HomeMy WebLinkAbout94-4199
-L>
1 .::J__
a'
~
BUILDING PERM!!N"~ _419^t2
CITY OF ZEPHYRHILLS - 'iJ{J
(813) 788-6611 Date g'-3 -qi
I
E~-
Zoning:
M~ewer Conn
Water Conn:
r;r i;~~ jW~ ~,.~e:,Me,., _
16~ tZ3 /T7 /J1~1 ifl -
J . 7'./)/)11 ·
Radon Gas' &~
1ttzfj (~~. <{- -, . 10'''-20
~'
Property Owner:
Job Address:
Parcell.D. #
Description of Work
Energy Code:
JtJl X I~ / C!~
.
NO OCCUPANCY BEFORE C,O,
FINAL
DATE
Complete Plans, Specifications and Fee Must Ac mpany Application.
All work shall be performed in accorda,..~e with 'it
\
c.o.
Valuation or ~ ~ . ~
Contract Price . ,,~oe
DATE
Inspector
City License Registration #
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
/
VlU/l..e17
ELE~
,
PLUM~
.,,/
MECH~
~
ILL
lLL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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 ($15.001 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.
. 'R ~C\\:p..JtD;~V~v-~f2-~\.f
.' :... .-. - 1-f'jZ5' /q''''' e+
::;T-\~
~I""".'I" .,'
VALUf\-rlON ~ 1/2:-00, u 0
BvILDINc::'- . 37t 5'0
IWMBu"6 -
13-ELTt\I <.A L-
MWlAf\llU1L--- .
.sU~lOTf\L ...
CRab\T
7drliL. &~/Vl1 :
Sq. fa; L-l VI .\1 co
/0/)0 X 120 Sq. FT. OTHt:.~
CotJNt:.C-lloN f~~
5':'WAA -
WA-rM -
(Y\E.:r~ -
70tA L :
RADON bAS
S,. - .
'~t-l5po~:rAT1~rJ I tv1pllc:r Ff.~
\ .
\. . ..... "'\'
\ "'.'
IOTltL: 37~ 50
.z~~H~H~~ :
l~:g~~~~~~ .....
,!!.-<ZXd~DnrT1o 3::
I ....~~~Oatgciz -0
-i6U;;"i~~QJil 0
~tno(2~~~~~~ :0
~~!~'5~.s~6~ --I
~m~r::~~~~..~t; )>
~=t.'fT1....:r Dl'l'l Z
~;~~f~~>>~ -I
zl'll;:g~....~::;;~51c; *
::Af~~?~~~:~U1~
2~-f~....g:g"":;;;::D~~
-i m 0 tit ~ .... r N n -i r ....
fT1O-l o~--ggff,rffi
c:affi~,.,cg"'d~~m
gg~~g~~~~:~
~~~'"'~~~~~a~~
I po.:;;: ..... IJII 1:1 VI "'" m.D
~~~ccU'lr;;~n~a
:gO..... ~~OPI!:ig
....0......... _tn"O
zffi~=@~~~gga:~
.:O.....ITI . n"'-+/onro
g s: ~ S ~ " :z:: ::m' m?i
~~~~~~~e~~~.~
ffijj~::"'r;;-I~"''''
D *OOO...."OZZz:
1"'1 fJ' U'I ::: ~ X :-' .... ...:;; ~,
"
m
"'
~
U1 ~~~;~~~~~ ~
~C;~Z:r~fj~;r..~ )>
~z~m~.~tli8~ :IJ
n01t;f!!~~.E~3~ ~
;~c!E~:~~~ z
g .....~~..!::IT1j&:r;s G1
D....r-l::li:r""tnat...........
~~~~~g~~~~Z~
O:r DO.... ~ tn
::ILm ~l'T'ItIl>....;r..lD>fT1
g~~r;;offl~fflr.....aln
O~~_~~.....iril~C~
n........"""nxm....:o_ZlO
2g~::C=$14~. F>S
:~Xln..;t)n~~_FfiK: ~
'-~n~~t:Oc5~m'Dm
....0 ros:_ .....m,..
