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Home My WebLink About94-4446 r BUILDING PERMIT Permit ~ CITY OF ZEPHYRHILLS (813) 788-6611 4446A Date II ,- k- -9'1 , ELECTRICAL PLUMBING MECHANICAL Sewer Conn ::~:::,~,:~e~-'?!b _.jj~~. Parcell.D. # /1 - dh>> - 0 v/o - / yrtJo - CJ o~ 0 Water Conn: Water Meter: T,I.F,'s: Zoning: Energy Code: Radon Gas: Description of Work ~ ~ /~ ~ /~~ r .,.,-z;c~, JZ FINAl-i') C.O. /0 - 9 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordarce with City Codes and Ordinances, DATE Inspector Permit Fee Sigflature Company Address Telephone# ~: ~~7 Valuation or / ~ Contract Price I ~ c::rl) - c:J-v City License Registration # State Certified License# O).-,/Yl.P A- BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 ($15.00) 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. DISCLOSURE STATEKEIIT FOR OWNER CITY OF ZEPIIYIUIILLS BUILDING DEPARTMENT I, to the have read and fully understand and agree The undersigned states and affirms renovating, adding to or reroofing occupy, or will occupy by sale. That he or she shall comply that he or she is desirous of constructing, his or her own domicile, that he or she actually said domicile, and same is not for rent, lease or with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. S. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhi.lls Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. DATE: /1- g- ~/r WITNESS,'71_""(t JJ; ~.L(f WITNESS: PERMIT ~~ 'Iv Y h f3 DATE, 75.0 c/, t - /? 7 y. OWNER:L o~- /:V9c~y - J '1 -, /11"/ 5.""7- ADDRESS: '- J I C?\ / --- I (0 7X.. /, 2,f/Jil4/l h y If {f ,r=-L PH: 7/] 8 - 380;< , /' / APPLICATION FOR PERKlT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S - Do,./. k;Ni~t OWNER'S ADDRESS 0- Y J.. 7- I~ . PHONE 7c.tc9- 380;1., \; -r- . !, j, Cf JOB ADDRESS S,4 ..-1'1 ~ , .' \ LEGAL DESCIUPTION: LOT(S) 0/'1 )'1 - ObnLOCK' , SUBDIVISION PARCEL I.D.' 1/ - ;'b - J../ - 001 ()... / if 800 -00.3 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction ~ddition ~lteration _Repair _Install _Sign ---..Kove _DeIIOlish PROPOSED USE: _Single Faaily ---..KIF _, of Units ---..K/H _ec-ercial _Indust. _Swi.. Pool _Other ~estaurant &: Health Depart.ent Approval DESCRIPTION OF WORK: C LoS {~y _ / ~ ... j> 4A. T. a r , S Toll ~ 7 l CA-A- -I'o~. 'T: BUILDING SIZE: I Lf x I 0 , Square Feet, I t..-J 0 Height . RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERKITS REOUESTED _BUILDING $ Valuation of Total Construction _ELEGTRICAL AKP Service Florida Power Corp. W.R.E.C. _MECHAtUCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY Woo" Other TYPE OF CONSTRUCTION: _Block _Fraae _Steel FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ~ YES NO .......................................... CONTRACTOR SECTION' BUILDER COKPANY State Cert. or Regist. , City License Registration , .......................................... Signature ELECTRICIAN COMPANY State Cert. or Regist. , City License Registration , .......................................... SianAture PLUMBER COMPANY State Cert. or Regist. , City License Registration , .......................................... Signature KECBANICAL COMPANY State Cert. or Regist. t City License Registration , .......................................... Signature OTHRR COMPANY State Cert. or Regist. , City License Registration , .......................................... I1d''''''(t m ~ PE1lII1T OFFICER. Signature APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pemit laY be subject to 'deed restrictions' wbich laY be lOre restrictive than City regulations. !be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay 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 .y be cited for a lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requir8lents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of tbe "Contractor Sections' of this application for which they will be ,responsible. If you, as the owner sign as tbe 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 he is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrhills. 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 witb a copy of 'Florida's Construction Lien Law - HoIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUIer Affairs. If the applicant is SOHOne other than the "owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to COllBDc8lent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that DO work or installation has CDIIeDced prior to issuance of a perlit and that all work will be perfoIl8d to leet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of otber goveDlllental agencies laY apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: * Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and BnviroDleDtally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanag8lent District - Wells, Cypress Daybeads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health' Rehabilitative Services, EnvirDDleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US EnvirDDleDtal Protection Agency - Asbestos abat8lent I also certify that, if fill .aterial is to be used in Flood Zone "A' or "A,etc.', it is understood that a drainage plan addressing a 'cOJlpensating volUle' will be sublitted 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 frOl.thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pemit issued shall beCOle invalid unless the work authoriled by such perlit is cOllBDced within sil IOnths of issuance, or if work authoriled by the perlit is suspended or abandoned for a period of sil IOnths after the tile the work is CDIIeDced. One 90 day utension of tHe, .y be allowed for the pemit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned. WARNllfG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C<>>IHENCIIIDT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVIIIDTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT IUTH YOUR LINDIR OR AN AnORlllY BEFORE RECORDING YOUR HOIICE OF COMMENCEMENT. JOBS UNDER $2,500 IH VALUE 00 HOT NEED TO RECORD AND POST A "HOIICE OF C<JtMENCBMENT". SIGNATURE: OIfIfER OR AGENT SIGNATURE: CONTRAC'l'OR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE 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 oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name lyped, Printed or Stamped) NOTARY PUBLIC ACCESSORY BUILDINGS <Ut~1ity Sheds - Storage sheds - Garages A11 Freestanding outbui1dings /1"P~~y' II ;/0.- AH - carports> CI"l"Y OF ZEPHYRHILLS BUILDING DEPAR"l"IIEIn' 1A: Any ready.ade, .anufactured, prefab or custOll bui1t on site .ust have p1ans, t~e-down instruct~ons, s~gned and se81ed by a F10rida registered engineer cert~fying c~1~ance with S.B.C. Section 1205 concerning 100 M.P.H. wind 10ad, OR if to be constructed by ho.eOllD.er, p1ans .ust be cert~f~ed saae as above. survey is required un1ess property corners are found and staked. 18: Accessory'bu~1d.ings of 200 square feet or 1ess .ay be constructed using Bui1ding Depart:.ent gu~de 1ines for wind 10ad res~stance, or sm-it s~gned and sea1ed engineered p1ans. 2. lIoIIeowner ~s respons1h1e for set-backs and t~e dOllD. requir~ents. 3. P10t p1an needed showing exJ.sting and proposed bui1dings with 811 .easur~ents indJ.cated. Parce1 I.D. I is required and can be obtainJ!d. froa Yqur ~roperty tax: not~ce. - ----.,.. -...---.- (a) Requ~red Set-Backs: Ten (10) feet fro. side and rear property 1ines. Hote: Sheds that are 90 square feet or 1ess are c1assed as portab1e and .ay be p1aced w~th a 5 foot set-back.' on1y two portab1e sheds per 10t 8110wed. Concrete pad a11owed, but if structured with a f -::::;--.sat.=back of 10 foot is r (b) T~e-:i:iOWns: A11 ou u gs or sheds sh811 be secured to the s1ab or to the ground. If ground screw type anchors are used they sha11 be a .iniau. of 24. in 1ength and one for each corner for s.811 units <10'X10'> or 1ess. Larger units sha11 use 48. anchors each 10 feet. Tie down .etal bands "i11 he p1aced over the top of building fro. anchor to anchor. If concrete anchors are used, then one each · around botto..plate. , 4. Perait fee is based on purchase v81ue, contract price, or $10.00 per square foot with .iniau. $20.00 pera~t fee. If e1ectrical or p11111bing is to be inst811ed there ~s an addit~ona1 fee ~f'$20.00 ea~b'. 5. Accessory structures sha11 not be rented or 1nhab~ted. 6. Perait app1ication required for sub.itta1 and rev~ew tiae for perJI~tting is 1 - 3 working days. OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMBN'l" DO/'-l- f2:r'#'J j ~~y JOB LOCATION .... t) i ~ J, /~ 7-;~, S7. 2 (~/.71L;;:({/~ .I 1-,:) b - d./'" aaf 0 - / f B 00, 0 0 3 0 jC'{ 3 3J-$;' 0 PARCEL I.D. # SHOW ALL EIIS"I'IIIG 6: PROPOSED STRUcruRES GIVIRG DDlEHSIORS 6: SETBACKS. f~ Ic{zy, 06,0' ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ~ Or C9 5hOH ,1\ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (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' FROII'r PROPERTY LINE FR.ON"I' PROPERft LINE lX6 INCH RIDGE BOARD~NCH SOUTHERN PINE RAFTER ...;j./ii, ~X12 INCH PLYWOOD CUT TO FIT. GANG NAILED TO RAFTERS. ROOF SYSTEMS SHALL BE PRE-ENGINEERED TRUSSES OR SOUTHERN PINE CONVENTIONAL FRAMED RAFTERS SIZED AND ASSEMBLED TO SBCCI SPECIFICATIONS. ROOF SHEATHING OF WOOD SHALL BE SIZED AND FASTENED SAME AS WALL SHEATHING, ALL OTHER ROOF SHEATHING MATERIALS SHALL BE FASTENED AND SIZED PER MANUFACTURE AND ALL APPLICABLE CODES. WOOD FLOOR SYSTEM SHALL HAVECONTINUOOS TrE FROM GROUND TO ROOF WITH APPROVED GROUND ANCHORS, AND MANUFACTURED METAL CONNECTORS. ~ INCH BOLTS 4 FT. O.C. f\f'k-tl'o IL- WO OJ) ~~ ~S --to Sl4-~