HomeMy WebLinkAbout95-4687
BUILDING PERMIT
Permit HoC?
CITY OF ZEPHYRHILLS
(813) 788-6611
4687 J3
cfl- / b., 9 S-
Date
~~ ELECTRICAL PLUMBING MECHANICAL
P'ope~y Own", ,~} b/~
Job Address: ..:.?~6_/ _ ~ ~ ~J
Sewer Conn
WatHr Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Description of Work ~ t!fC47 ~7'
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAl~~
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
Permit Fee
Signature
Company
Address
Telephone#
',. ~
l1:fJP ~
Valuation or
Contract Price
tJtiZJ.(N)
77
City License Registration #
State Certified License#
.~~L~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
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.
't1tp~.6al
Page No.
of
fClge.!.-,-:
d~.'t!.""
~v .
su~: sT"lr"'E .l\lUMINUM.
?PI1?8 SR 54 West
ZEP~-i'{qt'1f:,L~;. ~-l ~3~41
(lH3) 788.7308
~NC
\....
;>, I'"
PROPOSAL SUBMITf~D TO
+- .\
\~, ;""
STREET
-. , .... I. . ';-. ... \......)
'.~~~~'~'~\(' \y_~~~'~-:. i- ~ '.J L) ,~>~ \'__r
\C")"'
-~.'~-J' \ \
.,_.:- .. ~~-) \
.......4 (,
\ " .::.
PHONE
ARCHITECT
"..... \
,J._;, '\
"~~)
.. ~;}
\'" "'-
"'.''1 \"'~
1.. \-
-=t--l
--.. ...
,
,c_
JOB NAME
f '.-'.-"
"--'~ \
JOB LOCATION
\
';,;J )'~""~L) ~~_;-. \
CITY, ~TE AND ZIP CODE
(~ ...II(
\ \.
\
'~
DATE OF PLANS
JOB PHONE
We hereby submit specifications and estimates for:
\ r~) -:5""\' D ~,.
,')
/"
, .
~,
.[,
0:<:'
'" .)-::~-J..;\...
~ .~
.......
-~.:~'J '(, . :~~-,: .
-::;.,)
I '.~
~)...
'1 "5 .,,-; '1:
~
\. '''"
'. \
'>"'- J
'-r~~,; ,
, ...,
\. \
~.
:_< " i '1:-< .' '~\i"
',..-)L if, '1UU:J'-C'1"'~
-.t..
.~
,
j ,_i
<t,') ',_\,,~ >1
\
mr 'roponr hereby to furnish material and labor \'- complete in accordance with above specifications, for the sum of:
<.._<r.)
"
"
....-. ."loo......
""~'';:'.
dollars ($
i ;
I ",.
\U
).
,_",""'l:':,:":-
. >.-':::.,::::,.~
",",.,"-
...
....
'-,
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifica-
tions inVOlving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
Authorized
Signature
//> :."...!~~;- '~'~;:~~:~~'
t...___.,......:.-~., ._"---:';. .__ .+
___~-.J(t'~ ;
Note: This proposal may be
withdrawn by us if not accepted within
days,
Atttpfautt of 'roposul- The above prices, specifications
and conditions are satisfactory and are hereby accepted, You are authorized
to do the work as specified, Payment will be made as outlined above.
/'
><:
/;/_/.;:" ,
, " ...', . i',/. .:...' ~-l .z~" 'f' ..(~.
Signature"":,,
Date of Acceptance:
Signature
PRODlJClI18.3 (NEBs/"lne., Groton, Mass. 01471. To Order PHONE TOU FREE 1 +800.225.6380
..
a.UMr ~..
. ' ,
All a...... ....11 ... ........ &. ...1. a.. ~ .....aa .. leu ai... .._ _ .....
,
,uca I.D.
. .
.
lit
NO-.n K&A'U~
r<) ?-
. tV
[yal'"
~
.. ~
I!'
.'
"1ft
'. ...
, .
, ;0;,
-;;;p-
,---
~ r #"~
,gtt,5/ T~ 'oiL
.-
IiIIIr
...
