HomeMy WebLinkAbout93-3658
BUILDING PERMIT
Permit N ~
CITY OF ZEPHYRHILLS
(813) 788-6611
_365~
II"'" ;2:; - 93
,....
~
Date
Property Owner:
Job Address:
Parcell.D, #
EL~ P~
~ 4 LA:SV aJ/A~)
~o~r) - ??-rtI ft.
M~AL
(}~12
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
Radon Gas:
FINAL
DATE
NO OCCUPANCY BEFORE C.O.
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
Pe,m;' Feel- (., ~
Signature l ~'i.A r
Company __
Address
Telephone#
Valuation or i <2- ~ C).. .
Contract Price / 0
00
.....--
Breakers
Ducts Ins!.
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.
"I ,,----
:' 'S:'A" ~4l1 ,,:~;_. ..=: el-l .4 P E F<:
..,. '.
.;;;;.;::.~~~~;;;;;-;:~~:~:.:;~:;:.;;:;:=;::;;;:~;;;;::;~::.::~.:.:::~;;~-.:;:~:.:~:;:;;;::.:;:;::;::::;;:.;;:.::;:;.;:;==::;:::::.;;=~;;.~;::;:=:;:;::-~ -:~.
~~,ON,::::-;Tr<.UC:::-T.z 01-1
co_
..J ..
RES1DENTI.~L & C-O'1HERC'IA~
~-:" 2~.l 1 =. i: E' j ., i:;" ,:J
F-:~'l~ 1. ;:, T 21' ~.,j
f>u 1 J 1:J:J r'l~
C:CJr-l"C t.'~".I: t c,'
F:E,
()t):.::t"t:'~
.'.....
" '..,
~~<t
...... i
......~!
I
'}
F.' '::' '='1 .;... J.. r~l \;1 c '=11-: ;:: ,- ';:'. ': "c, '::1 f'
1":'_
(,t):;,~"7 ,::,:',
83= Soutn H19nway 98. Dade Clt~. Florlda 33525
j:.'h'::ine ~ I. 9(4) 5b7-E;5E:(!
bondea ana In~urec
".."...........-..."'.'...".."'."'..._.._,...___.u....._._.,....,_--....---.."......---,-,--.-'''____:L~ /tJ 1/ PFY/CL
,.._,_..,,_......,_...,_:~..~::.~,>..'~~-,.~:_,,:~;.~,. f-:~...~-~~~~:,=:--,'~~~---.-----.~,~~~~~Z,f2DS13D ' L' b 1: e:
, 1....1'", ;11/ i), ~ k ~ 0 <.A f e- J eel "'rih" , r:- J f { t..,,j Tf<:
. (p 0 y 0 8 71- J+-
"'~"~J2~,~~~-Lf3L-t--------~_~~~iLk
i \N.? n E:- t" 80 v ::;'_',U iT! n: su >2'C 1 f 1 c"" t 1 c:,n:; .:<.n CI es t 1 ma, t es jOt': 'OME: I N':;" T I Or'~ F-:EF-:OOF
' rE'-p,5 t 5, de Opt r
SH1NGLE f'DOF Sf'EC1CA7'lDN~.
,
"
"
-- F':~=:'I~)\'c ;:>:::::'1'11..,::: ::,i"'dr~:':,U::.=. i::>F:IF EDGE.. Him Fi:.L""
~'=<~ ":,,..:- J~l', -:j.G= LE: :.,../:: L.. ':',. ['r.' ,:'. __ H.;... "_, ,,___ _.... _,.
