HomeMy WebLinkAbout96-5696
BUILDING PERMit. _ "
CITY OF ZEPHYRHILLS permitI! j _ 5a9~b
(813) 788-6611 Date 3-~9- 9~
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Property Owner:
Job Address:
Parcel 1.0. #
Zoning:
Description of Work
~_..... P~-- M~C:I-I^~IICAL
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--
Sewer Conn
Water Conn:
Water Meter;
T,LF.'s;
, t~,)
b
NO OCCUPANCY BEFORE C.O.
FINAL _
Complete Plans, Specifications and Fee Must Accompany Application. C.O. _
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee
Signat e'
Compan ..
Address
Telephone#
---_.."'."~.. "
Valuation or 'f ~ >?r/ ,DD
Contract Price , - ~ (J ----
Ftr.
Pre SLB
Lintel
City License Registration # I~L/t(
State Certified License#
~L7~hU~/Jrl
BUll G ElECTJlJ~t:
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Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Pl~-'
--
MECHANI~-
-
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAKE Mf7 ?#/co -?;:::-LJ>~ c~~
OWNER'S ADDRESS 7 c) JD r;;.,-// 6'Lv&
PHONE /<fr O~~/
JOB ADDRESS
.(~C
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~New Construction _Addition _Alteration ~epair _Install
_Sign _Hove _Deaolish
PROPOSED USE: _Single Faaily _H/F _' of Units _H/H
_ec-ercial _Indust. _Swia. Pool \C' Other
_Restaurant &: Health Departllent Approval
DESCRIPTION OF WORK: A-J.U)H
Lvv$t
h ~.d ,'iJp~
Square Feet, F1
C> tC>z.. S ~z:::r
,
BUILDING SIZE: I (- X.J$, CflJ
Height
RESIDENTIAL :
COMKERCIAL :
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
./
i/ BUILDING
$
). ~)/)o;:!__
" ." C- /C-V '
/
Valuation of Total Construction.
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Hechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel
~h#
Other
FIlUSHED FLOOR ELEVATIONS:
()
FT.
BUILDER
<7) /'
V
IS PROJECT IN FLOOD ZONE AREA? _ .x
YES NO ___
~17j
CONTRACTOR SECTION -r ~'6 <6 ....
COMPANY /~it ~,,#
State Cert. or Regist. , A. ~ 0 c.;~ y ;/~/
City License Registration' /t<yV
.....................**..........********. r
.............................*.*...*******
Signature (
",..-
RT RC'l'RICIAN COMPANY
State Cert. or Regist. *
SiRnAture City License Registration ,
**************.****.***.***.**.***********
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
**.****.***.**.****.***********.*********.
MECHANICAL COMPANY
State Cert. or Regist. ,
Signature City License Registration .
**..*****.*.******.*.***.*****.**.********
OTIIRR COMPANY
State Cert. or Regist. t
Signature City License Registration #
*****.************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit lay be subject to "deed restrictions" whicb lay be lOre restrictile tban tity
regulations. Tbe undersigned assUles responsibility for cOlpliance 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 lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for tbe intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtberlOre, if the owner has hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the
"Contractor Sections" of this application for wbich tbey will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, ratber tban tbe contractor, are responsible for tbe work. If tbe 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 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 - HOIeowner's Protection
Guide" prepared by tbe Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeone other than the
"owner", I certify tbat I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
"owner" prior to couencelent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify tbat all tbe inforaation in tbis application is accurate and that all work will be done in cOlpliance witb all
applicable laws regulating construction, zoning, and land developlent.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a pertit and that all work will be perforted to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverJllental agenCies aay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
* Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
t US EnvirODlental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood ZOne HAn or "A, etc. ", it is understood that a drainage plan
addressing a 'cOJpensating volUle" will be sublitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance.
A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code; Every pertit issued sball beCOle invalid
unless tbe work autborized by sucb perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after tbe tile the work is cOllenced. One 90 day extension of tile, laY be
allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during eacb six IOntb period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMBlfCKMEHT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMDTS TO YOUR
PROPERTY. IF YOU IHTElfD TO OBTAIN FINANCING, CONSULT WITH YOUR LElfDER OR All ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~~~:~ c_~~:...._-----
STATE OF FLORIDA
COUII'lY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~..
