HomeMy WebLinkAbout95-5476
BUILDING PERMIT--
CITY OF ZEPHYRHILLS P~rmit IV!
(813) 788-6611
!~5476i5
Date
/2 -/ f~' 9-s-
.
c;L~I~
Zoning:
Description of Work
~- P~
::~::;::~., il1j~ ~~~~aw~
ParceII.D.# /:;J.- -_ _-__ 0- ~_~o- _9t)
~ ,.
U/P~
M~C.^.L
St:wer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Energy Code:
7<(/)4. /R1
~ado~ G~r ~
6 IL ~J.
NO OCCUPANCY BEFORE C.O.
FINAL~' .
C.O.
-q'::J
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration # 7'-)
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
/; I~!'
ELECT
PLU
MI;!;I-l^~IICAL
Ftr.
Pre SLB
Lintel /'
FRM. l
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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.
SITE PLAN
(RESIDENTIAL USE ONLY)
PARCEL 1.0.
,?-
SEe
:;2-(
.,.L~
03/0
OD660
o b 9 D'
RNG
5~ )-~
SUBO
R. ffo v) It-
BLOCK
LOT
TWl'
PROPEHTY MEASUREMENT
C~
CURRE.NT OWNEHS
C Iff/? CLS-
i3KiJGK.
DATE
All drawings shall be drawn to Beale for all parccls or lots five acrcs or less.
..
t"'1/ 5 tl,u (1
;.,k 't-( ~
EY6Tr~ ~_
o
~ 100 L.
I
.t;O
~',"",",
,/--- ~
~ (c) (NS'l.(..c....
/,)\
'1> -; (2- i f(.~ FIfr3
i 5 rf~t) \
\
)
//
\
\
I
1&
SHOW ALL EXISTING AND PROPf)SED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE
M"Y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PROPEHl'Y. INDICATE
THE SIZE, YEAR, AND NAME OF MOBILEi SUCH AS 121 x 601.1981. FLEETWOOD.
All "EASEMENTS", "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans.
DO NOT F'~lrROAr" T"J'l'() HI,. F~ fT'1.'1'" " "",
11 " ' , ~ " i
APPLICATION POR PERKIT
. CITY OP ZEPBYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE
. . c tIitR <-f-. S
5(, .).- ~:::L
~1H'1~
() Zo CK
r<..fkAJ j) 4
PHONE
78~
VA ~~ .
OWNER' S ADD~S
CK(
JOB ADDUSS
LEGAL DESCRIPTION: LOT(S) BLOClL.-SUBDIVISION
~& ~(_ _~ 064D'
PARCEL LD.' I~ ~ ~ D<..//O OOOo() tOBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ---...Addition --.-.A1teration --.Jlepair ~Install
_Sign
-.JIove
_Deaolish
PROPOSED USE: _Single F_i1y
--It/F _' of Units -.JI/H
_eo..ercial
_Indust. _Swia. Pool _Other
_Restaurant air Health Departaent Approval
DESCRIPTION OF WORK: 7u IIJS~ ~ ~ CttrJ,z..
<?yr)-
tu F/ff;>
S~j)
BUILDING SIZE:
cr; X /0 ,
90 Square Feet,
I
<3 Height
RESIDEHTIAL: AttACH (2) PLOT PLANS air (2) SEtS OF BUILDING PLANS air (1) SET ENERGY FORMS.
COMKERCIAL: ATTACH (3) SETS OF BUILDIMG PLANS Ie (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
" PERMITS REQUESTED
1(;).. ,.- Cf Valuation of Total Construction
$
_BUILDING
____ELECTRI.CAL
AIIP Service
Florida Power Corp.
W.R.E.C.
---1IECIIAIflCAL
$
Valuation of Kecbanica1 Installation
~UKBING
GAS
RooPING
SPECIALTY
TYPE OP CORSTRUCTlON: _Block _Pr_e _Steel
Other
FlRISBBD FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
IlIJTI.Dm
CONTRACTOR SECTI.ON
. ---:..-_:~;~=::--::> -S'UtJS'Tlh-lt..- /k-u/Y /AJu'i We-
;.------- ) ..,-.".,..--.:..:/ '/ alKPANY
/-//~~ -. -- State Cert. or Regist. .
City License Registration' '71
t..........................
Signa
ILG2 COMPANY
State Cert. or Regist. t
&.wm City License Registration .
~..........................
~ COMPANY
State Cert. or Regist. .
Sigm City License Registration'
..........................................
KECBABICAL COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
OTRF.R COKPANY
State Cert. or Reaist. .
Signature -.-' City License Registration f
..........................................
APPLICATION APPROVED B1 PERKIT OPFICER.
.
CONOITIONS OF PERMIT AFFIDAVIT
A. NO'l'LCEOF J)gED ltESTRICTIONS
'fbeundersigned understands that this pertit lay be subject toBdeed resttictiOIl8. .bid!Iil' be'lIOteretttictive than City
regulations.. fbe undersigned assUles responsibility for COIpliance with any applicable deed reatrictions.
B. ORLICElfSEb ' CONTRA'C*I'OltS, ,AND CONTRACTOR .RESPONSIBILIT1ES.
IftbeOlller bas hired a. contractor or contractors to undertake wort,. they lay. be . required to.be licenaed. inaccordal1cettitb
state aDd loeal regulations. If the contractor.18 notliC8b8ed as l'IlQuirlrllbtlav,bOthtbeOllD8t.iIJ1dconttldm'laYbt
ci ted for a lisdeleaoor violation under state law. If the OlDer at intended cOntrattor are Ulleettainas to .t UC8118!ng
requiruentalayapply for the intended work, they are advised to contact the City afZepbyrbiU8 Building De~, (813)
788-6611.
Pllttbetlorflt . if tbeiJlftletJias hired acontrmr or COlltractot1, be ill adfi'setftohDe tlIecoatractor(8) sign portiOllS of the
BContractorSe'ctionsB of this application for which they will be reaponsible. If you, astH 0IfJler sign as, tile contractor,
you are indicating that you, rather than the contractor, are responsible for the trOtt. If the conttactor wishes you to sign
as COIltractor that .Iilybe an indication that be is. notpropetly licensed and is not entitled. to petlitting privileges ill the
City of Zepbyrhillt.
C. TRANSPORTATIONIMPAC'I' . FEES MIl UTILITY ,'. COHNECTIONFEES
D. CONSTRUCTION . LIEN . LAW (CHAPTER 713, FLORIOASTATtJ'tES,AS AH8RDED)
1 l:ertlfy that I, the applicant, have been.provided witb a copy of B'lorida'sCOIlS'ttUctionLien Law _ lkIIeoIaler's Protection
Guide. prepared by the Florida Departlent of Agricaltureand Cons_Affairs. If the applicantl. '8ClIeone other than the
-owner., 1 certify that I have obtained a copy of the above delcribed ~t and pl'Olise in gOo'dfaith tadelivlr it to the
-owner'prior to COlleDCeHnt.
E. CON'l'RAC'l'Olt'S/OWNEH 'S .AFIi"tDAVIT
I certify that all. .the infOrltiltion in this application is accurate and tbatillllfOtkwiU bedCmeiJr COIpliance withal1
applicable laws regulatiDgconstructiiJn, JOlJing, ana landdwelopnm.
APPllciltlon isllerebyJade to Obtaill. it per.it to ao worlandioatallaUOIl as indicated. 1 cettify that tIO 110ft or
installation haa ClMntel1 prior to>iSSuanceof aplrlit and that . allllOl'iliUbepetf(JtlldtollltataJldardaOf aU. 1M
regulating COIl8tructiml, .Cftreodes, ..loningregUl.tions, ..and '. lancl.c1evelopleDt regulatiOll8 In, the.. judsdiction. I also
certifytbat I understamltbat the. regulations ofotbel' gOflmliebtalagencll8aey.pplytotlie intended work, aDd that it ia
If. respOnSibility to idelltify what . actions IlUIt tate to be in COIp1iance. Such_cia include but are not lilitedto:
t Departleb.t.of Envi~talRewlatiOD - typreaaBayIlead8,Mlandlreasandln,irODleJrtllly SeII8tUft Lands,
. . Ifater/lastewater treatleDt
t 'SOUtble&t FloridaWatetHiihlQtfettt.Dilttict.. Vellst CypteBa aaYbea4r,.lfetlaDdAteas,Altering, watercourses
t.ArayCorPs of Engineers.. seawalls,> Docb,'avigilblelatenrQ8 . .. '. . .
tDeP8I'tlentofHealth. iRl!habilltatiJe~ Senu.,lnYirODll8Du,I,llealth .Ullit ... ileUs, IUtllatetfreatlellt, Septic tants
.. us InvitoDlentalProtection Agency-.Asbestos abateaent
I also certify that, H fill aaterial,fsto be t1sedinPlOOd%One"A., or Bl,ete.B'iitia Ulfder&tood that<a4taiDageplu
addressing a B~till9 VOl.- lill be 'BUbiittet1wbich i8 preparedbyaprofesaional engineer registetecl in the State of
Floridapdor tOperlit iIIS1Il1lce.
Apenit issuedshlUbe CODstruedtobe a license to,proceecl,ith the wort and Ilot as autlbdttto 'iolate" cance1alter, or
set aside any provilions of the teclmical codes, nor shall issuanceofapertlt preventthe Buildill90ffieialfrOlthereafter
reqttiringa correctional errors. in. plans, construction, Or .violations of any COde.. Every perait issued aIla11 betGIe.. invalid
unless the wortauthodzeclby sUehperait is ~ed withih all IODths..of issuance, or if IOtt.authoriJed bftbe.petlit is
sl1spemleclor abandoned fora .periodofsiiGtha after the tile. the 1IOI't Is~. .0J1e 90 day utenaiouof tiae,Ia, be
allOled for the pertit with fee chatgeof,15.00. tbe eltensi.OD allan ,berequl8tedin.writing to .tD... Bui1dillg Official. All
approveditllpettiOil at be logg~duringeachsil 81th pedod,<or the project wiUbe. considered abandoned.
