HomeMy WebLinkAbout93-3464
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<<:> 34646
r-~ -93
'~#tTt)
Date
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Pmp",y Own" ~~!!rYJ%
Job Address: d ~ -
Parcell.D, # / / -;;1.6 -;J...j - () 0 /0- ) 7.30 0 ,- 0/90
Water Meter:
T,I.F.'s:
Zoning: Energy Code:
Oe,e';p';on of WO'k_~~ A rJ-<<- <>I-
~, . Radon Gas:
C/~1
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
DATE
Inspector R.L. YOUMANS
City License Registration #
State Certified License#
Permit Fee :i:.. o. cJ'CJ?
Signature ~~ tt:l ~
Company
Address
Telephone# g 1'7- ? 2 2' -4~ 0 ?
Valuation or
Contract Price
s: (,1"";!hJ , C'-7 )
-
r;fL" J"'\.oo'u2...1 _
r'?-?e,3 7~/ E
ELECTRICAL
PLUMBING
MECHANICAL
Ftr. ILA .Jf~TP' Servo
Pre SLB /U- Rough In
Lintel Meter Can
FRM. Const. Pole
Insul. CL Pool
WL Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway 17-78-93 'RTTT
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.
APPLICAnOIil FOR PERKIT
CIlY OF ZEPIIYRBILLS
BUll.DIBG DEPAImIEIr.r
OIlIIER'S ~tk# il;;r/p?d- j~//JPSJik_ 7f.f-YSZ6
OWJIER'S ADDRESS 3JlS"'/t./ 0/2D 4ve- z.~pjr/JII./Js /;C / 3..?S<fI'6
JOB ADDRESS ~mC
I.EGAL DI!SCRIPl'IOR: UJr(S) /~-.:?'-I BUJa/fJ SUBD~TY ,p~ ZFr4/~/,6
PARCEL I.D.' /I - ~& ...~ / - t?t? /0 .- /93tJO -c>/9t:J
..... .
IiORIC PROPOSFJ): ~ev Constructioo 4.......::tioo Alteratioo D_" Install
~ ~ _____1r _
_Sign
_lIIove
_>>e.D1ish
PROPOSED USE: ,../ Single Faaily
_"IF
_' of Units --1IIH
_Swia. Pool ~~,t~7e.- Other
/
_ec-erci.a1
_lDdust.
Rpstaarant & Bea1th Depart.en.t Approva1
BUILDDG SIZE:
~t> x~t/.
4%a
~ Feet.
I II
/~ b
Height
RFSmEITIAL: ATrAaI (2) PI.OI' PLAIIS & (2) SEIS OF BUllDDIG PIAIIS & (1) SEI' EllERGY FOlUtS. u
COfIItERCIAL: ATrACB (3) SEJ'S OF BUllDDIG PI.MS & (1) SET EIJERGY I'ORIIS. **
**oon OF OONTRAcr REQUIRED.
PERKfTS REOUESTED
~UILDIIiG
$
Va1uatioo of Total. Coostructioo
_ELECrRICAL
AtIP Service
Florida Power Co:rp.
W.R.E.C.
---.JIEQWIICAL
~DG
$
Va1uatioo of 1lecbanica1 Inst:a1latiOll
GAS
ROOFDIG
~ Fra.e _Stee1
Other
SPECIALTY
TYPE OF OOIiSTRUCTIOII: ---..JIloclt
FIIIISBED FLOOR ELEVAUOIIS:
FI' .
IS PROJECI' IIi FlOOD ZOIIE AREA!
~
YES 1i0
******************************************
aHlTRACIOR SECI'IOIi
BIITT Dv.R
CO!IPANY
State Cert. or Regist. f
City License Registratioo .
******************************************
Signature
ELECTRICIAH
SiPn:!lture
CO!IPAIIY
State Cert. or Regist. .
City License Registratioo .
******************************************
PIJIIBER
CO!IPAIiY
State Cert. or Regist. .
City License RegistratiOll .
******************************************
Signature
PlECBAllICAL
CO!IPAIIY
State Cert. or Regist. f
City License Registratioo .
******************************************
Signature
OTRF.R
CO!IPAIiY
State Cert. or Regist. .
City License RegistratiOll .
**************************************....
Signature
APPLICAUOIi AP.l"KUY1W BY
<-:11U1A'~ _..,g~r=
PERIIIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to .deed restrictions. which lay be lore 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 contractors to undertake work, they lay be required to be licensed 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 .isde.eanor violation under state law. If the ownef 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, 18131
798-6611.
Furtherlore, if the owner has bired a contractor or contractors, he is advised to bave the cDntractDr(s) sign portions of the
.Contractor Sections. of tbis application for which they will be responsible. If you, as the owner sign as tbe contractor,
you are indicating that you, ratber 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 perlitting privileges in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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 - HOleowner's Protection
Guide. 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 prolise in good faith to deliver it to the
.owner. prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infotlation in this application is accurate and that all work will be done in cOlplianee with all
applicable 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 has cOI.enced prior to issuance of a perlit and that all work will be perforled to I.et 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 co.pliance. Such agencies include but are not lilited to:
f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental Protection AQency - Asbestos abate.ent
I also 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 .co.pensating volule. will be sub.itted which is prepared by a professional engineer registered in the state of
Florida prior to per.it issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiolate, cancel alter, tr
set aside any provisions of the technical codes, nor shall issuante of a perlit prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the Mork authorized by such per.it is cOI.eneed within six lonths of issuance, or if MOrk authorized by the perlit is
suspended or abandoned for a period of six .onths after the tile the work is COI.eneed. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
approved inspection lust be logged during each six lonth period, or the proiect will be considered abandoned.
WARNIHS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT ~Y RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CQKKEKCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF CDKKEKCEKENT..
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATE OF flORIDA
COUtITY OF
The foregoing instrument
before 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
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
CITY OF ZEPHYRBILLS BUILDING DEPARTMEN"l'
OWNER
L ,'" /'.1._ -;:? r< ..: _ i.~~
i",
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Til'
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JOB LOCATION
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PARCEL I.D. #
SHOW ALL EXIS'rIRG &: PROPOSED STRUcroRES GIVIHG DIMENSIOHS &: SE"l'BACKS.
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ALLEYWAY ACCESS FOR
GARAGE OR CARPORT
15 FOOT SETBACK
REQUIRED.
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UTILITY BUILDINGS
HUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2)
FRONT PROPERTY LINE
~ rr' , A V
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E
R X
0 I
10' J? S 10'
0 T 1 0'
S I
E N
D G
20'
FROIII' PROPERTY LIJiB
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAH 30 ' DUPLEX
1 0'
FROIII' PROPERrY LIJiB