HomeMy WebLinkAbout94-3919
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N C!
3919 S
3 -jj'">;9Y
Date
~~ ELECTRICAL PLUMBING MECHANICAL
pmpenyOwne,,,- -x!1tf1J :zf~
Job Address: '-.$ U ___-=---
Parcel I.D. # / / ~ r9-6 . ~/ - CJ [) /0 '" / I Y 0 0 - 0.;).. 0 D
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code: Radon Gas:
Description of wo~H-J!;-~) A-c-7 tJ'V-eA...... jJ * ;- A'~ ~
. A".4 ~
FINAL ..~- d J ~ 91-/
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Pe,m;t Fee ~ ~
Signatur~ _JJ_
Company
Address
Telephone#
Valuation or
Contract Price '/ '/0. o-v
City License Registration # c2 ry
State Certified License#
,gaLw iltL4J1
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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 FUR PERllIT
CIlY OF ZJl;mIIClllI.I.S
BUlI.DllIG DEPARllutlll'
OWNER · S IIAtIE
c,kct~
~5 (;/ d
Cl
, l'tNle)OV)
/ 0~/ {r
ftIOlIE
77>75 - 570 i
(
OIftIIER' S ADDRESS
JOB ADDRESS
---
LEGAL DESCRIPl'IOII: IDI(S) ~SUBDIVISIOII
PARCEL I~D.t I!j .J.(" - J I - OO{ 0 - 11.:1 (.')0 - 0,;)00
IiORK PROPOSED: Nev Construction --i\ddition _Alteration ~ir _Install
S.
- 19I1
_lIove
_De.olish
PROPOSED USE:
Single F.-ily
_ff/F
_, of UnU:s
_"/D
_~rcia1
_Indust.
_S~. Pool
Other
Restaurant & Dea1th Deparbent Approva1
/~I X f'le ':
~e Feet,
2'-/ "
Height
BUILDING SIZE:
RESIDENTIAL:
aJtIIIERCIAL :
ATrAm (2) PUJI' PLAIIS & (2) SKIS OF BUII.DIIIG PLAIIS & (1) SKI' ENERGY fOIUIS...
ATrAm (3) SKIS OF BUII.DIIIG PIJUIIS & (1) SKI' EIIERGY fOIUIS...
..mpy OF mllTRAGr RllQUlRIID.
~UlLDING
$.
Ljio~
PIImII'IS REOUESTED
Valuation of Tot:al Construction
----ELECl'RICAL
MP Service
Florida Power Corp.
W.R.E.C.
---1tECllARICAL
$.
Valuation of ffecbanica1 Inst:allaUon
_PLUltBIIIG GAS ROOFIIIG
SPECIALTY
TYPE OF WNSTRUCTIOII: ----"lock --Yraae _Steel
Other
FIIIISHED FLOOR ELEVAnOllS:
n.
IS PKO.JECl III FUJOD ZOIlE AREA. T
YES NO
..........................................
BUlIDD
aJnlIACIOR SECI'IOll ,
lDIPANY E~q hr~ If- f rJ rn I @lVJ
State Cert. or Regisl:.' (' Pl' 0,";2(4) ?7
City License Registration t (;J(f9
...............................
'--
Signature
ItI.ltCTRlCIAII
IDlPAIIY
State Cerl:. or Regist. t
City License Registration t
..........................................
SilllUllture
PLlJllRER
aJfIPAIIY
State Cert. or Regisl:. ,
City License Registration t
..........................................
Signature
IIEaIAlIICAL
WllPAIIY
State Cert. or Regist. t
City License Registration t
..........................................
Signature
01'1IItR aBPAIIY
State Cert. or Regist. t
Signature City License Registration t
..........................................
APPLIc:.\'fIOII - .~ ~ .~~ PIlIIIllr OFFICER.
CDNDI' U/I'.IS flF F'EHIHI m:FID{WIT
;\. I'!QI!.~_~_~.lJ::h..J,~~.~!LB~I:lIP,JJLL!JJJ"~3
The undersigned understands that this per.it .ay be subject to "~eed restricti~ns" Hhich lay be .ore restrictive than City
regulations. Ihe undersigned assu.es responsibility f~r c~~pliance Hith any applicable deed restrictions.
Fe - UH!"'J..1;.I;;NS.I;;lt~Qt{[lli~~I:.P.Bl?... (.)1.Jl>... LOUT HDL,:.I [)13_RE8P[Jr~l?IJ:.lJb IIJ.~l?
If the OHner has hired a contractor or contractors to undertake Hork, they may be required t~ be licensed in accordance Mith
state and IDcal regulations. If the contractor is not licensed as required by laH, both the OMner and contractor .ay be
cited for a .isdeteanor violation under state laM. If the OHner or intended contractor are uncertain as to Hhat licensing
leQuirelents .ay apply for the intended "ork, they are advised to contact the City of lephyrhills Building Departlent, IBI31
7BB-bbll.
