HomeMy WebLinkAbout94-3780
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
'"
(813) 788-6611
378013
Date
/- /.J--y,/
,~d<< bO
BUILDING
.3-.s ~ ~
ELECTRICAL
3..s -: ttIZJ
PLUMBING
MECHANICAL
Sewer Conn
P,"perty Own", ~ Q
Job Address: .s c!J. - , ~ ~ " A ,
Parcell.D. # /0 - ,),,6 -dJ-/ - C) CJ/o . 0/.:2 II, ~_ / V -:....3
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: ~y ~ Radon Gas:
Description of Work~ ~~/~.Ale--#./~
NO OCCUPANCY BEFORE C.O.
FINAL
01/26/94
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. YU.JMANS
p..m;tFee~ ~ ')
Signature I lA 1:[
Company
Address
.~//r
City License Registration # ?7'
State Certified License#
Valuation or
Contract Price
7<i4'n ~4()
Telephone#
~1~~
LECTRICAL
)j~~:I/J
BUILDING
Jr
ff-'7~ 37
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final 01/20/94 BOB
Breakers
Ducts Insl.
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Driveway
SET-UP 01/20/94 BOB
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.
...
ELEVATION CERTIFICATE ~~~,~/:Ja~oN.-?~tf
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purChase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form .can be found on the fol.!owing pages.
SECTION A PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
POLICY NUMBER
BUilDING OWNER'S NAME
$,
OODHAM
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
525/ SCOT/,4
OTHER DESCRIPTION (lot and Block Numbers, etc.)
COMPANY NAIC NUMBER
CITY
Zt;;PHYR/-IILL S
STATE
R
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
ZIP CODE
33S'
Provide the following from the proper FIRM (See Instructions):
I. COMMUNITY NUMBER
2. PANEL NUMBER
3, SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6 BASE FLOOD ELEVATION
(in AO Zones. use depth)
~Ff
/2.02-35
00 c> S-
~
12-:/7-9'/
,1-F
7. Indicate the elevation datum system used on the FIRM for Base Fiood Elevations (BFE): [!{NGVD '29 [J Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: I I I ~~.l:::J feet NGVD (or other FIRM datum-see Section B, Item 7),
SutJQ...yor SECTION CBUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level ,5" ,
2(a). FIRM Zones A 1-A30, AE, AH, and A (with BFE), The top of the reference level floor from the selected diagram is at an elevation
of I I I 18151.LlI feet NGVD (or other FIRM datum-see Section B, Item 7).
(b), FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of I I I I I I,U feet NGVD (or other FIRM datum-see Section B, Item 7),
(c). FIRM Zone A (without BFE), The floor used as the reference level from the selected diagram is LlJ, LJ feet above 0 or
below 0 (check one) the highest grade adjacent to the building,
(d), FIRM Zone AO, The floor used as the reference level from the selected diagram is LU.U feet above 0 or below 0 (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? 0 Yes D No [J Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: la'NGVD '29 D Other (describe
under Comments on Page 2), (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FlAM (see Section B, Item 7J, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.) .
4. Elevation reference mark used appears on FIRM: 0 Yes B"No (See Instructions on Page 4)
5, The reference level elevation is based on: g- actual construction 0 construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate
will be required once construction is complete.)
6, The elevation of the lowest grade immediately adjacent to the building is: I I I 181=1 1.13J feet NGVD (or other FIRM datum-see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1, If the community official responsible for verifying butlding elevations specifies that the reference level indicated in Section C, Item 1
is not the "'owest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I I I I I I.U feet NGVD (or other FIRM datum-see Section B, Item 7),
2, Date of the start of construction or substantial improvement
FEMA Form 81 -31, MA Y 90
REPLACES ALL PREVIOUS EDITIONS
SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones A1-A30, AE, AH, A (with BFE),V1-V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
I certify that the information in Sections Band C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S, Code, Section 1001.
CERTIFIER'S NAME
DAV/O ('7, AR/4STRtWt;
TITLE
SU/!\/E y'('),e
LICENSE NUMBER (or Affix Seal)
COMPANY NAME
C. FRED
Oc<< 6~ cj /l SS 0 C.
