HomeMy WebLinkAbout94-3955
BUILDING PERMIT
Permit N ~
CITY OF ZEPHYRHILLS
(813) 788-6611
_ 3955 i3
1/-1/-9'1
Sb. tri)
Date
cfl(!),o-i>
C~LDI;0 CELECT~
P<opert'{ Own.., b ~
Job Address: \. (, ~ - 9 ..
Parcell.D. # I/-:J.-b ..;L/ . 0 i)/ 0 .- /)77 () D -.
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
CJoK-O
Zoning:
Description of Work
Energy Code: ~ado27Gas: ~ L
(l~ r/'~'''' cf /'~ Y~-<'I?
FINAL 5-2h .
P'kJ'A7!:2g
NO OCCUPANCY BEFORE C.O.
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
Valuation or
Contract Price 05-~ t7D, ..r"V
p~r~it Fee ~a: 75i
Signature ~ ~
/
Company
Address
City License Registration #
State Certified License#
T~ephone#
?r?~-CJ2Zb
//l.-t 1YlA A
.'... ""--
ELECTRIC~
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final 5- 2fo ~ C:;4
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
&b
Driveway
~ ~ ~'l~/~I.(j.j)
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.
--..~...
.........
:._.\
.. ..
\.. ..:
....... .~
..........
~
Elorida
Power
CORPORATION
NAME
ADDRESS
CIlY
~#,4W~ '73/"hPT7&/
S7.::J./ Ie; n~ $;.7:
Z<.:::.?J/-IYI?/~(CLf /=-~-
~ POOL PROPOSED FOR CONS1RUCI10N AT TIlE ABOVE ADDRESS DOES NOT
CONFLICT WIlli ANY UNDERGROUND OR OVERHEAD FACILITIES OF FLORIDA
POWER CORPORATION, PROVIDED TI-IAT TIlE POOL IS INSTALLED IN 11-IE
LOCATION SHOWN ON TIlE ATIACHED SI1E PLAN PROVIDED TO US BY TIlE POOL
CONTRACTOR
TIlE POOL PROPOSED FOR CONSTRUCTION AT 1HE ABOVE ADDRES DOES CONFUCf
WIlli: OVERHEAD UNDERGROUND
FACIUTIES OF FWRIDA POWER CORPORTATION.
ARRANGEMENTS HAVE BEEN MADE WIlli US FOR RELOCATION OF TIlEF ACILITIES
SO AS TO CLEAR TIlE POOL AREA SHOWN ON TIlE ATIACHED SITE PLAN.
~,('~ #~P7"
iA POWER CORPORATION
COST FOR RELOCATION OF ELECTRIC FACILITIES WILL BE PAID BY:
OWNER
POOL CONTRACTOR
PRIOR TO RELOCATION OF FACIUTIES AND CONSlRUCTION OF POOL
ZEPHYRHILLS DISTRICT OFFICE: 38231 5th Ave. . Zephyrhllls, Florida 33540 . (813) 782.1518
A Florida Progress Company
OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMEN"l"
.:SPAWN ~~'s:r
57 2/ 19 ft, '$ T
PARCEL I.D. # /1-:-;;;~-;;21-00/0 -07900 - Wi'D
r7 ~3 " 9J.:Jo
.
JOB LOCATION
SHOW ALL EXISTDfG iii PROPOSED STRUCTURES GIVING DIMENSIONS iii SETBACKS.
" .
t{'
'c.6
l' z" I
V 0
'\.I '
'1) ~I \I.J
~ ....
'-I, 0
- ~l
::r- ~I
~,
I
ALLEYWAY ACCESS FOR ,
GARAGE OR CARPORT -
15 FOOT SETBACK weE
REQUIRED.
, r lJ'
/9/ 1-/ c;J u s tf' ~" <~
~ '::> ~ .~~
~ ....
UTILITY BUILDINGS \\.1 ~1
~
MUST SHOW SIZE & "-
FOUNDATION INFOR- ~
MATION. RONT PROPERTY LINE 'V
(NOTE EXAMPLES 1 & 2)
STREET
.") 7 Z. / / '1 -r1t sr~1
1. SETBACKS FOR R1, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 ' DUPLEX
1 0'
10'
P E
R X
o I
10' P S
o T
S I
E N
D G
10'
20'
FRCBI' PROPBR'I'Y LDm
FROIft" PROPBRft LDm
, '. .
APPLICATION FOR PERMIT
CITY OF ZEPBYRHILLS
BUILDING DEPAR'IIIENT
OWNER' S BAtIE
..5 ~ "-\
~\i~T
57d. I 19~ sT
/7 ~ S- I
PHONE 7~.s -C}2Z0
OWNER' S ADDKESS
JOB ADDRESS
5'72/
LEGAL DIl'SCRIPrlON: LOT(S) <; i 1 BLOCK 1Cf SUBDIVISION
I
PARCEL LD.' //- f)J..P-~ ( -00/0- 07900 -co~
WORK PROPOSED:~Nev Construction _Addition _Alteration _Repair _Install
_Sign
_Hove
_D~lish
PROPOSED USE:
)(f Single Faaily
.
_KIF
_' of Units
_H/8
_~ercial
_Indust.
_Swia. Pool
Other
_Restaurant 5: Bea1th Deparblent Approval
BUILDING SIZE:
x
~re Feet,
Height
RESIDENTIAL :
COKKERCIAL :
ATtACH (2) PLOT PI.MiS 5: (2) SETS OF Bm:LDING PLANS 5: (1) SET ENERGY FORKS.
ATtACH (3) SETS OF BffiLDING PLANS 5: (1) SET ENERGY FORKS.
PROPERTY SURVEY RIlQtrrRED FOR ALL 8E.V CONSTRUCTION.
_BUILDING
PERIlITS REOUESTED
$ ~j.'- 0-0. cr-v Valuation of Total Construction
_ELECl'RIGAL
AtIP Service
Florida Power Corp.
W.R.E.C.
_KECIWI1CAL
$
Valuation of Hechanical Installation
_PLlJlIBING
GAS
ROOFlliG
SPECIALTY
TYPE OF CONSTRUCI'lON: _Block _Fraae _Steel
Other
fiNISHED FLOOR ELEVATIONS:
Fr.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
Signature
BUILDER.
ELECTR1CIAB COKPARY ~
State Cert. or Regist. ,
Simn3ture City License Registration ,
..........................................
PLUKBER COKPANY
State Cert. or Regist. ,
Signature City License Registration ,
..........................................
KEClL\NIGAL COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
..........................................
OTRF.R COHPANY
State Cert. or Regist. ,
Signature City License Registration ,
..........................................
APPLICATIOR APPROVED BY PERtlIT OFFICER.
~':.; . ' ,.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that this penit lilY be subject to 'deed restrictions' ,bieb JaY be lOre restrictive ,
regulations. !he undersigned asSUles responsibility for CCIIpliance lith any applicable deed Iestrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner baS hired a contractor or contractors to undertake IOrk, they lay be required to be licensed in accordance ,ith
state and local regulatiOJl8. If the contractor is not licensed as required by law, both the owner and contractor lilY be
cited for a lisdeJeallOr violation under state law. If the owner or intended contractor are uncertain as to Ifbat licensing
reguireJents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
788-6611.
FurtheIlOre, 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 wbieb they ,ill be responsible. If you, as the OIfIIer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the IOrk. If the contractor ,isbes you to sign
as contractor that lilY 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 ,ith a copy of "Florida's Construction Lien Law - lbIeo1mer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is 8OI8ODe other than the
"OIfIIer", I certify that I have obtained a copy of the above described dOCUleDt and pro.ise in good faith to deliver it to the
'OlDer' prior to COlleDCl!leDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIliltion in this application is accurate and that all work ,ill be done in COIpliance ,ith all
applicable laws regulating construction, lORing, and land developaent.
Application is hereby lade to obtain a peIlit to do IIOrk and installation as indicated. I certify that no IIOIk or
installation bas co.IeDced prior to issuance of a perlit and that all work ,ill be perfoIled to Met standards of all laws
regulating construction, City codes, loning regulations, and land developleDt Iegulations in the jurisdiction. I also
certify that I understand that the regulations of other goveruental agencies lilY apply to the intendedllOfl, and that it is
If responsibility to identify ,bat actions I lust take to be in COIpliance. Such agencies include but are not liaited to:
t DepartJent of EnviloDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDl8Dtally Sensitive Lands,
Water /Wastewater !reatJent
t Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t Arty Corps of EnqineeIB - Seawalls, Docks, lavigable Waterways
t DepartJent of Health i Rehabilitative Senices, EnvirODleDtal Health Unit - Wells, Wastewater !reatJent, Septic ranks
t US EnvirODleDtal Protection Agency - Asbestos abatl!leDt
I also certify that, if fill aaterial is to be used in Flood Zone lA' or "A,etc.', it is understood that a drainage plan
addressing a 'cOlpeD8ating voluel ,ill be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A perait issued sball be construed to be a license to proceed with the IOrk and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a peIlit 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 IIOrk authorized by such peIlit is COIIeDced within sillOntbs of issuance, or if work authoriled by the peIlit is
suspended or abandoned for a period of sillODtbs after the tile the work is co.enced. One 90 day Bltension of tile, lilY be
allOled for the peIlit lith fee charge of $15.00. !be Bltension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sil IDDth period, or the project ,ill be considered abandoned.
NARHIHG '1'0 0IfIER: YOUR FAILUBI !O RECORD A IOI'ICE OF COIMDCEIlEI! MAY RESUL! IN YOUR PAYIIG !lICE FOR IMPROVIIIII!S !O YOUR
PROPER". IF YOU IJDIO) !O OB'lAIN FIWCIIG, COISUL! WID YOUR LODER OR AI AnoRRIY BEFORB RICORDIIG YOUR DICE OF
COMMEICEMD!. JOBS OlDER U,500 II VALUE 00 101' mD !O RECORD AID POS'l' A INOI'ICE OF ClJIMDCEMmI.
&::g-~--z(
~ UBI: (MIER OR
SIGJf1!URB: COI!RAC!OR
S'II1B OF PIlm~
coum OF -0
The foregoing i~rument was a~~ledged
befor me this - / / - , 19..::t.:r by
S'l'A!I OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19_ by
r who has
ho is ersona 1y
produce
as identification and who did/did not>
tat/at ~~J!~ ~T
~ignatu e) .
(Name.Typed,~.
NOTARY PUBLI~,
~1,~,
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
... e~ EXPIRES
: · Septembel29. 1997
IIONIlfD THfW TROY FAIN INSURANCE. INC.