H,L, 1 9 2:L~ by
. ./) J 15 . .Ihc!~..-J
\'Iho is pel-s9na11y kno\'Il-~Jto me C'~ \oJho has
pn,duced tLltiY;>z)j d:L/ 67~
as i dent i f i cat i on and \-lho..fi-i--d1 did llC' t
ta~_ an- oa.th. /7_
, ~(11I2 U/I-L >)7 ' 1~l.t2.u.Jt\.
(Slgnature)
..~~... KATHERINE M. BREWER
!*:i~..\ tI( COfMSSlON , AA70C813 EXPIRES
~. . : i SeptImber 26, 1993
"'~i!f...(II IOfIlEIlTllllUlIIOVFAlNINSlJMHCf,IIM:.
(Name Typed, Printed or Stamped)
~lOTARY Pl1X:1J.t;;.
W)f.V~ KATHERINE M. BREWER
loi :i tI( COMrtISSION I AA704873 EXPIRES
\1.' ... 28. 1993
"" . IIQfClElll'lRJ lIIOV FAIN 1lISUIWlCE. III:.
(Name Typed, Printed Dr StampedJ
NOTARY PUBLIC
CITY OF ZEPHYRHILLS
OWNER ,#J/"'e:?// .//e;~e~
JOB LOCATION ~~ezc J-A-r/.L..
BUILDING DEPARTMENT
2-~~~ ~
I ~ .(/ /.
~-?tJ<7/
PARCEL I.D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES-GIVING DIMENSIONS (II: SETBACKS.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
jt:J'
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
~
()~
cP-_
l
STREET
FROHT PROPERTY LINE
L kr..?1,
(NOTE EXAMPLES 1 & 2)
2. SETBACKS FOR R3 ZONING
60'-
1. SETBACKS FOR R1, R2 ZONING
60'
la'
P E
R X
0 I
la' P S 10'
0 T 1 0'
S I
E N
D G
20'
FROHT PROPERTY LINE
FOR
(1)
( 2 )
(3)
( 4 )
( 5 )
(6)
la'
10' EXISTING la'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
CARPORTS OR LIKE STRUC'l"URES PLEASE COMPLETE THE FOLLOWING:
DESCRIBE WHA'I' TYPE: FREE S'l'ARDDIG OR~~ CIRCLE ONE}.
IF ATTACHED, HOW IS IT TO BE ~STENED TO STRUCTURE?
111/v1sCY 1- /7=-./j?P/LU
DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN WHAT HANNER?)
GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT:
GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT:
COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT
PLAN.
(7)
(8)
SUBMIT DETAILED DRAWING.
FIBERMESH CONCRETE IN DRIVEWAYS ONLY - EXCLUDING R.O.W. IS.
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L B. McKell Construction
35648 Chancey Road
Zephyrhills, Florida 33541
(813) 782-5312
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CUftOME& ftUt..ONE
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'HONE 712.5312
a-&e or... N..
L.B. McKell Constru(:tion'
35648 Chancey Rd. I
Zephyrhills, Florida 34248..
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DATE CEllTlFICATE OF COMPETENCY ~5 TERMS
, State llelistered \
~ 'T /~BUildinl Contractor llBOO12335 tJtI C'4'~
MAILING ADDIlE!il~
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woax TO .. COMPLETED
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GUAllANTEE: McKell Construction
auarantees Work apinst defects in workmanship
for a period of ODe year to the original
purchaser. The guarantee does not cover
damaaes cau. by hip winds. tornadoes.
hurricaoes. or any other acts of God.
-;;t;~,,~?, 'Xj'. (m ~ r
A......... ~ye .
In event Seller haa to lue for collection of all or any part of conuact
price. purchaser a,reel to pay collection costs includin, ftaSClllable
Attorney feel!.
SlIn TerrAl.
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.
SAl.F$ TAX
RUIl.OIN(; Pf.RMlT ·
CRANO TOTAl. ~
Please make all eheeks pa,able to Lewis B. McKell.
"
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