Further.ore, if the o"ner has hired a contractor or contractors, he is advised to have the cDntractor(s) sign portions of the
"Contractor Sections. of this application for "hich they Hill be responsible. If you, as the o"ner sign as the contractor,
you are indicating that you, rather than the contractor, ale responsible for the "ork, If the contractor Mishes you to sign
as contractor that .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of lephyrhills.
(: . IJ30N!?F'OR T AIlQJLJ t'l['t~~LL..F;;-';:J?_..nIJILJ)JJ.'==.I.LL.,.~QHH~c;.I.LQtLhFEE!?.
D - ~QNSTRUGT I Qt"_I",LEIL1-DH (CI "'PIEr< '7 j :'=J ~ FLUn I Vi) ST{HUTES ~ ()S (WIENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien La" - 1I0.eo"ner's Protection
Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
"owner", I cprtify that I have obtained a copy of the above described do(u~ent and promise in good faith to deliver it to thp
"oHner" prior to co..ence.ent.
F. ~otf!:f<()J;TQR ' SdJ.!i!jF;:B~i;LJ~.EEJ'p'(l\lJI
I (ertify that all the inforlation in this application is acculate and that all "ork Hill be done in co.pliance with all
applicable laws regulating construction, loning, and land develop_ent.
Appli(ation is hereby aade to obtain a per.it to do "ork and installation as indicated. I certify that no work or
installation has cOI.enced prior to issuance of a per.it and that all work will be perforled to leet standards of all laMs
regulating construction, City codes, zoning regulations, and land develop~ent regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other govern~ental agencies lay apply to the intended work, and that it is
.y responsibility to identify "hat actions I lust take to be in co'pliance. Such agencies include but are not li.ited to:
. Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatment
. Southwest Florida Nater nanaqe.ent District - Hells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ~rlY Corps of Enqineers - Sea"alls, Docks, Navigable Waterways
. ~!part.ent of Health & Rehabilitative Services, Env~ron.ental lIealth U~t - Wells, Wastewater Treat.ent, Septic Tanks
J US Environsental Protection Aqenty - Asbestos abateMent
I also certify that, if fill .aterial is to be used in Flood Zone 'n" or "A,etc,", it is understood that a drainage plan
addre~sing a .co.pensating volu.e. Mill be sub.itted "hi(h is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr
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 perait issued shall beco.e invalid
unless the work authorized by such per.it is co.,enced "ithin six Months of issuance, or if Mork authorized by the perlit is
suspended or abandoned for a period of six lonths after the ti.e the work is co.,enced. One 90 day extension of time, lay be
allo"ed for the perlit "ith fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
approved inspection lust be logged ~uring each six .onth period, or the project Mill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT nAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT..
STATE OF FLORI~
COUNTY OF 'f/?tS CD
The for.egoing instnlment I'las acknol'lledged
befc,,-e me this 7l'b1J?, 19Y by
iJIo,u /Jh'A r<e P
known to me or who has
STATE OF FLORIDA ~
COUNTY OF tJt...s;'C:'0
The foregoing instrument was acknowledged
before me this /J'l/Jj( /7 , 19~ by
~
~ ~~/2~>~
",her is. I?l- _ona y I(no to me or Nho has
pl-oduCl?d
as identification and I'lho did/did no!;
tak an oath. tl ~
_ ~_k:7 C-I'. ~
natuCf' )
and .,,110 did/did not
(Name Typed, Printed or Stamped)
tllJ..1 AfD' PUBLI C
(Name Typed, Printed Dr Stamped)
NQI AR~LfJJ.f3L !~
JAMES A. STONE
. Notary Public, State of Florida
My comm. expires May 16, 1995
CC110274
JAMES A. STONE
Notary Public, State of Florida
~ly camm. expires May 16, 1995
CC110274
j 1 CITY OF ZEPHYRHILL.S BUILDING DEPARTMENT
OWNE R C, r q~Ll'5 jq Wl ')1) !;l
JOB LOCATION /5{11! d- / (" ()t-
Ifl 1/- ;;Z&~ eX /' ()O/O - 11'100- O/JOO
PARCEL 1. D. #
SHOW ALL EXISTING & PROPOSED STRUCTUREi~~~ DIMENSIONS & SETBACKS.
~ !['J{)'
I
f)A-'N>J~O~
7HV"'Y vv . , I
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT
15 FOOT SETBACK
REQUIRED.
."
-70-
....L
-4
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
~~
1.j t/
p~opo.5ed
f~+ro ~~oP
C cr(,;;f{ (I,) Jl'ct
~35~
Z51
gM~
/
FRONT PROPERTY LINE
(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'
1 0'
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
~
"
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