HomeMy WebLinkAbout95-4613
BUILDING PERMIT
Permit Nt?
CITY OF ZEPHYRHILLS
(813) 788-6611
4613/3
/ - J IJ - 9'-.5-
Date
~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
~'~
Property Owner: './
JObAddress:..3'i: -; ~ ~b~t/~ r
Water M~ter:
TI.F.'s:
Parcell.D, #
Zoning:
Description of Work
Energy Code:
J1U'L+- ~ ~
/
Radon Gas:
~~
NO OCCUPANCY BEFORE C.O.
FINAL <;;)- I B r--
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordal"ce with City Codes and Ordinances,
c.o.
Inspector
Permit Fee
Signature
Company
Address
Telephone#
~a~~V\Ct1
Valuation or
Contract Price
:2. b tJ7) , c-v
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City License Registration # .;l.y'?'
State Certified License#
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. 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.
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APPLICATION FOR PIWIIT
CITY OF ZEPIIYRBILLS
BUlLDDlG DEPARTMENT
OWNER'S ~rctV) (' j s F JeLJV'V PHONE ~'f8tf -{P??Li I
_'S ADDUsS ~Lo5 / 7Z;/-r Pr;ii/(-"
JOB ADDRESS ,I _ _ _ ~?ctV- k:. io r _@ r
LEGAL DESCIUP'lION: LOT(S)
BLOCIL-SUBDIVISION
PARCEL I. D. # (OBTAIN FROM PROPERTY TAX NOTICE)
IlOIlK PIlOPOSJlD:~ CoIIstr:uction ---"'Idition ---..Alteration _pair -Iostall
_Sign
PROPOSED USE: ~e Faaily
-JIove ---Peaolish
---.Jt/F _' of Units -----If./H
_ec-ercial
_Indust. _Swia. Pool _Other
__~ealth Depar~
DESCRIPTION OF WORK: -b. cG- C ~
301 I 3;< I 76/ 1/
BUlLDDlG SIZB: X I /, ' IJO Square Feet, Height
.
RESIDENTIAL:
cottKERCIAL
ATTACH (2) PLOT PLABS &: (2) SBTS OF BUlLDDlG PLANS &: (1) SET ENERGY FORMS,
ATTACH (3) SETS OF BUILD DIG PLANS &: (1) SBT ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~IHG
$
. tf)O PERMITS REQUESTED
rY (LJOO ----Valuation of Total Construction
RI.RcrlUCAL
AIIP Service
Florida Power Corp.
N.R.E.C.
--lIBCllANICAL
$
Valuation of Hechanical Installation
-PLUHBDG
GAS
ROOFING
SPECIALTY .
TYPB OF CONSTRUcnON: -.JIlock -"raae _Steel
Other
FIllISBBD FJ.OOB. ELBVAnONS:
Fr.
IS PROJECl IN FLOOD ZONB AREA.,
..........................................
YES NO
CONTRACTOR SECTION
'".)0 ...~. ~AH ... I Q JV),U
~ Pf- >!............JEr.~E::~:~::. - CD
RT_RCTRICL\II COMPANY {
State Cert. or Regist. .
SionAture City License Registration'
..........................................
BIlTl.DRR
Sianature
PLUMBER COMPANY
State Cert. or Regist. #
Signature City License Registration f
..........................................
HECRANICAL COMPANY
State Cert. or Regist. #
Signature City License Registration f
..........................................
OTRRR COHPANY
State Cert. or Regist. #
Sianature City License Registration f
..........................................
APPLlCAnON APPROVED BY PIWIIT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pentt laY be subject to ldeed restrictionsl which laY be lOre restrictive than City
regulations, The undersigned asSUll!8 responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has bired 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 liar be
cited for a liscleaeanor violation under state law, If the owner or intended contractor are uncertain as to llhat licensing
reguirl!lellts liar apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611,
Furthenore, if the OIner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
IContractor Sections I of this application for wbich they ,ill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work, If the contractor ,ishes 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 Zephyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILI'l'Y CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided ,ith a copy of l,lorida's construction Lien Law - lDeoImer's Protection
Guide" prepared by the Florida Departlent of Agriculture and COnsUler Affairs, If the applicant is 8OI8OIl8 other than the
lIownerll, I certify that I bave obtained a copy of the above described docUl8llt and pro.ise in good faith to deliver it to the
"owner I prior to COll8llCl!lellt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work ,ill be done in COIPliance ,ith all
applicable la,s regulating construction, loning, and land deve1opleDt.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas COMeIlced prior to Issuance of a Perlit and that all IOrk ,ill be perfoJ:Jed to l8et stanc1ards of all laws
regulating construction, City codes,. loning regulations, and land developleDt regulations in the juriscliction. I also
certify that I understand that the regulations of other goveIDleDtBl agencies IaJ apply to the intended wort, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance, Such agencies include but are not lilited to:
A Departlent of Envirolll8lltal Regulation - Cypress Baybeads, htland Areas and Envirolll8lltally Sensitive Lands,
Water/Wastewater !reatlent
A Southwest Florida Water HanagellRt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
A A[IJ Corps of Engineers - Seawalls, Docks, lavigable Waterways
A Departlent of Health i Rehabilitative Services, EnvirOlll8lltal Health Unit - WellS, Wastewater !reatlent, Septic !anb
A US InvirODleDtal Protection Agency - Asbestos abateaent
I also certify that, if fill aaterial is to be used in Flood Zone III or II,etc.l, it is understood that a drainage plan
addressing a lCOIpeDsating voluell ,ill be sublitted wbich 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 wort and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter
reguiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall be..,. invalid
unless the IIOrk authoriled by such perlit is co.enced within sil IODtbs of issuance, or if IOrk autboriled by the perlit is
suspended or abandoned for a period of sillOntbs after the till the work is C088Ilced. One 90 day utension of tile, IaJ be
allowed for the perlit with fee charge of $15.00. !be utension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sil IODtb period, or the project will be considered abandoned.
WARNING !O omR: YOUR FAILURI !O RICORD I NonCK OF C<IIIIDCIIIBIft MAY RlSULI IN YOUR PIYDlG ftllCK FOR lMPIlOVIIIIIIIS !O YOUR
PROPmY. IF YOU InDO !O OB!m PJ)IA.cIIG, COJISUL! WI!H YOOR LlMDIR OR U AnD1IDY BIFORB RICORDDIG YOUR IIO'IICK OF
OIIMIBClMltl!, JOBS UlDIR $2,500 IN VILUI 00 lar 1110 !O RlCORD AID POS! A IKarICK OF aBIIMCIIIIIl!I.
Sl~~pq~ ~~<
SfA!E OF F~
CDUm OF tSeo
Tbe foregoing instrument was acknowledged
before me this ...::T~ j 'I , 19 ~ by.
~ ~#I<tRt',v
's erso ally known to e or wbo bas
duced
as identification and wbo did/did not
tak~~ ~..
(S' are)
(Rame Typed, Printed or Stamped)
ROTARY PUBLIC
S!Afl OF ~ . '
CDUm OF e-e
The foregoing instrument was acknowledged
before me this ;;/;IN. '71 , 19..2.C:... by
~~ ~~/P~tIlr'.N
who is oer nally known to me or who has
....
produced
as identification and who did/did not
take;J;- g ~
(~u e)
(Rame Typed, Printed or stamped)
ROTARY PUBLIC
JAMES A, STONE
Notary Public, State of ~Iorld~
My comm. expires May 16, 1995
CC1 '10274
JAMES A. STONE
Notary Public, State of Florida
My comm. expires May 16, 1995
CC110274
JOB LOCATION
7-01#' c;
0?vrS Pqv):::_
PARCBL 1.0. If
SHOW ALL D.ISTING . PROPOSED STRUCTURES GIVING DIHENSIONS , SB'rBACKS.
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ALLBYWAY ACCBSS FOR
GARAGE OR CARPORT _
15 FOOT SBTBACK
RBQUIRBD.
fl)e~+
Gxlch
UTILITY BUILDINGS
HUST SHOW SIZB &
FOUNDATION INFOR-
MATION.
(NOTB BXAMPLES 1 & 2)
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1. SETBACKS FOR RI, R2 ZONING
60'
10'
P B
R X
o I
10' P S
o T
S I
B N
D G
20'
2. SETBACKS FOR RJ ZONING
60'
.
10'
10'
10' EXISTING
10'
1 0 I
PROPOSBD
20'SGL rAM
30'DUPLBX
~ PROPII:R!'1' LINK
FRON'I' PROPSRn LDfB
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37'1127 i:."OtJNT4IN RP
ESTIMJ!\TE & AGREEMENT
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DATE:
I
BID: We hereby propose to furnish material and labor
to complete the work outlined herein for the sum of: ,
l~e\\olJ5CAyd 5:)0 ;MJrrd ~
00
J$. ~D-=:'~'--).RaymlilJtto be made as follows:
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We hereby submit specifications and bid for:
FOLD HERE
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CONTRACTOR'S GUARANTEE
ACCEPTANCE OF BID
FORM
We guarantee all material used in this contract to be as specified above and the
entire job to be done in a neat, workmanlike manner. Any variations from plan or
alterations requiring extra labor or material will be performed only upon written
order and billed in addition to the sum covered by this contract. Agreements made DATE
with our wo kmenare not recognized'
DATE r SIGNED
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;' (7' / :.J (/1' 1./
ORMS, INC. THOROFARE, J OS086' 9
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THIS CONTRACT IS VOID 30 DAYS FROM DATE UNLESS PINK COPY IS SIGNED AND RETURNED TO BIDDER
WE COMPLY WI' L WORKMAN'S COMPENSATION & PROPERTY DAMAGE L1ABIU' 'SURANCE LAWs.
The above specifications, terms and contract are satisfactory, and
(I) (we) hereby authorize the performance of this work,
SIGNED
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CONTRACTOR'S FILE COpy . SIGN WHITE & PINK COPIES & DELIVER TO CUSTOMER
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FROII TABLE 2
WOOO FRAU[ SHED WITH 2' x4'
PRESSURE TREATED PINE PlATE
AN~ TO ~CRETE WITH
1/4' lXMRETE FASTENERS
~. . 4'-0' O,C.
SHADlNC TYPE 1 DENOTES
EXTERIOR POST ROOf' AREA
SEE TABLE 4
AN~ WITH HEADER CHANNEL
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FROIl TABLE 2
DOOl
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WOOO FRANE SHED WITH 2'x4'
PRESSURE TREA lID PINE
PlATE ANCHOR TO CONCREl!
WITH 1/4' C<>>4CRETE
FASTENERS 4'-0' O,c.
SHADING TYPE n
SEE TABLE 4
CA
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FRONT WALL BEAU SELECT
L FROIl TABlE 2
SHADING TYPE I
SEE TABlE 4
DOUBLE CARPORT WITHOUT CENTER POST
W
RECEI\1NG CHANNEl "-
l2'
G ROOf' PANElS
~ SEE TABLE 1
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2' x4. PTl' PlATE
W/ 3/8..4 1/2.
CONe, ANCHORS
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3' x 3' x 0.06' POST
Y 2500 PSI C<>>4CRETE WITH
6x6 "nOED WIRE IlESH
O\{R VAPOR BARRIER
J 3 1 /2' ~CR[TE SlAB
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SPACE IlAX.
TABlE 4
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SECTION THROUGH CARPORT
VARIES
3 1/2' WH. C()4CRETE (SEE DETAIlS)
SECTION THROUGH UTILITY ROOM
UPllF'T SlRAPPlNG DETAIl
2'x4' LUllBER TOP PlATE
WITH ROOf' ABO\{
NOTE:
1. ANCHOR PANS TO HEADER CHANNEL W/
3 110 x 1/2. W/ WASHER.
2, ANCHOR PANS TO ROOf' BEAUS w/
3 110 . 1/2' w/ WASHER.
3, ANCHOR PLATE TO CONCRETE FlOOR w/
3/8. if 3 1/2' DmA BOlTS . 30. O.C.
4. STUDS TO BE . 16. O.C. 3. EDGES
6' ON FIELD 1 1/4' GAl. ROOfiNG NAILS
UPlfT SlRAPPINC DETAIL
MIN. 2500 PSI ~c. WITH 6 x 6 Y(LDED MRE
OR FIBER UESH TYPICAL ALL SlABS.
I I 15 BAR ~T.
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IoIOOERATE SlOPE FOOTING
2./12' - l' - 10'
SLAB DETAILS ADDRESSING EROSION
DO NOT BLOCK
FlRE EXIT \\lNOOW O\{RHANC VARIES
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SELECT L f'ROII TABLE 2
USE 'L' '" W/2 + O.H,
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3. x3. FlUTED POST IlAX.
HGT,-I2' FOR 120 UPH
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SINGLE CARPORT
STEEP SlOPE FOOliNG
> l' - 10'
MEETS THE REOUIRaf
OFCHAPTER f205S8C f991 ~
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