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HomeMy WebLinkAbout95-4747 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit ~ _47478 Date 3 - 7- 7.5 ~....ov GUI~~) ;L...s.--'PV ~CT~~ P<ap,rty OW"" _ '--It;!,,- ~?iff ~ Job Address: ~ <f.3 - II . Parcell.D, # II -~6..-'!)/- rJ rJ/O - 037tJ /) - 0/ jr D PLUMBING MECHANICAL Sewer Conn Water Conn: Water MeJer: T.I.F.'s: Zoning: Description of Work Energy Code: ':i. Radon Gas: /0 r X :2-0 I ....Jt ~ ~~ FINAL 'j)'d :5-9 5" NO OCCUPANCY BEFORE C.O. 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 Permit Fee Signatu"re Company Address Telephone# -5 '-z?, o-v .~" f ~ Valuation or Contract Price :2, 00v. crv " City License Registration # State Certified License# g-/~' ) ~~. ~60 J /.7),... In. O.A /'J)... /vLJ) A- BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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 ($15.00) 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 ZEPIIYRIIILLS BUILDIRG DEPARTHERT OWRER'S ADDRESS rV& t t1 ~/), fj 6t11.? A ~g5C> Ilft,~-!-_ .So P/?J / LEGAL DESCRIPTION: LOT(S) J I 1 ~ BLOCIL--SUBDIVISION &/'/U PARCEL LD.' II - .2 0 - ;;LJ - (:) cJ / 0 -- Od ~ () 0 "'{OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED :.-Rew Construction ~ition ------Alteration --.Jepair _Install PHONE f! /1 - 7 S "? - BOtJ1 ~1C0J7h~Jr)f)///C: Fk~ - I . OWNER'S HAHE JOB ADDRESS _Sign -----1fove' _Deaolish PROPOSED USE: _Single Faaily ------"'F _' of Units _K/H _ec-ercial _IDdust. _Swia. Pool _Other --.Jestaurant Ii: Health Departaent Approval BUILDIRG SIZE: 1 t5 /t:JIy~fJ / ~ L/p~:3 ~CJ~P? . X :< I'J , ;Z t1J() Square Feet, '7/ Height DESCRIPTIOR OF WORK: RESIDERTIAL: COMMERCIAL : ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUILDING PLANS &: (1) SET EURGY FORMS. ATTACH (3) SETS OF BUILDIRG PLANS Ii: (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION. ~LDIRG _ELECTRICAL PERMITS REQUESTED $ Valuation of Total Construction AIIP Service Florida Power Corp. W.R.E.C. ~CllAllICAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFlRG SPECIALTY /l iJ.il.~<ra;((lOther TYPE OF mRSTRUCTION: _Block _Fraae _Steel FDJISHED FLOOR ELEVAnORS: FT. IS PROJECT IN FLOOD ZONE AREA? ~ YES NO .......................................... CORTRACTOR SECTION RIJTUlRR _ \ f) COMPANY .~ ... fro ~ State Cert. or Regist. . ~~ ~ City License Registration . .......................................... Signature RI.RCTRICIAII SignAture ~ COMPANY (~ State Cert. or Regist. . ~~ ~ City License Registration' .......................................... COMPANY State Cert. or Regist. . City License Registration . ..............***.*****.**.....**.***.*... PLUKBER Signature COMPANY State Cert. or Regist. . City License Registration . .......................................... KECllARICAL Signature COMPANY State Cert. or Regist. . City License Registration . .................*........................ 71 WV~ III ~ PIlIlIlIT OFFICER. OTRRR Signature APPLICAnOR APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS !be undersigned understands that this perlit JaY be subject to 'deed restrictions' wbich lily be lOre restrictive than City regulations. !be undersigned asSUle& responsibility for cmpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas hired a contractor or contractors to undertake work, they JaY 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 lisd_anar violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requiraents lilY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtheIlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which 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 work. If the contractor wishes you to sign as contractor that JaY be an indication that be is not properly licensed and is not entitled to peraitting 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, have been provided with a copy of 'Plorida's Construction Lien Law - BoIeow.ner's Protection Guide" prepared by the Florida Departlent of Agriculture and COnsUller Affairs. If the applicant is SOEH1e other than the 'ownerY, I certify that I bave obtained a copy of the above described dOCUlellt and prtmse in good faith to deliver it to the lowner' prior to co.encaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in COJpliance with all applicable laws regulating construction, loning, and land developlellt. Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or installation bas CDlenced prior to issuance of a perlit and that all work will be perfOIJed to .et standards of all laws regulating construction, City codes, loning regulations, and land developMlt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies lilY apply to the intended work, and that it is If responsibility to identify wbat actions I lUSt take to be in COIpliance. Such agencies include but are not lilited to: t Departlent of EnvirOllleDtal Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands, Water/Wastewater !reatlent t Southwest Florida Water Managaent District - Wells, Cypress Baybea4s, Wetland Areas, Altering Watercourses t Al'IJ Corps of Engineers - Seawalls, Docks, lavigable Waterways t DepartJent of Health i Rehabilitative Services, EnvirODll!lltal Health Unit - Wells, Wastewater !reatlent, Septic !ants t US EnviIOlllelltal Protection Agency - Asbestos abatl!le1lt I also certify that, if filllilterial is to be used in Flood Zone 'A' or 'A,etc. I, it is understood that a drainage plan addressing a 'co.pensating volUll!' will be snblitted which is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a peIlit prevent the Building Official f[QI thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall beCClle invalid unless the work authoriled by such peIlit is co.enced within sillODtbs of issuance, or if work authoriled by the peIlit is suspended or abandoned for a period of sillODtbs after the tile the work is co.enced. One 90 day stension of tile, IiIJ be allowed for the perlit with fee charge of $15.00. !be stension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each sil IOIIth period, or the project will be considered abandoned. UJUlING !O OIlIER: YOUR PAILURE !O RECORD A IO!ICE OF <XIIMDCIIIDf IlAY RBSULf II YOUR PAYDlG BICE FOR IMPROVBIIII!S !O YOUR PlOPmY'. IF YOU IBIND !O OB'fAIB FIIIAICIIG, CONSUL! WID YOUR LBIIDIR OR 11 A1"IORIIY BIFORI RICORDING YOUR JIO!ICB OF aJlKDCBMm. JOBS OlDER $2,500 II VALUE DO 10'l NIID !O RECORD AID POS! A 'IO'lICB OP aJIIIDCBMEn'. SIGIA!URI: OIOOlR OR AGEIIr SIGNA!URE: CONJRAtlOR S!AfE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by S!AR OF FLORIDA coum OF 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 oath. who is personally known to me 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 ~ -0 (') )> r " > Ul i VI :::0 0 i 0 ~ )> Z 0 ! 0 ~ ~ 0 z ,.... - r-.J X .. .. m ~ ....... I . " {~ ;J ~fl;"rt~:r."''';~l'~'' lill ilh ~;iI: ). iit~\~. .' \. ,.Iii 1\,f.I, ','. 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(J) '. fTI --l o fTI fTI r: 350 BURBANK ROAD OLDSMAR, FLORIDA 34677 ~, BTRUCTALII I .UILDING .veT.MB I NATIONWIDE 1-800-229-5257 LOCAL 813-855-2627 FAX B13-854 2802 .' o ""@' OWNER (V /) Lr:t lV( , ~g~6 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT f::! /'Jet~ 11:t:f;. S -1 ::LL/-'rh~F h ;//5 ? Fh JOB LOCATION PARCEL I.D. # SHOW ALL BIISTDfG & PROPOSED STRUcruUS GIVIIIG DIHBNSIOHS & SETBACKS. '- ~ -:lc;. r_~ Eyf;ftlh~l FRONT PROPERTY LINE ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ) \ f--T.1-f .-. T~--r L- L_j~:)JJ ~ ~~, ~~-:=~) S ;d& -;;'c;/( LUC~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. \. o -/~~ ..... (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' I I \1 ~ III &} ,~~f~ '~1 ' :fj ~ 13 W ~~ () ~ ~cB ~ 11~ i~. /;\ ~ ~o 0- rn 89:<<) 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 10' 10' EXISTING 10' 1 0 PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' I'ROIft" PROPERTY LIltE FROH'.l" PROPERTY LIHB