HomeMy WebLinkAbout96-5554
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BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit Jl!
(813) 788-6611
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ME.P~ Ii ~J1CAL --Sewer Conn
Water Conn:
Zoning: Energy Code: Aa~
De,cript;onof Wo<k ~;;' X ~t ~,- ~ '
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NO OCCUPANCY BEFORE C,O,
Water Meter:
T.I.F.'s:
).!DT/0
6JlL ~
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C,Q,
Valuation or '# t !l II> c6.-b
Contract Price . 7. 0
Permit Fee
Signature .
Company
Address
Telephone# V 8/ ?, -
Inspector
City License Registration # _________
State Certified License# ~
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BUILDING
ELE~
---
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
PLU~.
~
M~
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
CITY OF Z HYRHILLS BUILDING DEPARTMENT
. LII/9p?7
PARCEL 1. D. #
1l-S3Ylft'
SHOW ALL EXISTING & PROPOSED STRUC'TURES GIVING DIMENSIONS & SETBACKS.
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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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STREET
1, SETBACKS FOR R1, R2 ZONING
60'
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P E
R X
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P S
o T
S I
E N
D G
20'
FROIft" PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
1 0
PROPOSED
20'SGL FAM 30 'DUPLEX
FRONT PROPERTY LINE
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SCALE 1 ·
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. DENOTES 5/8" IR SET .
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CU~VE OflTA ANOlE ~AOtUS
C I "'Oloe' .'000.
AIIC; TAIIO(Nr CItOIlD
~ 4'. 24 II!> U.2<4'
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAME !t/t dl PJ?7
OWNER'S ADDRESS ~cJS-
6?~.:Ss ;Ji ,
~hJmbd~tL
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PHONE 8/.3 18f?- tp,:J 3'7
7e,P), y.t1,jj: (j~ R
.JOB ADDRESS
I,EGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I,D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ~Install
_Sign
____Move
____Demolish
PROPOSED USE: ____Single F~ily
____M/F
____' of Units _11./8
____C~ercial
_Indus t ,
____Swim, Pool ~Other
S'7()M9~ she/'
I (J~ It;?
SmlCA?G 5'ha/ ~U P7 jJo/tud~ .t:=/~
7 Height
____Restaurant & Health Department Approval
UESCRIPTION OF
WORK: f)tUIn
J~ X J h ,
r ,
JI))( /10
BHlLJHNG SIZE:
Square Feet,
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
ATTA~I (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
rBUlLDING
~
$ /7f)t!J. 6b
PERMITS REOUESTED
Valuation of Total Construction
_EI,EL'TRIGAL
Al1.P Service
Florida Power Corp.
W.R.E.C.
-"ECRANICAL
$
Valuation of Mechanical Installation
_PUIHDING GAS ROOF ING
TYPE OF CONSTRUL'TION: ____Block -x'Fra.e ~Steel
SPECIALTY
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA? ~
YES NO
..........................................
CONTRACTOR SECTION
mLIumR.
COl1.PANY
State Cert. or Regist. .
City License Registration'
..........................................
Signature
ELEL'TRlClAN
COMPANY
State Cert. or Regist, f
City License Registration f
.*.**......*.........*....*..*.......*...*
Signature
PLUMBER
COMPANY
State Cert. or Regist. I
City License Registration'
..........................................
T
Signature
tlEGHANICAL
COl1.PANY
State Cert. or Regist. f
City License Registration #
...*...............*........~.....!1..,..
llt?i!I "5 51JEZT-S
COl1.PANY h1 tv &-.R _ E.: I./-X
State Cert.or Regis't. f
City License Registration I
..........................................
Signature
t?j..1O ~ ~ PtJWta! .~
IIUh/1I rG
!IDlER
Signature
APPI.ICATION APPROVED BY
PERMIT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. YNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor .ay be
cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City of ZephyrhiJls Building Departlent, (813)
'/88-6611,
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 (or 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 lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrhills,
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
JJ. ~ONSTRUCTION LIEN LAW (CIIAP'l'ER 713, FLORIDA S'rATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture ~nd ConsUler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docUJent and pro.ise in good faith to deliver it to the
"owner" prior to couenCl!lent,
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has couenced prior to issuance of a per.it and that all work will be perforled to .eet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
cerlify that I understand that the regulations of otber goverDlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
~ Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
~ Southwest Florida Water Hanagl!le~t District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t ~artlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
t ~~ EnviroDlental Protection Agency - Asbestos abatl!lent
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 "colpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit 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 per.it prevent the Building Official frOJ.thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becOIe invalid
unless the work authorized by such perlit is cOllenced 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 tile the work is cOllenced. One 90 day extension of tiae, JaY be
allowed for the perlit with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKHENCKHENT HAY RESULT IN YOUR PAYING TWICB FOR IHPROVEMENTS TO YOUR
PROPERTY~ IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COHKENCKHEKT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICH OF COHHENCRHENT".
..~ OR ~ 9-, SIGIIATORS: ctlIlTRACTOI
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 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 Oiltll.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC