HomeMy WebLinkAbout95-4889
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 788-6611
4889-13
';1--:2 7- 7'--s-
:;1.S"': c/ZJ .;2 b.. crV
~ ~;,;;c~ PLUMBING
Property Owner: .~~~ yJ~
Job Add.." so? ({, Sf s B ~ . /;;:'-;;":f
Parcel I,D, # dS-~,;l/~~A -- ~- 0'/
j) ~erg~ode:
Description of Workr ~4-
Date _
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
:5- }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
Permit Fee Y-.S. ":: o-u
Signature ~ ~'O C\.~
Company
Address
Telephone#
Valuation or
Contract Price ~ 7' '73. tJ?)
City License Registration #
State Certified License#
d~A...
C/) -<l /')/1 .t2./l ~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr,
Pre SLB
Lintel
FRM.
Insul. CL
WL
...
6i-T'-f tIN A'-
Driveway
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
5-4~15" .gU..1...finaI7
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICAfiON FOR PDKIT
CITY OF ZEPIIYRBILLS
BUILDING DEPARTKERT
_. s 1IAIDIb1BB-P:' s to ') IJi lL I tw (J, f'!l'C HB F l f-(. P. f"1f' R PBOllUl3 - "7 sf 2 - S- " In 1
,
OWER'S ADDRESS ~~lo4 ~ Pi E.""DfhoJ\JT' J').lfF"I-;z..EI+ly()~L1 S l +i. ~3.$""40
JOB ADDRESS c:: A Il1 'l . .......
;5~'-;[j)r{ -Jj!J-~fJ./
LEGAL DESCRIPTION: LOT(S)
t;/
r
BLOCIt.....-SUBDIVISION
PARCEL I. D. t. (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ew CoDstruction ----1dldition ~teration ~pair ~Ata1l
_Sign
----Ilove
->>eaolish
_~rcia1
----Yt/F _, of Units ----Yt/H
_Indust. _Swia. Pool ~ther
PROPOSED USE: _Single Faaily
.-Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK: I V I X I (61 ~1\~ A(" ~ ~Ll'd.. bi1\fCn
BUILDING SIZE:
x
Square Feet.
Height
RESIDERTIAL:
COMMERCIAL :
A'l'TACB (2) PLOT PLARS &: (2) SETS OF BUILDING PLANS &: (1) SET ERERGY FORMS.
A'l'TACII (3) SETS OF BUILDING PLANS &: (1) SET ERERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
)( BUILDING
40
$...cJ. 4-3. ~
PERMITS REOUESTED
valuation of Total Construction
RT.RCTBICAL
AHP Service
Florida Power Corp.
W.R.E.C.
--1IECllAllICAL
$
Valuation of Hechanica1 Installation
_PLUllBING
GAS
ROOFIRG
SPECIALTY
TYPE 9F mBsTRucnoN: _Block _FraIIe _Steel
Other
FDIISBED FI.OOR ELEVATIOBS:
Fl.
IS PROJEC'l IB FLOOD ZONE AREA?
YES NO
..........................................
~ COHTRACTOR SEC'lI:~OB )
BITTTDER ' COHPAIIY &..};1J ~
_ ,,,- \ . ~ Sta~e Cert. ~ Re8is~.'
Signature --:A...Q "\() ^ City License Registration ,
..........................................
RT.RCTRICIAII COKPAIIY
State Cert. or Regist. ,
SionAture City License Registration ,
..........................................
PLUIIBER COMPANY
State Cert. or Regist. t.
Signature City License Registration ,
..........................................
HEClWiICAL COMPANY
State Cert. or Regist. .
Signature City License Registration f
..........................................
nTR"RR COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
..........................................
APPLICATIOB APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
. !be uncfUsigned understands that tbis perlit lily be subject to .deed restrictions" wbieb lily be .re restrictive than City
regulations. !be undersigned asSUlf!S responsibility for cmpliance witb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, tbey lilY be required to be licensed in accordance witb
state and local regulations. If tbe contractor is not licensed as required by law, botb tbe owner and contractor lilY be
cited for a lisdl!leanor violation under state law. If tbe olfller or intended contractor are uncertain as to wbat licensing
requirl!leDts lilY apply for the intended work, tbey are advised to CQJltact tbe City 'Of Zepbyrhills Building DepartJent, (813)
788-6611.
Furtberlore, if tbe owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of tbe
"Contractor Sections. of tbis application for whieb tbey will be responsible. If you, as tbe OIIDer sign as tbe contractor,
you are indicating that you, rather tban tbe contractor, are responsible for tbe work. If tbe contractor wishes you to sign
as contractor tbat lilY be an indication that be is not properly licensed and is not entitled to pertitting privileges in tbe
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, tbe applicant, have been provided witb a copy of .Florida's construction Lien Law - BcIIeolmer's Protection
Guide" prepared by tbe Florida Departlent of Agriculture and Consuter Affairs. If tbe applicant is 8OI8OI1e otber than the
"owner", I certify that I have obtained a copy of tbe above described docuIent and pIOlise in good faitb to deliver it to tbe
"owner" prior to co.enceteJlt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all tbe infolliltion in tbis application is accurate and that all work will be done in COIpliance witb all
applicable laws regulating construction, zoning, and land develOpleJ1t.
Application is hereby Iilde to obtain a perlit to do work and installation as indicated. I certify that no work or
installation baa CDleDced prior to issuance of a perlit and that alllOrk will be perfOIlled to _t standards of all laws
regulating construction, City codes, zoning regulations, and land developteJ1t regulations in the jurisdictiOll. I also
certify tbat I understand tbat tbe regulations of other goverDleDtal agencies lilY apply to the inteDded wort, and that it is
I}' responsibility to identify what actions I lUSt tate to be in COIpliance. Sueb agencies include but are not lilited to:
t Departlent of EnvirOlll8lltal Regulation - Cypress Baybeads, Wetland Areas and EnvirOlllll!l1tally Sensitive Lands,
Water /Wastewater '1reatlent
t Southwest Florida Water Jlanagetent District - Nells, Cypress Baybea4s, Wetland Areas, Iltering Natercourses
t Arty Corps of Engineers - Seawalls, Docks, Havigable Watenays
t Deparf:lent of Healtb , Rehabilitative Servicesf lnvirODlelltal Healtb Unit - Wells, Wastewater '1reattent, Septic '1ants
t US Bnvil'ODleJltal Protection Iqency - Asbestos abatetent
I also certify that, if filllilterial is to be used in Flood ZOne "I" or "I, etc. ", it is understood that a drainage plan -
addressing a .COIpeDSating volute" will be subUtted wbleb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A ~it issued shall be construed to be a license to proceed witb tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official f1'Ol thereafter
requiring a correctiOll of errors in plans, construction, or violations of any code. Every pertit inued shall bec:aIe invalid
unless the wort authorized by sueb petlit is co.enced lIitbin sillOllths of issuance, or if wort authoriled by the petlit is
suspended or abandoned for a period of sillOlltbs after tbe tile the IOlt is ~ced. OJ1e 90 day atension of tile, lilY be
allOlfed for the petlit witb fee charge of $15.00. !be atension shall be requested in writing to the Building Official. In
approved inspection lUSt be logged during eaeb sil IODtb period, or the project will be considered abandoned.
WARHIIG '10 0VlfER: YOOR FAILORB '10 RECORD I HOllCE OF aJlMBICIIIIU lilY BESUL'I II YOUR PAYIIG nICE lOR DIPROVBIIBI!S '10 YOUR
PROPBIIfY. IF YOU IIDID '10 OBfAIB FIIJICIIG, CONSUL'I WID YOOR LBIDBR 01 U AnomY BIFOBB RICORDIIG YOUR HO'lICE OF
mlMBlCEHBIf. JOBS UlDIR '2,500 III VALUE DO 10'l1fEED '10 RECORD UD POSt A .DICE OF mIMBICBIIBIft'I.
SIGIA!lJRB: (IOID OR IGm
SIGII!lJRB: COftBIC!OR
S'IIfi OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
S'II'II 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
Zephyrhills Ordinance #430
All branch circuits shall include a separate grounding wire,
size and marking per National Electrical Code.
National Electrical Code Table 300-5
Circuit supplying shed shall have proper cover.
Table 300-5. Minimum Cover Requirements, 0 to 600 Volts, Nominal, Burial In Inches .....
(Cover Is defined as the shortest distance measured between a point on the top surface of any direct f
burled conductor, ceble, conduit, or other raceway and the top surface of finished grade, concrete, or similar cover.) ......
~
C)
Type of WIring Method or Circuit
4 5
3 Realdentl8l Bl'lInch Circuits for Control
Rigid' Nonmetallic Clrculta Rated of Irrlgetlon and
Conduit 120 Volta or I..a Land8Cllpe ~htlng
2 Approved for with GFCI Umlted to N More
Rigid Metal DII'lICt Burial protection than 30 Volta and
'LocatIon of 1 Conduit or without Concreta and Maximum Inetalled with Type
Direct Burial Intermedlete Encuement or Overcurrent UF or In Other ~
WlrI~ Method CabI.. or Metal Other Approved protection of Identified Cable
or Ircult ' Conductol'll Conduit Racewaya 20 Amperes or Raceway 0
All Locations Not ~
Specified Below'. . 24 6 18 12 6
m
In Trench Below2-Inch ~
Thick Concrete or
EquivalenC 18 6 12 6 6 :II
(';
Under a Building o (In 0 0 0 0 ~
Raceway (In (In 0
0
Only) Raceway Raceway 0
m
. Only) Only)
Under Minimum of 4-Inch
Thick Concrete Exterior
Slab with No Vehicular
Traffic and the Slab 18 4 4 6 (Direct 6 (Direct
Extending Not Less than 6 Burial) Burial)
Inches beyond the 4 (In 4 (In
Underground Installation Raceway) Raceway)
-':..'
,(\ ,~. ~.""""""'>
, , )
Table 300-5. (Continued)
Under Streets, Highways,
Roads, Alleys, Driveways, 24 24 24
and Parking Lots 24 24
One- and Two-Family
Dwelling Driveways and
Outdoor Parking Areas,
and Used Only for 18 12 18
Dwelling- Related Purposes 18 18 ,.
:!l
In or under Airport (';
Runways, Including Iii
Adjacent Areas Where ....... 8
Trespassing Prohibited 18 18 18 18 18
I
In Solid Rock Where 2 2 2 2 2 ~
Covered by Minimum of (In (In (In :II
2 Inches Concrete Raceway Raceway Raceway Z
Extending Down to Rock Only) Only) Only) Ci)
~
Note 1. For 51 urilts: one inch - 25.4 millimeterS !!l
:J:
Note 2. Raceways approved for burial only where concrete encased sha~1 require co,ncr~te envelo~ not less than 2 inc~es thick.. . 0
0
Note 3. Lesser depths shall be permitted where cables and conductors nse for ternllnaUons or splices or where access IS otherwIse required. CIl
Note 4. Where one of the wiring method types listed in columns 1-3 is combined with one of the circuit types in columns 4 and 5, the shal10wer
depth of burial shal1 be permitted.
.J,",....................