"D"O."....__Ota:z::O-l
g5:gFi~i~~~8~
0"'''' "00_0:::""
D :D I n D. Z fTI
. .... 0 ::!: 0 C'I Lf') n
:r1JU'lC'tl-l ......,..J>o
-tT'Im3Jmo:o~z.n
U'I%llTlQD"Om:::'Of11
~~C-
~"r-
::x::N
~QO
?--
"'d~
~X
tnO-i
"'0 C 0
:> D -i
n
..... "T\ r
Z :> 0
Gl n
IDID-i-i
n n n n
roo r
r r r r
-.b. - W
~w-....JOO"""O~
oWOOOOOI\.l
"'0
tn
"TJ
"'0 "'0
tn tn
"TJ "TJ
o D
:> m
-i "TJ
m
D
Ul
'oJ
Om
-..JI
....... I
I\.l b
I\.llD
.......tlJ
lOm
b
bo_
"U
r
-l
-l
-<
"U
:>
r
"U
1-1
Z
rn
"TJ
D
m
<
tnlll
nm
:>.0
r..
m
.W
CD
ol\.l
. UI
U1~
o
o
o
:D
II
U1
O'l
1O
"II:
:::lE
11
III
J:l
II
UI
O'l
1O
"II:
:::lE
11
CD
o
<
m
J:l
I'\.l
-
tIlO
c-
'U
"U
o
D
-l
tIl
-
I
b
I
o
-
o
I
o
I
o
-
I
b
I
o
~~1
U1
I
o
I
o
-
o
U1
I
o
I
o
LE~EOcv6
o "OJ-i
rn 00
"TJ -i"'O
r
rn nn
n ::EII
-i moo
1-1 IDDD
o tnOO
Z
I\.ll\.ll\.l
n xxx
D AAA
1-1
-i lIltntn
rn "U"U"'O
D
1-1 .........
:> WI\.lI\.l
1-1 00
1Il mlO
::J::J
r UlUl
....... lOlO
W
m
o
r
.....
<
rn
:>
Z
o
r
.......
I\.l
A
o
-l
o
-I
:>
r
r
o
:>
o
c..,
o
~
n
^
I
..!..
.....
....
I
I\.l
-
o
n
o
,.
,.
o
:l
3::>
C
tnD
-I.....
Gl
CD 1-1
rno
"'On
Drn
01-1
"'Or
rnl-l
DZ
rGl
-<
o
:>D
-l
-in
:>0
nz
I-l
rn.....
OZ
C
-l0
OC
1Il
-l
Ir
m:>
-I
CDrn
aD
-i:>
-ir
o
3: CD
D
n:>
In
0.....
DZ
OGl
:>
-I
rn::ECCDC"'O
Z....."'OD"UD
nzrGlro
ro...... .....<
o "TJr"TJI-I
tnlll-lO-lO
m"U n rn
ornID
rn:>~_c
OOtn"TJr"U
D rn-lCDr
110--.....
"TJ .. .. "TJ
C~O -l
roz
ro n
-<. _0 0
00. I\.lZ
00, OUlZ
"U ooom
rn3:0 n
Z"U -l
I "'0 .....
CD. lIltO 0
C "TJ. I\.lZ
.....3: WU1tn
rrn-lWO
0:>0 :>
I-IZ-l -i
Z :>
GlIr
rn
_.....0
tnGlrn
CDI:>
~-IO
....
:J:
....
II>
o
:l!:
Gl
"0
D
m
"0
...
D
m
o
"Tf
D
o
J::
n
o
J::
"0
C
....
m
D
....
Z
"0
C
....
CD
m
:>
D
.....
Z
Gl
tn
p
o
...
o
II>
'"
o
....
J::
m
Z
II>
....
o
Z
~
IIr
o
....:>
U10
:>
tn
o .....
o Z
o
"TJ .....
-l n
:>
-i
m
o
II>
C
lJ)
J::
....
....
....
m
o
lJ)
-<
....
