HomeMy WebLinkAbout95-5198
BUILDING PERMIT -'
CITY OF ZEPHYRHIUS pe,m.N! :-519~ 13
(813) 788-6611
Date
g-- ~/-9S-
~ ELECTRICAL PLUMBING MECHANICAL
P<operty Owne' {!?- k,4'" ~ )
Job Address: \.? _1.::2. - / uti r _ __________ -
Parcell.D. # /I-.:l. h -::2/... () 010 - :1../:LtJ 0 - () CJ / (:;;J
Zoning: Energy Code: Radon Gas: c.5':? I-
Description of Work ~ A &L-(j- 0 .
Sewer Conn
Water Conn:
Water Meter:
T,I.F,,'s:
FINAL
l":l..
-
Z-.Cj ~
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
JI'7
.
Permit Fee
Signature
Company
Address
Telephone#
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~
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Valuation or
Contract Price t.3-3 6. f}-O
,
'\c!:I1, McRAP
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
-
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
Fr~
~
q --Zlrll ')
16\ i,Y
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM. 9-J5-fij s B J I..L
Insul. CL
WL
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 PERMIT
CITY OF ZEPIIYlUIILLS
BUILDING DEPARTMENT
;Q ~.
\J).t-4-;_ 11-9S
OWNER'S NAME
I
~Z:;CP/C
,/3 /f,,fe P/
,5'"s;r? /:L +;'1'/5;- five
I'
C>A/#~
PHONE
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OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL LD.' //- tJ-t- :;;/- 00/1) - d)/ fl.tJO-Ot) /0
(OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:+New COnstruction _Addition ~teration _Repair _Install
_Sign _Kove _Deaolish
PROPOSED USE: _Single Faaily _KIF _' of Units _K/H
_<=<-ercial _Indust. _Swim. Pool _Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK: C-A-/' /jr-~
BUILDING SIZE: 02 f X jJ lj. / /~ Square Feet. ' ;q~ = 'eight
RESIDENTIAL:
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.
~UILDING
PERMITS REOUESTED
/ / be?'. ~aluation of Total Construction
/
$
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
~GHANICAL
$
Valuation of Kechanical Installation
_PLUMBING GAS ROOFING
TYPE OF CONSTRUCTION: _Block ----=::::Fraae _Steel
SPECIALTY
Other
YES
~
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
Signature
CONTRACTOR SECTION
y COMPANY /,L5 - ./ It ~-:7 /P;/V'" tr '
L. ~ State Gert. or Regist.' 'oC/233S-
.P) 0', ./11 City License Registration' ~ '7
*****' *** *******************************
BIJTLDER .
SionAture
COMPANY
State Cert. or Regist. #
City License Registration t
******************************************
ELECTRICIAN
COMPANY
State Cert. or Regist. .
City License Registration t
******************************************
PLUMBER
Signature
COMPANY
State Cert. or Regist. t
City License Registration .
******************************************
MECHANICAL
Signature
COMPANY
State Cert. or Regist. #
City License Registration #
******************************************
OTHF.R
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perJit lay be subject to 'deed restrictions" whieb Jay be lOre restrictive than City
regulations. The undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay 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 lay be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
RContractor 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 lay be an indication that he is not properly licensed and is not entitled to perJitting privileges in the
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, the applicant, have been provided with a copy of 'Plorida's Construction Lien Law - HOIeOw.Der's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described dOCUJel)t and prOlise in good faith to deliver it to the
"owner" prior to cOJJenceJent.
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 cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has COIIeDced prior to issuance of a perJit and that all work will be perforJed to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveI1llental agencies Jay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in colpliance. Sueb agencies include but are not lilited to:
* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
* Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
* US EnvirODleDtal Protection Agency - Asbestos abateJent
I also certify that, if fill laterial is to be used in Flood ZOne "A' or "A, etc. ", it is understood that a drainage plan
addressing a .cOlpensating VOlUleR will be sublitted whieb 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 with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perJit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall hecOle invalid
unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of six IOnths after the tile the work is c_enced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NorICE OF COHHEHCBMEIft' HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR
PROPERTY ~ IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIHG YOUR HO'UCE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 Nor NEED TO RECORD AND POST A "NorICE OF COHHENCBHEIft'''.
SIGNATURE: OWNER OR AGENT
SIGNATURE: COliJRACTOR
STATE OF FLORIDA
COUlflY OF
The foregoing instrument was acknowledged
before me this ~ 19____ by
STATE 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 o~th.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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PHONE 781-5312
Cllu&e 0rW Ne.
7BR-fic:;qf~
CUSTOMER TELEPHONE
c.waet Ne,
L.B. McKell Construction
, 35648 Chancey Rd.
'1ephyrhills, Florida 34248
~ Mrs. Honn;p R~~~r
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T .Zephyrhills, FL
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DATE
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,VlAIUNG .uMHlt:s.'i
1R717 P4rQ~ ~tr9~t t lOt~ Avenue
33540
CERTIFICATE OF COMPETENCY 45
\ Statc Rcgistcrcd I Dep.
I Building Contractor RB0012335 \
TERMS
$1,000.00
woax TO D COMPLETED
Sept. :lOt 1995
7--14-91:)
Amoat
Hem
D~!IcriptiOll
Garage 24' x 24' x 11' wood frame building, con-
crete slab, truss roof, 4/12 Pitch.
1. Walls: 2"x4"x 11' studs, 16" on center, sheeted
with .024 aluminum "R" panels.
2.
3.
4.
5.
:15 .
7.
8.
-{
1 _ 12' wide by 10' high overhead door, 1 - 3' x
618" 6 Panel Metal Clad
'~I
Roof: Roof truss 24" o.C. 4/12 Pitch, sheet..dvlth
1/2" plywood CDX 15# felt, 2"x4" sub-fascia.
Shingles 235# fibreglas base
20' Ridge vent, drip edge, aluminum soffitt and
fascia.
'<, . J, _ \
s~a1 plans ahd per~its.
Mono slab 4nx24'x24~ footers 8"xl0., 2 No. ~ rebar,
continuous construction wire or fibre mesh .6 mil v. .
Pre-treat soil.
NOTE: No electric
\
\
,
GUAltANTEE: McKell Construction
guarantccs Work against defccts in workmanship
for a period of onc year to thc original
purchaser. Thc guarantccdocs not covcr
damagcs cau5tfd by high winds, tornadoes.
hurricanes, oj' any other acts of God.
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AatJIorilled ~...t1ve
(e
In event Seller has to sue f~r collection of all or any part of contract
price, purchaser agrees to p~y ,collection costs including reasonable
Attorney fees. ~
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sun TOTAL
.
.
.
SALES TAX
RUlLOIN(; PF.RMIT
CHAND TOTAL . 11,000.00
I [vl. _ it')
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Please make all checks payable to Lewis B. Mc:l~.
CITY OF ZEPIfYRl[[LLS BUILDING DBPARTHEIft"
13 t) 0 II) I'~ I.=f ri &r
,
JOB LOCATION J~?/~ ~'1'61 -+- /P ~~--e..
OWNER
2e/ ( ~", //.1 FZf.
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PARCEL I.D. #
SHOW ALL EXl:S'rDIG 51 PROPOSED STRUC!'URES GIVDIG DDlEHSIOIIS 51 SBTBACKS.
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ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2)
..
,
_ PROPERry LINE
STREET /~ -rle cf/rr:::',P r-
1. SETBACKS FOR R1, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
..P E-
R X
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10' P S 10'
0 T
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D G
20'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAH 30 'DUPLEX
1 0'
FROII'I' PROPBRTY LlltE
FROIft" PROPBR'I'Y LDIB
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2" X 4" ~A%lA
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AN) '>OfftT
O'lm'fAD DOOR
Ovm-EAD DOOR
<:tt.YC;ON l-IO
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DfX.. 2' X 4'
Tor Pl-A TE
V2' Pl- YWOOD
V M'OR f}J\RREX
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ROOF SYSTE~I
CONNECT OR T ABL-E
lJPLFT: I-A TERAL.: Ef\P WAI-l.- 115f'L-F
1-0 AP<?: 570f'L-F :300f'L-F <?H:ARW AI.-l.- :300 f'L-F
ROOF <?HEA THi\l6: GABI-E <?rEATHN6: #80 "O.G.
MANl.JFACTLJRER QLJA~,IITY I-OCATION FAC?TENERC? OADC?
C?1M"C?ON HO AGH TRLJC;C; #8 GOM !f3#
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'JMP'JON ~ OPENlNGC; 4320#
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L.D. McKELL
BUILDING
CONTRACTOR
PROPOSED
GARAGE
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BUILDING
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