WIfUIIKG to .(MfBR : YOUR. FIlLURE YO RECORDA. KOfICE.' OF CCIIuClllDf MlY RlSULt II YOOR P1YIIfG. twICE POl .DIPROVIIIDrsro YOUR
PROPIRfY. .. .IFloo IIfDD 'YO()8'fl1H FIIIMCIHC, COJfSlJtr ."IDYooR..... OR 111 .JftORDYBlPOJIIlICOfU)llIG.YOUR ..leBOF
~. DllIIIDBR IZ.~~~~IO IlI.lIlD JID Rm I 'IlllIl'Il~~~~
. . ..-"-~~~::~:;~~.,.~?// .,J3f[~~-~-
SIGJlAfURE~iaMi'; '. . sHimmr:~bR
StAft; dPPOORl:OI. . . ,?)
coum o~ /45"( a
The.foregOing .instl'UDlent .was ackoowledtted
befOre me this _11 Ir-;).- .. ,19~ by
,
sYAflOFF'OOIttOl ,.' ~.
COUNIY OF ...' .. .... 4-$>C2> ,
Tbe, foregoing. in. s. tZ2i..... ..t.was aC~ledged
before me this . II. ~)..-.... j 19 9~, by
wbo is personally known to me or who has
prOdUced,
as identi,ficationand who did/did. not
We.aI1 ....th. 'Jft2ff.. ..~~
(Signature)
who is personally known to .eor wbo bas
produCed
as identification and who did/did not
tilkean O.tb~X:A-( ~~
(Signature)
(Name.Typed, pr
tfOt'ARY' PUBLIc
......- Ji;i'F'IA _
:~'~. "~:<MY C.,OMMISSIOt.; " '.;t45....r...1418
~. f i EXPiRES: M,,";,. .99 .
~~.wn~\\~;r.Bon~ T~~e:;,_ ._".':~?!:-m~rs
..
"t '" . .
S~E~~ )"l1\+'A?.I~,~~
-'v~. 7J> ~2 c;,U;
\;11 i1 ( ~, Yrl \;t -=?JJ..\I..L9 \'0' \tl S
1IOt-S';l bOO) lV, 'U'-/I< b001 UlWD
Illlf WlIIrJll 'WIluwo ..,.
....... 0..
INYllllSNOJ IN3Mll\30 - 1I331r.lNJ ~IJ
~111 enu~ ~ ~(JCij
!
?-
B ..
Ol'~ !<<
h Ii>
:;. !~~
liIIi ::;k
r H r- :::':-l ,., I..
\-:f ~
., gOi
~
"
~'::-.'l.'::"::'" :i
'-----
,
~
iil-
i'
;~
.j
! ! ::R'
": ': !
~
N ~ ~
.
\ 1/ ~
\
u
~
l>!
~
i
~ I
! ~
.1
I
'"
f
c
~C"
~
~
~
!
,/
Iii
i
I
J ie' 1001I"1-. ,'-s-i
SMA .t-.t --J
fl ~ i~51 Q
~~! ..
-SO>
-=-a l!!!R, ,,:
71.. ~llIiil
~I';>
!IJ i; Uh j.!
L ,,".r-1
- Ig!!J
; I-~
-I -~I
i ::11
~~;h ~ ~~~r
w-
e:
IlV ~
l>!
~
...... -r- ..... ~
-1_
~~
If:
h
I
.\
". :l \
.. -c:". \ \'
I ~ w : '.1
*,..! illtJ
".u', ri _ I_ loiE~
.... Oil!! G/iI.'-A
!dJ: h ~:! Ji2;
~. .
:.'1
.,.
i
...
..
10
..:.
II
~
~ wi'
. G . ~I
: "h' ~ ~
It !;I~!i ill/a ~ ~
l>!. iin IIIIR . 1_
,i y~ ~j!~ i.!
, ~Ii"hl:
: ~1 lifllll
W "
w ~ . ~ ..".
r !l "~ll Ii. t
I ili! . S ;
~ ~ I II~ i'l ....
i i~! w lei, I". 'j,,':
w II r: r ,~- ;~.,.
w ~ 'III I ~i .ID' .:,:"
i III h j a sU II:: . I I
l j ~~ r e .Ii ~::I, .':
~ W III' r: I i~i !:~ '
III h i I" I ' '-
j ~i I, i je! _~!t
! ItI ~I I '~i J'
'" orii ~a h. r
-.... ~ .. ori
~~
.!~
"
~~
, ,
~ !!
: t
i i i
~ ;:
r!
, .
. :
~~
!l~
~i
~l'" ....~.ri .
____-.;.._..__~_..I....... ';....h .:....~::~~..~~..;~.- I.
.
, .
.. '" , .
------.._---.. -'.~"--'-----'.-.'!>--