HomeMy WebLinkAbout93-3503
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
NC! _ 350:18
9'-/7-93
Date
~tJ. irO
BUILDING
J..j-: P'ZJ
ELECTRICAL
.3S: t7D
PLUMBING
;1...0. oi)
MECHANICAL
Sewer Conn
Water Conn:
Pmpe"y Owne, ~~ ~
Job Address: t:' a. '. < ~ '.
Parcel I. D. # J. - :)...{, ~ a../ ... --5. --- 0
Water Meter:
T.I.F.'s:
Zoning: Energy COde:~
Description of Work JIJ1 /~ , ~
!-.don Gas:
~' -.AA4J
"7
NO OCCUPANCY BEFORE C.O.
FINAL '0 .- (--13
DATE
J 0 ~ 7"-
Inspector r . L
c.o.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
pecm;tl,,~31-Q<J\4dft~
Sogna,", ~':"~
Company \2. ..
Address
Te1ephone# <65<6 3 3 2.-~
Valuation or
Contract Price
City License Registration # I /) J+ 0 0 IJ i
State Certified License#
rt3
t
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
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 ($15.00) 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.
APPLICATIOIIi FOR PERllIT
CI'IY OF ZlWHIKHn.I's
BUlI..DIIIG DEPAKIIIEIO'
('ivy \ t~, {jlOf, _ .1 'i? d ~ cJO I '8' '
,) c ~7 . l 3:3
OWNER'S ADDRItSS t (~)/2/\ ,. ~ n e \ 0\ '. L~~-h ( \ S
<)(-jry)~ 0 <~ Abc)v C
OWNER'S RAKE
JOB ADDR&CiS
LEGAL DESCRIPl'IOII: IDI'(S)
d-C-Y~~d\
~SOBDIVlSIOII
t-- /...........
~m~ - ~
PARCEL LB.'
WORK PROPOSED:_lIev Construction _Addition _Alteration _Repair _Inst:all
S.
- 19I1
_Move
_De.o1ish
PROPOSED USE:
Single F~y
_tl/F
_, of Units
~/H ~ et t;(,UIie'--/l'(
_ec-ercial
_lDdust.
_Swia. Pool
Other
R'-St:aurant & Bea1tb. ~t Approva1
BUlLDIRG SIZE:
\ L\- X C~:4).
~e Feet.
Height
RESIDERTI.AL:
COfIIIERCIAL :
ATrAaI (2) PI.OI' PLAlIS & (2) SEI'S OF BUII.DIIIG PIAJIS & (1) SEI' EllERGY FOlUIS. **
ATI'AaI (3) SEI'S OF BUllDIJIG PJAIiS & (1) SEI' ElIERGY FORIIS. **
**oopy OF OORTKAct :RIIQIJIRIlD.
PRRIIlTS REQUESTED
\1 BUlLDIRG
VF.loRCJ'RICAL
~CAL
~PL1JKBIRG
$
Va1.uation of Tot:a1 Construction
AIIP Service
Florida Power Corp.
W.R.E.C.
$
Va1.uation of tlechanica1 Inst:allation
GAS B.OOFIIIG SPECIALTY
(\"\L;O\ \ \-10f{"l<Z
---..Block _~ _Steel V €.fic<.( fl'l(U\ ~ other
TYPE OF OORSTllUC'I'IOII:
FIRISBED FLOOR ELEVATIOIIS:
fT.
IS PRO.JECI' IR FLOOD WIlE AREA?
YES RO
******************************************
RmUl"" /~ ~
Signature( ~
mYDAcna S~L
; ) , 1 lDIPAIII" \ ~~\ m ~ <:,
~ 1~--1"' St:ate Cert. or B ist.'
City License Registration .
******~***********************************
~Q
~ ' L" IDIPAIIY ~ (I~
... St:ate Cert. or Regist. .
S. ~ U City License Registration .
********~********************************
PLIIIIIER .' lDIIPAIIY {2 -'L~\ 0\1--\ S
"~~ State Cert. or . gist. t ,
Signa~' .' City License Registration .
,------ **** *************************************
b lDIPAIII" Go- '
~ State Cert. or _10. t
. City License Registration .
***** **********************************
~.L~A~_'
OTIIRR aJIIPAIIY
St:ate Cert. or Regist. .
Signature City License Registration .
***************.........************************
APPLlCATIOR APPBOVED BY 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 cOlpliance 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 lisdeaeapor violation under state law. If the owner or intended contractor are uncertain as to "hat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (B131
7BB-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the OMner 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 perlitting privileges in the
City of ZephyrhilIs.
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 Departaent 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 coaaencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all Mork will be done in coapliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
installation has coaaenced prior to issuance of a perlit and that all work will be perforled to leet 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 Mork, and that it is
IV responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
f Departaent of Environaental ReQulation - Cypress Bayheads, Metland Areas and Environlentally Sensitive Lands,
Mater/MasteMater Treatlent
I Southwest Florida Mater "anaQeaent District - Mells, Cypress Barheads, Metland Areas, Altering Matercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Materways
I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environlental Protection Aqency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "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 perait issued shall be construed to be a license to proceed Mith the Mork 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 Mork authorized by such perlit is cOlaenced Mithin six lonths of issuance, or if Mork authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
alloMed for the perlit Mith fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project Mill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCE"ENT "AY RESULT IN YOUR PAYING TMICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT MITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COIt"ENCE"ENT. JOBS UNDER t2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COtlltENCE"ENT". "
(~~~ (,~-.~M
SIGllAIIlRE, _R OIl AGEl ,\.4-: SIGllAIIIAE, tONTIIACIDR C\ - ..
STATE OF FLORIDA
CDUNTY OF
The foregoing instrument
befc.re me this
was acknowledged
, 19 _ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument'was acknowledged
before me this , 19_____ by
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
. '/'~. j CITY OF ZEPHYRHILLS BUILDING DEr~TMENT , '\
OWNER A('I t:"', ') C) '1-, ~(. . ) L-&:. Il~ l:."N T
JOB LOCATION (() (Y?') (--) !~~ Elf: I '~l*
'd-()1o-dl-5'-C
PARCEL I.D. #
SETBACKSN
1
SHOW ALL EXIS'!'IRG Ii: PROPOSED S'l'RUcruRES GIVING DDlBNSIONS Ii:
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2)
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r '-7 ,- -.,. ~':'''''-'--
fi,J5 -7 I
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f)'
"1"
\ 0
FRONT P'*PERTY LINE
e~ AI \ <-,t-
STREET
to()~ Ii
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 1 0'
S I
E N
D G
20'
FROII'!' PROPERTY LDO:
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 ' DUPLEX
FROII"'I' PROPERTY LDm'
1 0'