D
C
II>
II>
J::
"Tf
D
I\.l
b
o
n
9 L ~ I::l S n:JH
_~nn....~~"'c *
*' z~~g~t';~~ *
l~:g~~:~~E t-t
"0 -< Z x....,.. JJ ",..... 3:
7~g~~e:Qd~ -U
....5U')"tI'tJ~x~m:o 0
~l,/tO~~~~~Si :IJ
~ ~~~~~~~b:t -t
~:~~!~~t~~ ~
~~t"tlmi~:""~ -I
Zm~~~U1~~~C; *
~Alffi~?~~::~cn~
.....,.... 0 C 'tJ ""';;:: 'D ::J: r
S~d3L;~;2run....~~
!""o-1 o;ri-<g2fflriij
~ffi~"'og>~~25m
.,gg~gg~~!~:~
0>-13, ~....n<Zf'T1/TlZ
In Z~M+,=O' ~~I:l~
. '"'::: -I. U) Xl III .., m.IJ
zm-a 1II_s._Ull'l1
........%_00 m_n"Cc
to ..... m ""....,..., ..... > 0
LOO tncnorJ:-lZ
;~~~~~~~~~~~
~ Dn~tn. Q~a:Y'~g
_a....o.....",o, _CD (')
O~r'l....J-O""lZ "'TJ-t
~:<offla~~o~~~Yl
.. ::t:m>-1m~
~ ~~~~~~~~~~
C;
Z~~r=~:;:Q~d~ :E
~U1"""D"" a_Xl> l>
~~~~~5~~~~
~....r-l~1;~~8~ ~
oO~~~Rir:~::lfI
~~~!~o.-. ~~ H
ontnn-<;2~5;1=x Z
::.....>..,.~ (= .... G1
;u....,........::s:,I"IIU1aJlo-I....
""c- .....O>VI'OIZ.IJ
g~~~lign;r.n~~ 55
:.:",. ~~(/)f!~j;:m~~
g~~~ciftF~r-<otn
o~~_~~-<iJt=tiC~
n__-...IC'I::l:cn_:J:I_zo
OO\J1'__DU'l3:" G')C
~ZI~Ca~I"II~Ul' ;;
-1n>>lOn- m....mm m
~gn~~tDOe~m~m
~-10 .oa_ -Imx
-11J"tI..,_-1_na:r:J:O....
O:;-<~~o:r~:V;::~
:;;:....0 x l'Tln ox
'ti"'~:o~.!='z~%m
. X~(fI~~"'c;1~~~
.....t'T1l'T'1,DmODGlZ.D
V':O"'OD'1:JmZOtTl
~~~
~~~
[....
~I
~
eno-lOJOJ-I-I
"Oconnnn
l> JJ -I
n roor
...."TIrrrrr
Z l> 0
Gln JJ
CO
<
........t:. ..... W
ru -....JOO-....JO~
.b.W
OWOOOOOru
"0
en
"TI
"0 "0
en en
"TI "TI
o D
l> m
...... "TI
m
en en
:0 nco
~ ~~
OOlm
-..J I oW
......... I (Xl
ru ~ oru
ru Ul .b.
......... Ul UllO
lOUlO
.b. 0
o
"0
r
-I
-I
-<
"U
l>
"U
H
Z
m
"TI
:0
II
.......
.......
.b.
'0
.....
.....
:::E
II
.......
o
~~~
"TI "TI;r'I
OOe)
JJJJJJ
<<1;1
mml>
JJJJOJ
-I -I r-
HHrn
nn
l>l>lJ)
rr......
UlUlC:
o
Glr
JJrn<
rnUlrn
l>UlJJ
-I -I
rn H
JJ C1
)>
-I......r-
IIUl
l> l>-
ZZ
c:
.b..b.Z
- -r
oorn
o oUl
.... en
l>O-l
rmI
rUlm
H
-IG1OJ
JJZC
C- H
Ul r
UlnO
rnH
-1HZ
orG1
H
:::EZO
l>G1m
r Ul
rl>1-I
ZG1
noz
o m
ZJJJJ
ZO
rn 01-1
n"TIUl
......
....UlJJ
o:J:m
zm(l)
enl>"U
-10
:J:Z
1-1(1)
ZH
GlOJ
r
om
H
l>"TI
"00
:J:JJ
:0
l>-I
GlI
3::rn
nG1
Ol>
ZOJ
zr
rnrn
n
-1(1)
1-1 I
om
Zl>
YlJJ
::E:
l>l>
zr
or
o
<
m
:D
UlJJO-l<n-l
Crn....JJmI:J:
"OUll>l>:OOH
"0 "0 "OZ-I JJUl
OOIUlI-IO
JJZ JJ "TIn. G1
-IUll>rnl> l>
....G1JJr:oOJ
ruOJ3:: (l)mr
-HUll> "TIm
or. rl>rn
OH rZJJm
-In 0 Z
-I-<OI -10
o ZOOJO
"OOZJJJJ ::E:
'''TIrnHl>OI-l
OJ nNn:or
O-l-lOI-ll>r
......:c....ZZ::e:
-IrnO-lG1H(I)
o Zl> ZC
3::OJ rOGl"O
Cl> m "U
UlHZ::E:-IGlO
"UrOHl>rn:o
ro ZHI-I
....Hooro
-Izrn UlOC
GlUlr. ......."0
JJ HO -
OOGll>G1 -I
ornZOl>G10
TlUl (l)OJm
HO rl.......