. .
T/ff<.Rs if i/ f' ...
.
. I~
.
,
,
.,......,-:- 61(577d~
I "0 Ilj~
i'fc3J~ ()V I'
~ ,<6 '-- ff!1J ~F -- 10
\'~~ ~'\. .
,
o ~o , .
:<
cJ1~ \
. ,
\ I
. . , .
410\;. .
,
.'1
. {~
-: .
, I · .
.. ,
.
.
.
"
" "
'.. .
..
,III
,.. .;
.. .' ..
.
.
.f
.
.'
" -,'
., .~
,..', "
, ,
'.
... t,
,
,...;,",,' ,
.,
..
,,:.A<;. , ..
-'.....1IIftIIIO MID -... ~ .n. A.- ~ u.. .... INI_'
,., lalla 01 VAlli AND IOA.DWAYI (11IOl-fJIIIII 11II_) ...."... .. ... rn..... I......
.. II". 'VIAl, MID MAHI or IGIILI, .. AI a.' . ..' ~ l.ll. P11'.III. .
AU ~""<::JI1IIU". ~... !'~ ~.. _. .. ....... _ au .... ,I~..
DO ., IICIftAntI '1M AllY "'''_m "'''' _ tift..,..,...,
..
,..~':;
\).J
~
~.
tJ
....\
~
~1\
s~
_.
--..--
..
..
~~
'" "
~~
~ UJ~
~~,~
~~~
L}~~
~~
~ ~l
~
l).)
()) ~ 'lC\ ~
,,,,. "
",~t
~~'"
" ~
Q ~ ~
~~ C\
~ ~..
~~~
. t~~..
't~
~'~
~~
p""
'if
o
.
..
A TT ACHED ALUMINUM COVERS
r AS TENED DETERMINED
BASE.D ON CON5H<UCTION
m I-tOST SmUcrUR[
/
PAN OR COMPOSITE PA~I[LS.
USE CORROSION RESISTIVE SCREWS. P/\NS
ANCHORED W/ #10Xl/2" @ .~/PAN IN TO
RECEIVING CHANNEL AND 1 #10x1/2" @
RIDGE CAP CONNECTION TO RECEIVING
CHANNEL. COMPOSITE PANELS USE
1/4"x t+1/2" WITH 1/4" WASHERS SCr~EW
THROUGH RECEIVING CHANNEL FROM TOP
CAULK ALL CONNECTIONS,
HOST
STRUCruf~E
OR FASCIA
/'
/
/
CONNECTION REOUIRf D
(SEE DETAIL)
EXTRUDED OR BREAKMETAL HEADER
0.032" MIN.
CONNECTION TO HOST STRUCTURE
HOST STRUCTURE OR f- ACIA & SUB-FACIA CONNECTION REQUIREMEN TS rOf~ VARIOUS
LOAD CONDITIONS LOAD CONDITIONS
WIND VELOCITY LOADS DEAD + LIVE LOADS
..
GLASS ROOMS
HOST STRUCTURE 100 MPH 110 MPH 120 MPH 22#/SF 32#/SF 57#/SF
1. CONCRETE 1/4"xl-1/8" CONCRETE SCREWS @ 12" O,C,------ >2 @ l' O.C,
/. WOOD FRAME 1/4"x2" LAC SCREWS @ 6" O,C---------.. ~<) @ 1" oc.
SCREEN, VINYL, AND CARPORTS
HOST STRUCTURE 100 MPH 110 MPH 120 MPH 22#/SF 32#/Sf 57#/SF
1. CONCRETE 1/4"xl-1/8" CONCRETE SCREWS @ 12" OC.---- ..>2 @ l' Oc.
2 WOOD FRAME 1/4"x2" LAG SCREWS @ 12" O,c.---------- ->2 @ l' o.c
NOTES: WOOD STRUCTURES SHOULD CONNECT TO TRUSS BUTTS OR THE SUB FACIA
FRAMING WHERE POSSIBLE ONLY 15% OF SCREWS CAN BE OUTSIDE THE
TRUSS BUTTS/SUB FACIA AND THOSE AREAS SHALL HAVE DOUBLE ANCHORS
ALL SCREWS INTO THE HOST STRUCTURE SHALL HAVE MIN 1-1/4" WASHERS
OR SHALL BE WASHER HEADED SCREWS.
PLATE TO BE SAME WALL
THICKNESS AS BEAM ~
PLA TE CAN BE INSIDE OR
OUTSIDE BEAM OR LAP CUT
BEAM SPLICE SHALL BE MIN,
OF d-1/2" HEIGHT AND
2( d-l /2") IN LENGTH
MIN. SCREWS PER SPLICE
TOTAL / SIDE OF SPLICE
2" x 4" 4 / 2
2" x 5" 4 / 2
2" x 6" 4 / 2
2" x 7" 6 / 3
2" x 8" 8 / 4
2" x 9" 10 / 5
..
SPLICE TO BE LOCATED 1/4 TO 1/3
BEAM SPAN AND STAGGERED EACH
SIDE OF SELF MATING BEAM
3/4"
d=HEIGHT OF BEAM
d-1/2" d-1/2"
~ ~ "
111
1" MAX.
3/4"
1" MAX.
DENOTES SCREW PATTERN
NOT NUMBER OF SCREWS
TYPICAL BEAM SPLICE DETAIL
[b&1W(J'@!iD@@ ~o rn@(]i)(fl)@QQIJ (Po~o
CIVIL ENGINEER AND DEVELOPMENT CONSULTANT
P,O. BOX 4368 S. DAYTONA. FLORIDA 32121-4368
PHONE: (1iI04) 767-4774
fAX: (904) 767-6~~C5
@ COPYRIGHT, 1995
NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT WRITTEN
PERMISSION FROM LAWRENCE E, BENNETT. P,E,
SECTION: 3
PAGE: 8-13
-4'-
VI
...J
W
Z
<I:
a.
u..
o
o
0::
::I
::>
z
~
:::l
...J
<I:
~ vi '.. " . . . :.:... ..
< ::I, lOCON toOl ~ ;.....~.'<t O'~:n n' IX)O~:i r<):~ :Wo ,..., '<t
O>-gJ: ~~ .
<zqo:::O' 'I' 'CO'~~ .'.'.' ,'I.' .'1.' .' '.' 0 ~'lDl 'IX)'~ ~-lD'
~ ~:w:w ,~,~ ""'lDlD Ol~,..., r<)~O 10' N ,~ ,_ ,_
I-<...JZ' ~-~ ~~~VI'
VI W- ~ W-
O:::lOW ~
ONO:::U I-
u..'
Vlr~:i ~~b ~~~ ~to~ ~b~ ~~to ~~i.o~~ o~ ~~ ~b ~o ~~ ~n
~ l5 ~ 0 ", I I '. , 'I I I' ,'1.1 I" i5 0 I' " " " " "
a. 0::: ~:w~ ~~:w ~:w:w ~~~ r<)~0 ~nNdo ~~ ~:w ~:w ~~ no ~N
VI~~~ __- -~-~z
:21~. · " ...J' . ~ N
:::lrUZlD' ..IN. .lD. ,N,.. '.' '. ....JZlD N N' 'r<) " ,. '.
~ON...J..J ~...J..J...JN...J..J...Jr<)...J...J...J ...J...J...J ...J...J...JCON..J..Jr<)..J..JO...J...Jo...J...J ...J...J ...J...J
><8 -0 0 0 0.",., i=0 0 , .
