HomeMy WebLinkAbout93-3408
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N9 _ 340815
r- -/0'- 93
Date
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
::~:::,~,:~", t?~ ~ !:ff~
Parcell.D. # .:2-:;lb -~/ - 0/ rO ' 0 0 ~ c!) C>- _ CJ.Dd-. D
zonin~: . ,~'Ene,rgYCOdEe:9~Radon Gas,:
Descn~on "of Worls. T;!:jJ' . ~
4h/9 ;:t; _ .
Water Conn:
Water Meter:
T,I,F.'s:
~~~P/
~R
NO OCCUPANCY BEFORE C.O.
FINAL
~<'
C.O. I
~.
Inspect~Y
,.,
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee 9~ -: crv
Signature~~ ..,:~~~
Company
Address
Telephone# 7tf'3 -,6 '/~ 6-2..
Valuation or
Contract Price '- -<;"'-J trO . ~r-o
/
City License Registration # J /-.S.-
State Certified License#
~~; (l~~~
G~~
EL~RICAL
------
PL~NG
---..
ME~L
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway )/~.2[)-1b fil
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) 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.
M'PI.U';ATIO~ FOii PER1!UT
GITY OF ZEPll'ilmILLS
BUlLDIRG DEPARJ1PIE'N!"
OWNER'S NAME 4-A~U.,~PS'
OWNER'S ADDRESS 6'002.3 /V/6 51
JOB ADDRESS 5,9/11 <?
mom::
LEGAL DESCRIPl'ImI: I.OI(S)
~
BLOCK
SUBDIVISION
&;f' #:// ~.b ~II-
,
PARCEL LD.# tJ~-;l..t - oZ J- tJ/~O ~ t/oooo -00::;...0
WORK PROPOSED: ~ev Construction _Addition _Alteration _Repair
_Install
_Sign
_!!love
_Deaolish
PROPOSED USE:
~ing1e
.
Faaily
_KIF
_, of Units
_KIH
_~rcia1
_Ibdust.
_Swia. Pool
Other
_Restaurant 5: Bea1th ~t Approva1
BUILDING SIZE:
~6x~
Square Feet.
7t:2 9/'
~6
~ Height
RESIDENTIAL :
COttKERCIAL :
ATTACH (2) PLOT PLAIlS ti: (2) SETS OF BUIIJ)I5G PLOS 5: (1) SEI' RNERGY FORKS. U
ATTACH (3) SETS OF BUllDDi!G PLAIlS 5: (1) SET E5RR.GY FORMS. "''''
"''''COPT OF CONTRACT Rl!QmImD.
I'~TS REQUESTED
/
-LBUILDI'NG
$
goo
Va1uation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_KECHAlUCAL
s
Valuation of Hechanical. Installation
_PLUKBING GAS ROOFDiG
SPECIALTY
..4' k A\ J ii u J'Y'v Other
TYPE OF CONSTRUCTION: _Block _Fralle _ __Steel
FHiISIIED FLOOR ELEVATIONS:
FI' .
IS PR..JE':T IN FLOOD ZONE AREA?
YES NO
............................."'.................-.J:........................,..:lt..,:lt-f:............"'..................,..,..,........*'"
BUILDER
Signatur* . C.
COIITRACIOR SECl'ION
COfPANY4A ~A_I ~/'1~
~~ State. Cert. or Regist. , _
, City License Registration' :3/ S-
................ *.................................,........................,"'...................................,...........:a-
ELECTRICIAN
CUllPANY
State Cert. or Regist. ,
City License Registration I
......,.........,.......:a-.....................................................................:lt.......:lt..............:lt....:lt"'....
SiPT1::1ture
PLOKBER
COIIP.DY
Sr-ate Cert. or Regist. ,
City Lic,'DSe Registration ,
Signature
'*':!:~~~:!!:'~-!:'~~~:!:::-:...: "'::':'"1,:':' ..:....::...;. ->> .. .;... ~ .ii.............-... t'il:' =*:'t:*
KECllAlUGAl.
