HomeMy WebLinkAbout95-5278
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BUILDING PERMII ---
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
-;-5278<8
Date
/e> - ;9 -9r
MECHANlrdl
--
~ewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
DATE
DATE
0_0
Valuation or ~ <II .
Contract Price-.::r ~ SF O~
City License Registration #
ertified License#
ompany
~ddress
Telephone#
BUILDING
ELECTRICAL
/
Breakers
Ducts Insl.
Compressor
Final
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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.
o
o
~~ INVOICE
5'1-"'f -/80 ( -J (00 - J'f , 0
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YOUR ORDER NO.
S~I~
.W q()C/ SG,1o/~log
~ ~3;Z t,
INDUSTRIES INC
MANUFACTURERS OF THE'
061 HWY. 92, W.
UBURNDALE, FL 33823
113) 665-3767
BUL~HED
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OUR ORDER 0,
QUANTITY QUANTIT
ORDERED SHIPPED
STOCK NUMBER/DESCRIPTION
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- ---..- - --- - - -- -".-
- - ._"._- ----'--. -~-_.- .-......:...-- - -. - - - .-- -"-.--- -.----.. -".- --~"._---
PASCO COUNTY BUILDING PERMITS
NAME AND ADDRESS FOR PROPERTY ID: 13 26 21
PARCEL IS LOCATED IN CITY ZH SC TP RG
NAME 1: PORTER BARBARA J NAME 2:
':::T LN1: 390,''::';:) CAHDIN?~L A')E ~;:n LN2=
CITY: ZEPHYRHILLS STATE~ FL ZIP: 33540-2208
--------------LEGAL DESCRIPTION FOR PROPERTY---------------------------------
EA~:';Y {~CnE~=; ~::;UB PB 10 PC; 100 LOT 1 (I
on 3::~::;;:::: FC; 634
[ATE: 1 O/O:~/9~:;
0100 00000 0100
SUED BLOCK LOT
NEXT-FUNCTION: LD
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
-g'/i,,(ffll,lZ/l-J ~.e-!r=:L/
,
OWNER' S ADDRESS 3 9tJ 3 9 tfAt~.P /.#/1- / /1tJE 2-e..e:JA v/' k //r
/ .
89039 t!.I?e.lJI4IHI ,.4p1E 2e~Av".~//s ,F/ 33S-c,Lc;)'
, ,
SUBDIVISION ~)1 S~ ~ {! ~5' c )()b
, .
PARCEL 1.D.' /3- .::2t,'- d:</ - 0 loa - OC)Oct::) - 0 j6cOBTAIN FROH PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ~Addition _Alteration _Repair _Install
OWNER · S NAME
PHONE 8/':3 7 Y 3 ;Z sL (, <,L
/7 33'~f?O
,
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
_Sign
-"ove
_Deaolish
:P'
L. of Units _H/H
PROPOSED USE: _Single Faaily
_H/F
_~ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK: ;:s ht tI A B 0 11. f S 1/ E TJ
.
BUILDING SIZE: / () X d f. Square Feet.
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
/BUILDING
PERMITS REOUESTED
$
~~ OL), ()O
Valuation of Total Construction
_ELEC'l'RlCAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Hechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
~Fraae _Steel Other
IS PROJECT IN FLOOD ZONE AREA? L
YES
NO
FINISHED FLOOR ELEVATIONS: F1' .
******************************************
CONTRACTOR SECTION
. " COMPANY ,<;'/lIlli gUILt EI/l:JJ5" 0w~~
~~ ~ State Cert. or Regist. f
Signature c/ ~- ---~r~ City License Registration'
e~ ~ ' ~~~;eL~:~~eo~e:~:~~:~i:n #
** ***************************************
BUILDER
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration t
******************************************
MECHANICAL COMPANY
State Cert. or Regist. #
Signature City License Registration f
******************************************
OTHRR COMPANY
State Cert. or Regist. ,
Signature City License Registration #
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands tbat this perait laY be subject to .deed restrictions I wbich lay be lOre restrictive than City
regulations. 'he 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 ower and contractor lilY be
cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents aay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, be is advised to bave 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 wort. 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 peIlitting 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 .Florida's Construction Lien Law - HOIe01fJ1er's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUlN!r Affairs. If the applicant is SOHone other than the
.owner", I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"owner I prior to coaenCl!lent.
E. CONTRACTOR'SjOWNER'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 COlleDced prior to issuance of a peIlit and that all work will be perforJed to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDleDtal agenCies aay apply to the intended work, and that it is
IY responsibility to identify what actions I lUst take to be in colpliance. Such agencies include but are not lilited to:
t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
WaterfWastewater 'reatlent
t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US EnvirODleDtal Protection Agency - Asbestos abatl!lent
I also certify that, if fill laterial is to be used in Flood ZODe IAn or "A,etc.", it is understood that a drainage plan
addressing a uCqlpensating volDleN will be sublitted which 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 perait prevent the Building Official frUl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
unless the work authorized by sucb perait is COlleDCed within sil IOnths of issuance, or if work authorized by the perait is
suspended or abandoned for a period of sil IOntbs after the tile the work is c~ced. One 90 day extension of tile, lily be
allowed for the perait 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.
WAIUlING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF aJlMEKCEJfElft' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEllED'S TO YOUR
PROPERTY.. IF YOU IJI'IEID 'l'O OB'IAIM FIMAIICIMG, COMSUL'I WI'IH YOUR LEIDER OR All AT'fORREY BEFORE RECORDIMG YOUR MOTICE OF
COMMEMCEMElft'. JOBS UHDER $2,500 IN VALUE DO MOT MEED '10 RECORD AND POST A "NOTICE OF COMMEMCEMElft'".
~~~
SI~ATURE: OWNER OR A SIGMATURE: COIft'RAC'l'OR
STATE OF FLORIDA
coum OF
The foregOing instrument was acknowledged
before me this , 19____ by
S'IATE 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)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
SM/THB/L T /NDUSTR/(;i
PORTABLE BUILDING ANCHORS
INC.
BUILDING ANCHOR SCHEDULE
NO. OF A NCH. @ NO. OF ANCH. @ TOTAL ANCH.
BUILDING SIZE END OF BLDG. SIDE OF BLDG. PER BLDG,
----- ------
8'. 10'& 14' WIDE TO 24' LONG 4 4
48' 4 2 6
50' 4 4 8
20'.22'Jc24' WIDE TO 24' LON 8 8
------.------ -----------.- ..-...-----------..-. .---...-----
18' 8 2 10
50'
8
4
12
BUILDING ANCHOR DA TA
MODEL BAR EYE HELIX
NUMBER LENGTH DIAMETER DIAMETER DIAMETER
J6SHEJ4 JO' Y2' I Y2# .4#
UPLIFT CAPACITY
IN NORMAL SOIL
2500 Ibs.
. 0
J1QIL'
THESE ANCHORS MEET THE WIND REQUIREMENTS OF THE
1993 STANDARD BUILDING CODE AND THE AMERICAN
NAnONAL STANDARD INSTITUTE CODE ASCE 7-88.
SKID (TYP.)
/ SIDE: ANCH.
DBL. WIDE _ _
ONLY .1-- ---------------,_
~' I
I ,
:1- - - - - - - - - - - - - - - - - - -1:
BOL T THRU ANCH. Jc 2x6
SKID OR HEADER BEAM
w/ %'" X 4' LAG BOLT--- 0
BAR
..
I I
, I
~L - - - - - _ _ _____ _ _ _ _ _ -1-
. .
END ANCH.
ANCHOR SPACING PLAN
HELIX ---
WEE'~~
SCAU NONE
DIVoWN IY W.O.M.
CII!CK!D Iy W,J./.I.
CIIECKED trY
DAlE
2 '6 IJJ
2 '6 9J
lOCAnOIl or .101
rllOJECT NO.
a.. . A "'cCAJUJff. YODDY AND ASsoaATU. "c.
IVtV~CtiMM.,." _. iMlWii~"OU;-
FlPICAL PORTASL SUlLOINe ANCHORS
SINGLE AND DOURIE. WIDE BUIIDINCS
SAUmSILT INDUSTRIES INC.
AU8URNOALC ORIOA
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