< - ..!:: 0 ~ s: ~ ci ~ ~ ~ d ~ ~ 3Ii d ~ ~ ~. ~ 3Ii ~ ~ ~ ~ ~ 0" B ci..J..J d..J..J 0, ..J..J o,..J..J~..J..J'N..J _j
:2I")VlO , I , I lD Z', N r<)
oz rrr rrrxrrrxrrrNrrrr<)III<oxu..u..xu..u...xu..u..~u..u..ou..u..ou..u..
cO'XIl. a..Xa.a.a.: a.a.a.: a. a. a. Oa. a. a. o a. a. a. 0 . VlVh VI VI , VlVI. VI~ ,VIVI ,VI~
~ gU~:2~::I~~~~~~::I~~~::I~~~~~~~::I~...J~~~~~~~~~~~~~~~~~~~
~ 0 ~ ,go~ 18o~ '( g~~ '(g~~,x8~~,xg~~ ~:z; 100, 00'( 00 '( oo,xOO:XO 0
m zO-~~~-~~-~-------r<)---r<)~~-...JO-Nr<)_Nr<)_Nr<)_Nr<)r<)Nr<)r<)NI")
~ ;E
IX
~
o
u
c
:i
o
(1)
c
z
c(
(I)
-oJ
-oJ
c(
!It
-oJ
>-
Z
>
"
z
w
W
II:
U
(I)
fij
w
!
CD
o
-oJ
(,)
Z
W
c
I
If!
IX
Co)
en
iii
>
o
Co)
Q
cl
en
i
c(
en
:;:j
c(
!It
-oJ
>-
Z
>
"
z
w
~
Co)
(I)
fij
w
a:
j
(I)
o
..J
U
Z
w
I
a:
(,)
CD
-
1--.
u..
o
VI
C
z
B
...J
3 .
mr
zO
~n
o
0:::
W
I '
I-I
0,
o
o
Z'
<N
, I I
~~~
, , I
I , ,
, I ,
, . a
NlD~
o
z
<
VI
::I
o
0>-
0:::0
~::l
z<
5lD
olI~
Zl")
[jl8
!]lD
VlVlo
u..
vig
l;:a::
~Q
O::...J
<0
UVI
0::"-
O~
u..
VI
Vlw
Za::
<I:~
a.U
VI:::l
~~
~VI
mZ
~~
00
0::: a::
X~
CI-
::10
N
l.o.J
...J
m
<
I-
~
~
<
X
W
, I ,
I , ,
I , I
, , ,
, I ,
, , I
~~~
, II
bl~~
~o,~
.' '.'
IX)~,...,
I
I
,
I
,
,
'I: I: I: t I: I: t I:
I on (7) r<) ~ lD NO (7)
, '.' .' .' .'.' '.'
'~lD lD on on on ~ '<t
,
,
,
I
I.. II: I I: t I: .. I:
I~~ ~ on 0 IX)~ N
II , I , , I , ,
,~~:w:w:w ~~ ~
I
I
Z
r 0
a. ~I:: it :; I: t I: I: ::
::I -' Or<) lD N (7)10 _ 0
o ~.I.I.,.'.'.'.'.I
o w 0l1X) ,..., ,..., lD lD lD If)
, , I
, , ,
, , ,
~Ntl")
.' , ,
'<to N
_r<)_
, .
,...,'.- ~
, ,
, ,
, 'I
, ,
, ,
, I
, ,
, ,
, ,
, ,
I ,
I ,
~o~
I ,
''<tN
--
I
, , ,
:w~.~
-~-
. ,
'<t_
-
:w~
~~
, ,
n'_
--
o
, I
~~
I ,
~~
n
ho,N
, .
IX):n~
.' '.'
~N::
I: I; I:
OlOr<)
, ,
-0
NO
. .
O'<t
, ,
~~
''<tb
, ,
i<)~
:i
, ,
, ,
, ,
, I
I ,
, ,
I 1::: I: ....: it I:
1~,-lDOIX)~Oe" '~i.o.~~IX)~~lD
'I,.'.'.' I '.' 1'1 'I' ~.,.I ~
IG:> G:> ,..., ,..., lD:w io on ~ 0 '01 e" IX) 10
I /--
, ": ,I
"m~l")m".,~",..", I;: t t t ~: OO~
.. . OIX)O~_
I, 1.'.'.1 I '.' I"".".'.'
1e,,~IX)""""':W:WlD IN~OOOle,,1X)1X)
----
,
I I
I: I: I: I: t :: t I: I.. I: 1::
'~O r<) IX) - Ol '<t 0 l"v'_'~ '.t IX)'.- IX) r<)
,- I
I.' '.'.'.' I '.' "'.'.' I,','
OOOlDOIX)~~,..., ~nN~OOOlOl
I-~ ,~~_~~_
, ,
, I
I ,
" ll: . .. 1:. /t::. I: I ;: I: :;
,0r<)0lr<)~'f--'<t0 1101O~r<)OllOOOl
" I , '.' , " " , , I.' I ','
'~~:W:Wlf)~~~ 'O~~~""'~i---lD
, -
, ~ m
::I ~ ~
: , · · a . : , <, , . , ~. : . vi. : . : . . : . vi. . . . : . : .
::I~'<tOlf)OlX)lONWOl~r<)Ol ~,...r<) OIX)O~lD~aor<) NOOOr<)IX)I")Ol
~".' .1.'.',' '.' :.1.'.'.'.' .11.' ~." .'.'.'.' ',' ~.' ,1,'.'.'.1 '.'
mlX),...,lOlDlDlf)~lO...JOlaolX),...,,...,lDiolD-N~OOOlOloolX)_lOr<)NN_OOOl
':i i= ci-~-- 0_______
i= X X X
o ~ ~ ~ ~
10 0 ~ Q 0
Ode d Q
~ X ~.. '"
· · · t
~ ~io ~ ~ ~ 0'_ N '<t ~ io ~ G:> ~ 0 ~ N '<t ~ io i, G:> e" 0 ~ 'N If) ~ io i--- G:> 0, 0 ~ N
)( ---x ---)( __-x _~_
I: II: I: t
N N N N
",.'
0l001X)
, , 1
'lD"v n
~-~
I I
oo~
I ,
~~
I
0.
o~
<
m (/)00
~ II 0...J~
o ~o
+~ ...Ji
N9a 0 J:
"-Nr<)~ 0.
L ,< ~
~ +. Z 0
. N""'Q ~
""-"(/) ~
"v l.o.J
~-zo
Oll~a::
~ (/)0
O~::I~
co<<
O;lwa. _
...J mVl
wOu.. b
VI <5 VI ~ 10
::>...J~~ 0
~ .. ~ mo ~ ~~l--.b~N'~ 'colo ~
~ <:tI::r<) ~
;E~o ON ,,'.'.','.".'
;;'m, ...Jr<) ,xiolDonlO'<t'<t"v~
ol--! ~ N
z-l...J::; 0:::
oi=,.. 0
. Ol u..
~~II ~
o :tI::
~d~ ~
f)j.x ;E
""0
a::,,<
o. 0
u..N J:
...J~ F'
"'~i
~.... 0
<m <
~ 9
o
'"
I
I
I
1
I
,
I
,. . . , . . , ,
1'0000:> - '<t (7) '<t.-
1- - ,-
, , , ,.' ',' '.'
InN'_ ~o Ole" IX)
,.- - - ~
I
I
I
I'. . : b: 'IX): ~
N 0 0 I') I') ~.
, -~
, I , I.' 1.1 I .1'
l~nNN~ooOl
,~~~~-~~
I
,
,
'. , ' , : , . '
l"r. :w ''<t If) 00 0 If) '~.
,- ~.
I.' I '.','.' ,. I
1(O~''<tI'')NN'''_O
I-_~-~_~-
1-
,
,
I, . · · : a , ' .
,'<tnlOOlNOl<;j-ao
I I , ',' I , '. ,
IN~'OOlo,oooooo
---
('II ~
I
Z ,...
'vi 0
(.:>z 1= ~
Zo:: u
~~ bI <
11.
0::0
~c ~H)
OW zu>
~'" Z
VI...J ~~r ~
::>lD j~
...J<I: g'~::' i
0.1- J~~
I..J ...
I-..J :>
0 "'~ 0
;t~ . &lO' j:
....JI- II ~.~ .
...Ja:: ..
~o rrlI~~1~ Ir .
<It!
VlIj O~"'IO 11.11.