CITY
ZEP#Y/.?#IL.t. s
ZIP
3354- J
78 z-&> 71 7
for: 1) community official, 2) Insurance agent/company, and 3) :,ullding owner.
COMMENTS:
ON
SLAB
WITH
BASEMENT
ON PILES,
PIERS, OR COLUMNS
-;ASE
FLOOD
~
-eAsE
FLOOD
ELEVATION
-r
BASE
FLOOD
~
~ A
ZONES
V
ZONES
A
ZONES
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones,
Elevations for all A Zones should be measured at the top of the reference level floor,
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
APPLICAnOll fOR PERIIl.T
CItY OF ZEPIIIRIII.LI.S
BUllDllIC DEPARIIIEIIT
OWNER'S IWIE t}1/V- If
};JcCr!)~,q~
,
PIIOlIE
OWNER'S ADDRESS
JOB ADDRESS ). c- r S' 2. S I
LEGAL DESCRIPl'IOII: Wr(S)
s~~ 1,",q. sl
.IlLOCIL-.SUBDIVISIOR S4 "J.., I? <5 7
PARCEL LO.' 10 -.A ~ - AI 6010 rL CJ 1"1....~.:J ..... (<f--.J
....
WORK PROPOSED:_lIev Consl:rucl:ion --.JLddil:ion _All:eral:ion vJt'epair _Iost:all
S'
- 19I1
_lIove
_De.olish
PROPOSED USE:
~ing1e F8Ilily
--1t/F
_, of Uni.1:s
~/B
_~rciaL
_I.OOusI:.
~wia. Pool
Ot:her
~t:auran.1: & Hea1t:h Deparbenl: ApprovaL
BUILDING SIZE: /1 X '-j '/ ,
~e Feel:, S?, 'I
Heighl:
RESIDERTIAL: A'lTAm (2) PI.OI' PLAlIS &: (2) SEI'S OF BIJI.U)DfG PLAlIS &: (1) SEt' EIIERGY fOlUIS...
COHItERCIAL: A'lTAm (3) SEI'S OF BUIIJUJI/G PLANS &: (I) SEt' MERCY fORKS...
..OOPY OF OOIlTRAGr .RIIQU1.RIlD.
~UILDING
/ELEcnuCAL
PIlJUIllS KEOUESTED
$
VaLual:ion of Tot:.al Consl:rucl:ion
AIIP Service
Florida Puller Corp.
W.R.E.C.
---1tECllARICAL
~UKBING
$
VaLual:ion of IlecbanicaL Inst:allal:ion
GAS
ROOFING
SPECIALTY
TYPE OF mNSTRUCI'IOII: -..Block ---Y'r.-e _Sl:eel
Other
FIIIISHED FLOOR ELEVAnOllS:
n.
IS PROJEGr 1R FLOOD ZONE AREA!
YES NO
..........................................
~CIOR SECTION
=.eMY~~ :n
CJ 'i,.( /fv ~ ~ :J:ity License Regfst:.ral:ioo. f
........ ...............................
R::::CIAR~'/ . LL WflPARY j'oJ-?l~JJ E )E~~t
Stal:e Cerl:. or Reg1sl:. .
S e City License Regisl:ral:ion . < ~ fr
. .......................................
PUllBER > OOIIPAlIY ~ Oo~ J 4 IV E IE ~
Stal:e Cerl:. or Regisl:. I
ity License RegiSl:ral:ioo. .
......................................
BUHJ)RR
1/5,
77
Signal:ure
Signal:ure
3'/
,
tutalARICAL
Signal:ure _N 0 R I C.-
,
OOIIPAlIY
Stal:e Cerl:. or RegiSI:. t
Cil:y License RegiSl:ral:ion f
..........................................
----
O'T1IRR
COfIPARY
Stal:e Cerl:. or Regisl:. .
City License Regisl:ral:ion .
