HomeMy WebLinkAbout94-4116
BUILDING PERMIT
Permit N~
CiTY OF ZEPHYRHILLS
(813) 788-6611
4116,8
Date
I> .~;l-9 Y
I/tJ.-c7V
BUILDING
J~~tJD
ELECTRICAL
3S-' tFD
PLUMBING
;.LO. cJD
MECHANICAL
Sewer Conn
Water Conn:
P'OP'~V Own" fr-r7!~~~~
Job Address: J:2 -b-.
Parcel I. D. # / {2-d 6 . ~ - () 0 I 0 - () 93 CJ cJ - 0 CJ c7-D
Water Meter:
T.I.F.'s:
Zoning: ~ Code: Radon Gas:
DescriPtionofworkf/1. ~ ~f~~
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accorda"'~e with City Codes and Ordinances.
FINAL
C.O.
1~ , - 'I
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
:~;~~::'!~.~4;Jh
Company
Address
Telephone#
Valuation or
Contract Price
//A
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City License Registration # )77
State Certified License#
/JJ;itf;P
BUILDING
'!rH LA'" <3lr
. ELECTRICAL
~~A~3l
PLUMBING
~{.. 'fft~r ~
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 ($15.001 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.
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
<<
/},-~ ') t.f--S -; C C- (t ucf ~1.-f.-J
OWNER
JOB LOCATION
52 ~ '9
!(;-'j t..-'-I - DO; 0 ..~ 09:"700 ~ (jU00
PARCEL I.D. #
r ---
..) C' ,. (/ J"f
"'T. .
c->
SHOW ALL EXISTING &: PROPOSED STRUCTURES GIVIRG DIMENSIONS &: SBTBACKS.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2)
16-~-'- Ol/~---~
J v:/
I
FRONT PROPERTY LINE
STREET
1. SETBACKS FOR Rlf R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10' , 0
P E
R X
0 I
10' p S 10'
0 T 1 0'
S I
E N
D G
20'
FRO1ft' PROPERTY LIRE
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 'DUPLEX
1 0'
FRORT PROPERTY LIHB
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER · S NAKE Act? {.(. S -r-c...
& 0" (I MIf",J
PHONE
OWNER' S ADDRESS
JOB ADDRESS SA 3 7
<' ",'-J
....:>c...o ,;-;", ~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVlSION~M1J1 Re.J/ /?1, Jf. f'
PARCEL 1.D.,/0':1.6-2.,/ - 00/0 .... 07J>Of/r~ 000.1
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign _Move _De.wlish
/
PROPOSED USE: _Single Faaily _H/F _, of Units VK/H
_ec:-ercial - Indust. _Swia. Pool _Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK:
BUILDING SIZE: /2-. X 41
4 q 2.. Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
v-BUILDING
$ ~ 0-00-
Valuation of Total Construction
_ELECTRICAL
AMP Service
~Florida Power Corp.
W.R.E.C.
_KEGIIAN1CAL
$
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
..........******.***.********.************
CONTRACTOR SECTION
BllWIllll COIlPAllY O~ In, 1f.5
~ State Cert. or Regist. f
Signature .(.J...l ~ J) City License Registration f '77
*****.***********************.************
COMPANY ('Jf H- 0 (V-J) oJ ~~ E / ~ $--
State Cert. or Regist. t '\.,
ity License Registration t ~ ~
**********.*************.*************
COMPANY Qq; 11 d~{ H,,,- E h-~
State Cert. or Regist. ,
City License Registration ,
*************************************
PLUMBER
Signatur
37
COMPANY
State Cert. or Regist. ,
City License Registration f
.*.***.*.***************.**..*************
MECHANICAL
Signature
COHPANY
State Cert. or Regist. t
City License Registration ,
******.*******************.*..************
OTRRR
Signature
APPLICATION APPROVED BY 'JIt,AM' A~ ~ j7~
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that this perait lilY be subject to "deed restrictions" which lily be lOre restrictive than City
regulations. !he undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OIfIler has hired a contractor or contractors to undertake work, they lilY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the 0IfIler and contractor IilJ be
cited for a lisdeJeanor violation under state law. If the OIfIler or intended contractor are uncertain as to wbat licensing
requireJeDts lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furthenore, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections I of this application for which they will be responsible. If you, as the OIfIler 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 lilY be an indication that he is not properly licensed and is not entitled to peraitting privilegu 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 - BcIIeolmer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUleI' Affairs. If the applicant is BOEHle other than the
"OIfIler", I certify that I have obtained a copy of the above described dOCUlent and prlllise in good faith to deliver it to the
lownerl prior to C~CeIl!Dt.
