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HomeMy WebLinkAbout94-3854 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N ~ _385~ Date ,.;).- / 'Y ~9 Y , GILDIN0 ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: ~ aL Job Address: 7......8'Sf - /;;t.. ...f'/- Parcell.D. # I--.......l/ - A 0';;l - .f /~-+/ b Water Conn: Water Meter: T.I.F.'s: Zoning: ~ Energy Code: .4 Radon Gas: Description of Wor~ . d"JI ~ ~ ..J- _ ~I NO OCCUPANCY BEFORE C.O. FINAL ~~ .- C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit Fee ~t>, t7f) ~ Signature ~f~~<YI'/p-.c: . k Company Address Telephone# 7 ~ .- c; ? a. b Valuation or Contract Price ~ ~.;l y. (}{) City License Registration # State Certified License# ~ ELECTRICAL PLUMBING MECHANICAL Ftr. 02/24/94 BILL Pre SLB 02/24/94 BILL Lintel ~ FRM. 6-4-q tL-l Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. APPLICATION FOR PERMIT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT OWNER'S NAME ,.......... / . ~ PHONE ;; f-~" &.S-'H d 1::-_. ...) OWNER'S ADDRESS JOB ADDRESS I' j / ~ ( LEGAL DESCRIPTION: LOT(S) / !/' :'If : \ /t.- BLOCK '\ SUBDIVISION PARCEL loD.' / / - ~ Co -J-I I< ~-;) -.f / J - / h WORK PROPOSED:~New Construction ____Addition Alteration _Repair _Install _Sign Move Demolish PROPOSED USE: Single Family ____M/F _, of Units _M/H Co_ercial _Indust. ____Swim. Pool ;/-. j .~.f < . Other .---.. ____Restaurant & Health Department Approval BUILDING SIZE: 1,/" X' ~ / 1.) / I':;:> ~, ; '?'-; Ii Square Feet, ;' "r, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED LBUILDING ELECTRICAL $ Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. MECHANICAL $ Valuation of Mechanical Installation PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: Block Frame _Steel Other FINISHED FLOOR ELEVATIONS: F'l' . IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUILDER Signature COMPANY State Cert. or Regist. , :1:2<"" / City License Registration, ****************************************** ELECTRICIAN COMPANY State Cert. or Regist. , City License Registration' ****************************************** Signature PLUMBER COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration # ****************************************** OTHER fIIt:1.4;(f}V'~) COMPANY (\ -I- f) ./.5!- / V State ceil. or Regist. , Signat,ure ~.;?V~.p~~~ City License Registration' ****************************************** APPLICATION APPROVED BY .~!~~ ~~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this perlit JaY be subject to 'deed restrictions' wbich lilY be lOre restrictive than City- regulations. !be undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they JaY 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 lilY be cited for a lisdl!leallor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!lents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Deparblent, (813) 788-6611. FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections' of this application for wbich 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 wisbes you to sign as contractor that JaY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of 'Plorida's Construction Lien Law - lReowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is soeone other than the 'owner", I certify that I bave obtained a copy of the above described docUleDt and pro.ise in good faith to deliver it to the "owner" prior to COlleDCl!ll!llt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, zoning, and land developllent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas CDleDced prior to issuance of a perlit and that all work will be perfoIled to leet standards of all laws regulating construction, City codes, loning regulations, and land developleRt