HomeMy WebLinkAbout94-4247
BUILDING PERMIT
Permit N"C?
CiTY OF ZEPHYRHILLS
(813) 788.6611
4247S
g--~,;( Lj-PY
Date
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ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Pmpertv Own", rf!j<,r7!~cI:e 2M" a.
Job Address: d <:P-" ~ L__-
ParceII.D.# /1-d-6~d-/- 0010, cori)O.~ t'){)?D
Water Conn:
Water Meter:
T,I.F.'s:
Radon Gas:
Zoning: Energy ~
Description of Work~~ ; ~ /1 ---
/
~7
/
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NO OCCUPANCY BEFORE C.O.
\\)
FINAL
DATE
Complete Plans. Specifications and Fee Must Accompany Application, e.o.
All work shall be performed in accorda....<:"e with City Codes and Ordinances.
DATE
Inspector
Permit Fee
Signature
Company
Address
Telephone#
!J!~1at~
,
Valuation or
Contract Price
~ cJV., o-v
City License Registration # ~ r--7
State Certified License#
AL t&u~
/
BUILDING '
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SlB
Tub Set
Water
Sewer
Final
Tp. Serv.
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 ($15.00) 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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BAHR'S ALUMINUM & HARDWARE, INC.
37827 FOUNTAIN RD.
ZEPHYRHILLS, FL 33541
(813) 782-3513
Customer's
Order No,
1v1R/12/) fJ-Y1 W~
9/J
(
~:~:.~...~~xw~~
Dote
,iff
..
.
.
.
A
D
D
.
.
.
.
ROLD ...
AMOUNT
~
.,
\
10.
11.
12.
13.
1..
,
In case of cI Iml or returned
goods, please present t~l
;--r1t n r\ I .
Tax
nQQ?1
JOB LOCATION
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
P~.eJ f'!I pal.5 Of) UJhee/~
31J I t.f5 /5!1J /he-
r- - (I -;)(~ - c9j- ~Olo--()o;g{)O - Q)/,o
'OWNE~ ~'S+
PARCEL I.D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
~~t 'i'
~~
k- 10 '---;:. 'I
I
I
(
t.
.3~'
ibJ / ld/ Y>j
I
{--75-~
I I
B ~ ~'\-'O Cove~ 1 X~
ro E"(,'.5 1',' ~ 8lqb)
FRONT ROPERT~ LINE
(NOTE EXAMPLES 1 & 2)
STREET
IS'!- JWr _
, ~
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'
FROIO' PROPERTY LINE
FRONT PROPERTY LINE
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
1/5?~_::,( {? - c2. 3 -7J1
---- /'
OWNER · S ADDRESS
Fqs-f- ~jC 0 ~5 ro Y\ Wheeb
,)gli~&) -' //3B ,i);~
PHONE
7%0;- 7851
OWNER · S NAKE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S) ----- BLOCK SUBDIVISIMf
PARCEL 1. D. tJ - ~ (0 - ~l - 00 { 0 ~ t>O~ - QJ? 0 (OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:~ Construction _Addition _Alteration _Repair _Install
_Sign
_Kove
_Deaolish
PROPOSED USE: _Si~e Faaily
~ercial
_K/F
_, of Units _K/H
_Indust.
_Swim. Pool _Other
_Restaurant & Health DeparbBent Approval
DESCRIPTION OF WORK: A~lJM Pat; 0 Cwer
t::l ' 1 I.../. I r
BUILDING SIZE: --=-I--X-1..Ll2... '-//1 Square Feet. /0 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.
~UILDING
$
C/O
?SOD -
PERMITS REOUESTED
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
-"ECHAIflCAL
$
Valuation of Kechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..............................************
Signature
CONTRACTOR SECTION
i4 ~ ~ a>>IPAIIY-&hr'~ -M~;V\tJ12[~
State Cert. or Regist. t t... '();/t. t)
~, 'f!IZ rJl4J2 City License Registration t tV gt'j
*****.....~**************.************
Ur- )
BUILDER
ELECTRICIAN
COMPANY
State Cert. or Regist. t
City License Registration ,
**..*...*****..***********..**************
SismAture
PLUMBER
Signature
COMPANY
State Cert. or Regist. ,
City License Registration t
**.***.****************.******************
MECHANICAL
COMPANY
State Cert. or Regist. *
City License Registration t
*****.*******************.****************
Signature
OTRRR
Signature
COMPANY
State Cert. or Regist. t
City License Registration t
******.**************.*******.*.**********
APPLICATION APPIIOVED BY ,J1 ~ J11 ""P-~
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
fbe undersigned understands that this perlit lilY be subject to "deed restrictions" wbich lilY be lOre restrictive than City
regulations. !be undersigned assUIeB responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES .
If tbe owner bas bired a contractor or contractors to undertake work, tbey lily be required to be licensed in accordance witb
state and local regulations. If tbe contractor is not licensed as required by law, both tbe owner and contractor lilY be
cited for a .isdeaeanar violation under state law. If tbe owner or intended contractor are uncertain as to wbat licensing
requireaents lilY apply for tbe intended work, they are advised to contact tbe City of Zepbyrhills Building Depart:lent, (813)
788-6611.
FurtberllOre, if tbe owner bas bired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe
"Contractor Sections I of tbis application for which tbey will be responsible. If you, as tbe owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for tbe work. If tbe contractor wishes you to sign
as contractor that lilY be an indication that he is not properly licensed and is not entitled to perlitting privileges in tbe
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 - lkIIeoImer's Protection
Guide" prepared by tbe Florida Departlent of Agriculture and COnsUIeI Affairs. If tbe applicant is 8OIM!ODe other than tbe
"ownern, I certify tbat I have obtained a copy of tbe above described dOCUJellt and prr.ise in good faitb to deliver it to tbe
"owner" prior to cOllenceaent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all tbe infoIJation in this application is accurate and that all wort will be done in COIpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do IOrk and installation as indicated. I certify tbat no work or
installation bas CDleDcecl prior to issuance of a perlit and that all IOrk will be perfoIJed to _t standards of all laws
regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisdiction. I also
certify tbat I understand that tbe regulations of other gDVerJlIIental agenCies lily apply to the intended work, and that it is
If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to:
t Departlent of BnvirODllel1tal Regulation - Cypress Baybeads, Wetland Areas and BnvirolllM!lltally Sensitive Lands,
Water/Wastewater Ireatlent
t Southwest Florida Water Hanageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t Ally Corps of Engineers - Seawalls, Docks, Kavigable Waterways
t Departlent of Health i Rebabilitative Services, EnvirODll!lltal Healtb Unit - Wells, Wastewater Ireatlent, Septic !ants
t US EnvirODlental Protection Agency - Asbestos abateaent
I also certify that, if filllilterial is to be used in Flood Zone "A" or "A, etc. ., it is understood tbat a drainage plan
addressing a "COIpeDSating vol_" will be saitted wbich is prepared by a professional engineer registered in tbe State of
Florida prior to perlit 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 perait prevent tbe Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall becOIe invalid
unless tbe work authoriled by such perlit is COII8Ilced witbin sillODtbs of issuance, or if IOrt authorized by the perlit is
suspended or abandoned for a period of sillODtbs after the tile tbe work is co.enced. One 90 day utension of tile, lily be
allowed for the pel1Iit witb fee charge of $15.00. !be utension shall be requested in writing to the Building Official. An
approved inspection II1st be logged during each sil IODtb period, or tbe profect will be considered abandonec1.
wmUG 'fO C*IER: YOUR FAILURE !O RICORD A KOIICE OF CCIUIDCBIIIlIft HAY RlSUL! IK YOUR PIYIKG !VICE FOR DIPROVIHII!S 'fO YOUR
PROPBR!Y. IF YOU 101M]) 'fO OB!IIH FIUlCIKG, COKSUL! WID YOUR LBJfDU OR D AnoRIBY BI10RB IIBCORDIKG lOOK DICE OF
C(JfHDCEMIII'l. JOBS URDU '2,500 IK VALUI 00 IIO! KEEn 'fO IIBCORD AKD POS! A 'KOIICE OF C(JIIDCIIIIII!..
SI~II1f4MW; ~ ~
SIlrl OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
SIAII 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-tb.
(Signature)
(Nalle Typed, Printed or Stilllped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC