HomeMy WebLinkAbout96-5513
BUILDING PERMIT --
CITY OF ZEPHYRHILLS Permit II!
(813) 788.6611
1~ 551~ 13
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Property Owner: .L. .'
Job Add....,,- -?,- --/:/ L!. ~- - n~ ..Q
Parcell.D. # ~
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Date
I -/,;;1. -YG
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
Description of Work~ /~.P1..A-1 ~
Radon Gas: h b y--
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
City License Registration #
State Certified License#
//7
.
Permit Fee
Signatu
Company
Address
Telephone#
DATE
Inspector -:$ C).3
.~~
Valuation or
Contract Price
..s '"-tTzJ7J. c-v
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v{lJ/l~/Ir~
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ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In /'\-2~<o .&15.
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB '
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Insul. CL
WL
6"~~ I "l1..'1(, ~
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.
APPLICATION FOR PERKIT
CITY OF ZEPIIYRHILLS
BUILDING DEPARTMENT
OWNER'S NAME <A€BHI4(2'1 COV~ilAJGl:S-e;PII..'t'H,J1U)~Tr> PHONE .81~.-78;J..-1 ?'1~
I
OWNER'S ADDRESS 3S 1)1 'i i' V!: L 'f'IJ L~ ~.t-(I(...L.> FL.. 335"'-1-0
JOB ADDRESS ~ 8 / (2.. f () t: c... 'rAJ L. tV . 2... H ( ~.L ! r L . J ; r 'fo
LEGAL DESCRIPrION: LOT(S) '-Dr ~ BLOClL..-SUBDIVISION O~I(. cn,fr'l'r.< iAT!)
PARCEL 1.D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:-"ew Construction v'Addition --Alteration _Repair _Install
_Sign
-....Hove
-Deaolish
80POSED~E: ~leF_ilY
---.Jt/F _, of Units _M/H
_<=<-ercial
_Indust. _Swia. Pool _Other
-Restaurant Ii Health Departaent Approval
DESCRIPTION OF WORK:
BUILDING SIZE: ~._I ~ 8
Square Feet.~eight
RESIDEIITIAL: ATTACH (2) PLOT PLABS Ii (2) SETS OF BUILDING PLABS &: (1) SET ENERGY FORMS.
COHHERCIAL: ATTACH (3) SETS OF BUILDING PLABS Ii (1) SET ENERGY FORKS.
80PERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION.
PERMITS REOUESTED
~UILDING
$
5000
Valuation of Total Construction
RT.RCTRICAL
AIIP Service
Florida Power Corp.
W.R.E.C.
---.JIECBAIIICAL
$
Valuation of Mechanical Installation
_PLUHBIRG
GAS
ROOFIRG
SPECIALTY
TYPE OF CONSTRUCl'IOR: _Block _Fraae _Steel
Other
FIlIISBED FLOOR ELEVAnORS:
FT.
IS PROJECl' IN FLOOD ZORE AREA?
YES NO
..........................................
BUTT.DRR
~.~~E::~CWj~_ ,vL
~ ' State Cert, or Regist,' R& ""^1~3
UI1fl:r CtJV/)lvf.!e.. r City License Registration . /J '7
......................... .............
~r~lliC
State Cert. or egist.' .f- cJ 0 l7 ~ ~
City License Registration' L <e '1
..........................................
Signature
COMPANY
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration t
..........................................
Signature
KECBAlU.CAL
COMPANY
State Cert. or Regist. ,
City License Registration ,
..........................................
Signature
OTRRR
-'.
COMPANY
State Cert. or Regist. ,
, City License Registration t
.........*~~.~...........................
, ; f$
;~-:..;'
Signature
APPLICATION APPROVED BY
" 'R<
."t. ;.'J
,P.ERHIT OFPlCER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!he undersigned understands that this pe1'lit JaY be subject to "deed restrictions" which laY be lOre restrictive than City
regulations. 'l'he undersigned assUJeS responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas 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
reguireI8Dts IlaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
Furthel'lOre, if the owner bas bired 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 wisbes you to sign
as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrbills.
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 - HoIemmer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJel Affairs. If the applicant is SOJeODe other than the
"owner", I certify that I bave obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
"owner" prior to COll8DCeJellt.
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, loning, and land developllellt.
Application is hereby lade to obtain a pe1'lit to do work and installation as indicated. I certify that no work or
installation bas CDlenced prior to issuance of a Perlit and that all work will be perfoIJed to l18et standards of all laws
regulating construction, City codes, loning regulations, and land developl8Dt regulations in the jurisdiction. I also
certify that I understand that the regulations of other gDVeIlll8Dtal agenCies IlaY apply to the intended work, and that it is
., responsibility to identify what actions I lust take to be in colpliance. Such agencies include but are not luited to:
t DepartJent of EnvirollleJltal Regulation - Cypress Bayheads, Wetland Areas and EnvirollleDtally Sensitive Lands,
Water/Wastewater 'l'reatlent
I Soutbwest Florida Water Managl!l8Dt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t A1'IY Corps of Engineers - Seawalls, Docks, Kavigable Waterways
t DepartJent of Health' Rehabilitative Services, BnvirODJental Health Unit - Wells, Wastewater 'l'reatlent, Septic 'l'anks
I US EnvilOJlll!Jltal 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 "COIpensating volUJe" will be subJitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A Perlit issued sball 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 pe1'lit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIJit issued shall becc.e invalid
unless the work authoriled by such pe1'lit is c~ced within sillODths of issuance, or if work authoriled by the perlit is
suspended or abandoned for a period of sil IODths after the tile the work is C08l!Dced. One 90 day 81tension of tile, IlaY be
allowed for the perlit with fee charge of $15.00. 'l'he 81tension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillOnth period, or the project will be considered abandoned.
WARHIHG '1'0 omR: YOUR FAILURE '1'0 RECO~ j. KorICE OF COIIMBICBIIEHt' MAY RESUL'I' IH YOUR PAYING fiICE FOR IMPROVEMEI!S '1'0 YOUR
PROPERTY. IF YOU Ilft'BIID '1'0 OBTAIII 'FixuCIKG, COISUL'I' II'I'H YOUR LDDBR OR AH A1"I'ORDY BEFORE RICORDIIG YOUR DICE OF
COMMElfCEMEHI. JOBS OlDER $2,500 IN VALUE DO lor HEED '1'0 RECORD AHD POS! A "lorlCE OF ClJIMDCEMEIf'I'II.
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I URE: OWIIE : R
S'I'A'I'E OF FLORIDA P,
coum OF ~ e-c::.>
The foregoing instrum~t was ackn)pwledged
before me this 2 <t' ff , 19..!t!L by
-
S'I'AR OF FLORIDA
COUlft'Y OF 1'14 $' c. 0
The foregoing inst~,nt was acknowledged
before me this ,.2Y'P7 , 19~ by
.
hrc.r-v2..lt-K.. f: a. ('t>H~1Z.1
who is personally known to me or who has
produced .?( C_ .
as identification and who did/did not
take
( S . ature) .... '
. <:.U r )<("2-<'(. ,~
(Name. Typed, Printed or Stamped)
NOTARY p. ACllERT 0 ....'Tm
. '. MlICommiesionCC331368
* * Ellpir.. Nov. 1., ,GG7
BondedbllANB
~.."'~ 800-862.5878
OWNER
ClT!' OF lBl'Bl'JUJZ:LLs BUJ:LDlJIG DBPARTHBN"l
It4r?..TCC,.xT. ,Ale.. T~f(It1' H, Irfdf4Tr. S jal~;- tiC ..../j"'f{.~
.3 ~ r; I ^ ~\J (.L 'r AJ LAA.v t. 2- (PJ-Ir'Il..I"'iILLS
L-iI''k O.4~ otfsr ~'r".rr.s
JOB LOCATION
PARCEL .LD. #
SHoW ALL BD:ftDIG &: PBDPOSBD ftkIA.'TuKES GIVDJG DDlBRSZONS & $B'lBACKS.
7'!;'
3'-
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ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SE'l'BACK
REQUIRED. ~
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
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(NOTE EXAMPLES 1 & 2)
1. SETBACKS FOR Rt, R2 ZONING
60'
10'
I"'P B_
ft X
0 I
10' P S 10'
0 , T
S I
E N
D G
20'
2. SBTBACKS FOR R3 ZONING
60' ,
1 O'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30' DUPLEX
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ntDRI' PROPKRft LDIB
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_ THIS BUILDING IS DESIGNED TO CONFORM
TO CHAPTER 12, SECTION 1205 OF THE
STANDARD BUILDING CODE FOR 100 M.P.H.
WIND LOADS .
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THIS BUILDING IS DESIGNED TO CONFORM
TO CHAPTER 12, SECTION 1205 OF THE
STANDARD BUILDING CODE FOR 100 up H
WIND LOADS M. . .
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