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HomeMy WebLinkAbout96-5676 BUILDING PERMIT-- CITY OF ZEPHYRHILLS pe,mit'lft 5676 (813) 788.6611 Date, "5- GO-qt{J EL~ p~E~~,conn PmpertyOwne, ~ :::'~:;e' Job Add,e.", 3:"'- L ~ ~ i. J ~ q (l . ~ \ T.IF'. Parcell.D. # /lJz.- , _ - ~~/ _L:1C> oP-~O Zoning: Description of Work Energy Code: Radon Gas: ~F ;tle-L NO OCCUPANCY BEFORE C.O, Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O, DATE Valuation or ,ff. I ~ --0' " ~D. /!) 0 Contract Price 1 _ v -- City Ucense Aegistration' IV / /l- State Certified license# I Inspector Permit Fee #~O Signature' ~) ~~---------- Company Address Telephone# DA E W~ ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough!n Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB lintel FRM. Insul. CL WL 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 PERKlT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE 7,(; ~ h / by".... ,j/I/ ~ b .fA.. t---' OWNER'S ADDRESS i,f 7)...Y I/tA /~ UYI ~ /~ PHONE .t-} 1- ?;-,I- c- 1... 2-- 'f JOB ADDRESS .J,f 7 ;L Y (/ 1'-( /.. 0/ V? C- I v- .2- c:- A ~ ~ . ~ I )1 r ;-:= / 14 .7 .J J-y. 6 .;2. e- ;' ~ <-? _ h. I / r Ie 11'9- 3J r'r ('j LEGAL DESCRIPTION: LOT(S) ~ ~.2 - ;z. c: -2- 1- cJ d I ~ - PARCEL I.D.t ~ ? ~'A- + .-:-::l ,,-;-1:3 .- SUBDIVISION C/ I I / J1. if " , ~t:>dC1(J - c?OfO (OBTAIN FROM PROPERTY TAX NOTICE) BLOCK c~_ b--- ~ - WORK PROPOSED:_New Construction _Addition --^lteration ~Repair _Install _Sign _Move _DelIO I ish PROPOSED USE: _Single Faaily _M/F _' of Units ..l::::::Jt/H _eo..ercial _Indust. _Swia. Pool ___Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: / /y' J /' n-/ I .fY' ~ ~ /? 4' " r- BUILDING SIZE: x 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 REQWBED FOR ALL NEW CONSTRUCTION. PERKlTS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECHAIflCAL $ Valuation of Mechanical Installation $r I r 4 ~ ROOFING SPECIALTY _PLUMBING GAS TYPE OF CONSTRUCTION: _Block _Fraae ~teel At..l(i'VI Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ---*************************************** CONTRACTOR SECTION Signature .t:; p If COMPANY State Cert. or Regist. . City License Registration . ****************************************** BUILDER ELECTRICIAN COMPANY State Cert. or Regist. t SianAture City License Registration t ****************************************** , PLUMBER COMPANY State Cert. or Regist. t Signature City License Registration t *******-********************************** MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration t *************************-**************** OTRF.R COMPANY State Cert. or Regist. t Signature City License Registration t ******-*********************************** APPLICATION APPROVED BY PERKlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penit .ay be subject to "deed restrictions" whicb Ey be IIOre restrictive than City regulations. Tbe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner bas hired a contractor or contractors to undertake work, they .ay 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 Ey be cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents .ay apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the "Contractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that .ay be an indication that be is not properly licensed and is not entitled to per.itting 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 tbat I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law _ HOIeOWner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsDler Affairs. If the applicant is sOleone otber than the .owner", I certify that I bave obtained a copy of the above described docUlent and prOJlise in good faith to deliver it to the "owner" prior to couenCetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land developllent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a penit and that all work will be perfoned to leet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveruental agencies Ey apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Sucb agencies include but are not li.ited to: t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatleRt * Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering watercourses t Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways * DepartleRt of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tants t US BnvirOOlental Protection Agency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone HA" or "A, etc. ", it is understood that a drainage plan addressing a "coapensating