regulations in the jurisdiction. I also certify that I understand that the regulations of other governJelltal agencies lilY apply to the intended work, and that it is If responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not luited to: · Departlent of EnvirollJelltal Regulation - Cypress Baybeads, Wetland Areas and Envirouentally Sensitive Lands, Water/Wastewater lreablent * Southwest Plorida Water Managl!l8llt District - Wells, Cypress Baybeacls, Wetland Areas, Altering Watercourses * ArQ Corps of Engineers - Seawalls, Docks, lavigable Waterways * Departlent of Health i Rehabilitative Services, Envirouental Health Unit - Wells, Wastewater Ireablent, Septic lanks * US BnviroDleDtal Protection Agency - Asbestos abatl!lent I also certify that, if fill Iilterial is to be used in Plood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a 'cOlpeDsating vol.' will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued sball 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 sball 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 work authoriled by such perlit is COIIeDced within sillOntbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of sil IODtbs after the tile the work is co.enced. One 90 day I!Itension of tile, lilY be allowed for the perlit with fee charge of $15.00. lbe I!Itension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned. WARMIIfG TO owm: YOUR FAILURE 10 RECORD A NOIICE OF COIDIDCBIIIN! MAY RESULI IN YOUR PAYING ftlCE FOR DIPROVBMElITS 10 YOUR PROPERlY. IF YOU IIIEND TO OBlIII PlMAKCIIIG, COIISULI WIIH YOUR LBKDER OR All AnomY BIFORE RECORDIIG YOUR DICE OF COOIEIICEMEII. JOBS OlDER '2,500 II VALUE 00 NOI IfIED TO RECORD DD POSI A -NOIICE OF COOIDCEIIEMfI. SIGXAfURB: 0IflIER OR AGm SIGlIAfURE: COlI!IIACfOR STAlE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by SIAfE OF FLORIDA coum OP 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) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC I r CITY OF ZEPHYRBILLS BUILDING DEPARTMENT . OWNER JOB LOCATION PARCEL I. D. # SHOW ALL EXIS".l"IRG & PROPOSED S'l'RUC"I'URES GIVDIG DDlERSIORS & SE"1"BACKS. !.i '''- " I ) - \'- , ! I' , \j,/ ,'....,'~ \ t \( ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. //~ ~ ________1 :; {-, c__ .1. , '11 '.-- , " '\ h'-' Ie I f .~ C / ~_.,) ) /" /...:.' ~---f 1/' Ii,' UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAH 30 'DUPLEX 1 0' FROII'I' PROPERTY LINE FRONT PROPERTY LINE I MUNICIPAL. COM MIt"RC IAL. JOHN J. HEDRICK, JR. AND ASSOCIATES CIVIL ENGINEERS. SURVEYORS . P. O. BOX 101515 PHONE 87-2911 TAMPA. FLORIDA August 27,19.56 Hr. William V. Womack, P. O. Box 181, Zephyrhl11s, 11a. CERTIFICATE OF SURVEY INoun RIA.L..;.:,...._;; ,; -.: .'--":~ \,~ ,1'1,::, . " 1. AU(0lst 24--I._195i.., we snrveye<.l the following CERTIFICA TION is made that on__ described property: Lots 1.5 and 16 Blade Ro..52, Map of Zephyrh111s, Florida according to the plat thereof as filed W'irch J.8..-~__jn Plat Book No. 1 on Page No. SS Public Record8-_'_~A1l..C.O._ County, Florida. There are no encroachments upon this property except as shown hereon. 1\ \ \ \ \ I i I I 30 V \ \ A\ ~ .... r \ ~, '-;1 ;'l.r-"'~ t-~-) ~:.' L_: _/I_..,'~ .::' .~: )"p ---., \~ I --; ../ . . I' \ 0 _ , (........ , \ ,. /,., , ;::> y \- a \- . .. \1> \\- / ~...-.." ~.' ~() I. .' /6- .... ...l. "'!{\. .' ,~- ~ / ,/.....16 ' ../.:. / \: Q-........' \ \ c-f(~ y~ '.>"P"'.5 \ t.- ,~-\ }\.', / . .. .\) \J. (I \ n. ~"" \-AJ'. c' \:: . ) ~V'''.' ~"~>'/.'. '-~, \ " ',j r> .' -4 "\ ..... '\s. /' \ -?\ \ \ /..... \~........ J,P.~ \ \ \ \ \ ~ \ 9 \ \ ...... '-'" \(' o \. \\<<:/ ~' j:; , ,., 14 )5 V' -"- ,/ \y'~~ ".\ \ ',30 _. ,,\ .,1 \ ,) " o \ . \ \ \.\ J n 't. . r ' /'/1" "./ '" \ \