::>m r~~1 !::
...J< a::m.~ IrW
a. I- oz
~~o_ z
~o . ~ ..~~ ww I
-'ID
0<1: ~zS..'" 0 a'
~g w w~ ilJ
lIlZ I
~-' ,Ox w
~o ~oJ:< ZU
-z
o?; uQ.ll.... OW
.03: ~i
0::
w j<
II i!: 8-'
:r: cr~
I-u.. ~cr
00 cr'"
;tw lll~
::> 01
...J...J l2!!!
~~ ..::I
<I: oel
0.1- Zll.
VI
u..W
O...J on
0...J
0:::< '"
~ ~
....JVI ..:
~w 1:
OJ: ()
1-1- ~.
":N ~.
U
@
,
NCo
, I
:Wn
- -
I: :t
,...,-
-
, I
~.t-!
, I
N'D
I,'
in 1:'\J
--
rriI .. 10
~~:J:
Ijj\ ~ r
=j~
III'"
g'~~
j~~
"'~
:1-,
&...
"~g~
~~t:1~
O~"'u>
ZOu>,
1< vi...:;;
~o..""
. ~~~.
13 ~o
~zo>C ..01
~w w-
.~-'~~x
~()I:<
UQ.ll.t..
~
C\I~
I
Clt
~
~ ~
III 11.
~
I
..
5
i!
.
..
~o.!
11.11.
!::
3~
Z
dltl
jlJ
w
zu
-z
~i
:J<
g-'
Ira
e;1r
cr'"
wZ
IDO
oDl
..!!!
:I
"cr
Ow
Zll.
I
..
I
on
01
01
I
11.
o
U
@
.CD
'0:
~
o
u
2
I
I...
e(
Q
W
:z:
.U
ie(
,~
't-
ie(
w
o
<
5
15
n::
w
a.
ei
a.
....
VI....
O-.J
o.~
~~
30
~~
· a.
1')<
>Co:
~.
.... X
-.J _:i
o VII
III a. w
· gR:
~ IO~ ~
;; r;~ ~
>C lIlu .
~ 28 ~
11.
I?
~
.
\0
z
o
l=
u
::>
~z
(/)0
zi=
ou
uw
Z
-.J2
<(0
Zu
o
-I-
I-(/)
20
~Q.
Z:r:
Ou
Un::
~O
:JQ.
Z
~
::>
-.J
<(
/:!
,....n::
n::ei
~CD
o.
U:$",
ZO~
,: t..J
VI, .
O~N
11."._
o
Z
i=
o
o
u."
o
L.J .-
0.1
0"'-
..J
VI^
a.
w
/:!
VI
.rill- III
'-=iI~ :ll
r.", ~ r
L:.:I;:) _
ga~~
jl-C
z!ioo
..I~~
l!!J~~9~
OC:""'fD
j~~:e,!.
II) 10
i~li
~~2w~
il""~)(
c::!J~~l~
~
C',)fl
I
~ It)
F= w
U 13
III :
~
..
f
..
6
~
i
..
~"i
Q.Q.
z .
-::
3~
~~
jlJ
'101
zu
-z
oi
lj.
5""
O2
It: 0
Q.1t:
~'"
1II~
III
~!l!
..2
Oil:
Z~
I
.
I
10
L.J
-.J
1Il--,
<I')
....-
I
~~
n::W
l1!t:l
W<
O::~
/:!
L.J
n::
U
Z
o
U
o
L.J
n::
::::l
o
a.
z
o
Vi
o
n::
W
t:l
Z
Vi
VI
W
n::
o
o
<(
Z
L.J
~ ,0::
~O
U~ _.I
ZW<(
O::!S?
u .(1-
-~.::
~~
003\
~x~
N9
, 1 15
~~CD
~lDG:
2
o
(7)
o 0
z a::
i= w
o.
00 C>
u., 2
lr ';.... (7)
3' (/)
VI. W
L.J N a::
~, g
n:: ~ <(
L.J
8 (/)
:Ii -.J
<(
f-
W
o
ill
<(
-.J
(/)
It)
III
III
f
&
u
@
,)- C',)
C',) 9'"
~ ........ I
ei ~u ~ .
