HomeMy WebLinkAbout95-5367
BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
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Job Address: '- S _ ---=:. _ ~u_
Parcell.D. # /d.- - ;l{., -rJ/ - () LJ;J 4- - n / 90 0 -
Date / I -?"- 7'0-
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
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Zon;ng, E~
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Radon Gas:
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NO OCCUPANCY BEFORE C.O.
FINAL
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DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
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City License Registration # Q.. 1!;;7
State Certified License#
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Company
Address
Telephone# iSC/---:3 (g<{
Valuation or
Contract Price
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BUILDING
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ELECTRICAL )1,2.
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM. v1I-llI-9S .8/(,1-
Insul. CL
WL 1/"14~9~ BIi..L
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Rough In 1m.) '1- 9 5. ~I? Tub Set
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
Final / z,.!...7 -4j. S J?1')!J
Breakers
Ducts Ins!.
Compressor
Final
Driveway
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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 ZEPHYRHILIS
BUILDING DEPARTMENT
OWNER'S NAME ~.Io<.KJ7 g ~ PHONE
OWNER'S ADDRESS S- C:.~ / % H. 2., ~J1 F / I'
JOB ADDRESS .s: Il VV/ E
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
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PARCEL I. D.' I ~ - ~ b - ~ (- <9 0;).4 - (a. j 1 ~ b I 9 () o. (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction XAddition _Alteration _Repair _Install
_Sign _Move _Deaolish
PROPOSED USE: _Single Faaily _M/F _' of Units _H/H
_<=<-ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Departllent Approval
DESCRIPTION OF WORK:
BUILDING SIZE:
x
Square Feet.
Height
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.
PERMITS REOUESTED
_BUILDING
$ ;1.000 ~
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
~CHANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
IT .
IS PROJECT IN FLOOD ZONE AREA?
YES NO
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BIJTI.DER
CONTRACTOR SECTION
COMPANY At/It e (p lilt pyx s C 6>/I/?? /":{> uJc ~
C'J.J () /' J /" .#4 ~ ~-A State Cert. or Regist. . f?R. oOS-?t;!c/9
~~~--:~- City License Registration' 3bd..
******************************************
Signature
=z COHPAllYg.AMl'17 C(lAMd~u.
. State Cert. or Regist. *
~ / L~4 City License Registration .
~ {.. ******************************************
IE" Le.eTkrcd Le1/</I.
~7:;l..
PLUMBER COMPANY
State Cert. or Regist. f
Signature City License Registration f
******************************************
MECHANICAL COMPANY
State Cert. or Regist. *
Signature City License Registration .
******************************************
OTRF.R COMPANY
State Cert. or Regist. ,
Signature City License Registration f
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait .ay be subject to Ideed restrictions" which aay be lOre restrictive than City
regulations. The undersigned assWles responsibility for cDlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay 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 aay be
cited for a .isdeeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
FurtherlOre, 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 .ay be an indication that he is not properly licensed and is not entitled to peraitting 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 - BOIII!owoer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If the applicant is sOleone 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" prior to coaencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in cDlpliance with all
applicable laws regulating construction, zoning, and land develoPElt.
Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perait and that all work will be perforJed to aeet standards of all laws
requlating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveruental agenCies aay apply to the intended work, and that it is
.y responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not li.ited to:
t Departlent of EnviroRlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US EnvirODlental Protection Agency - Asbestos abatel8Dt
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainage plan
addressing a "co,pensating volWle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A per.it 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 frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOlB invalid
unless the work authorized by such perait is cODenced within six IOnths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six IOnths after the tiae the work is co.enced. One 90 day eltension of tiae, aay be
allowed for the perait with fee charge of $15.00. The eltension shall be requested in writing to the Building Official. An
approved inspection mist be logged during each six IOnth period, or the project will be considered abandoned.
WARlHNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIIMEIICHMm MAY RESULT IN YOUR PAYING !WICE FOR IMPROVllmNTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FIJlAJfCING, CONSULT WITH YOUR LIIIDBR OR AM AT'fORHBY BEFORE RECORDING YOUR NOTICE OF
COMMHNCHHHNT. JOBS UHDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POS'l' A "NOTICE OF COMMHNCHMm".
SIGRA'fURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STA'l'E OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19____ by
S'l'A'l'E OF FLORIDA
COUNTY 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
A 1"T ACHED AlUIMHNUM COVERS
SEE CONNECTION DETAIL (PAGE 6-13)
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STRUCTURAL GRADE THERMAL PLY
WITH SIDING
2" x 4" P. T.P. PLATE WITH 3j8"x4 1 /2"
CONCRETE ANCHORS
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SEE CONCRETE DETAILS
S GH UTILI TY ROOM
CONNECTION DETAIL (PAGE 6-13)
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"W1"
2" x 2" x 0.044" ALUMINUM
2" x 4" @ 24" O.C. LUMBER
STRUCTURAL GRADE THERMAL
WITH SIDING
SHED IS FRAMED WALL ATTACH D TO
OST STRUCTURE
OR FRON T
PLA TE
O.C.
NOTES:
1. ANC
2. ANCH
3. ANCHO
4. ANCHOR
SEE CONCRETE DETAILS
UTILITY SHED AND CARPORT WALL SECTION
S.
[1@WI]'@U1)@@ @;o W@U1)U1)@tJtJg lPO@:O
CIVIL ENGINEER AND DEVELOPMENT CONSULTANT
P.O. BOX 4368 S. DAYTONA. FLORIDA 32121-4368
PHONE: (904) 767-4774
FAX: (904) 767-6556
@ COPYRIGHT, 1995 NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT WRITTEN
PERMISSION FROM LAWRENCE E, BENNETT, P.E.
SECTION: 3
PAGE: 3b=~3
-43-
CrJ."Y OF ZEPIIYRBILLS BUILDING DEPAR"I'HElft"
OWNER /J~ tiuRc: Cr S70wdl
JOB LOCATION S~ / %./- ?; T,'
PARCEL I. D. # /r9 -db - ~ I - C>6';)~ -(S>I c;DO " cu~a 0
SHOW ALL EXISTDIG & PROPOSED S'l'RUO"URES GIVDIG DIHEHSIONS & SE"l'BACKS.
.....
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
d3~ ST/(Et;T
ONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
10'
...P E-
R X
0 I
10' P S 10'
0 T
S . I
E N
D G
20'
2. SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
110
PROPOSED
20'SGL FAN 30 'DUPLEX
FROII'I' PROPERft LIME
FROII'I' PROPE1l"I'Y LDUC