HomeMy WebLinkAbout95-4652
BUILDING PERMIT
Permit ~
CITY OF ZEPHYRHILLS
(813) 788-6611
4652 13
Date
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~ ELECTRICAL PLUMBING
::~:::,~,:n:'2 -t-i7 ei~ ~
Parcell.D. # > .....~
Zoning: Energy Code: Z
Description of Work ~ X / D ~ L
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL 1- Oe) .-9
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
City License Registration #
State Certified License#
5>'7
, (
Permit Fee ~~
Signafure ,/ , ~f?3
Company
Address
Telephone#
Valuation or
Contract Price
?tJ-5'.~
,_~~J~akn
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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 PERKlT
CITY OF ZEPIIYRIIILLS
BUILDING DBPARTHENT
OWNER'S IiAHE
D/ftA/E-
87957
iJ H J~CD'
IT , u_
t/w;. 5<f 0"
PHONE
lW (p 7;2..2..
OWNER'S ADDIlBSS
JOB ADDRESS
LEGAL DBSCRIP'rION: I.DT(S)
BI.OCIL--.SUBDIVISION
PARCEL 1.D.'
(OBTAIN FROM PROPERTY TAX. NOTICE)
WORK PROPOSED:-"ew Construction ~ition ---^lteration --.-.Repair _Install
_Sign
--.JIove
-->>eaolish
PROPOSED USE: ~ing1e F_ily
--.Jt/F _' of Units ---.Jt/H
_ec-ercial
_Indust. _Swia. Pool _Other
" ----Restaurant Ii Health Departaent Approval I?
DESCRIPTION OF WOlUC: ~ ~fdf, lfvlo I ~ P;f.;) S~
BUILDING SIZE:
x
.
Square Feet,
Height
RESIDEIITIAL:
COtlKERCIAL :
AtTACH (2) PLOT PLAliS Ii (2) SETS OF BUILDING PLAliS Ii (1) SET ENERGY FORMS.
AtTACH (3) SETS OF BUILDING PLAliS Ii (1) SET EliERGY FORtIS.
PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION.
----BUILDING
$
~. -cJD
(J 5 )Cv
,
PERKITS REOUESTED
Valuation of Total Construction
RI.RCTIlI.CAL
AIIP Service
Florida Power Corp.
W.R.E.C.
---1IECBAIIICAL
$
Valuation of tlecbanical Installation
--...PLUtIBIliG
GAS
ROOFIIIG
SPECIALTY .
TYPE OF COISTRUcnOI: ----Block --"r_e _Steel
Other
PDlISHBD FI.OOR. ELEVAnONS:
Fl.
IS PROJECT IIi FLOOD ZONB AREA?
YES NO
..........................................
RmlJlIm
r:Ci{f' '. ......,' CONTRACTO~. SE5:N .'
i ...... ' .. :.;' " . 'mHPAIIY l J,.J ~Ft1L
" ~ ! State Cert. or, Regist. .
_. ~ - ~ City Liceuse Ilegistration .
..........................................
Signature
4c- () If I AI (/ Y ~,
77
RI.RCTRI.CIAR
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
SignAture
PLutmER
COHPAIIY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
tlECIIAIIICAL
COMPANY
State Cert. or Regist. .
City License Registration f
..........................................
Signature
OTRRR
COHPANY
State Cert. or Regist. .
, City License Registration .
ft..........................................
'1,
Signature
APPLICAnON APPROVED BY
PERKlT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
fbe undersigned understands that tbis perlit IiY be subject to 'deed restrictiODS' "bieb liy be lOre restrictive than City
regulations. !be undersigned asSUle& responsibility for cmpliance "itb any applicable deed restrictiODS.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If tbe OImer bas bired a contractor or contractors to undertake IIOrt, tbey IiY be required to be licensed in accorc1ance IIitb
state and local regulatioll8. If tbe contractor is not licensed as required by lall, botb the mmer and contractor liy be
cited for a lisdl!ll!allor violation under state lall. If tbe owner or intended contractor are uncertain as to wbat licensing
reguir8lents liy apply for tbe intended work, tbey are advised to contact tbe City of Zepbyrhills Building Depart:lent, (813)
788-6611.
FurtberlOre, if the OIfIler bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portiODS of tbe
'Contractor Sections' of tbis application for "hieb tbey IIill be responsible. If JOU, as tbe owner Sign as tbe contractor,
you are indicating that you, ratber than the contractor, are respoll8ible for tbe wort. If the contractor wisbes fOIl to sign
as contractor that liy be an inc1ication that he is not properly licensed and is not entitled to perlitting privileges in tbe
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, bave been provided "itb a copy of 'Florida's construction Lien Law - JDemmer's Protection
Guide' prepared by tbe Florida Departlent of Agriculture and ConsUll8I' Affairs. If the applicant is 80180II8 otber than the
'owner', I certify tbat I have obtained a copy of tbe above described docUlent and prOlise in good faith to deliver it to tbe
'owner' prior to co.enC8l8l1t.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all tbe infomtion in this application is -accurate and that all IIOrt "ill be done in lDpliance "ith all
applicable lalls regulating construction, loning, and land developl8llt.
Application is hereby lade to obtain a perlit to do IIort and installation as indicated. I certify that no IIOrl or
installation bas ~ced prior to issuance of a perlit and that alllOrk IIill be perfOIJed to _t standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that tbe regulations of other goveIDlelltal agencies liy apply to the intended _1, and that it is
IY responsibility to identify "hat actions I lUst tate to be in COIpliance. Sueb agencies include but are not Iilited to:
t Departlent of EnvirOlll8lltal Regulation- Cypress Bayhead8, Wetland Areas and Envirolll8lltally Sensitive Lands,
Water/Wastewater freatlent
t Soutbwest Florida Nater Manag8lel1t District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Ar., Corps of Engineers - Sea"alls, Docks, lavigable Waterways
t Departlent of Health i Rehabilitative Senices, EnvlrODleDtal Healtb Unit - Wells, Wastewater freatlent, Septic lanks
t US EnvirOlll8Dtal Protection Agency - Asbestos abatl!l8llt
I also certify that, if fill literial is to be used in Flood ZOne 'I' or 'I, etc. " it is understood that a drainage plan
addressing a 'COIp8D8ating vol.' "ill be subJlitted IIhieb 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 "ith the IOrl and not as authority to violate, cancel alter, or
set aside any provisiODS of the technical codes, nor shall issuance of a perlit prevent the Building Official fl'Ol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery pmit issued shall beCCII8 invalid
unless tbe IOrl authoriled by sueb perlit is co.enced "itbin sillODths of issuance, or if IIOrl autboriled by the perlit is
suspended or abandoned for a period of sil IODths after the tile tbe IOrl is co.enced. One 90 day atensim of tiE, Ii' be
allOlled for tbe perlit lith fee ebarge of $15.00. fhe 81tension sball be requested in llriting to the Building Official. An
approved inspection at be logged during eaeb sillODth Pekilld, or the project IIill be considered abandoned.
WARlfUG 'f0 OUIR: YOUR FAILURI fa RECORD A IOIICI OF <mtDCIIIIRf lilY RHSULf IX YOUR PAYIRG 'nlICI FOR IIIPROVIIIIIIS fO YOUR
PROPmY. IF YOU IJI'fIID fa OOflD 'FIWCIKG,.COISUL'f IlIra YOOi LBIDIR OR AI lnoRIIY BIFORB IICORDIIfG YOUR JOIICI OF
OIOIiICIHBR'f. . JOBS OlDER $2,500 IX VALUE DO 101 DBD fa RECORD ARD POS'f I 'IOIICI OF CCIIIlDCIIIDI'.
~~~
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SIGlAfURI: 'OR AGm . <..'.: . 'COJiUCrOR
S1'A1'I OF FLORIDA 0
coum OF r 45 Co
The foregoing instrument was acknowledged
before me this 1/ JL'f ' 19 <j~ by.
. r
St'lD OF FLORIDA ()
coom OF 1<43 CO
The foregoing inst~t was aCr~ledged
before me this I.~ , 19 3 by
'(
.-.
(USIDlNTlAL USI nNLY)
PAlcn J. D.
SEe 1~~
PROr~ItTY HEASUREHENT
, RNG
?79~'
mr
SUID
~~r t:J
'8LOCl
"
CURRENT OWNERS
. .
All dravln._ _ball be dravn to _cala for all paraa~ or lot_ flv. acrea or ~_.
DATI
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10 IN ~r'fYtC..F.~
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PLANS REVlEWEO__
DATE (-~.5-9~~ .
BUILDING OEPT APPROVED ~ ' , .
SHOW AU. EXISTINC AND PROPOSBD ITRUCTUUI GJ:VDICI DDCDIIOlll AND 1&1MCU. .&.10, INDICA"I'.'
IJlY IOUIES 0' WATER AND ROADWAYS (INCWDIHG IWIII) ADJACDT TO THI '1OI1an. lNDICATI
'l'HI IJZ.. YIAR, AND NAKI or KOaIl.I& lUCK AI 12' x 60'., 1911. rUl'l'WOOD.
All "WIIIIII.... "UGII'l'-or-VAY" ad ~JUUIDICtIOlAL LUU". ....t b. aJaowa oa all aita ,!au.
DO NOT INCROACH TNTO ANY PAqFM'NT WTTH _ cr,.,,,,..,,,.,
~J~f
'.
~.
THE
SHE 0
F ACT 0 R Y
STANDARD FEATURES:
*2X4 WOOD FRAME CONSTRUCTION
*PRESSURE TREATED SKIDS & FLOOR JOISTS
*3/4" B.C. TREATED PLYWOOD FLOOR
*FULL LENGTH PIANO HINGED DOOR
*KEYED LOCK HANDLE
ALL SHEDS:
INCLUDES DELIVERY & TIE-DOWN
PERMIT: $27.00
SIZE PRICE wnmows
6 X 4 412.50 0
6 X 6 495.00 0
8 X 6 583.00 0
8 X 8 654.50 0
8 X 10 754.50 0
......WINDOW... ...24 X 27
8 X 12 874.50 1
8 X 16 1127.50 1
10 X 10 913.00 1
10 X 12 1045.00 1
10 X 14 1182.50 1
10 X 16 1265.00 1
10 X 20 147,4.00 1
12 X 12. 1265.00 2
12 X 14 1402.50 2
12 X 16 1595.00 2
12 X 20 1952.50 2
12 X 24 2304.50 2
12 X 30 2744.50 2
20 X 20 3514.50 2
OP'I'IONS:
"EXTRA WINDOW..... "jl.. 'Ji)
"'EXTRA DOOR......, ",0 i/:)
"'GARAGE DOOF. (8Y.7, ~~:)(J (J')
. "GAF.AGE DOOR (QX7i ~;'7"" i)O
'" E LEe '1' R Ie, . . . . . . . , :;; , 'J 0
*WOR.K BEtICli...... . ~ . ~)O j,"J1
'* SHE LV E S . . . . . . . . . . .> . ;, (i "'j'
*RAIv1P 3 X 3....., ~,,()O
'A RAM P 4 X 4.....'. ~, (.' , 00
'" R A 1-1 P " v h..,..
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