HomeMy WebLinkAbout94-4583
BUILDING PERMIT
Permit ~
CITY OF ZEPHYRHILLS
(813) 788-6611
458313
Date, /:J... - 3 t) -9 Y
c::~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
:~~:;:,~:n"~Cl-l{ ~ ;~ f (,l.rz
Parcell.D. # /...3 -c:L1:, -01-/ LJ/O 0 - D CJ C)DO ~ o/cJ.- 0
Water MeJer:
T,I.F.'s:
Zoning: Energy Code: A
Description of Work r X / 0 ~ /'
Radon Gas:
FINAL
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordarce with City Codes and Ordinances.
Inspector
Permit Fee~~ ~ '
Sign~ature " . /r;-...... ~ (!f
Company
Address
Telephone#
Valuation or
Contract Price
:L :; ;)... ~ tfJ-o
City License Registration #
State Certified License#
/~
BUILDING
Ftr. ~ ,2>(\V
Pre SLB '
Lintel
FRM.
Insul. CL
WL
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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.
TOr\N KtIVN~Y
"34D;J:5 CARDIIJIJL AVE
/3 ~& ~ / ~//)O tJ/Jt9I'JC) L}/;2o
OWNER
JOB LOCATION
PARCEL I.D. #
CITY OF ZEPHYRBILLS BUILDING DEPARTMENT
SHOW ALL EXISTIRG & PROPOSED STRUC'l"URES GIVDIG DDlENSIOHS & SETBACKS.
(NOTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E
R X
0 I
10' P S 10'
0 T 1 0'
S I
E N
D G
20'
FROIft" PROPERTY LDUC
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
l'
10 '
.J,
I
E. ~ 5:. LAB c:r x. It
11- -
f-fO'.,> I ,
s A. - Be, l Ld ltu (; BXID
;B
N
6
I H"lJSe:..- [)(/sTllvc;, \
I
L
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FROIft" PROPERTY LDUC
APPLICATION FOR PERHIT
CITY OF ZEPRYRBILLS
BUILDING DEPARTMENT
OWNER'S ADDRESS
-I~HN ~NNE Y ~I? "&,fIAlle ~AlAlE->'HONE 7R'.2- 3.!>o3
I
390;;13 (!A;e/)IAJA L ,AvE z.:.~IIYRf/-,LLs 7711- 33S'I1.l
OWNER'S NAKE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D.'
132' 21 {}/IJP tJ~tJtJtJ 11/;20
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:-LNew Construction ---"ddition ---"Iteration ..-ltepair _Install
_Sign
~ove
_Deaolish
PROPOSED USE: _Single Faaily
_KIF _' of Units _K/H
_ec-ercial
_Indust. _Swia. Pool _Other
____Restaurant & Health Deparbment Approval
DESCRIPTION OF WORK:
ST"oRME
~ H-E"b
BUILDING SIZE: ~,
Square Feet, B Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
LBUILDING
$
~12~
Valuation of Total Construction
____ELECIRIGAL
AKP Service
Florida Power Corp.
W.R.E.C.
----1fECHAIUGAL
$
Valuation of Kechanical Installation
____PLUMBING GAS ROOFING
TYPE OF CORSTRUGTION: ____Block ____Fraae -x-'Steel
SPECIALTY
Other
FlRISBED FtOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA! ~
YES NO
..........................................
CONTRACTOR SECTION'
BUILDER COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
..........................................
ELECTRICIAN COMPANY
State Cert. or Regist. ,
SiDnAture City License Registration ,
..........................................
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
..........................................
MECHANICAL COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
...............................~..........
OTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
APPLICt\ITOR APPlIlIVEII BY <;i;=~..)jj:]~.............. PERIIIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands tIIat tIIis perin laY be subject to .deed restrictions. wbieb lay be lOre restrictive than City
regulations. Ibe undersigned assUles responsibility for cOlpliance witll any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ~er bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and Jocal regulations. If tile contractor is not licensed as required by law, botll tile OlDer and contractor lilY be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents laY apply for the intended work, they are advised to contact tbe City of Zephyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the OlDer bas bired a contractor or contractors, he is advised to bave tile contractor(s) sign portions of the
"Contractor Sections. of tIIis application for wbich tIIey will be responsible. If you, as the OlDer sign as tile contractor,
you are indicating that you, ratber than the contractor, are responsible for tile worl. If the contractor wishes you to sign
as contractor tIIat laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in tile
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tIIat I, the applicant, bave been provided witll a copy of .Florida's Construction Lien Law - HoIeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If tile applicant is SOleODe otber than tile
"owner", I certify tIIat I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"owner" prior to COlleOCetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all tile inforlation in tbis application is accurate and that all worl will be done in COIPliance with all
applicable laws regulating construction, loning, and land developlent.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
installation bas COIIeDced prior to issuance of a perlit and that all worl lill be perforled to leet standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify tbat I understand that tile regulations of otller goveIDlental agencies laY apply to tile intended worl, and tIIat it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to:
· Departlent of Bnvironaental Regulation - Cypress Baybeads, Wetland Areas and BnviroDlentally Sensitive Lands,
Water/Wastewater Treattent
· Soutbwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
· Departlent of Health & Rebabilitative Services, EnvirODleDtal Healtll Unit - Wells, Wastewater Treatlent, Septic Tanks
· US BnvirODleDtal Protection Agency - Asbestos abatetent
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 .cOlpeDsating volllle" will be subtitted wbieb is prepared by a professional engineer registered in the 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 sball issuance of a perlit prevent tile Building Official frOl,thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becoIe invalid
unless the work authoriled by sueb perlit is cOllellced within sblOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after tile tile tile worl is ~ced. One 90 day utension of tile, laY be
allowed for tile perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during eaeb sil IOntll period, or tile project will be considered abandoned.
NAMING TO OIfHBR: YOUR FAILURB TO RECORD A 10TICE OF C<IIMENCBMBWI MAY RESULT II YOUR PAYING TWICE FOR IMPROVEllllTS 10 YOUR
PROPBRTY. IF YOU IWlEID TO OBTAIN FINANCING, COlfSULT WITH YOUR LBHDIR OR AI AnORBBY BBFORE RECORDIIG YOUR NOTICE OF
COMMBNCBHBIl'. JOBS UNDBR $2,500 II VALUE 00 lOT IEED TO RECORD AID POSI A "IOIICE OF ClIIMBHCBIlBWI".
~~7
SIGlfATURH: COH'IRAC'lOR
STATB OF FLORIDA ~
COUIl'Y OF C (/
The foregoing instrument was acknowledged
before me this 1.1- - Z9 , 19~ by
STATB OF FLORIDA /
COUHTY OF f;f ;;: cD
The foregoing inst~ent was aC~~ledged
before me thi!?cL I ~ 0 , 19 <; ~ by
who is personally known to me or who has
produced
as identification and wh
take an oath.~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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