HomeMy WebLinkAbout94-4115
BUILDING PERMIT
No
Perm!t -.
CrTY OF ZEPHYRHILLS
(813) 788-6611
411513
Date
t,' -;l:L ~ 7' )I
Yo. e:7b
BUILDING
.3S; ~
ELECTRICAL
3/>--: tJV
PLUMBING
,2 c). c.Jv
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:...5;;;2 I
Parcell.D. # J {) -/)6 -~
Water Meter:
TI.F.'s:
- 0000
Zoning: En1Y Code: Radon Gas:
DescriPtionOfWorkmd' ..p .~._.A....~./~~
NO OCCUPANCY BEFORE C.O.
FINAL
1/ /-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarr:-e with City Codes and Ordinances.
c.o.
DATE
Inspector
P.,m;t Fo5ii . ~
Signa.tur l' ( ~ lL~ JLO
Company
Address
Telephone#
~}r
City License Registration # P?
State Certified License#
Valuation or
Contract Price
AdiIf~f;J
BUILDING
g->-'> LA-> 3R
ELECTRICAL
B~ 1'.. '" 3.2
PLUMBING
~1 d~7J.p~-i~,/t
MECHANICAL ?y
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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.
4115-B
CITY OF ZEPHYRHILLS
Building Department
603 8th Street
(813) 788-6611
TO: Florida Power Corporation .or W"R.E.C,
Zephyrhills, Florida
NAME Auqusta Goodman
ADDRESS 5241 Vineyard st.
DATE 07/01/94
Electrical work at above address has been inspected.
This is your authority to proceed.
Const. Pole
~po~ervice
Co~pl~~
Zephyr I s Electrical Inspector
JOB LOCATION
,CITY OF ZBPHYRHILLS BUILDING DBPARTMBNT
Hw. 'r iA-s7't<..... c.. u ~ ,jJj4-/ ~
- ^
(/1/\/ .C L/ Al1c~
<{- .1. Lj /
bl
.sl-l/lJ7 If -<.::,T k? /-1 ~
OWNER
PARCEL 1. D. #
/0 -AG-'2..( ~
00 I G - 0 9..J G u 00 0 tJ
SHOW ALL EXISTING &: PROPOSBD STRUC"IURES GIVING DIMENSIONS &: SETBACKS.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
/0 /2 K s/~- I~ '6 _____~_____
~O
11--
FRONT P~OPERTY LINE
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
r-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 FAM 30 ' DUPLEX
1 0'
FROII'r PROPERTY LINB
FRONT PROPBRTY LIRB
~r
APPLICATION FOR PERMIT
CITY OF ZEPIIYIUIILLS
BUILDING DEPARTMENT
OWNER'S NAME ;4 et'l cl.<.. S 7 -<...
CrC"rPM~
PHONE
OWNER'S ADDRESS
JOB ADDRESS S.2. 4/
/h,v If 't 1i,...J'
-
$)
LEGAL DESCRIPTION: LOT(S)
BWCK
SUBDIVISION $,' flAJ'1' R-<..s'T ftf J tI ~
PARCEL 1.D.' JU-:2.. (.. ~<-I _06/0 -09;::100 .-dood
<
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ~ddition _Alteration
_Repair _Install
_Sign _Move _Deaolish
,
PROPOSED USE: _Single Faaily _KIF _, of Units VK/H
_eo..ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
BUILDING SIZE: I ~ X SA . C)... Cj
'I,
Square Feet.
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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
t:. . c~r-(r
Valuation of Total Construction
_ELECTRICAL
AItP Service
--Florida Power Corp.
W.R.E.C.
_MECHAlfICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
......*.*.*.*..**********************.****
PLUMBER
CONTRACTOR SECTION
. ~~/ll =~rr~~fr7'tls
GJ~tJ~ a City License Registration' 77
* . ***************************************
~ COMPANY eel tf- J eJ ~ d ~)~ E h~ tt-?
~ ! State Cert. or Regist. #
~ - City License Registration . ~ ~
*** *************************************
COMPANY ~q 11-- d~ (r~~ ~/p{;-~
State Cert. or Regist.' .
City License Registration .
****.********************.*************
BITJI.DER
Signature
="~AA~J
Signature
J MECHANICAL
{\ Signature
.??
COMPANY ~Af.l1t ~ fio~A'''L e:.;A~ e...~~
State Cert. or Regist'.. 7(1
City License Registration , c:. At:: 0 <of ~ ~ Y Ii>
******************************************
OTHRR
COMPANY
State Cert. or Regist. I
. City License ~egistration .
***********************************.******
Signature
APPLICATION APPROVED BY
'it JMfl~ ~ /~
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'I'be undersigned understands that this perlit lay be subject to 'deed restrictions' "bieb lay be lOre restrictive than City
regulations. !be undersigned assUles responsibility for CCIIpliance "ith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake IfOrk, 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 laY be
cited for a lisdeleallOr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireleDts laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (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 applicatioo for wbieb they will be resporl8ible. If JOU, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the wort. 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 peraitting 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, have been provided with a copy of 'Florida's COnstruction Lien Law - ImeoImer's Protection
Guidell prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is 8OIeOI1e other than the
'owner', I certify that I have obtained a copy of the above described docUIent and prlllise in good faith to deliver it to the
lIownerll prior to COIIeDC8leDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infonation in this application is accurate and that all wort "ill be done in cOlpliance with all
applicable laws regulating construction, loning, and land developleDt.
Application is hereby Jade to obtain a perlit to do wort and installation as indicated. I certify that no work or
installation has CDleDced prior to issuance of a perlit and that all IIOrk will be perfol'led to leet staDdards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other gOYl!IDIeDtal agenCies laY apply to the intended wort, and that it is
If responsibility to identify "bat actions I lUst tue to be in COIpliance. SUeb agencies include but are not lilited to:
t Departlent of EnvirODleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water /Wastewater 'I'real:lent
I Southwest Florida Water Jlanagelellt District - Wells, Cypress Bayhea4s, Wetland Areas, Altering Watercourses
I AllY Corps of Engineers - Sea"alls, Docts, Kavigable Watervays
I DepartJent of Health' Rehabilitative Services, EnvirOJlleDtal Health Unit - Wells, Wastewater 'I'reatlent, Septic lants
I US EnviroDleDtal Protection Agency - Asbestos abat8leDt
I also certify that, if fIll laterial is to be used in Flood Zone IIA' or 'A,etc.', it is understood that a drainage plan
addressing a 'COIpeD8ating volUle' will be saitted whieb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball he construed to be a license to proceed "ith the wort 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. Ivery perait issued shaH beCCIIe invalid
unless the wort authoriled by sueb perlit is COIIeJ1ced "ithin sillOlltbs of issuance, or if wort authoriled by the perlit is
suspended or abandoned for a period of sillODtbs after the tile the wort is CDleDced. One 90 day eJtension of tile, laY be
allOlfed for the perlit with fee charge of $15.00. !be eJtension sball be requested in writing to the Building Official. In
approved inspection lUSt be logged during eaeb sil IODth period, or the proj"ect will be considered abandoned.
IImIKG 'l'O OIIDR: YOUR FAILURI 10 RECORD A KOIICE OF aJBICBIID! MAY BESOt'l' IK YOUR PAYIIfG filCE FOR DIPROVIIID'l'S 'l'O YOUR
PROPBR'l'Y. IF YOU IIIBIID 'l'O OB'l'IIK FIIIDCIIG, CORSOt'l' WI'l'H YOOR LDDBR OR D 1!'l'ORIIY BBFORB RICORDIIG YOOR RO'l'ICE OF
COJIIIEIfCEJlBR'l'. JOBS UHDIR. $2,500 II VAWI DO 101 mD fO RECORD UD POS'I' A -KOIICE OF aJIJIDCIIIIII'l'II.
W~:K)
SIGIIA: OR AGEJI'I
, tV~~n_-
-
S'I'A'I'E OF F~
COURfY OF p.. "5 Co
The forego1ng instrument was ~c~owledged
before me this.:::) LA" -€... ~ 0, 19 -U by
lJl\uf\e ~~~~~,\J
who is personall . to me or who has
produced
identifi
ran at.
S'I'A'I'E OF ~
COURfY OF f\ <., UJ
The forego1ng instrument was aC~OWled9ed
before me this ~ l....\..fVl :::J.~ 19~ by
W~.~~~d~
who is all 1m me or who has
produced
as 'dentification and who did/did not
ta e an 0 h.
,.
(Sign ure)
c. FRED DEUEL & AssOCIATES, INc.
CORPORATE OFFICE
CONSULTING ENGINEERS . LAND SURVEYORS . LAND PLANNERS
BRANCH OFFICE
P.o. BOX 10116
ST. PETERSBURG. FLORIDA 33733.0116
1620 FIRST AVENUE NORTH
ST. PETERSBURG. FLORIDA 33713
(813) 822.4151
FAX (813) 821-7255
P.O. BOX 17118
ZEPHYRHILLS. flORIDA 33539-1798
5151 NORTH GALL BOULEVARD
ZEPHYRHILLS. FLORIDA 33541
(813) 782-6717
FAX (813) 782.5426
PLEASE REPLY TO:
ZEPHYRHILLS
January 28, 1994
Tim Smith
31810 Carriage House Road
Zephyrhills, FL33543
RE: Elizabeth Peters
SHADY REST MOBILE HOME PARK
.-.
Dear Mr. Smith:
On January 25, 1994, C. FRED DEUEL & ASSOCIATES
set an el~vation for Lot 5241 VINEYARD in SHADY
REST MOBILE HOME PARK.
As a t.emporary
85.01 in an oak
The elevation
is 81.80.
bench mark, a nail was set at
tree on the SE corner of the lot.
of the existing concrete slab
This elevation is based on Pasco County Bench
Mark #521, being a bronze disk - in a headwall
500' east of Florida Powe:( Substation, having
an elevation of 82.507 (NGVD).
DAVID G. ARMSTRONG
DGA/mp
4970
4115-B
CITY OF ZEPHYRHILLS
Building Department
603 8th Street
(813) 788-6611
TO: Florida Power Corporation .or W.R.E.C.
Zephyrhills, Florida
NAME Auqusta Goodman
ADDRESS 5241 Vineyard st.
DATE' 07/01/94
Electrical work at above address has been inspected.
This is your authority to proceed.
Canst. Pole
~n~service
Completi~
Zephyr I s Electrical Inspector
fd-:x E3 f)
7- "S- 9 y
8- ,f :Js- # rn
G?~~
..,....",
,
I