VOI088" will be subtitted wbicb is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A penit 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 tecbnical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery pertit issued shall beCOle invalid unless the work authorized by such per.it is cOBenced within six IIOntbs of issuance, or if work authorized by the penit is suspended or abandoned for a period of six IIOntbs after the ti.le the work is couenced. One 90 day extension of tiu, Ey be allowed for the penit with fee cbarge of $15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during eacb six IIOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOrICE OF COHHBNCEHEIft' HAY RESULT IN YOUR PAYING TWICE FOR IHPROVBImlft'S TO YOUR PROPERTY. IF YOU IIft'RlfD TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN AnORNBY BBFORE RBCORDUfG YOUR NOTICE OF COHHENCEHEIft'. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHBNCEMBIft'''. d ' ~/ ,----. " "-t./~ ~A:~ J SIGNAtURE: OWHER OR AGE1ft' /-r;[ ~._' ~'~A~ _ ) SIGN~TURE: COIft'RACTOR STATE OF FLORID~ COllN'lY OF !7lS(lo The foregOing instrument was acknowledged before me this J'J11lR ~D , 19 9-' by I h~,ee Wllbsr~/L-- who is personally known to me or who has produced as identification and~d/did nnt ~O.~- (Si ature) (Name Typed, Printed or Stamped) NOTARY PUBLIC STATE OF FLORIDA /2 . coum OF tZ!.. oS (10 The foregoing in~;rument was acknowledged before me this /I'~, ~C,), 19~ by /l1eu~te~ 1v6'~crt<>~ who is p~rsonallV knnwn-to me or who has produced as identification take o~th. ame Typed, Printed or Stamped) NOTARY PUBLIC JAMES A. STONE Notary Public, State of Florida My comm. expires May 16, 1999 CC 446560 JAMES A. STONE Notary Public, State of Florida My comm. expires May 16, 1999 CC 446560 WAX. ~~ r-~~ ~PNn SlHQ.E lIIIO( wreu: ~ SNCt.E 'MDE !.tooLE HOME <:P ~ (sa T..a.E ,) B r~r-E DOUBLE 'MDt: COvtRING TYPE I ~TrO IJ..1.I'lIllNI.lW ~ T C,A&! o..OSlJfi:! s ~ OIJ CP 1"lOiAl.. AU. S<: CTlCNS I ~~ (sa TACLr ,) IJ..~ PN..a RQC1' 0'tUt B B DOUBLE WIDE COVERING TYP:: " Al.U\f~ P AI€L I~ F~ CR CVTTER C'P"T)CN.A.l. oo.rau: Jll(lE WOOIl.E ~ 03 F! x ,rr ~T ~.a.t.. ~ EA~ 00 CF ~ P~ w/"ASl€R'S ~ PA1'4 SIlt tJa..( , .3 ~Irr S}![tT wtT.a.t.. ~'II/w~ ~ DfO EA~ p ANE1. ~~) ~ F ASOA llfTH Cl..PS 04' -(J 0. C I ,",..4" CR ru-..o.0L4" R(U FOl':lJtl) ~ 'fit "~/.. SloIS 0 6 O.C toITO,~ ~...~ "'~ ,.,,4- CR rs.J"'..o.~ R(U FCRlJED AN<U: "III "O-cl/." ~ 0 6" O.c.. INTO COA~ f1W,Ii~ (CP~~) AUJ\CWOW P A1'4 SIlt T.-&.E I . ~ ~ PM(!.. ~ ! TO m Sl..O='( ~ nw4 S riO TO-4 P A/-El. RISERS N-C sPUa: NO~ ""~ ~ S( Ci)()oC "I J F! 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AAOiCRS CAN ee: .a.DOCO TO ~E'It LI>tC(~ S?ANS AHO ARt Ri~ 0 WU $?AN TO EU\.r.NA TE PAN R\..l'I3t.E.. 0.019- ~ COVER P~ CR ~ H ~ ~ x ~~ ~ Ft(:SISTM: ~ HEADU) SCRtWS 0 2.- 0, c.. IJ.."ltRNA TE f8 II 5% SWS Wi t.iZ' DWoIEitR l'lA9<ER.. L.-.l nPlCAL PANEL 1olO TE S: t. t4STAll 000 FOAJJ Qo($U.ATICN toIlO AlWN.1U ,Reo:" PAN. 2 O::~ NStUTlON \Ill~ O.Olg- ~TECTOR P....'/U 'WITH ~ su.ws. ~ 1NSl.,UTl()ll( P......u. ~ Bt o..osc:o 'WITH Al~INV'" ~ CJ.P TO S(CIJR( ~T AJ./D TO ~ no(( NES~ CF llllDUft AJ.IO OR ~CTS. .. ~T'E~ P"-"'El. WU B( SEO,;RED BY ~ x 5% ~e&:N ~ wASH(R HE..AJ:O ~ 5. ~ PAT1"ERN 'fIIIU B( Ir ON AU. P(R:1ItTE~ AND 2." o.c.. f"1(U)' ~ E.A01 PAiiO.. &. AlI.:ION.. 'W DolO IJ.P wu ee: A T1' A. C>lED 'WI ~ 03 /&.' /2- CCf':ROSI ~ P'{ 51 S tlYE W ASl-iE:R "(AD(!) ~ 7. $V..l.. JoU. SC?t W HtADS "" ~ OJ.!\..)( IN Co ALTE~~ATE ROOF OVER CONXECTION: USE 2"x 2"x 0.044. TUBING I AROUND THE ROOF PERIMETER. CONNECT TO THE COACH WITH # lOx 3" THROUGH THE 2"x 2" @ 16" O.C, HITO THE ROOF FRAME OR # 8x 1-1/2" TROUGH A SCREW BOSS IN THE TOP OF THE 2"x 2" THROUGH THE BOTTOM OF THE 2"x 2" @ 16" O,C. INTO THE ROOF FRAJolE. 2"x 2" FRAMl~G ALONG THE RIDGE CA.'i BE USED IN LIEU OF DETAILS SHO....'N. 2"x 2" FRAMING AT THE MID-POINT BETW'EE..'i RIDGE .....'W EDGE OF THE ROOI'" MAY BE USED TO EXTEND ROOF P.....~ SP.....~S. MID-POINT FRAMING SH.Al.L BE .....~CHORED INTO THE ROOF FRAME. III II'l ... ~ z Ovo. 'i -s LJ Cl:O ::I ...s l:ta: 15 ~~ 0.0.. ~ :r.o <0 Vl j;;;~ 5~ ~ 50~ a'" ~ ~ i..J 1oJ~ - V ow ;g w ~ ~~ ~o ~ ~ Iii z ~"" VlZ~8LJl! 0 Z ~o;:s z -.. ~ov ~~ '3~"? ~ U<':5...0 o-<oz i!;, ,0 a) z.... C) o~- Wa ~LJ~ 3~~ -:t. ea "'~j C)~'" ~ ~ ~ 00 "'I:Q.W in:S"ll:~Q < LJ~ LJZ"" -<(5V Z 0< alii: ~~~ < ~~ ~~,. ...d,. g >cin c;;;oo "";0 C) l::'~ ...; N"'; 0) ~ UJ .... 0) >- Q) a: UJ > o u. o o a: ~ B ... gf~ ~~ ~. ~A =~ Cl. 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