~N 0 C',)
, -.J ~
~~ F=
-.JW :r: u
-.J..J d ~:r: III C
eiCD Q.
~ei ....0.
Vl .... + :g~ ~H'
W ~~ N ZIO
IE 0.0 c'"
00 " N @, ~ r z
ei ~~r;)~ Cl~ ;:)- ~
> /:!cr ~':~
t:l I':...J," ::>0 j~; i
:z ,. m -.Ju. I-
ei u.
I) :r: 't>w~ . 5
0 "'3
~ cr )(~~w '10, 2"" ~
J ~ >c. &'" I
' Wo.VI . N
. 0 NVI-.....::::l I')~ ..~<i~
. ...
'\. '\. ~ l!!Jl!l~9~ ~"i
I f- n.n.
-- OC,,1O
. ~ n:: r~~~ ~ ::;'
. ~O ! S31~\f^ 0
It: 1&.1
I Uo 0 VI Q. :5fO-;"" oz
Oz w w lW 0::: ...:ll0..... z
cr:~ :r: IE Z...OI... 1011&.1
VI ei -.J <( e:,G "'0 dal
........ )- > CD u ~~aW~ jlJ
Ox .... ~ ~ "" Gl ~ ., ZtJ
zW .:J ;> ~ W SOl>C
1= w -.J Oa: ~ -Z
OW , 0'"
::> w C>
On:: VI ljl
G: z
.. ;:)C
3~nl:)n~lS lSOH ~NI1SIX3 (/) 8""
It:~
G.1t:
~'"
:i
..2
~~
tl
III
~
.,:
,
~
@
<6~
~ ]2
_.I
-.J a
~
<(
o 1 ~
....
a.
w
U
x
L.J
o
w
n::
:5
o
L.J
cr
t:l
Z
1=
o
o W
u. ,11.
o zo
Z--.J
~VI
w' w
.... Ocr
010
zi"l~
CD
j
t:l
Z
~~ 5
i~ ft.
~ ON
I z,
<>0,'
;1 lr 7
P.i: 00
'i ~
Ii! ~
i r;:
I')
I
"
I
APPLICATION FOR PERKIT
CITY OF ZEPIIYRHILLS
BUILDING DEPARTKENT
OWNER' S ADDRESS
r~)
8 ~~ 51
S'ifA(l.-
S:/fD K 5t1'f })~ PHONE
-r~ O-R- ~r ~
.-;-Jf~f( '5 Ii 1-1 p
,
7{~ - 370 I
OWNER' S HAHE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOClL--SUBDIVISION
PARCEL LD.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Construction ---^ddition ----Alteration _Repair _Install
_Sign
--.JIove
_Deaolish
PROPOSED USE: _Siogle Feaily
-.Jt/F _' of Units _K/B
_ec-ercia1
_Indust. _Swia. Pool _Other
-:Restaurant &: Bealth Departaent Approval
DESCRIPnON OF WORK: l' C) / IIJ '5 I1;-cc 9 ')( .9 6 / /tV ,2;-a;::
BUILDING SIZE:
x
Square Feet.
Height
RESIDEIITIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
-BUILDING
$
.-aU
/ /00
PERKITS REQUESTED
Va1uation of Total Construction
RI.RcrRI.CAL
AMP Service
Florida Power Corp.
W.R.E.C.
---...JIEClWlICAL
$
Valuation of lIechanica1 Installation
.-PL1DIBDG
GAS
ROOFING
SPECIALTY
TYPE OF COIlS1'1lUCTION: _Block _Fraae _Steel
Other
FDlISBED PLOOB. ELEVAfiONS:
FT.
IS PROJEct IN FLOOD ZOBE AREA?
YES NO
..........................................
B(ITT.DER
CONTRACTOR SECTION
~ /// COMPANY " c:;; Ij )j;.77f7~
( ./ ff /l State Cert. or Regist. .
. -tc.. ~....... City License Registration .
..........................................
/"tC-J ;.,- /1\J J "7'
'77
Signature
RI.RCTRICIAII COMPANY
State Cert. or Regist. .
SianAture City License Registration .
..........................................
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
KECBAlf[GAI. COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
OTRRR COMPANY
State Cert. or Regist. f
Signature City License Registration .
..........................................
APPLICAnON APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
De undersigned understands that this perlit tay be subject to 'deed restrictions' wbieb tay be lOre restrictive than City'
regulations. !be undersigned assUIeB responsibility for lDpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they tay 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 lilY be
cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirl!l8Dts laY apply for the intended wort, they are advised to contact the City of Zepbyrhills Building Deparblent, (813)
788-6611.
Furtheraore, if the owner has bired a contractor or contractors, be is advised to have 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 tay be an indication that be is not properly licensed and is not entitled to pemitting privileges 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 with a copy of 'Florida's Construction Lien Law - lIoIeoImer's Protection
GuideN prepared by the Florida Departlent of Agriculture and COnsUIIeI Affairs. If the applicant is sOlll!One other than the
'ownerl, I certify that I bave obtained a copy of the above described docuent and prOlise in good faith to deliver it to the
lowner' prior to COIIeDceRllt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infotlation in this application is accurate and that all wort will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developlellt.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no wort or
installation bas COIIeDced prior to issuance of a perlit and that alllOrt will be perfoIled to leet standards of all laws
regulating construction, City codes, loning regulations, and land developll!l1t regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveI1IIental agencies lilY apply to the intended work, and that it is
If responsibility to identify wbat actions I lust take to be in COIpliance. Sueb agencies include but are not lilited to:
t Departlent of Envirouental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands,
Water jVastewater !reablent
t Southwest Florida Water ManagelBllt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t AI'IY Corps of Engineers - Seawalls, Docks, lavigable Waterways
t Departlent of Health i Rebabilitative Services, Envirouental Health Unit - Vells, Wastewater !reatlent, Septic !ants
t US Environlental Protection Agency - Asbestos abatelellt
I also certify that, if fill taterial is to be used in Flood ZOne IAI or IA,etc.D, it is understood that a drainage plan
addressing a Ic.-pensating VOlUleI will be sublitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A pemit 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 sball issuance of a perlit prevent the 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 wort authorized by sueb perlit is COII8Ilced within sillOnths of issuance, or if wort authorized by the perlit is
suspended or abandoned for a period of sil IOnths after the tile the wort is c~ced. One 90 day utension of tile, lilY be
allowed for the perlit with fee charge of $15.00. fhe utension shall be requested in writing to the Building Official. An
approved inspection aust be logged during eaeb sillODth period, or the project will be considered abandoned.
WARKING 'l'O (MIIR: YOUR FAILURE fO RECORD A MO'fICE OF WIMBICIIlBII MAY RESULf IN YOUR PAYING !VICE FOR IMPROVIIID'fS fO YOUR
PROPBm. IF YOU IIIDND 'l'O OBTAIN FINlICIIG, CONSULt IIItH YOOR LDDD OR AI At'l'01lDY BEFORE RICORDING 1001 IIO'fICE OF
crJIMEMCBMBII'f. JOBS OlDER $2,500 1M VALUE 00 MO'f HEED 'l'O RECORD AID POSt A 'MO'fICE OF COIIIBICBMBII'f'.
~:f~ ._-~ ~ ::>
SIGJll!DBll~ 0I1GE11T SIGllftIIt~ -: -~
SfAfB OF FLORIDA A
COUH'fY OF IfS Co
The foregoing in~~~t was ackpowledged
before me this ( .. <t: , 19~ by
S!AfE OF FLORIDA ~
coum OF liS CO
The foregoing inst~t was acknowledged
before me this 62 , 19~ by
who is personally known to me or who has
produced
as identification ~d who did/did not
take an oath.(~ l:..f ~
(Signature)
(Name Typed, Printed or StaBrped)
NOTARY PUBLIC
Notary Public Pasco Co: fL
My Commission Expires May 13. 1995
(Rame Typed, Printed or Stamped)
ROTARY PUBLIC
Notary Public Pasco Co.FL
My Commission Expires May \3. \995