~ i'.:::, i .....L"- :\1::. \'.' \',~;L.. Le:. '1 :"11:. I ,.,,,,., " L..Hol-i 11\~I.=. ;.;,Nu _1:.1.. l:;:wO;;::
-" , . -, . ~ . 1" I [r-: 1 F Er" - I
i "':. : ;-1 k.. 1- .. i_ .' ---4.C(--/-{-J-rt;t-+..~ _ . I:' :_~-~.:~~'1 ) r: . I.,.I!,,:I::'
~ I ::,'~ r-;_ ~ t;'''';::-f ',q,?~-;F, 'I"r;:,r~u~: r'-,C Jr'!:::.1-''::' l"'H~:Hr..n I ED F ~ E:ERGLA::.:,:;
::....'! i,,~-,....::::: (/ f-F'';''"i[ ....c..A..,..- CDr.-::::.';' L._ e:: I
C"; f .rc.......--.--.....'-'-. -:t:~TC - :
F.:. ,;;L" !;.c,~',~. '3",'::'::';.' :,::':;TIC:N-; ;..~ A' )E. ~c..ISQ""'(/,(~~
" " r'LI'.'':;''C: [:,:::,','.1,.',,:. F,'CI..l,;.:I,':;,:,~+i~[~,.:~~...~I~Li,FLH;HlrJG= .:
-r lA. ~ ,I ,~ , ::,~... ':_ ", ,(,j. =3 Lt..", r;,,.-, .;:'!:: :.,"i::..t~ f ['1",', - 11, !
-, "1'... ,~'ICd~ -''f2--..L''~ F::...-~'::: 1 '::' '-. =, F I i:;EF:(3LI~;S :; FELT eoblV/lllt S4:tTE.'
1. ; ..' :~l 'T ::1 ~ ~ ) I:: \'" l~ 1"1:'" \' .1 [ ~ ~ : E ~, f'/!::~ T ~:'d_ F:... i:i E.~ H I f'~ c:' :: ;:
lr,::,T,..,LL. ,,:::..', "" , ,...,' '1.'11"KI,'1 [,F,'IF' EDC::!E i:
":::T~" #.fj,_.:J"'''~ -,--, --,~__~__........_
,. ~~ l,iE>) ";' -,_,:, L. ,-,F ;r .:J::......hi.', "i ~, f-i~, 1...11'111 ~Uf-l F ~ ;:, F,'t.'t, ,_ I.Jh I ll\l!5
GEN::'R/L SPEd~!:1:ci;;{{~ -;'-1'1/'-"1 Plus.r/I 6-~:-:iC.{L~ C"I r-f..tet-..
( e .C2. 1--rt. f c( '" , ....
- C,J!"ii::'LC:TE 'rF.:,;'3~'-1 F.Er"~ID\'r:-.~
.,
.'
- I ,IE ,'J VJCII::Jl.' i;',_ :., CIVJri!JC:'::
!
'I
rI
:1
1 !'.I::;L_ UI>E[,
"
:i
'I
"
'f
~ I
e:s.' 'R LEAl.. WAF.:F:ANTY
... 1 "'. . ... .. "r ,. ... [' 1"-'"
.- '- II ' :_,,_II.Jhl 1" r-'t::.r":;~.1 I
ON BOTH ROOF AREAS
-rDTiiL
t"D'~:T ;".
.$ 8,31 0
'-0
:j
I
i
,
I
I
- ;.. ..!~ c.: Cl"i :':jE i'~C == (VIE,!.! "'1-. :t.''':'1~ ~i-,~C,E ~'T C' CJP-1F'~ E T :~ ::If ~ I
I --_._~-
;:'~::., JL"':=~;' '::';;;~ -.;----;,_~.. t'~' :-", ,~~-," ~w,.=..' ',.r- ; _,~,,~-
, ,.,~, .'. -' ~ , , ..... "..... ' .. ~'" -
~
Fit ;7t:t'o-J1.?o..3
~~ I/-f-ft'
:.. , .~.... - - . - --
._' .~ \:-' I I..;:" '.. Ll t -::.' _h_ -. ... .__ .
! H'.,_,:_ l~:. r..
';-Ei:.:
. l..> 2. 'I,' ;;.:' .w~.....,_~.._...___....."___.......
