HomeMy WebLinkAbout95-4828
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 788.6611
482813
1/-6 -9 S-
) J-fJ uU
~
P,op"tvOwne" VQ4. HB~
Job Address: --5/3/ ,a . .
:L~-. o-u
~=:>
Date
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water MJ!ter:
T.I.F.'s:
r7<f:~
Parcell.D. #
Zoning:
a jJ;gy Code:
-7;;
. iV1.
Radon Gas: /:;). 0-0
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAl_
e.o.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
Signature
Company
Address
Telephone#
Inspector
Valuation or
Contract Price D2 tJ. 9 u-o. o-v
City License Registration #
State Certified License#
7/~~ kf t1~/~ /11
BUILDING
~j~..
ELECTRICALSg---
PLUMBING
MECHANICAL
Ftr. .J..j, j 7- qs S~
Pre SLB N-20-C;S ~
Lintel 5- \ - ~ $" Mr
~ J .- .2
FRM. 11 c)' I) D\l'-
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
Tp. Serv.
Rough In tl-7~ ~ q 'Phi3
Meter Can
SLB
Tub Set
Water
Sewer
Final
Const. Pole
Pool
Pre-Meter
~ ...9/~~ g .tifinal (/-7~ ~d
Dri~eway
tJ~'')-L.- _ f,iLJ-
~. S.,~Z ~
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.
,
~ g:~ecl Q)Juel and Adociale4" 9nc.
1 HERESY C€RTFY T.,.AT THE SURVEY SHOWN HEREON t4ETS TH[
MINIMUM STANOAROS QF CHAPTER 2~.1 FLORIO A ADMiNISTRATIVE
COOE PURSlJAHT TO OtAPTER 412.027 f1.ORIOA STATUTES
f(!e~/ilie€' aJ 10 fA''itJe//:
DAI(ID q. ARMSTRONti
SEe. 11
PASCO
L~GAL DESCRIPTION
Lots 3 through 6, inclusiv~, BloSlt' 18~, Cl'lY 01"
ZKPH'lJUtIl.LS, (formerly To...n of Zepl\yrhlllsl according
. to th~ plat thereof as recorded in Plat Boqk 1, Page S4,
Public Records of Pasco County, Florida.
///~~
t\
"
~OR: WAYNE BUT~ERFIELD
DA'fE OF SURVEY:'! J.\NUARY S, 1994
BOUNDARY ~. L L~ATIO~SURVEY
ORDER '.10~OYH I
\(" i '\.
\\ "\
,':
\
\
......-
v~//
A".6.~ /
'vJ
A..'(~ ./O'~I
. ......-/t 'f. ~ .
//,
,
."",,-/
,...-/"
//
\
.........-
.........-
.........-./
~
.~ <
\
----
..............-./'
,\"'" ......-
~. ~
"\
. ~
'~
~ " '\"'/
/./'
~
,-,,"
"
......-'
'\ /-~
.Co
\ .
\1{>
/'
/
/
.......-......-
\
;-
"
, -:I:..
\-1
\ $i')
~X :r.
O~. 't.
..' '1<)\)>
. --i" \ ...t....
\
\~
\C>
\.......
,
F,I. R.
F.I.P.
S./,R,
(~.)
01.)
./
'7
....
\
\
\
of
y
\
\
\
l.tlJ~\\
,;0 , /I
::;., \ 009," \
9' ~.
- . /
;:-::\" /
,//
""
-,
>"\'~'
" (.
,/'
./.,
./'
~
~/
/'
r1
i
/'
./
~,/'
/;,/~/
ACCORDING TO FIRM PANEL ,12D235 ooot'~,
REVISED DECEMBE~ 17, 1991, '{'illS LOT l&5
IN ZONE ~x~ (AREA DET~RMINED TO BE OUTSIDE/\~1;-
YEAR FLOOD PLAIrH. \:) ,~
\
,
~\ ..//
't'............... /
()', ,'" ~
\ l~ ,...-/"
\..- hI, /'
,., 't.~
~
SURVEYOR'S NOTES
l.
2.
NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS HAVE
8EEN'LOCATED EXCEP? AS NOTED.
NO INSTRUMENTS 01" RECORO REFLECT.ING EASEMENTS, R IGIlTS
OF WAY, ANO/OR OWNERSHIP WERE FURNISHED THIS SURVEYOR
txeEP1' AS SHOWN.
THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF A
TITLE SEARClf.
3.
01126
. .."". -
l.
..
, TWR 265:, RNG. 1 E.
COUNTY, FLORIDA
N
r
p-
30'
" ,
SCALE.: 1 = 30
~
30'
Za'
...........---.,
10' a
LE(iEND:
rOVND IRON ROD
,cOVND I'U^, PII'E
: '.Ur I~()'" ~OP f C,4P #LB -107
= ~ECOR/) PIST41\1CE PeR PLA T
= FIELt:> MEA SUR€f)OI$r-4,vce.
- I.
\
.