..........................................,
7! cl11kQWI ~/urw--: PmIlT OPFICIlR.
Signal:ure
APPLICAnON APPROVED BY
CUNDI , JUNH flF PEnNI! (\FFIIHW'IT
() . l'IQTI~_I;:__QE..._pg~JL.R~_ElJr~tGLI!J.1\1 E';
lh~ "nrl~rsigned understands that this p~rlit lay bp 5"bj~ct t~ "d~~d r~5tricti~ns" which .ay b~ 'or~ r~strictiv~ than City
r~gulati~ns. The undersigned assu.~s responsibility fpr co~rliance Mith any applicable deed restrictions,
Fe. lJNL I C~NElE-lLJ,;:,Qt{[[if~~Jl,lI3E1,_0.IJP.I~J)IJJBf)J,;rLJJ3__p.r:::9.rLJH?I~J,!:::LrJ,~f.J.
If th~ OMner has hired a contractor or c~ntractors to undertak~ work, th~y may be required to be licensed in accordance with
state and local regulations, If the contractor is not licensed as required by laM, both the OMner and contractor lay be
cited for a .isde,eanor violation under state laM. If the owner or intended contractor are uncertain as to "hat licensing
reQuire.ents lay apply for the intended "ork, they are adyised to contact the City of Zephyrhills Building Depart.ent, IBI3!
7BB-6611.
Furtherlore, if the o"ner has hired a contractor or contractors, he is advised to have the contractor Is! sign portions of the
"Contractor Sections" of this application for "hich they Mill be responsible. If you, as the OMner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the "ork. If the contrattor Mishes 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.
t: . TBAI'J!:;lPOR TAT IPtLI t-1P 14~LEr.;J;.J;LD.!J!)___lJJILtD::__..C.Qt~Ns.I,;;T!JJ!:.'L.E~E,EI,
n. ~OI'JElTRUI,;;T .tQN____.L."LI;!L1,.JtH (Cll(\PTER 7 J ~=J ~ FLlm I D() STfHUTES, ns (WIENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien LaM - Ifoleo"ner'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 th~ above described doc"~ent and prolise in good faith to deliver it to thp
"owner" prior to to.lencelent.
F . ~Q1iI.f<(~TQI3...~ SLQHN~-'--_El_,BEF:_UH)VJT.
I certify that all the inforlation in this application is accurate and that all work Mill be done in cOlpliance Mith all
applicable laMS regulating construction, loning, and land developMent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no Mork Dr
installation has co..enced prior to issuance of a per~it and that all "ork "ill be perforled to leet standards of all laMS
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction, I also
certify that I understand that the regulations of other governMental agencies lay apply to the intended "ork, and that it is
.Y responsibility to identify "hat actions I lUSt take to be in cOlpliance, Such agencies include but are not liMited to:
· Depart,ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
Water/HasteMater Treat~ent
· SouthHest Florida Nater nanaQelent District - Hells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ~r.y Corps of EnQineers - SeaHalls, Docks, Navigable WaterMays
· ~!p.!!.1lent of Ifealth L Rehabili~~tiv~~eJvi~!_~_LE.!ix!!~!,!el.ll~U!p.!llt1!__UnU - Hells, Haste"ater Treat.ent, Septic Tanks
, ~S EnvironMental Protection AQency - Asbestos abateMent
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 "coMpensating volule' "ill be sublitted Hhich 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 "ork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a p~rlit prevent the Building Official frol thereafter
requiring a correction of errors in pians, construction, or violations of any code, Every perlit issued shall beCOMe invalid
unless the work authorized by such per.it is co.,enced Mithin six lonths of issuance, 'Dr if Mork authorized by the perlit is
suspended or abandoned for a period of six aonths after the tile the "ork is co..enced, One 90 day extension of tile, May be
allo"ed for the perMit Hith fee charge of tI5.00. The extension shall be requested in Mriting to the Building Official. An
approved inspection lust be logged during each six Month period, or the project Mill be considered abandoned.
