HomeMy WebLinkAbout94-4219
BUILDING PERMIT
Permit N.t?
CiTY OF ZEPHYRHILLS
(813) 788-6611
421913
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P,"p'~Y Own., ~ 1!:1 i ~ ~ ~
Job Address:J<f: - / ~
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Date
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PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: Energy Code: ~n Gas:
Description of Work a~ ~~cf Jf' -of ~ft~
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NO OCCUPANCY BEFORE C,O,
FINAL
'j-a9-
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
Inspector
City License Registration #
State Certified License#
Permit Fee ~ -:- o--LJ
S;gnatu,.? - 9. f.1A.., ~
Company ~ "-
Address
Telephone#
Valuation or
Contract Price ! b ~ - oV
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Ftr,
Pre SLB
Lintel
FRM,
Insul. CL
WL
SLB
Tub Set
Water
Sewer
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 ($15.00) 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.
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FLORIDA POWER CORP
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TEL:813-782-5949
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vrHE POOL PROPOSED FOR CONSTRUCTION AT 1HE ABOVE ADDRESS DOES NOT
CONFLICf WIlli ANY UNDERGROUND OR OVERHEAD FACILITIES OF FLORIDA
POWER CORPORATION, PROVIDED THAT 1HE POOL IS INSTALLED IN THE
LOCATION SHOWN ON TIlE ATIACHED SITE PLAN PROVIDED TO US BY TIlE POOL
CONTRACfOR.
TIlE POOL PROPOSED FOR CONSTRUCTION AT TIlE ABOVE ADDRES DOES CONFLICf
WIlli: OVERHEAD UNDERGROUND
FACiliTIES OF FLORIDA POWER CORPORTATION,
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ARRANGEMENTS HAVE BEEN MADE WIlli US FORRELOCA TION OF 1HE FACILITIES
SO AS TO CLEAR TIlE POOL AREA SHO\VN ON TIlE ATIACHED SITE PLAN,
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iA POWER CORPORATION
COST FOR RELOCATION OF ELECrRIC FACILITIES WILL BE PAID BY:
OWNER
POOL CONTRACTOR
PRIOR TO RELOCATION OF FACiliTIES AND CONSTRUCTION OF POOL
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ZEPHYRHllLS DISTRICT OFFICE: 38231 5th Ave. ' Zephyrhllls, Florida 33540 ' (813) 782,1518
A Floridtl Progress Comptlny
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CITY
OF ZEPHYRHILLS
J:I1Th ~
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JOB LOCATION
BUILDING DEPARTMENT
Shr9-NNCJN'
/0 -lit /f//e,
11- (l....~ -;;1../ - 0010 -08900 - 0 ~I 0
OWNER
PARCEL I.D. #
SHOW ALL EXISTING & PROPOSED STRUCl'URES GIVING DIMENSIONS & SBTBACKS.
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ALLEYWAY ACCESS FOR
GARAGE OR CARPORT
15 FOOT SETBACK
REQUIRED,
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
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FRONT
(NOTE EXAMPLES 1 & 2)
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'
FROIIT PROPERTY LINE
FRONT PROPERTY LINE
APPLICAnON FOR PERKIT
CITY OF ZEPIIYRIIILLS
BUILDING DEPARDIERT
f!1l.J-h y S~I'J-NN{)N PHONE ,28':;< -& 9//
::3 8'308-' /o-#t .&C-.,. 71fl;yrJ..I'J)~,FL~'.KJ
~3 ~~O,f-- ./ ~ ~ /!-t/( /' "7 ~/J )/1-), ~)Js , '0 33590
-~ LEGAL DESCRIPl'ION: LOT(S):J. I - :L " ]:rlc1~~sUBDIVISION _-
--;PARCEL LD.t / I-~b -J../-OO/O -0 89ao-O...1/0 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:-llll.Jew Construction ----Addition ----Alteration --..Repair V Install
OWNER' S RAKE
OWNER' S ADDllESS
JOB ADDRESS
_Sign
--...JIove
_Deaolish
PROPOSED USE: _Single Faaily
_~rcial
---.Jf/F _' of Units _M/B
_Indust. --1:::::.Swia. Pool _Other
--..Restaurant & Bealth Departaent Approval
DESCllIPTIOW OF 1ilIR1<: ~{"4-11 ..,.}( lit I I'tl'l.-J "e <f('D" r;L <lpov ~ <.J L t'1/ Y de 4i
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BUILDING SIZE: X Square Feet, Height f
RE8IDEIITIAL: Al'"J'ACII (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: Al'"J'ACII (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
.~UILDING
~~CAL
--.JIECIIAliICAL
$
PERMITS REQUESTED
/ ~c:J!::>.. ~ Valuation of Total Construction
AHP Service Florida Power Corp.
W.R.E.C.
$
Valuation of tlechanical Installation
_PLUflBIBG GAS ROOFING
TYPE OF COIlSTRUcnOIl: __lock _Fraae _Steel
SPECIALTY
Other
FIIIISBBD FLOOR ELEVAnOIlS:
..........................................
YES
~
NO
Fr.
IS PROJEcr IN FLOOD ZONE AREA!
CORTRACTOR SECTION'
BUTT.DER Q!#?n~. aJIIPA1IY - -- ,__
. "~ @~ State Cert. or Regist. t
Signature q~- - -#/ /; vtZ-j~n&rJ City License Registration' --
~..........................................
RT.RCTRI ~ ,,_. ) COKPANY
- ????..I2.Ck.cT}fcR-/L/ State Cert. or Regist. t
SianAture{~ City License Registration .
..........................................
PLIDIBER COMPA1IY
State Cert. or Regist. .
Signature City License Registration .
..........................................
HECHARICAL COMPANY
State Cert. or Regist. .
Sigoature City License Registration .
..........................................
OTRRR COtIPANY
State Cert. or Regist. t
Sigoature City License Registration .
..........................................
APPLICATIOB APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'!be undersigned understands that tIlis petlit lilY be subject to 'deed restrictions' wbich JaY be lOre restrictive than City
regulations. '!be undersigned asS1JltlS responsibility for cmpliance witll any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tile owner bas bired a contractor or contractors to undertake work, they JaY be required to be licensed in accordance witll
state and local regulations. If tile contractor is not licensed as required by law, botll tile owner and contractor JaY be
cited for a lisdl!leaDOr violation under state law. If tile owner or intended contractor are uncertain as to wbat licensing
requireteJlts JaY apply for the intended work, they are advised to contact tile City of Zepbyrhills BuilcUng Departlent, (813)
788-6611.
FurtheIlOre, if tile owner bas bired a contractor or contractors, be is advised to bave tile contractor(s) sign portions of tile
'Contractor Sections' of tIlis application for which tIley will be responsible. If JOU, as tile owner sign as tile contractor,
you are indicating that you, rati1er than the contractor, are responsible for tile work. If tile contractor wishes JOU to sign
as contractor that JaY be an incUcation that be is not properly licensed and is not entitled to perlitting privileges in tile
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tIlat 1, tile applicant, bave been provided witll a copy of 'Florida's construction Lien Law - BaIeoImer's Protection
Guide" prepared by tile Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is SOIeOI18 other than tile
'owner", I certify that I bave obtained a copy of tile above described dOCUleDt and p~ise in good faitll to deliver it to tile
"owner' prior to COlleDcetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inf01'liltlon in tIlis application is accurate and that all work will be done in CCIIPliance witll all
applicable laws regulating construction, loning, and land develo~t.
Application is bereby Jade to obtain a perlit to do work and installation as incUcated. I certify that no work or
installation bas CDlenced prior to issuance of a perlit and that all work will be perfoIled to teet stanc1arda of all laws
regulating construction, City codes, loning regulations, and land developll!llt regulations in the jurisdiction. I also
certify that I understand tIlat tile regulations of other gGYeIJlleDtal agencies JaY apply to the intended work, and that it is
IY responsibility to identify wbat actions I lUSt take to be in cotpliance. Such agencies include but are not lllited to:
t Departlent of Bnvirontental Regulation - Cypress Baybeads, Wetland Areas and BnvirollleDtally Sensitive Lands,
VaterjVastewater 'l'reatlent
I Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t Arty Corps of Engineers - Seawalls, Docks, lavigable Waterways
I Departlent of Healtll i Rehabilitative Senices, InvirOllleDW Healtll Unit - VeIls, Vastewater 'l'reatlent, Septic 'l'ants
I US Invil'Ol1leDtal Protection Agency - Asbestos abateteJlt
I also certify that, if fill aaterial is to be used in Flood Zone 'A' or 'A,etc.", it is understood that a drainage plan
addressing a '~ating vol.' will be sublitted wbich is prepared by a professional engineer registered in tile State of
Florida prior to peIlit issuance.
A perlit 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 shall issuance of a peIlit prevent the Building Official f~ tIlereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit issued shall becme invalid
unless tile work authorized by such peIlit is ~c~ witllin sillOnthe of issuance, or if work autboriled by tile perlit is
suspended or abandoned for a period of sillODtbs after tile tile the work is ~ced. One 90 day utension of tile, JaY be
allowed for tile perlit witll fee cbarge of $15.00. 'l'be utension shall be requested in writing to the BuilcUng Official. An
approved inspection lUSt be logged during each sillOl1t1l period, or tile project will be considered abanc1oned.
WARRING 'l'O OWIIR: YOUR FAlLURI 'l'O RECORD A IO'I'ICE OF CCIIMDCBIIIII'l' lilY RESUL'l' II YOUR PAYING NICE FOR DIPROVIIIII'l'S 'f0 YOUR
PROPIR'l'Y. IF YOU IJI'l'BIID 'l'O OB'l'AII FIIIDCIIG, CONSUL'l' VI'l'H YOUR LIIIDBR OR AI A!'l'ORDY BBFORB RICORDIIG YOUR IO'l'ICE OF
COMMIICBHD'l'. JOBS OlDER $2,500 II VALUE 00 10'1' IBID 'l'O RECORD AND POST A wlO'l'ICE OF C(JlllEllCBIID'l".
SIGIA'l'URI: COI'l'JIACTOR
SIGIA'l'URB: (MIIR OR AGBR'l'
STAR OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
S'l'AR 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 has
produced
as identification and who did/did not
take an oct.th.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC