HomeMy WebLinkAbout96-5544
BUILDING PERMII-
CITY OF ZEPHYRHILLS Permit II!
(813) 788.6611
j~554t t3
Date
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PrnpertY owne'~ ~ ~:!: ' .
Job Address: ~ /'
Parcell.D. # dS- - ~ - ..J-I- C;O....sV - 0 EJOOO'" I)~r()
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: ~ode:
Description of Work . . ...
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL 2- --
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
City License Registration #
State Certified License#
Inspector
Permit Fee ;;(. 0 . o--i)
Signature ~~ .;t-, ~
Company
Address
Telephone#
Valuation or
Contract Price .3 Ot) , tri>
c:tVv'Y\.1VL-
BUILDING
ELECTRICAL
PLUMBING
-
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER · S NAME R ALP t{ T, tr c. E /? r R.. Vt /) E MEA P PHONE? '? 2. - 1 'I ? ?
OWNER'S ADDRESS 7 J... 3 s- A 5 H tAN j) /J I<. j Z E 1> !/y" H / t.. t.. 5 I T L 3 '3 S $< (J
, /
JOB ADDRESS /.8 S- A 5 fI LAN j) JJ I?. 2 E f7 fI Y !<. H 1(.. t... 5 , F L 3 3 S ~ C>
,
LEGAL DESCRIPTION: LOT(S)
PARCEL LD.' ,'3.5" 2.. S- Z / 005- ()
BLOCK SUBDIVISION
o 00 0 0 02.. 8 () (OBTAIN FROfl PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ~dition --^lteration _Repair _Install
_Sign
_Move
_De.olish
PROPOSED USE: ~ingle F~ily
_"'F
_, of Units _M/H
_C~ercial
_lndust.
_Swi.. Pool ___Other
_Restaurant & Health Deparbaent Approval
DESCRIPTION OF WORK: 8 t1 / t. j) A L VI M I N 11. /VI.. tA r / L ( r Y 5' /-t F P (J N ex / 5 T /IY C- P t4 T ( 0
BUILDING SIZE: 6' X ;,.5. '1-5" Square Feet. 7,s- 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.
-"ECIlANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRU(''TION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
*..****..****..********.******.*..*.*.*.**
CONTRACTOR SECTION
BUILDER ..
~.
Signature ;t.
COMPANY
State Cert. or Regist. .
.~ City License Registration .
*.********....*....*..**.*****.**..**....*
ELECTRICIAN
COMPANY
State Cert. or Regist. .
City License Registration ,
****.***.*.......*.*.*.***.*****.....*...*
SillnAture
PLUMBER
COMPANY
State Cert. or Regist. ,
City License Registration .
.****.***..*..*.****...*******.***.......*
Signature
KECBABICAL
COMPANY
State Cert. or Regist. ,
City License Registration .
*****.*..*.***.**...**.********....*.....*
Signature
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration ,
***********.***********.***********.**.*.*
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this perJit lay be subject to "deed restrictions" which JaY be lOre restrictive than City
regulations. Tbe 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 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 what licensing
requireJents JaY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
788-6611.
FurtherJOre, 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 lay be an indication that he is not properly licensed and is not entitled to perJitting 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 - lfoIeowner's Protection
GuideD prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOJeOne other than the
"owner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
"ownerR prior to cOlleDceJent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the infoflation 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 Jade to obtain a perJit to do work and installation as indicated. I certify that no work or
installation has COIIeDced prior to issuance of a perJit and that all work will be perforJed to Jeet standards of all laws
regulating construction, City codes, zoning regulations, and land developJeDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDJeDtal agenCies JaY apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to:
* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands,
Water/Wastewater TreatJent
* Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* AllY Corps of Engineers - Seawalls, Docks, lIavigable Waterways
* DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
* US EnvirODlental Protection Agency - Asbestos abateJent .
I also certify that, if fill laterial is to be used in Flood Zone RAR or "A,etc.D, it is understood that a drainage plan
addressing a ucOlpensating volUJeR will be sublitted wbieb 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 autbority to violate, cancel alter, or
set aside any provisions of the tecbnical codes, nor shall issuance of a petlit prevent the Building Official frQl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOJe invalid
unless the work authorized by such perJit is cOlIBnced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is ~enced. One 90 day extension of tile, JaY be
allowed for the petlit with fee ebarge of $15.00. The extension 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.
WARKING TO OWIlER: YOUR FAILURE TO RECORD A IIOTICE OF COOlDCEHm MAY RESULT III YOUR PAYlIIG TWICE FOR IMPROVEMmS TO YOUR
PROPERTY. IF YOU IDEIID TO OBTAIII FIIWfCIIIG, CONSULT WITH YOUR LEllDER OR AIf AnORlEY BEFORE RECORDIIIG YOUR IIOTICE OF
COMMEIICEMENT. JOBS UIIDER $2,500 III VALUE 00 lOT IIEED TO RECORD AIID POST A ulIOTICE OF COMHEHCEMEIft'N.
SIGNATURE: COIft'RAC'fOR
SIGNATURE: OWNIlR OR AGED
STATE OF FLORIDA
couny OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE 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
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OWNER r HE !vi F AP fA M J( y Tt.l-( 5T ( {( ^ (/'11 T ~ Ce RTI< t<./JE
JOB LOCATION 723> A5/71ANP DK / 2Ef'IIYfHILt..5) FL
PARCEL I. D. # 3)' 2. 5' .l... I c..'> " S- () () 0 0 0 0 ,,).. i? 0
/<.., !vIEAp TTEE5)
33SCjc)
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
75
Q Concrete walks
~ and driva
0.':- Proposed shed
. . location
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT
15 FOOT SETBACK
REQUIRED.
7.5
6........ 16
Screened
::::::::::::::::::::: :::::::: Enclosure
475
1.'127.4 One::.~'"~
32.7
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13.9
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR R1f R2 ZONING
60'
10'
P E
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
FRORl" PROPERTY LINE
FRONT PROPERTY LINE
r
24.0
12 1
100
38.8
14,8
r
25.2
1
( 13.5 )
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30' DUPLEX
1 0' 1 0'
FRONT PROPER"I'Y LINE
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RFSIPENCE
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