HARNING TO OWNER: YOUR FAilURE TO RECORD A NOTICE OF COMMENCEnENT nAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PRUPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LEHDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMnEN[E"ENT. JOBS UNDER $2,500 IN VALUE DO HOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
{J~/ /J~
SIGNATURE: OHNER OR AGENT
,~~.JI
SIGNATURE: CONTRACTOR
SlATE OF FLORIDA
COUNTY OF '? As r-<>
The fOf'egoing instnlment I'Ia5 afnNlledged
befDre me this 4----:JArI, 199 by
Itlhlc~i~1~r~l~~e 01- NhD has
produced
as identification and who did/did not
:~~~f&~
(S i gnCl tLu-e)
(NClme Typed, Printed or StClmped)
tlO l ARY,
SlAlE OF FLOR~
COUNTY OF ~&5 Ln
The foregCting ins!,pJment I'las aCkrfl'lledged
before me this r~N , Irq by
W~~ J.~+:' ~Jj)
Io',ho is pe;'=-~'na 11 y knDIo'I[L. to me or l.oJho has
pt-odllced
as identification and who did/did not
t ap 0 th
. CINDY BOOKER
.~:~ MY COMMI86ION , CC 112026
~', /;) EXPIRES: MIy 11. _
"Jl ..::;~, landed ThIu NutIIy I'IlIIllc .........
I, . tx''''
(Name Typed~ Printed or Stamped)
t.~.Q.IAR\LP 101 Jr-
"....';.....,. CINDY BOOKER
l'R,.~;E;.~;:'~ MY COMMISSION' CC 192026
~~.~.~j EXPIRES: May 19. 1996
~.J.i:.Cff.:r..?:'.' Bonded TI1Iu IMary PuIIIIc t.JnderM\teIS
~
c. FREn DEUEL & AssocIATEs, INc.
CORPORATE OFFICE
CONSULTING ENGINEERS. LAND SURVEYORS' LAND PLANNERS
P,O, BOX 10116
ST, PETERSBURG. FLORIDA 33733.0116
1620 FIRST AVENUE NORTH
ST, PETERSBURG, FLORIDA 33713
(613) 822-4151
FAX (813) 821.7255
BRANCH OFFICE
P,O, BOX 1798
ZEPHYRHILLS. FLORIDA 33539.1798
5151 NORTH GALL BOULEVARD
ZEPHYRHILLS. FLORIDA 33541
(813) 782-6717
FAX (813) 782-5426
PLEASE REPLY TO:
ZEPHYRHILLS
JANUARY 11, 1994
Charles Walker
5238 Scotia Drive
Zephyrhills, FL 33541
Dear Mr. Walker:
On January 11, 1994, C. FRED DEUEL & ASSOCIATES
set an elevation for Lot #5251 Scotia Drive in
SHADY REST MOBILE HOME PARK.
As a temporary bench mark, a nail was set at
85.0 in an oak tree on the east side of the lot.
Pasco County Bench
disk in a headwall
Substation, having
This elevation is based on
Mark #521, being a bronze
500' east of Florida Power
an elevation of 82.507 (NGVD).
. NO. 4970
DGA/mp
pc: Wayne Butterfield
5131 Gall Blvd.
Zephyrhills, FL 33541
OWNER
)Y1N
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
,::). . er.,'" JIMA-..J
JOB LOCATION 1." T S "l.S I
PARCEL 1. D. # I () - 2.(4, -'t..j
S'.:. _ 1/4 .$ r
5' h.""J7 {l..<<j /11.., /h"':'" /-1<....., <-
/?/+f\-IL
.
00;0
fJL Co I'?..~.:J ~ 1/.1- J
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
FRONT PROPERTY LINE
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
)'"
I
"r' \... ~
fA" \
1(1,14 I
').'--/
<,...,1
1~
f'-'"
co(tl'- ~
y
(l/+<"
;:;~~.
fp. X--./
___ . "'a.~ e.'V
t..... \ ..:>'-'
(). " " .....
1'2.)1.'-1'1
i
AU_
FRONT PROPERTY
(
is'
LI~
2 .
SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE