HomeMy WebLinkAbout95-4588
BUILDING PERMIT
Permit N,~
CiTY OF ZEPHYRHILLS
(813) 788-6611
458813
,-S?0 'iJ
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;20.lJ1)
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Date
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PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
P,op'''y OW""" ~ :!~~.
Job Address: J 'CJ ~ ~ ==II- cJ3
P"ceII.O. . .JS-. --:L.-=- a _ - >::x.60,t) -
Zoning: Energy Code: Radon Gas: 3, YO
Description of Wor;;- ~'J-7J7>1. CZ J ./~J~
Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL~~-n-)~
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarce with City Codes and Ordinances.
c.o.
Inspector
City License Registration #
State Certified License#
Permit Fee 7? ~ -S -0
Signature t' o-.A. t... ~
Company
Address
Telephone#
Valuation or
Contract Price
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr. Tp. Servo
Pre SLB Rough In 3-1-15 1?t.b
Lintel Meter Can
FRM. g'1-'i~ Bu...-- Canst. Pole
Insul. CL Pool
WL Pre-Mewr ~
(~t ~.A>6r 1-2') --7> f1;tfinal j - 2.-2:-9") FJ,YJ
Driveway
r~
3 -Zl4. c) 5,0--
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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ALUM. STRUCTURAL PAN ROOF (J"XI2-Xll' RISER PANS 026) .~s PER STANDARD ALUlA.
CONTRACTOR DETAILS FOR NiNO LOADS - iNSTALL .~S PER
APPROVED STANDARD ATTACH'.lENf DH~LS
BASE: LOADS ON 360 LBS PER SQ. FT. FOR UPliFT
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'Mn~ MASONRY OR METAL TO BE ~
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TOP PLATE, DBL SruDS AT CORNERS
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OPENING
INSTALL SiMPSON H-6 ANCHORS
TOP AND 80 TWA OF EACH STUD
3/8" C,D,X. PL YNOOD SHEA THING TYPICAL BOTH 514$.
ALL EX1ERlOR WALLS (SHEARWAlL SEGMENTS) M fH rmONAL
VAPOR BARRIER (HOUSE NRAP) A"ID 5-5 ViNYl t
SIDiNG AND TRiM TO MA TCH EXIS TiNG ~<
RESIDENCE I
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ALL WOOD iN THIS STRUCTURE
TO BE P. T SYP #2 GI~ADE OR
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PROVIDE SIMPSON CC44
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PAD $HAll BE COMP,~CTED
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POST ANCHOR \"1/(2) 5/8" _________
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12 x 12 X 4 CONCRE1E . '
PAD EACH SUPPORT
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I HEREBY CERTIFY THAT I HAVE REVlEWEO THE AnA TCHEO DESIGN AND Fe W u IT TO BE
IN COMPLIANCE WITH SECTION 1205 OF THE STANDARD BUILDING CODE.
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AlLl.4. STRUCTURAL PAN ROOF (3"X12"X11' RISER PANS 026) AS PER STANDARD ALUlA
CONTRACTOR DETAILS FOR HiND LOADS - iNS1ALL ,~S PER
APPROVED 'STANDARD A TTACHMEN T DETAILS
/ BASE LOADS ON 360 LBS PER SO n. roo 'JPUfT
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Y. WALL ,NSULA i10N AND I
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AS PER CON"iFIACT
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WITH MASONRY OR METAL TO BE
PRESSURE TREATED, BOT. PLA iE, DBL.