C. FRED
DEUEL & ASSOCIATES, INC.,
5151 GALL BLVD.
ZEPHYRHILLS, FLORIDA 33541
'PHONE: (813) 782-6717
FAX: (813) 782-5426
Own. /Jy' t.( ((p/'t- Cld. fly:
{3uiU:>IN&
EuiL1i.\L.-
~
tl\W\ANllAL-
5\JB1C> 'I7\- l0-
Ci{ Ji.D iT
7o'lltl-
.s&J~
WAT .::'"
M~
lbTf\ L
L0~ 3~lfiLO
5"/3j Gf"LL 'B~rn.
Vf\WJl\T'lcN: ~1't.fOO
J ~()/'> 0
2500
tv/A
N/ft
205. c.o
f-J/ft
L c)~
2D..::>,
LCNN[.Q1cN t~& .
}J/~
I\A-~W 6ts
'It>> 0 8J, J 2. . ~ C>
1~6PDa.:rm7t>rJ tmihs fiu:.-s
'1-7 g, f{o 9?~ o/-74.e:,/
/ % tj-,1J
,'.
- .....
)7.0~ 1/200
. 61, Pt: ~"IINts-
61. f~ OTItlUL
APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE LJ;<I'( JV~ (j{A.!T-ef1. Ft.......rJ
OWNER'S ADDRESS S I J ) C,-"" /( /J /1/
PHONE 7 go - 7 ~o 7
JOB ADDRESS
s-/3/
C-r1- (( ;:J (......
LEGAL DESCRIPTION: LOT(S) 3-(;, l(IId~J~- BWCR 1<6> SUBDIVISION C1T., ~HILL~ p/!'1-r S'f
PARCEL J.D.' 1/-2fo-;).J
o CJ 1 0 - 1 '8':)CJ 0 - 0" 3 0
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction Y Addition _Alteration _Repair _Install
_Sign _Move _Deaolish
PROPOSED USE: _Single Family _M/F _, of Units _M/H
~eo..ercial _Indust. _Swim. Pool _Other
Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: /"i JJ;r, J,-.J
BUILDING SIZE: 3 d X 'f 0 , I AVU,
Square Feet. / <.
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PWT 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~
PERMITS REOUESTED
-LBUILDING
-LELECTRICAL
$ '1. c.rvv-
Valuation of Total Construction
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHAlfICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: rr Block _Fralle _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FWOD ZONE AREA? ~
YES NO
******************************************
CONTRACTOR SECTION
BUILDER COMPANY
~ State Cert. or Regist. .
Signature LJ~ () City License Registration'
****************************************
=~oe~' COMPANY C,r(#~--- /
, State Cert. or Regist. t ,-1 )(
u e City License Registration . w
*** *************************************
PLUMBER COMPANY
State Cert. or Regist. f
Signature City License Registration #
******************************************
MECHANICAL
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
OTRRR
COMPANY
State Cert. or Regist. .
City License Registration I
********'*************************tt*******.
Signature
,~ . '"
APPLICATION APPROVED BY
PERKITOFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'lbe undersignec1 understands that tbis perlit laY be subject to 'deed.restrictions' wbieb lily be lOre restrictive than City
regulations. !be undersignec1 assuaes responsibility for COIpliance witb any applicable deed restrictions.
B. UNLICEN~ED CONTRACTORS AND CONTRACTORRESPONSIB~LITIES
If tbe owner bas buec1 a contractor or contractors to undertake work, they lily' be regui~ 'to be licensed in accordance witb
state and local regulations. If tbe contractor is not licensec1 as reguired'J)f law, botll.:tbe 0IIJIer and contractor lilY be
citec1 for a lisdeJeallor violation under state law. If tbe 0IIJIer or intended contractor are' uncertain as to wbat licensing
reguiretellts lay apply for tbe intended work, they areac1vis'ed to contact tbe City of'Zepbyrhills Building Departlent, (813)
788-6611. ,'J \
FurtberlOre, if tbe owner bas bired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of tbe
'Contractor Sections' of tbis application for wbieb tbey will be responsible. If JOU, as tbe OlDer sign as the contractor,
you are indicating that JOU, ratber than tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign
as contractor that lilY be an indication that be is not properly licensed and is not entitlec1 to pertitting privileges in tbe
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNBCTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify.tbat I, tbe applicant, have been provided witb a copy of 'Plorida's Construction Lien Law - BaIeoImer's Protection
Guide' prepared by tbe Florida Depart:lent of Agriculture and ConsUll!I' Affairs. If tbe applicant is SOIl!OIle other than the
'owner., I certify that I bave obtained a copy of tbe above described docuIent and protise in good faitb to deliver it to tbe
"owner' prior to COIIeDCl!lll!Jlt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all tbe infortation in tbis application is accurate and tbat all work will be done in CGlpliance witb all
applicable laws regulating construction, loning, and land develollleDt.
Application is hereby lade to obtain a perlit to do work and installation as indicatec1. I certify that DO wort or
installation has CDIeI1ced prior to issuance of a perlit and that all wort will be perfoIJed to .et standards of all laws
regulating construction, City codes, loning regulations, and land developtellt regulations in the jurisdiction. I also
certify that I understand tbat tbe regulations of otber govl!IJlleDtal agencies lilY apply to tbe intended wort, and tbat it is
If responsibility to identify what actions I lUSt tate to be in COIpliance. Sueb agencies include but are not lilited to:
I Departlent of Envirollllelltal Regulation - Cypress Baybeads, Wetland Areas and Envirolllelltally Sensitive Lands,
Ifater/Wastewater 'lreat:lent
I Soutbwest Florida Water Hanageient District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
I AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
I Departlent of Healtb i Rehabilitative Services, EnvirODleDtal Healtb Unit - Wells, lIastewater 'lreat:lent, Septic !ants
I US EnviIODleDtal Protection Agency - Asbestos abatetent
I also certify that, if filllilterial is to be used in Flood ZOne 'A' or 'A,etc.', it is understood that a drainage plan
addressing a 'COIIpeDSating volute. "ill be sublittec1 wbieb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construec1 to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor shall issuance of a penit prevent tbe Building Official frOl tbereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery pertit issued shall beaIIe invalid
unless tbe IIOrt authoriled by. sueb perlit is COIIeDcec1 witbin sillODtbs' of issuance, or if vork authorized by the penit is
suspended or abandoned for a period of sil IODtbs after the tile tbe vort is co.enced. One 90 day eltension of tile, lilY be
allowed for tbe perlit witb fee charge of $15.00. 'lbe eltension shall be requested in writing to the Building Official. An
approved inspection lUSt be loggec1 during eaeb sil IODtb period, or the proj"ect will be considered abandoned.
WARMING 'lO (JfRER: YOUR PAILURE 'lO RECORD A 10'lICE OF CCIIMDCBIIBIIt' MAY RlSOL'l IN YOUR PAYIIG fIIlCE POR IHPROVIIIBIfS 'lO YOUR
PROPEm. IF YOU IIIDIID 'lO OBYIIJI PIWCING, CONSUL'l WIR YOOR LllDER OR 1R AftORDY BEFORE RICORDIIIG YOUR DICE OP
COHHDCIHBIlf. JOBS OlDER '2,500 II VALUE 00 10'l NEED 'l0 RECORD ARD POSt' A 'IO'lICE OF C(JfMDCIMBIIf".
~)~t7~
I GNA : OIfIIBR AGBII1'
1~~/q#N
SIGNA : COIJRACfO
S'lA'lE OF FLORI~
coumOF ,~W
Tbe foregoing instrument was a~ledged
before me tbis ~ I trb rJ.....19.!:L by
LJA.
who is p rS.9.D}ll
produced t L
as tification and wbo di~/did not
ta e ,Qa
SIAn: OF FLORIDA ~
coom OF A <\ L()
Tbe foregoing inst~ent was a~~edged
before me thisc:02! /}/Pd- , 1~ by
crt::
to me or who bas
(
(Name Typed, Printed or Stamped)
NOTARY ,PUBLIC
~~... CINDY 800KER
=Q;_i . "~:,: MY COMMISSION' CC 192026
" '. .~J EXPIRES: May 19. 1916
,,'(jl;,' D-..... ....... .....~
'" ....n:'~... ~tI '-.ai' PWQc Underwrtters
~....~..)-
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
.t:8~~:fj:;;".... CINDY 8CJOJCfR
. '~'P' MY"""'"
~.i ,.E ~ISSIOtI fI CC 192026
~'. .'Ji EXPI""'" u_." ,.....
.,:.;f.....:lt:";,~ """......, n,. """
'..9f..tli,.' IlOllCIIcI ThnI NoIaIv Public ~
~v-~ ~
CITY OF ZEPHIRlULLS BUILDING DEPARTMENT
OWNER l ./)0-- '1 (\ ~ ~ \ d-t-e.{ +i e.,\ ~
JOB LOCATION 5/ 3 I C,O II BI v'~ ,
PARCEL LD. # 1/-;(L-;;2/ OD/o -/715-00-0DJO
SHOW ALL EXISTING & PROPOSED STRUC"IURES GIVING DIIlENSIOHS & SETBACKS.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
I /\
:J.t
~ 4-0 I
-_.._-~- -----~-_._-- r-
,
{le-w 30'
< ~ -7
-- S- G,
40 twO
6")(+' I
I
- -~~--~--------_.__._---- ~
FRONT PROPERTY LINE
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
p E
R X
0 I
10' p S 10'
0 T 1 0'
S I
E N
D G
20'
FRORI" PROPERTY LIRE
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM JO ' DUPLEX
1 0'
FRO1ft' PROPERTY LIHB
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
.~.
ZEPHYRHILLS FIRE DEPT
Business Name
Classification
Address
Owner/Manager
",
Business Phone
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
o FINAL 0 ANNUAL
o OTHER
o NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
Inspect. Date
Re-Inspect. Date
Inspect. Time
/i'
Fire Dept. I D #
Inspectors Name
Owner/Manager Signature
}
Title
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy - File Yellow Copy - Bid. Dept. Pink Copy - Business