rGlTl....mo .
OZ Z 00
l> rn -I-Iml\J =
OJJIOZ-
rn 0 0
o Ul-l 0<
Z-IrnI:J:JJm
:J: rnl> JJ
HUl (I)(Xl:J:
OUl-<JJ -..Jl>
Z enoOJOlZ
rn......-Iom. Gl
JJrn"TIm-..J
C3: Z.......l>
UlUlUl)> lOr
HUl ZO 0
o :J>om"TIz
rn::E:D UJOG1
Hrnn....JJ
r rnGl -I
r......HZUJ:J:
:J:rm......m
l>mHOC
r Z 0-1
Ul Gl...... 0
00"0
.......
I
.b.
1
o
.......
.......
tno
c -
"'0
"'0
o
:D
-l
tn
.......
o
I
o
-I
o
.......0
-I
I\JUl:C
xxm
.b.WJJ
:E
l>l>H
rrUl
"0 "Om
....H
ZZZ
mmo
. . --I
m
ru.......c:J
WW.'
:E::E:
00
00
00
rr
00
nn
.......
I
.b.
I
o
9E9E02~6
3::)>
C
(/)JJ
-IH
G1
OJ 1-1
mo
"On
JJm
0....
"Or
m 1-1
JJZ
rGl
-<
o
)>JJ
-I
-In
)>0
nz
:J:-I
mH
oz
C
-10
OC
Ul
-I
:J:r
m)>
-I
OJm
OJJ
-I)>
-Ir
o
3: OJ
JJ
n)>
:J:n
0....
JJZ
OGl
)>
-I
ru
.b.
'OJ-I
00
-1"0
nn
:::EII
moo
(XlJJJJ
UlOO
rururu
xxx
.b..b..b.
UlUlUl
"O"U"U
......
wruru
00
COlD
:J:J
(Il(ll
lDlD
o
n
m::E:COJC"O
ZH"UD"UJJ
nzrGlro
ro..... ....<
o "TIr"TIH
(/)(1)-10-10
lTI"O n m
OlTlOJ
lTI)>__C
OOUl"TIr"O
JJ lTI-IOJr
110--....
"TI .. .. "TI
c.......o -I
roz
ro 0 n
-<. .......< 0
oom Z
00. JJ Z
"U 0 m
m3::on n
Z"U 0.......-1
:J:"OZruH
OJ. Ul-lOO
C "TI.... Z
H3:: z"Uen
rlTl-lcr
0l>00"TIl>
I-IZ-IC -I
Z l>Ul
G1:J:r OJ
m Ul m
_I-IOC )>
UlGlm"U JJ
OJ:J:l>"O H
n-loo Z
- D Gl
IIr-l Ul
o
....)> l>
UlO Ul
o H
o Z
o
"TI H
-I n
l>
......
m
o
9 L 9 I:l S nJH
c..:.
o
~
n
^
I
..!..
......
Cl
m
I
...
...
o
Cl
..
0'
...
11l
....
J:
in
o
::0:
Cl
"0
D
m
"0
)>
D
m
o
"T1
D
o
3:
n
o
3:
"0
C
....
m
D
Z
"0
C
....
p
o
)>
o
tn
In
o
:i
m
z
tn
....
o
z
~
!Jl
C
lD
3:
....
....
....
m
o
lD
-<
....
D
C
tn
!Jl
3:
"T1
D
CITY OF ZEPHYRH..ILLS BUILDING DEPARTMENT
OWNER !?'e./'I1-f:'f./ E. ~;Jli)€d.Y (7<:f"c2 C,&SO)
JOB LOCATION LJ9~ /9 T;{ S7keel
PARCEL I. D. # .it) T 7 ;(.1/cJ(},K'..;{.3 /)./tXlA'E...C\ //~e s r /r ala'/7};'j1J
SHOW ALL EXISTIRG &: PROPOSED S'l'RUC".l"URES GIVIHG DIllENSIOHS &: SBTBACKS.
