HomeMy WebLinkAbout96-5520
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Property Owner: ./
Job Address: .3 cr-- CJ t? .~
Parcell.D. #
BUILDING PERMIT'"
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
"{-552()J3
Date
/-/6-96
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
Description of Work ~"""\d~/i.1 ~
qt.~
Radon G~s: ,.1:.. ~ y
....J~~.J4 ~~
--J 1aA
NO OCCUPANCY BEFORE C.O.
FINAL i3 Ie ~
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
City License Registration #
State Certified License#
Permit Fee ~ ": Cr-Z)
Signaiure f2.. ~. -7# aiCff-
Company
Address
Telephone# 7~,;2 -;2 $ Y ~
Valuation or
Contract Price ..t .s--CJ7J . cri)
tf)/I./'hJ /t--
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
~ Final
t -10.% - k1G.~
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAKE YeT e V' IYJ, J11r+-r 7;;//
OWNER'S ADDRESS 3r?'?(J/ ~~LA Dr
JOB ADDRESS , '?<? 71'1 / ,/:1 ~ J.. p f)r
PHONE '}?,;J -~ J 7'7'
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
.~ Jr''->> ~.
PARCEL I. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED :_New Construction -X-Addition _Alteration _Repair _Install
_Sign ---1Iove _Deaolish
PROPOSED USE: -2!...single F8Ilily ~M/F _' of Units _M/H
_ec:-ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
.c J
....,J t:: Y',c e ,'-"
:R CJ (J rr?
J I'J I X /'1/,
BUILDING SIZE: _!t:. .__
/~ "/ 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
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_KECllAlfICAL
$
Valuation of flechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUTI.DER
SignaturetJ?~./
COMPANY
~, State Cert. or Regist. .
~ ~ City License Registration .
******************************************
F.T .RCTRICIAN
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
SianAture
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration .
***************************************..*
Signature
tlECBABICAL
COMPANY
State Cert. or Regist. t
City License Registration .
**************.*********************.....*
Signature
OTRRR
Signature
COMPANY
State Cert. or Regist. ,
City License Registration ,
******.********...*****.********..*..***.*
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this petlit lay be subject to -deed restrictions" whieb lay be lOre restrictive than City
regulations. the undersigned assUles responsibility for COIpIiance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they JaY 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 wbat licensing
reguireJents lay 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 whieb 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 Jay be an indication that he is not properly licensed and is not entitled to petlitting privileges in the
City of Zepbyrhills.
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 - HOII!OlIDer's Protection
GuideR prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJeODe other than the
"owner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
"owner" prior to COIl8IlCeJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoflation in this application is accurate and that all work will be done in cOIpliance with all
applicable laws regulating construction, loning, and land developleDt.
Application is hereby lade to obtain a petlit to do work and installation as indicated. I certify that no work or
installation has COIIeDced prior to issuance of a petlit and that all work will be perforJed to Jeet standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverJllelltal agencies laY apply to the intended work, and that it is
If responsibility to identify what actions I lUst take to be in colpliance. Sueb agencies include but are not liJited to:
.. DepartJent of EnviroDleDtal Regulation - Cypress Bayheacis, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health i Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
t US EnvironJental Protection Agency - Asbestos abateJent -
I also certify that, if fill laterial is to be used in Flood Zone -AR or "A,etc.u, it is understood that a drainage plan
addressing a UcOlpeDSating volUle" will be subJitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A petlit 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 perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued sharI beCOJe invalid
unless the work authorized by sueb perlit is COIIenced within six IOntha of issuance, or if work authorized by the petlit is
suspended or abandoned for a period of six IOntha after the tile the work is co.enced. One 90 day extension of tile, laY be
allowed for the petlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during eaeb six IODth period, or the project will be considered abandoned.
WARRING TO MER: YOUR FAILURE TO RECORD A NorlCE OF COHMDCEllElft' MAY RESULT IN YOUR PAYING !IIICE FOR IMPROVBIIElft'S '1'0 YOUR
PROPERTY. IF YOU ImlD TO OB'I'AIIf FlIAICING, CONSULT WID YOUR LDDIR OR AI AnORREY BEFORE RECORDING YOUR JfO'lICB OF
COMMBNCEMEN'l'. JOBS UIDER $2,500 IN VALUE 00 NOT HEED 'l'O RECORD AID POST A lHOtlCE OF COOIEJfClMBll'l'I.
SIGIIA!URE: OWIfER OR AGEN'l'
SIGIIA'I'URE: CON'l'RACTOR
STATE OF FWRIDA
COUlft'Y OF
The foregoing instrument was acknowledged
before me this , 19____ by
S'I'A'l'E OF FWRIDA
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 didldid not
take an oa.th.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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QIIlL ENOlNEER - DE\'ELOPIoIENT CONSULTANT
.0, BOX 4368
PORT ORANGE. fLalIDA 321111
TELEPHONE: (1104) 767-4774
fAX: (1104) 767-6556
THE: DESIGNS MID SPANS SHOMl ON tHfSt
DRAlMNIlS AIlE BASED ON THE LOAD .II[QIlIII[IoI[NTS
or THE rQUOllING COOES:
GLASS ROOMS I. ~=8 ~~~OOJJI~~~, 2:'"JIg...,:ONS
SOLID WALLS AND COVE or saCCI SSlD 10-13
2, BOCA NA TIOHAL BUILDiNG Coo[ 11113
3.. TEXAS DEPAIITlIENT or INSURANCE W1NDSTORlI
RESISTANCE GutO( 6-811
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SCREEN ENCLOSURES
SCREEN I VINVL WALLS
SOLID COVER
THE DESIGNS AND SP,o.NS SHOWN ON THESE
ORAIIIHOS ARE 8ASEO ON THE LOADREOUlREllEHTS
or THE rouOWlNO COO[S;
1. STANDARD 1lUIl.000G COllE 1994 EO. CHAPTER 16
JlICLUlltNO Al'PUCAIILE llIHO LOADS AND PROIIISlONS
or saCCI ss m 10-93
2. BOC... HI. TlON...L BUl.OlNG CODE 1993
J. TEUS OEPAIlTllENT or INSUR,o.NCE WIoSTOIlII
RESISTANCE CUlDE 6-S9
nATR: ~J)~\ \~ \ ~S
TO 'T'HE PASCO COTJNTY BUIT..DTNG DEPARTMSNT:
S!lN STATE A W"TNU'" TIIr 0 37 5 ~8 SR 54 WEST 0 Z F.PHYRHIl.LS 0 PI. 33541
AUTHORTZ"S: ~Q..- m14C1~~
TO TJSE OUR r.N\~HTEFRING PL.ANS FROM ~n,t.IAM tlENNRT'T'.
SUN STATE AW"WU~.O nrr._., 0 _...". om -r-. /-=0>
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4
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CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER ~7;;/' /1'/",- '"7e .?/
JOB LOCATION ..38' ?&/ P4A- ~~I
PARCEL 1. D. #
SHOW ALL EXISTING &: PROPOSED STRUC"l"URES GIVING DIMENSIONS &: SETBACKS.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION,
(NOTE EXAMPLES 1 & 2)
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1. SETBACKS FOR R1, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
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10' P S 10'
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10'
10' EXISTING 10'
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FRON'l" PROPERTY LIRE
FRONT PROPERTY LINE