CDlIPANY
:itate Cert. or Regist. I
City Li~ense Registration I
.....,......................................:It......................,....:a-........:lt:lt........................:lt:lt...:lt:lt...:a-
Signature
OTHF.R
cmtPANY
State (;ert. or Regi.st. ,
(;ity l,i.cense Registration ,
................,...............:It............'''...............:a-:.......*...................,...'''............:a-....:lt........
Signature
APPLICATION APPROVED BY
J1 <7--1<-<'1 ..xLUI<flk,"r
PERItIT OFFICER.
'VE":'!llIII',,[...., ""._"...., ". "6"",__,,,_..,_. '"" t:Il
I~
....
..
CONDITIONS OF PEqMIT AFFID~VIT
L~2:r:l q~J!~PEED RESTR I CT I ONf';
he unc~r5lgned understands that this perlit .ay be subject ~, "deed restrictions" which lay be lore restrictive than City
f!(julat c,r'i, The undersigned assules responsibility for co.piiance with any applicable deed restrictions.
!t~!=-I q::NSED CONTRACTORS A.I;!D CONTRACTOR RESPONS.I B I LIT I ES
: the )wner has hired a contractor or contract~r5 t~ ur.d~.take work, they lay be required to be licensed in accordance with
tate aid local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
, lted rJr d lisdele2!lOr violation under state law. If the ollner or intended contractor are uncertain as to what licensing
~quir[>'ents lay apply for the intended work, they are ~dvised to contact the City of Zephyrhills Building Deparhent, (813)
. '38-66: 1.
: ~Tther'ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ sign portions of the
Contrdctor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor,
'ou are indicatIng that you, rather than the contractor, are res,onsibIe for the work. If the contractor wishes you to sign
s contractor that Day be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
.ity tf Zephyrhllls.
rF;AN~F'ORTATION IMPACT FEES AND UTILITY CONNECTION FEES.
CONS1RUCTION LIEN LAW (CHAPTER 713. FLORIDA STATUTES. AS AMENDED)
r certIfy that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
3uide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
'owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
'owner' pr ior to COlllenCElent.
.. CONTr:<ACTOF:' S/O\.oJNER I S AFFIDAVIT
I certIfy that all the inforlation in this applic~tion is accurate and that all work will be done in coapliance with all
appli dbl~ laws regulating construction, zoning, and land developlent.
Application is herEby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
Installation hds cOllenced prior to issuance of a perlit and that all work will be perfor.ed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that ( understand that the regulations of other governlental 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 lilited to:
. ~aTt.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
W~ter/Waste~ater Treat.ent
. Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Ar~as, Altering Watercourses
. Art! Corps C<f EnQineers - Seawalls, Dods, Navigable Waterways
. Departlent ~f Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
. US Environlental Protection AQency - Asbestos abatement
I al~G certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", 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 per~,it issued shall be construed to be a license to proce~d 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
requlring a correction of errors in plans, cQ~5truction, 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 cOlienced. One 90 day extension of tile, lay be
allowed:for the perlit with fee charge of $15"O~. The extension shall be requested in writing to the Building Official. An
apprDved inspection lust be lo~ged durinq each siy, acnth period, or the project will be considered abandoned.
WARNI~G TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
',""E~) JO'S UHOER ".500 IH 'OlUE ~O NOT NEED TO RE'ORO AHO pOST A "HOT ICE OF ',"KEH'EKEHT".
., .~ ~.c<~
SIG URE: OIlNER OR AGENT I6NATURE: CONTRACTOR
STATE OF FLORIDA ()
COUtnv OF I~ Q J:i:' f)
The foregoing ins~mr[lt was 7'f.\j)lc;wled~ '?d
befclre me thIS )D . L!:lJq, 1'7~::'1
STATE OF FLORID~
COUNTY OF / ()~JL)
The foregoing instrum
befron:? me this 10m
was aC~jledged
. 19....' bv
,- .
