HomeMy WebLinkAbout94-4218
CaTY OF ZEPHYRHILLS
(813) 788.6611
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P,"perty Owoe' ~ ~
Job Address: _.5 -. ~ - ... a.v--e-
Parcell.D. # ) Y~d-6 'd.-I- 0 0 L9 c:J ~ 0 ..:l..f:1 0 - 0 CJ c"J U
BUILDING PERMIT
Permit N~
4218 t3
ff- 9'-9'1
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Date
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: Ener~y Code: Radon Gas:
Description of Work fJ! ~,..J ~ ~ ~~4XR~
NO OCCUPANCY BEFORE C.O.
FINAL 4n - 'Z-,~c,'-I
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordar~e with City Codes and Ordinances,
C,Q,
DATE
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
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City License Registration #
State Certified License#
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr,
Pre SLB /l
Lintel /
FRM.
Insul. CL
WL
Tp, Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final ~-(tt-'H' ,ptLL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
1r-19-tt'l SiLL
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,
OWNER
._~/ ,,/'./ / ...
CIft OF ZEPHYRHILLS BUILDIRG DEPAR"l'MBIft'
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JOB LOCATION
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PARCEL I.D. #
/~ -,,2/.1 -2/- ('000 - c?Oa:! 0 () - t)ooc)
.
SHOW ALL EXIS'!'IRG &: PROPOSED S'l'R.tJCTURES GIVDIG DDlENSIOIIS &: SB'l'BACltS.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2)
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FRONT PROPERTY LINE
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- -
10'
10' EXISTING 10'
1. 0
PROPOSED
20'SGL FAM 30 'DUPLEX
1 0'
!'ROIft" PROPBR"!'Y LIBB
FROIft' PROPB1l"I'Y LDIB
APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
OWNER'S _ C C B;/3:)NT
OWNER'S ADDRESS 3cPorJ:L d/~K' ,{} ~
JOB ADDRESS oJ ~ t' J. '1 b~"1-" r2.~
PHONE J'/S" fl)J,;2 - / b / J ---
,Z - /1';'//5 .L:.L "u
LEGAL DESCRIPTION: LOT(S)
BWCR
SUBDIVISION
PARCEL I. D.' /*'/ -..J b -:.2/.- (Jae CJ - (, C' 20 (.-~ '~f' ('- C (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~w Construction ~ddition ~lteration ~epair ____Install
_Sign
----"ove
_Deaolish
PROPOSED USE: v'/Single Faaily
____KIF
_, of Units .L'K/H
_ec-ercial
____Indust.
_Swia. Pool _Other
~estaurant & Health Depart.ent Approval
DESCRIPTION OF WORK: 7.10 e.,I. ~
BUILDING SIZE: J../ () X /0 ,
ojC
//I/.*
,
Square Feet,
Height
RESIDENTIAL: ATIACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
____BUILDING
~LEGTRICAL
$
Valuation of Total construction
AHP Service Florida Power Gorp.
W.R.E.C.
----1IEGllAtfICAL
~UM8~NG
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CORSTRUcnOR: _Block _Fraae _Steel
Other
FIRISHED FLOOR ELEVATIORS:
FT.
IS PROJECI IN FLOOD ZONE AREA 1
YES NO
..........................................
BUlIJlllR U
Signature ~~.. _
CONTRACTOR SECTION'
~ . /7 COMPANY J,,/ /YI ?
% tt->lc-/ State Cert.. or Regist. ,
/t/ ____--z../ ---City License Registration ,
...........*..*.********......*******.***.
ELECTRICIAN
SiRn~~~~~f?L
~OMPANY .t! /:)Yt. /~
/
~ . State Cert. or Regist. ,
A "'Z--z-~ ity License Registration'
.**.....................................**
kZ COMPANY i(/ J/( P
~ / // State Cert. or'Regist. ,
./ i _
/{../ ;f/'l.../- city License Registration'
..........*.*..*..*..*.........*.*****.**.
PLUMBER & /~ ?'
Signature c~:-z/
IlECBANICAL
COMPANY
State Cert. or Regist. .
City License Registration .
...............*..*.............*.....***.
Signature
OTRRR
Signature
COMPANY
State Cert. or Regist. ,
City License Registration ,
.............*........*..*................
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peC8it lay be subject to "deed restrictions" whicb JaY be lOre restrictive tban City
regulations. Tbe undersigned assDles responsibility for cOJpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance witb
state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor JaY be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireaents lay apply for the intended work, they are advised to contact tbe City of Zephyrbills Building DepartJent, (813)
788-6611.
FurtberlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections" of this application for wbicb 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 work. If the contractor wishes you to sign
as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that 1, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HoIeoIner's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUJeI Affairs. If tbe applicant is SOJeODe otber than the
"owner", I certify that I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
"owner" prior to COIleDCeJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and that all work will be done in cOJpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas cOlleDced prior to issuance of a peC8it and that all work will be perfoIJed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of otber goverDIental agencies JaY apply to tbe intended wort, and that it is
IY responsibility to identify what actions I lust take to be in cOJpliance. Such agencies include but are not lilited to:
* DepartJent of EnviroDJeDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
Water/Wastewater rreallent
* Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health , Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater Treallent, Septic Tanks
* US EnvirODJeDtal Protection Agency - Asbestos abateaent
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 "cOlpensating volUle" will be subtitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
reguiring a correction of errors in plans, construction, or violations of any code. Every peC8it issued shall beCOle invalid
unless the work authorized by such perlit is cOllenced witbin sil IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tite the work is coaenced. One 90 day extension of tite, lily be
allowed for the peC8it with fee cbarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned.
WARNUIG TO OIfIER: YOUR FAILURE TO RECORD A NOTICE OF COHHERCEJIIlNT HAY RESULT IR YOUR PAYIRG nlICB FOR lHPROVEJIIlNfS TO YOUR
PROPERTY. IF YOU INTEND TO OBrAIR FlIIAIICIRG, CORSUL! WITH YOUR LBROD OR AM AnORRBY BEFORE RECORDIRG YOUR IfOTICB OF
COHHENCBHBHT. JOBS UffDBR $2,500 IN VALUE DO ROT REED TO RECORD ARD POST A 'NOTICB OF COMMBNCEJIIlNT".
SIGNATURE: OIOIIR OR AGBllI
SIGNATURE: CONTRAC'fOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
he fore me this , 19____ by
STATE OF FLORIDA
COUNTY 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 o~th.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name 1yped, Printed or Stamped)
NOTARY PUBLIC
August 9, 1994
City of Zephyrhills
Building Department
Zephyrhills, FL 33540
REFERENCE; 38029 Bridge Ave.
Dear Sir or Madam:
This is to certify that the floor level of the mobile
home being set up at Winters Mobile Home Park,
Zephyrhills, Florida, is at or above 84,0 elevation.
S~~.j '.~
<-(~.~ dJ~
Robert G, Winters
WINTERS MOBILE HOME PARK