E. CONTRACTOR'S/OWHER'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, loning, and land develollleDt.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has CCIII8I1ced prior to issuance of a perlit and that all work will be perfoned to leet standards of alII_
regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisdiction. I also
certify that I understand that the regulations of other gOYeIDIeIltal agencies lilY apply to the intended work, and that it is
Ii responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not luited to:
A Departlent of EnviI'Olllelltal Regulation - Cyprus Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water /lfaStewater freatlent
A Southwest Florida Water Managelel1t District - Wells, Cyprus Bayheads, Vetland Areas, Altering Watercourses
A Al'IJ Corps of Engineers - Seawalls, Docks, Mavigable Watenays
A Depar1:lent of Health i Rehabilitative Servicu, BnviroDlental Health Unit - Vells, Wastewater freatlent, Septic fann
A US EnvirOJ1leDtal Protection Agency - Asbestos abateleJlt
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 "COIpeD8ating volule" will be subJitted which is prepared by a profusional engineer registered in the State of
Florida prior to perlit issuance.
A perait issued shall 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. Ivery perait issued shall becme invalid
unless the work authorized by such perlit is co.enced within sillODths of issuance, or if work authoriled by the perlit is
suspended or abandoned for a period of sil IODths after the tile the work is co.enced. One 90 day atension of tile, laY be
allowed for the perait with fee charge of $15.00. !be atension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillODth period, or the profect will be considered abandoned.
WARlfIffG to 0IRfER: YOUR FAILORB to RECORD A MOtICE OF aJIIIDCIIIIIff lilY RESULf Iff YOUR PAYIffG DICE FOR DIPROVIIID!S fO YOUR
PROPERfY. IF YOU IJlfIlfD to OBtIIJI FlIfllfCIJlG, COIfSOLf WItH YOOR LllfDBR OR IIf AnomY BIFORB RICORDIMG YOUR DICE OF
COOIDCBHBJIf. JOBS UNDER $2,500 IN VALUE DO IfOl' IfDD fO RICORD IIfD POSf A 'MOtlCE OF COIIBliCIIIIJftI.
~~
SIGIJ'lUIIB: OR IGIlII
~
W~-
SIGlllfURI: .
SfAfE OF FLORIDQ
coum OF {J.. ~ UJ
The foregoing j,JuItI'UDlent was ;WkPowledged
before me thiu v....f'.R- :J. 0 , 192L by
tJ{\'~(\l ~~~I~/Ld
who is personal y known to e or who has
produceCl
'dentificat"
t It an Da
StAn: OF ~p
courm OF 6{ ~ Lu
The foregoing instrument was ac~~ledged
before me this ~ ""'-"- ::to, 19~ by
U ~U{\QDl~W~ti eJJ
who is ersoDafly mown to or who has
produced
identific
It an th.
l""'''''
c. FRED DEuEL & AssOCIATES, INc.
CORPORATE OFFICE
CONSUL liNG 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 1798
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
Charles Walker
5238 Scotia Drive
zephyrhills, FL 33541
Dear Mr. Walker:
On January 25, 1994, C. FRED DEUEL & ASSOCIATES
set an elevation for Lot 5~ Scotia Drive in
SHADY REST ~lOBILE HOME PARK S-1:J '1
As a temporary bench mark, a nail was set at
85.00 in an oak tree on the East side of the lot.
This elevation is based on Pasco County Bench
Mark #521, being a bronze disk in a headwall
500' East of Florida Power Substation, having
an elevation of 82.507 (NGVD).
ARMSTRONG
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4970
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~~,._,._~._____...__~__m._.___." ._-~. -~._._....-,..~_........--,..--~ ~,., ,~.-,~~ .~",.~-.rw:
4116-B
CITY OF ZEPHYRHILLS
Building Department
603 8th Street
(813) 788-6611
TO: Florida Power Corporation .or W.R.E.C.
Zephyrhills, Florida
NAME Augusta Goodman
ADDRESS 5239 Scotia st.
DATE' . 07/01/94
Electrical work at above address has been inspected.
This is your authority to proceed.
Const. Pole
~ervlce
. ompletion
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