TOP PLATE, D8L smDS AT CORNERS '"
AND AT EACH SIDE EACH OPENING
...It TI, 2 - 2 X 6 HEADER ovtR EACH
OPENiNG
INSTAll SiMPSON 11-6 ANCHORS
TOP AND 80nw OF EACH STUD
3/8' C,D.X. PL YNOOD SHEATHING TYPICAL 80TH SlJiES
ALL EX1ERlOR WALLS (SHEAR'NALl. SEGMENTS) M 111 OPTiONAL
VAPOR BARRiER (HOOSE NRAP) A~D 5-5 \JHHl
SIDING AND TRiM TO MATCH EXISTiNG
RESIDENCE
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ALL WOOD IN THIS STRUCTURE
TO BE P.T. SYP #2 GRADE OR
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ALL EXTERIOR NALLS
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PROViDE SIMPSON CC44 - "~ ~- ~ - ~
STRONG fiE CONNECTOR ~-......~ 'L rW-\ .X / X ~
(~ EACH 4X1 POST ~yr-~~~_ -" L7 "._____TERMIlE SHIELD
PROVIDE (2) HUGHES HA 33 --___ L ~ 4X4 POST ~ 5' 0 C
POSf ANCHOR \"1/(2) 5/8" -----~----___ ' L__._ ~- EXISTING (,"~ADE
BOLTS iN PAD@EACH POST ~lal~~-; -o..L_~]f~ ~fSl ~~la!Er"""~' 'T;;:aJ:fTii~
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12 x 12 X 4 CONCRETE - ( \
PAD EACH SUPPORT l L SOIL UNDER EACf~
PAD SHALL 8E COMPACTED
PRIOR TO S€ TTiNG
crurnETE PADS
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4X6 BU.Y
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FOlJNDA TION SECTION
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I HEREBY CERTIFY THAT I HAVE REVIEWED THE AnA TCHED DESIGN AND n,u~p IT TO BE
IN COMPLIANCE WITH SECTION 1205 OF THE STANDARD BUILDING CODE. V
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/4c?/r-c, e
APPLICATION FOR PERKIT
CITY OF ZEPIIYRBILLS
BUILDING DEPARTtIENT
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'71 'R' 91
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OWNER'S . d-
OWNER'S ADDBBSS 3 F7 cJ 6
JOB ADDRESS
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LEGAL DESCRIPTION: LOT(S) P:l '3 BI.OClL--.-SUBDIVISION
PARCEL I.D.t -5 5 -,~ s-- )/ ~ C. (; / C - / ~ ~ 00. OOO() (OBTllN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:--Jiew Construction ~ition ----^Iteration --.Jtepair _Install
_Sign
--IIove
-Deaolish
PROPOSED USE: ....t.single Feaily
--.Jt/F _' of Units --.Jt/H
_ec-ercial
_lDdust. _Swia. Pool _Other
Restaurant & Health Departaent Approval
DESCRlP'fiOR OF lilIIIX. $.i:1:<;'..f=- ~ ocPn-
JO .t)o.
BUILDING SIZE: ~ x3?', .:I Jl ~square Feet, Height
RESIDENTIAL:
COMMERCIAL :
ATtACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET DERGY FORKS.
ATtACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
hUlLDING
X RJ.RCDUCAL
$
/) C. ,..,i
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Valuation of Total Construction
~9
PERMITS REOUESTED
.3 t:J AIIP Service
)( Florida Power Corp.
W.R.E.C.
--.JIBCBAlII.CAL $ Valuation of llechanical Installation
-PLUHBING GAS ROOFING '~SPECIALTY
TIPIl OP COIISDUCrlOII: -...JIloc:t --Y~ ~teel V~~ Other
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FIllISBBD F.tOOB. ELBVAnONS: I Ii- FI' . IS PROJEct IN FLOOD ZONE AREA?
..........................................
YES
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BUlI.DER
CONTRACTOR SECTION
.. .
~7cf ~'~~~' "=~rt. orlleaiat.'
(?~{ ~!j'Z.[~./' . ~. City License Registration .
..........................................
Signature
RT.RCTRICIAR ~...<' .. f.' f~ / /' . -'~
G~.j't./ ~ 1/(:).-~~7 <'~
SiMlature
C"~~-L".-'"L-_C-- L---
COMPANY
State Cert. or Regist. t
City License Registration .
..........................................
PLUMBER. COMPANY
State Cert. or Regist. I
Signature City License Registration .
................*.........................
IlECllANIGAL COHPANY
State Cert. or Regist. t
Signature City License Registration f
..........................................
OTRRR COMPANY
State Cert. or Regist. I
Signature City License Registration ,
..........................................
APPLICATION APPROVED BY PEBHIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. . NOTLCE OF DEED RESTRICTIONS .
'fhe undersigned understands that this perlit laY be subject to 'deed restrictions' whieb laY be lOre restrictive than City
regulations. 'Ihe undersigned asSUJe8 responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has bired a contractor or contractors to undertake IIOrk, 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 lJIIDel' and contractor .y be
cited for a lisdeIM!aDor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
reguirelents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611.
FurtherlOre, 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 wbieb 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 wort. If the contractor wisbes 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 I, the applicant, bave been provided with a copy of 'Plorida's Construction Lien Law - lIoIeoImer's Protection
Guide' prepared by the Plorida Departlent of Agriculture and ConsUIIeI Affairs. If the applicant is BOEHle other than the
'owner', I certify that I bave obtained a copy of the above described docUIent and pr~ise in good faith to deliver it to the
'owner' prior to COIIBDCeleDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is.accurate and that all IIOrt will be done in co.pliance 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 no work or
installation bas ~ced prior to issuance of a perut and that allllOrk will be perforJe4 to .et standards of all laws
regulating construction, City codes, loning regulations, and land develOplBllt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveI1lleDtal agencies laY apply to the intended IIOrk, and that it is
If responsibility to identify wbat actions I lust tate to be in COIPliance. Sueb agencies include but are not lilited to:
I Departlent of EnvirollleDtal Regulation- Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater 'Ireatlent
I Southwest Florida Water Hanagl!lll!Dt District - Wells, cypress Baybeads, Wetland Areas, Altering Watercourses
I AIIY Corps of Engineers - Seawalls, Docks, Havigable Watenays
I Departlent of Health' Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'Ireatlent, Septic 'Iants
I US EnvirODleDtal Protection Agency - Asbestos abateleDt
I also certify that, if fill laterial is to be used in Flood ZOne 'A' or IA,etc.', it is understood that a drainage plan
addressing a 'COIPeD8iting vol_' will be subJlitted 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 IIOrk and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frol thereafter
reguiring a correction of errors in plans, construction, or violations of any code. Ivery perait issued sball bec:oIe invalid
unless the IIOrk authoriled by sueb perlit is COIIBDced within slllODtbs of issuance, or if work authoriled by the perlit is
suspended or abandoned for a period of 8il IODtbs after. the tile the work is co.enced. One 90 day ntension of tile, laY be
allOlfed for the perlit with fee ebarge of $15.00. 'Ihe ntension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during eaeb sillOnth PeriOd, or the project will be considered abandoned.
WWING TO OIfIIBR: YOUR FAILURI 'f0 RECORD l. HO'fICB OF WlMDCBMBRf MAY RBSULT IN YOUR PAYIHG 'llfICB POR IMPROVEIID'IS 'f0 YOUR
PROPERTY. IF YOU IDE 'f0 OB'fIIH irWCIKGI'COIISULT WID. LIIfDIR OR U AftORIBY BBPORB RBCORDIHG YOUR IO'fICB OF
C(IOIIHCBHm. . JOBS UIIDER '2,500 IH VALUB DO HO'f HElD '10 RECORD AID POSt' A 'HO'fICB OF allHBlfClOlD'1'I.
.;;t-o-
SIGD'fURI: COH'fIlAC'fOR
SIGU'lURI: OWIIBR OR AGBJI'f
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
coum OP
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 DIe or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
. .. CITY OF ZEPHYRBILLS 'BUILDI~ DEPARTMEH"l"
OWNER 4"J" If ,,~/ /ii:v[<r~)" 6&-d~
-' C':/' , ) ,-
JOB LOCATION ? cf/ ~ V (-, A<< ~c C7 : 7c 'z:<: A;",
c./
PARCEL I.D. # :':;S-:;;...s-:;)./-OOIO -/2.600~OOOD
. firl>.
31-l
SHOW ALL EXIS'!'IRG &: PROPOSED STRUC".I'URES GIVIRG DIllEHSIOIIS &: SETBACKS.
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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(NOTE EXAMPLES 1 & 2)
FRONT PROPERTY LINE
STREET
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1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E
R X
o I
10' P S
o T
S I
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D G
10'
1 0'
20'
FROIi"I' PROPBRTY LIRE
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAN 30 'DUPLEX
1 0'
FROIi"I' PROPERTY LIRE
DISCLOSURE STATEHElfT FOR OWNER
CITY OF ZEPIIYRBILLS BUlLDIBG DEPARTMENT
f~t~
I,
to the provisions of this instrument."
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.
5. That the owner shall assume full responsibility for the construct:ion and
will not expect supervision of his work from the City of Zephyrhills
Building Department.
6. That prior to final inspection any additional fees, including rei.nspection
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 sellar 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 liceJISeS
required by state law and by county or municipal licensing ordinances.
WITNESS:
DATE:
DATE: / -3 - ,76-
OWNER: t;~ t t:;t;
ADDRESS: " o?of:., '. ~:2.S
PH:
PERMIT ~~