.----.-....----.-..----.-.....-.-.......--..-'::. 1 G r, C'_ 'C. ~_\ ~., =- -.-'-'_._
~;;:=::;.:.---==:=;:::=:-.::::::-=:::-:.:.:::.;::-.:::~=;;;...-.:::;::.-:.._=:::.::.:;.-:;:::;;.7.::::::::_.:;;;.::;.':~::::::=~-=:~:::.:..;:~~=::-_===-==_---._:::~:.:::::.:::.._
APPLICATION FOR PER~IT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER
Jch.a..per CuYlS+rUc,+ LQ Yl
.sou-th fhuy 9S'
H r:s f- C!r.1'/0 h an efturci'1
JOB LOCATION rc()lj() 3th sfra.,{
/) ~~- 0
PHONE
S-6 7 - ~S[fJ
APPLICANT
ADDRESS
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.#
WORK PROPOSED:_New Construction _Addition _Alteration L-Repair _Install
_Sign/Temp.
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
_M/F
_IF of Uni ts
._M/H
_Commercial
_Indust.
_Swim. Pool
Other
J
_Restaurant & Health Department Approval
BuiLDING SIZE:
x_,
Square Feet.
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET ENERGY FOR.I1S. ,,,':
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
_BUILDING
$
;j31()~
Valuation of Total Construction
_ELECTRICAL
~f
_MECHANICAL
AMP Service
Florida Power Corp.
_H.R.E.C.
$
Valuation of Mechanical Installation
_PLUMBING
GAS
x
.
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration #
******************************************
BUILDER
Signature
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
ETFCTRTCIAN
Company
State Cert. or Regist. ~F
City Lice~5e Registration #
**********************~*******************
PUJMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAl
Signature
Signature
r
Company 5t:-flaper C CJVl.s-l-ruo-h 0Yl
State Cert. or Regist. 4; ~C- OO,)f.c 70 3
City License Registration # t.f:2
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
...".';.,-')? ji""f'<'~Jt.
, . ".?, . ...".J' ,,~.t "'" .l"A'4
I~~".'
~,'l ":~V4 . ."'V"""( .~.j", , 'O-L_,.
. ~.', ~~l'
. .' . ~ - ..' ,.... ,
",.,._..1.__...--..$
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit aay 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 may 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 an~ contractor lay be
cited for a lisdeleanor violation under state law. If the owner 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 Departaent, (813)
788-6611.
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 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 perlitting 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 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 so.eone 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' prior to cOllencelent.
~ E. CONTRACTOR'S/OWNER'S AFFIDAVI~
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
I 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 cOllenced 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 work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
t Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t De artlent of Health ~ Rehabilitative Services Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t Environlental Protection AQency - Asbestos abatelent
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 'colpensating volume' Mill be sublitted which is prepared 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 frol thereafter
requiring a correction of errors in plans, construction, or violations of any code., Every permit issued shall becole invalid
unless the work authorized by such perlit is cO.lenced within six lonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six lonths after the tile the work is com.enced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. 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 will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOP. IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
~E'T. JO'S ~~BO NOT 'EE' TO 'ECO" A" P'ST A '.OTICE OF C...E'CE' T'.
SI6NATU~R OR AGENT
STATE OF FLORIDA /J " ...\
COUNTY OF r-~L(J
The foregoing in~trument
before me th i sir... OJ.;;:L
I
was acknowledged
, 19.2l.. by
STATE OF FLORI~
COUNTY OF r85_~ _
. The foregoing instrument was acknowledged
befe,,-e me th i s N<;;)". d~ 19 ~ by
who i~~~~~\~Y Z::n~:::~or whc. has
produced
as identifi and who
take an oa
'~
I\...
(Signature) \
~u.d\~ h.~c..~r
(Name Typed~ Printed or Stamped)
NOTARY PUBLIC ~ ~ {" (977
rSC!.f'al1 y Imow~ to me or \<lho has
produced ~~l ~
as identification and whO'did/did nett
t~a,thuvl TrI. .~
~v .
LOR, ""be.t1I Yr/, f.....rJ Sf f. f (
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
~
JUOIfH t. II!CHAPEQ
NoIay PutlIir. .t '''',ndQ
M'lCcrYvn, ey~ .~7
f\IQ, ~c ..'92367
~"lij -"'--...........
'~- ~8) \j9y
~,~ C<:-043 O\o~