SO'
-t-
/:;.,,'- If
I '
, ,
tx)
, I
'::}...
~:
--ion ';
- - -1
; I
i
, I
I
~
~ I j~ if
" I
I~
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
-I
I'
,f'>
, I 6---6
_L.
I \ 0'/ j
1_/
+j& 1/
::,,~. .
I.~ ~- - - -- - - --
I
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
:---')i/x I~~ - ---~
: LJ. rf Ii TY Bu. ;'ldirIJ :
, I
~ pr~P{JSro '. __~
,,__,..... ".'00 .____..
L: .._-
.c----- __J
-J -i
~ . :1..,/ .. i/; // , , i
I i ~O ~ t1 " ~ j~
IS'&" QATi 0 IOX-2dl '~-'11/r:
13'-4" 1-- P;:~;;-~J '~i+
;),f);' 0 "
FRONT PROPERTY LINE
2.:; :.. 4 II
...
N
tt:l
-
...~
(NOTE EXAMPLES 1 & 2)
o~'
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 FAM 30 'DUPLEX
1 0'
FROIft" PROPERTY L:ntE
FRORT PROPERTY LDfB
U\
C
r-
tn
fJ)
(:::).
b
r--
h-,
. .
I
,I
~I
"
r
~
~I
I
...
....
t\
\ ...
C>
...
~~)
") ~ ~
\~I ;;
f\ (~'
I
~,
!' (1
, ,,\
'~
~
l~'
" ~1
',--
I
I
i
,
I
,
I
..-
.-----
1
I
I
I
I
r
J-.
,
!t'"
I
I
I
I
I
I
I
I
I
r
I
,
I
I
I
I
I
I
I
I
I
I
I
I
L
"
r~
~~
~ ~
~\ .
~~
-~
~~
a ,
~ ~
~.
~
--~I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
~~(p.
r-.. ", ~ C ~ ~
'\;)'(:. C)' 0
~ ~ o--~ ~
fb l:::k.. " t>
CO t}- ~ ~ ...::::-
;r ~ ~ ~ ~
Q~~~
~ t~ ~ lj\
~" f'b
. "
. .;! (G< ~
_______ ID'- If II
I
- ---.
1
I
01
""'-
~...
I
--t
I
J
,
I
I
f
I
I ,I
~D..6
....... ..- --,-----
I
I ,- --- ~ - - - --- - - - '-- - - '---"j I
I t 11/6 J/() Ii rl,; (!
I .
I I ~ -7ft1 ,1<0 ds I I
I I t>O (p tI "S~lI~ Ii! tJ I I
I I
I ..5000 d &IN<!.I-<_.:re. I
I I PA1IQ I
~e,',UjJo.ec!.ed ~J'(T7l I I
, 41Kfr fYleSh J 0 (;'0.. Fo~ ,,/67;;;,N f/, HOd//. I
I
I po; S 0 Ic1 C. (j MFI-a..7ed SCALE: I~D'~ lJ-'-D"
. I f
I " Fill :Pr,. r: I
I l f I
. c/etJ1~r;(H:) '1-",6.3" I
I I I
t I
.1 .~,--,LJ
~
~
J.:
II ' ;' 1/ '
S c!-A LE : ~:: 1- 0 ~ 0
, r 1,2//
e
-:Be-hard KeNN~J~
,7- :2.CJ - 9''1
__ _______ ___ __ __ I (1 ~ 0 I'
(p
-\:.
,
...
"-
~
.'
C)
'"
:::
I
I~,
I~
~
I "
I
I
I
I
I
~~
~~t~
t-.J ,,1.\
~ -() '-
I '\~
:{) ~I\\
~ V)~
~!b
~
1
_Hn.. .. -r
-,
-,---
_l_JI
(jJ ~ ~
r:. I).
b.. c. ':"1
,...... ~\
t11 -
- .
~ . 'D ~
~, ---..
":to
JI , ~ Cd
- ~
, ...
D CL
, _0
... z:.