(Y)t-Lv/IJ ~wRCIe ;:JR-
who is personally me Dr who has
pl-c,duce ...
as 'd:~~fication and who did/did not
take ~.;~hQ hf bull k oN
(Sign~ure) \ r Q /. ^..J.-L
UP)} I , rL: UUR.~~
(Name Typed. Printed or Stamped)
NOTARY PUBL i c ".'-;,~'ii~'r~~;-... GAIL W. BURKETT
i.r'h ';.r:1 MY COMMISSION' AA 694972 EXPIRES
~$;'~.ii: August 31, 1993
"":r,f.Hr.::~~'" BONDED TIlRU TROY FAIN INSURANCE,INC.
who is ersonally or who has
produced
as identification and who did/did not
take pp_ oath. . (11. ,u ~
.~1 Q ~ ~J1!LlP~
(Sig~atLlr.e) ! () ",/. Jj,
(.!2 A / L Yl QUtf!:(" ~ ]T~
(Name Typed, Pr~~\~p or Stamped)
lo\....l:~.,.... GAIL W BURKETT
NOTARY PUBL I C {~:".6"1~ MY COMMISSION i AA 694972 EXPIRES
'1.i-&\f;,.l Aullust 31, 1993
. ..I/f"f,I..' QQNIltiO lllFlU TROY FAIN INSUIlANCE. 1He.
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U'V'L ENGINEER 6 DEVELOPMENT CONSLUANT
P.O. Bo, 436B So",h 00"0'0, FI. 3212'-4368
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Screw D1aal. (HI Area Tens!:'
I Inches Sq. In. PSJ
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12 0.216 O.1!24t1 .
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1. ~,S2 288
1.~68' 367 L
1.522 380 I
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_ 3.710 928
TA-..P;: 52
WOOD LAG SC~<:W LOADS
USING SOUTHERN PINE S.G., '.55 OR E
W th rawal Lateral Lateral Shear
Lbs. Shear Lbs. w/Heta1
in Penet Lbs. Side Plates
UIVAJoENT
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Bolt Embedment 2000. Concrete
Diameter Inchefl Tension
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LAWRENCE E. BENNETT'
CIVIL ENGINEER 8 DEVELOPMENT CONSULTANT',
P.O. Box 4368 South Daylono. FI. 32121-4368
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'rnpnlutl
Page No,
of
Pages .
MEL'S ALUMINUM
8041 lov lane
Zephyrhills, Florida 33541
(813) 783.6752
'5
PROPOSAL SUBMITTED TO/p
btJ;2...3 16
STREET
'-
PHONE
DATE
;I!~
19
J J .s-~
JOB NAME
CITY.
JOB LOCATION
ARCHITECT
DATE OF PLANS
JOB PHONE
We hereby submit specifications and estimates for:
36 X '7 ,h/} ~t{'
/3 X 5b /60'- C~
;Z Scre(?1\.. OooJ'-; 'J
~ ..tU-
I I
/ tJ ,xJl.... 0 I
/~x/g
/r';t /3'
/t// /f;cf 8.-9/~
;2..00 f/1
/1ftP
)1 ~ rj
lit 'ropOSt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
~-jtJch ~.
dollars ($ J / I
),
Payment to be made as follows:
All material is guaranteed to be as specified, All work to be completed in a workmanlike
manner according to standard practices.. Any alteration or deviation from above specifica-
tions involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance,
Our workers are fully covered by Workmen's Compensation Insurance,
Authorized ~
Slgnature_ -
Note: This proposal may be
withdrawn by us jf not accepted within
C '!)A/
days.
Atttpfantt nf 'rupusal- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified, Payment will be made as outlined above.
/~
/ J .~,;/.J
Date of Acceptance:
Signature
---,
- < CI~:fY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER /lr/lo/j.fA, /~ jJ jJJ'
JOB LOCATION 6023 /J/ /" -f4 ~r
1)2-: 2.(, -(J.j - OIg'(/-?JtJooo - t?O~O
PARCEL I. D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
~
~
I A~r,~
.~)
~
. '"
~~r
~
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET -
}l / & ';1
I f
2. SETBACKS FOR R3 ZONING
60 '-
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E
R X
0 I
10' P S 10'
0 T 1 0'
S I I
E N
D G 1
20'
FRONT PROPERTY LINE
10'
10' -EXISTING " 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE