HomeMy WebLinkAbout95-4619
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N~
_ 4619 rJ
/ -/3 ~7-s-
Date
C~UI~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: :J~~ I~J
Job Add,." J:s:? .2'\JP -7-3ip-
Parcell.D, # // -r9-b -dj~ /)c)IO..... /;;J.3 tJ D - 0/9 ()
Water Meter:
T.I.F.'s:
Zoning: . Energy Code: 7
Description of Work ?' ~ ~ ~ f
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL 2--22:-q~
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordarce with City Codes and Ordinances,
Inspector
City License Registration #
State Certified License#
Permit Fee ;:f:f. - ~
Signature ' ~ f\, ~~~~
Company
Address
Tefephone# ~ - ~~~
Valuation or
Contract Price d tJ7J - cJ()
/7)"./)1p./L-
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
P,. SL~ ~~ /'
Lintel l, _ U'?
FRM.p
Insul. C '{J\v'-"
WL
Tp. Servo
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.
APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUlLDDlG DEPARllIENT
OWNER' S NAKB ~E-(2..z. y
OWNER' S ADDRESS S:S L 8
E" G ~ LbQ~~ I
5-H-+ ,:::>T
PHONE
t'-J R r -1 230
5-A-YV\L
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)J <11 J-O JJ I ).).... BLOC~SU6DIVISION
PARCEL I.D.' \\ :-ll~.".l\ - (jG\O - \~.sOO--. Ol~()(OBTAIN FROM PKOPERTY'~AXNOTICE)
WORK PROPOSED:__....liew Construction _Addition ----A1teration ----llepalr '2Install
_Sign
---..Kove
_DeJIOlish
PROPOSED USE: _Single Faaily
---..KIF _' of Units ---Jf/H
_ec-ercial
_Indust, _Swi., Pool _Other
-Restaurant Ii Health DeparUlent Approval
DESCRIPTION OF WORK: fN -sltrl-L ~ 'X [S ().)<Xl&Q. t-.:I S. 16" ';;"cJ~
?)x~
sk--=-J
BUILDING SIZE:
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
AtTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) ,SET.ENERGY FORMS,
AtTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORtIS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
JBUILDING
PERKITS REQUESTED
$
Valuation of Total Construction
_ELECTRICAL
AIIP Service
Florida Power Corp. .r,.
<', .. "'!'
W.R.B.C,
---1IECBAIIICAL
$
,',
Valuation of Kechanical Installation
_PLUHBING GAS ROOFING
,."~
SPECIALTY '
TYPE OF CONSTRUC'l'ION: _Block _FI'8IIe _Steel
Other
FIRISBED FLOOR ELEVAnONS:
FT.
******************************************
CONTRACTOR SECTION
BUlI.DER
cotIPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
RJ .RCTRICIAR
COMPANY
State Cert. or Regist, .
City License Registration .
******************************************
SiDnAture
,.
PLUMBER
COKPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
KECBANIGAL
COKPANY
State Cert. or Regist, ,
City License Registration .
******************************************
. \ ' ~ ,. ~ .
Signature
omRR
CotIPANY
State Cert. or Regist, .
City License Registration .
******************************************
.'
Signature
APPLICATION APPROVED BY
PEBHIT OFFICER,
QONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that. .this penit lily be subject to 'deed restrictions' wbieb lily be lOre restricUve than City
regulations, !be undersigned asSUIeB responsibility for COIpliance with any applicable deed restrictiODS.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, they DY 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 an4 contractor lliy be
cited for a lisdeJeallor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
requir8lents DY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813)
788-6611. '
FurtberlOre, if the OIfIler bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portiODS of the
IContractor SectiODS' ,of this application for wbieb they will be responsible, If you, as the owner sign as tIu! ~tractor,
you are indicating that JOU, rather than the contractor, are responsible for the work, If the contractor wisbes JOU to sign
as contractor that lily be an indication that be is not properly licensed and is not entitled to periitting pr~vil"es in the
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 lith a copy of 'Florida's COnstruction Lien La, - lkIIeoImer's Protection
Guide' prepared by the Florida Departlent of Agriculture and COnsUIeI Affairs. If the applicant is 8OI8ODe other than the
lowner', I certify that lbave obtained a copy of the above described docUIent and pro.ise in good faith to deliver it to the
lownerl prior to COIIeDCl!lleDt,
OJ'
d~
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIlatioo"inthis application is accurate and that all work will be done in cOIpliance lith all
applicable lals regulating construction, loning, and land developleDt,
Application is hereby Jade to obtain a perlit to do work and installation as indicated. I certify that ~ JIOrk or
installation bas ~ced prior to issuance of a perlit and that all work lill be perfoIJecl to Jeet standards of all laws
regulating construction, City codes, loning regulations, and land develO(ll8llt regulations in the jurisdiction, I also
certify that I understand that the regulations of other goveIDIeDtal agencies IilJ apply to the intendeel 'work, and that it is
If responsibility to identify wbat actions I lust take to be in cOIpliance, Sueb agencies include but are not lulted to:
. Departlent of BnvirODleDtal Regulation - Cypress Baybeads, Wetland Areas and BnviroDleDtally Sensitive Lands,
Water/Wastewater TreatleDt
. Southwest Florida Water Manag8leDt District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
. ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways
. Departleot of Health' Rehabilitative Smices, InvirOl1l8Dtal Health Unit - Wells, Wastewater '1reatleDt, Septic '1anks
. US BnvirOl1l8Dtal Protection Agency - Asbestos abatl!leDt
I also certify that, if fill Iilterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
addressing a ICOlpeDsating volute' lill he sub8itted Ibieb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance, " j;'
A perlit issued shall be construed to be a license to proceed lith the IOrk and not as authority to violatercancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fIOl.thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit'issued'shall becoIe"in'alid
unless the IOrk authorized by sueb perlit is COIIeDced lithin sillODths of issuance, or if work authoriled by tbe penit is
suspended or abandoned for a period of sil IODths after the tile the work is ~cecl.' One 90 clay 81tension of tile, IilJ be
allowed for the penlt lith fee charge of $15.00. Tbe 81tension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during eaeb sillODth period, or the project lill be considered abandoned.
WARlfIlfG 10 <<*DR: YOUR PAILURB to RICaRD A DICE OF aJIIIICIIIIIT IlAY RBSUL'I II YOUR PAIIIG niCE FOR IIIPROVIIIIIl'S TO YOOR
PROPBm, IP YOU IRlIIfD to OBTAIM FIIlAlCIIG, COISULf WITH YOUR LDDIR OR III AnoRDY BIFOIIB RICORDIIG YOUR DICE OF
C(JfMBRCBHBRI. JOBS ORDER $2,500 1M YAWl DO RO'l IfBBO '10 RICORD AID POS'I A 'DICE OP CCltMBlCIlIIBII'f',
~~~~
SIGlATURK: CORIJIAC'fOR
,j"; ;:',:'
, "
SfATB OF FLORIDA
COUR'II OF
The foregoing instrument was acknowledged
before me tbis , 19____ by
STAR OF FLORIDA
coum OP
The foregoing instrument was acknowledged
before lie this , 19_ by
wbo is personally known to lie or wbo bas
produced I ~
as identification and who did/did not
take an oQ.tb.
who is personally known to me or wbo bas
produced
as identification and who did/did not
take an oatb.
(Signature)
(Rame Typed, Printed or Stamped)
ROTARy'PUBLIC
(Signature)
(Ra.e Typed, Printed or Sta.ped)
ROTARY PUBLIC
CI'I'Y OF ZEPIIYRID:LLS BUXLDDfG DEPAR".l"MEIft'
OWNER -Y€1Z,{L'-( f, G ~ L-b....; t
S-3-i..s- 511-+ SJ 2E(J.Jljl?./tIW
JOB LOCATION
PARCEL I.D. # J) - Gee, - 21 - 00\0 - J "2-]60 - or}!)
SHOW ALL EIIS'I'DtG &: PROPOSED Sl'RUCrUREs GIVING DDlBRS:IOIIS &: SB"I'BACltS.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT
15 FOOT SETBACK
REQUIRED.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION,
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
S~ 2J(
C'T)t-
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1, SETBACKS FOR Rl, R2 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
2, SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAA 30 'DUPLEX
1 0'
~ PROPER!'Y LDfE
FRO.N'J." PROPBRTY LDfE
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lo'Platted Alley (open ~ In USe)~
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EACH RAFTER END OR TRUSS END SHALL HAVE TWO HURRICANE
CLIPS, ONE ON OUTSIDE OF WALL, ONE ON INSIDE,
CONCRETE FOUNDATIONS SHALL HAVE CONTINUOUS
TIE FROM ROOF TO GROUND WITH APPROVED PRE-
ENGINEERED METAL CONNECTORS,
A WALL FRAMING CONNECTOR SHALL BE FASTENED
FROM BOTTOM PLATE TO STUD AND STUD TO
TOPPLATE MAX, 4' O,C,
WALL SHEATING SHALL BE 15/3Z PLYWOOD OR 7/16 O,S.B,
MINIMUM, FASTEN WITH 8d COMMON NAILS 6" O.C, EDGES
12" o,c, IN FIELD,
WHERE AUGAR ANCHORS ARE USED, THE METAL BANDS WILL
BE INSTALLED OVER THE BUILDING FROM GROUND ANCHOR
TO GROUND ANCHOR, A UNIT 100 SQUARE FEET OR LESS
MAY USE 24 OR 30 INCH ANCHORS AT FULL DEPTH, ALL
OTHERS 48 INCH ANCHORS,
~
lX6 INCH RIDGE BOARD 2X4 INCH
SOUTHERN PINE RAFTER
..:it;;,
~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,
~ INCH BOLTS 4 FT, O,C, MAX,
WOOD FLOOR SYSTEM SHALL HAVE CONTINUOUS TIE FROM GROUND
TO ROOF WITH APPROVED GROUND ANCHORS, AND MANUFACTURED
METAL CONNECTORS,