\.._L)
T-
..- i -- -- _ -'" - _ _ - - - j.-" _ _ __-' 1-------
. L.____,___,J._~ ______
_.,--,"---- --~ --
'/DT--.--'------'--
- D ----,--
_._-
~ul!ei~li,)e C /;p5 -------------\
IX" //FlleiO 12 ,h~~---- -
1/ [ ~~J:;:;-,>t...~../--'i.k -------,,___
l_-.t:;;.:,. ._-....,..'-.~.. n --,,"" -- f1 ----....
~.;:-'- ';~-.-_... tJ ... ',......... .......--.._
~..;.... ..~.... -~-.... -""-
. -;'ij'~~.Nle7P1 Se~-r pl/J'/e.s UNder7-RtJ.sS-I--"':~J
I " ,1 ,
t 1/,1/ id'l ~HUflkiet7lt)e Strl1PS ~ FT: Afl/J/<I
Idt, G-nble~M:I c../bSefl- ,-II 01( E:~UM,
..J!
.,
:;\1
----t
I
l!{uSS ~ c'Ab/e.s PeR. ENg, :;.' (J.e.
I' ,
f'Ilil/':.': L:,,;-rf.:l Eloc.K Peri/YIe-,er r,'/(ed lJf3O-OO
~];1 Cr.JtJCre'7e ).#: 5' ~tJd,
n ~ 1(6Of;,,)9: % P /y wo"d 1(--><805" IkJ - SheA17"J
~: ~ J 5=#: UtJde r/ IJ 1"
d I:lii J.5yr8he:9Inss Sh;tJJles
~ 'I 'C.-' .' /Y),~. J ;~,:...{,d~~;f'~;t;; A
!~ 4-l~ - - # .,;; f', ),/ 'f ".,' II "I,:, u;/;t Ties a / M i/J, 0 ver I" P.
i"i' !. 'M
;n;j i :1(1
~I I! :,IJ: ~-;l, -Pr STub Abo v@f'k,cu-Le,/elL/(!6INCr$#-5!</1dt..jJ')'"f;e.s
I! I
~ Ij:
i,~-:
11
, ~~
i'.'~
~
l!~::
t;,
11(;.',
II
!I'
~ .. 'J
"
....
~
(j~~T;tJ.d(;;,J I e~i1s
iL,; \ iT'( i3 v. i l d i ~J <]
SeA LE: ~ =. Y-o"
~ I: ~.. - ~ T
~to _oj!
~ * 12-':, ,f
_~ It. /
'"
- ~,
\
4>l' --';!f-"- --t-~~;-~-~ 0 'Ie ,}..L..
L.o (j to Vi S?u e eN
t,~~' :6~::a::S;'I';~I~~-IOi3
c:~
~
Of)
"
""ed
",
J(/(';; /?~j ~ J) tJ ec./y
/ftl ,z,:5 Fl r,t/ S T
7-20-94
APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUlLDlliG DEPARTtlENT
OIlRBR'S -,;f!r;h,4-pd.L l&#'dE/)Y
. OWNER'S ADDRESS l'e..2..s J 9 T /7' S~.E T
---
JOB ADDRESS 4K::;;':;- / c; II-! $; /~ Eer
7
PHONE
?;r{)- (. ~;$.'IJ
LEGAL DESCRIP'I'ION: LOT(S)
BLOCK ~.3 SmlDIVISION.4!?)CJ,lf?E<; h'A ~ T A'~.7:o JJ
PARCEL I. D.'
, .,
(OBTAIN FROM PROPERfY TAX NOTICE)
WORK PROPOSED:---.:-New Construction _Addition --Alteration -...Repair, _Install
_Sign
--..Kove
->>eaolish
PROPOSED USE: _Single F_ily
---1J/F _' of Units -1J/B
_~ercial
_Indust. _Swia. Pool ""'---0 the r
-...Restaurant & Health Depar~ent Approval
DESCRIPTION OF WORK: /tJX /,2 a,,~~e7e ~~/l:)t"7f L/;J7//ry ~",I'IJ./A:.'J /tJX:J.O ~PlJ:'p
, 1/
BUILDING SIZE: /0 x/~ ' .1:2. 0 Square Feet, 9 /O~eight
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET-ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
L~UILDING
PERMITS REQUESTED
$
/~d()" Co
Valuation of Total Construction
\, ,
_ELEcnuCAL
AIIP Service
Florida Power Corp. '
W.R.E.C.
-1IECBAIIICAL
$
~J I'
Valuation of Mechanical Installation
_PLUHBING
GAS
ROOFING
SPECIALTY '
TYPE OF CONSTRUCTION: _Block _Fr_e _Steel
Other
FINISHED FLOOR ELEVAnONS: . 3 Yl' .
..........................................
IS PROJECT IN FLOOD ZONE AREA? 'p'--/" .
- YES ,- ,. NO-'
1lUI1J11lIl ~~
Signature. I . /
mRTRACIPR SEW ... . .vJ
6i? COMPANY w-n
8. r/ 'State Cert. or Regist. .
'-7 A/y" h 0 :;r.~ License Registration .
.............~... ........................
RI.RCTRICIAR
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
ff', I
SilmAture
f;111i
PLUHBER
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
tlECBANICAL
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
OTRRR
COMPANY
State Cert. or Regist. .
City License Registration ,
..........................................
Signature
1 ~
APPLICATION APPROVED BY
PERHIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS .
The undersigned understands that tbis peIlit lilY be subject to 'deed restrictions' wbieb lilY be IIJre restrictive than City
regulations. rbe undersigned assUIeB responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES,"
If the owner bas hired a contractor or contractors to undertate wort, they .y 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, MY be
cited for a lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
reguiretents lilY apply for the intended wort, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611. .
FurtherlOre, if the OIner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
'Contractor Sections' ,of this application' for whicb 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 wort. If the contractor wisbes you to sign
as contractor that MY be an indication that he is not properly licensed and is not entitled to perlitting pr,ivileges 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 'Florida's COnstruction Lien Law -1IoIeoImer's Protection
Guide' prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is 8OIBOIle other than the
'owner", I certify that I bave obtained a copy of the above described docUlBDt and prOlise in good faith to deliver it to the
"owner" prior to COII8I1Cl!lBDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforJition in this application is accurate and that all wort will be done in eotpliance with all
applicable laws regulating construction, loning, and land developleDt.
Application is bereby Iilde to obtain a peIlit to do work and installation as indicated. I certify that DO wort or
installation bas COIIeDced prior to issuance of a peIlit and that all work will be perfoaed to _t stam1arda of a11liIIIB
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDIBDtal agencies By apply to the intended work, and that it is
If responsibility to identify wbat actions I lust take to be in COIpliance. Sueb agencies include but are not liaited to:
t Departlent of EnvirOllleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlBDtally Sensitive Lands,
Vater/Wastewater Treatlent
t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t AllY Corps of Engineers - Seawalls, Docks, lavigable Waterways
t Departlent of Health , Rehabilitative Services, InvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic ranks
t US IlnvirODlBDtal Protection Agency - Asbestos ahatelent
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 'COIpeIlsating volUle' will be subJIitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance. '
A peIlit 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,~eafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issuedshall beCCIIe invalid
unless the work authoriled by sueb perlit is COII8IlCed within slllODtbs of issuance, or if work authoriled bJ the perlit is
suspended or abandoned for a period of slllODtbs after the tile the work is cc.enced. One 90 day 81tension of tile, lily be
allowed for the perIIit with fee ebarge of $15.00. Tbe 81tension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during eaeb sil IOI1th period, or the project will be considered abandoned.
WARNING TO OIlIER: YOUR FAILURI TO RECORD A IOTICE OF COIMDCBIIIII MAY RESULT II YOOR PAYING nICE FOR IIIPROVIIIII!S TO YOOR
PROPERTY. IF YOU IJIDID TO OBTAII F1WCIIG, CONSULr WIm YOOR LBIDIJI OR AI AnomY BEFORE RECORDIIG YOOR JOrICI OF
C(JtMEICIlMENI. JOBS UNDER $2,500 II VALUE DO lOT lIED TO RECORD AID POST A -IOTICE OF ClIUIEICIIIEIIl".
SIGlATURIl: CONIRACTOR
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
STAn: OF FLORIDA
coum OF
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 bas
,
produced l J '
as identification and wbo did/did not
take an oatb.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY.PUBLIC
(Signature)
(Name Typed, Printed or Sta.ped)
NOTARY PUBLIC