Serving E. Pasco Since 1973
I POOL ENCLOSURE SPECIALIST I
32818 Peachtree lane · Zephyrhills, Florida 33544. 904-588-2775
CONTRACT PROPOSAL
Pallo Carporl X Repair Other
Color
Doors
Chair Rail
Post
Beams
Gutter
Downspouts
Roof
Height
Width
Length
Kick Plate
Florida Glass
Screen
Pet Door
Rescreen
Cables
Concrete
Repair
.'
Florida Lic. RX0034241
Pool Enclosure
TO BUILD AND INSTALL ONE WHITE ALUM. ROOF OVER GAS
TANKS AND ADD ALUM. WALLS ON THE EAST AND SOUTH SIDES
ADD THREE POSTS INTO THE WALLS TO SUPPORT THE ROOF
BEAMS. ADD FASCIA AND GUTTER WITH ONE DOWNSPOUT ON
THE EAST CORNER. ADD TWO DOOR PANELS TO THE GATES
Name EAST PASCO MEDICAL CENTER. INC.
Address GALL BVLD
PLOT PLAN
&
PARCEL NUMBER
Phone 7880411
County PASCO
to lurnlsh metertal and IlIbor - cOf'T1llete In accordance wlh above lIp8Cnlcatlons, lor the sum or:
dollars ($ --$2 I 880 . 00
Payment to be made 88 follows:
$1,440.00 DCPOSIT WITII TIIC OAL. DUC UPON COMP.
AI meterlal 18 guaranteed 10 be 88 spec'led. AI work to be cOlll>leted In a workmanUke manner according to standard practices. Any alteration or deviation from
above spec'lcatlons invOlVing extra costs wit be executed o~ upon written orders, and wll become an extra charge over and above the estimate, All agreement
contingent upon strl<8lJ. accidents or delays bey<>!)l1.eur control, Owner to carry lire. tomado and other necessary Insurance, Our workers are lully covered by
Workmen's ~ n s
AuthorIzed 16e: This proposal may be wlhdrawn by us n nol accepted wahln
Signature days.
ACCEPTANCE OF P PO - The above prices, lIp8C.lcatlons and condlllons are satisfactory and are hereby accepted, You are authorized to do the work as
spec'Ied, Payment be made as outlined above. Flnat payment shal be made at time 01 colll>lellqn of work. Failure 10 cOIll>/Y may resuft In legal action,
",,,,..... ~ "'" ... .. - """'" -- .. be.... by 'ho ~_. No -.. - ........ ."" .. be ...."""".... ..,'" pe,__ h~ :"";,,,,,:/;,.
Date of Acceptance ____ Signature I 1/./ A.J ( I: . j lfL~.A ,t /, /../
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Signature
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ROOF RISER PANEL
12"x3. 3004-H16
DEFLECTION Ll60 12.00. \
-. ..-------.- -. --------- ~7
PANEL WIN~~ SPAN SPAN SPAN SPAN SPAN
THICKNESS VELOCI SIMPLE l' O/H 2'O/H 3'O/H 4' O/H
OPEN STRUCTURE
100 MPH 12.00 12.00 12.33 10.83 7.50
110 MPH 11.00 10.83 11.33 10.83 7.50
0.024 120 MPH 10.00 10.00 10.33 10.83 7.50
130 MPH 9.33 9.17 9.67 10.33 6.33 I
140 MPH 8.67 8.50 9.00 9.67 5.67
100 MPH 15.33 15.33 15.67 15.83 16.33
110 MPH 14.17 14.00 14.33 15.00 15.83
0.032 120 MPH 13.00 13.00 13.33 14.00 14.83
130 MPH 12.00 12.00 12.33 13.17 14.00
140 MPH 11.17 11.17 11.67 12.33 13.17
100 MPH 16.50 16.50 16.50 16.83 17.17
110 MPH 15.67 15.67 16.00 16.50 17.17
0.036 120 MPH 14.33 14.33 14.67 15.33 16.17
130 MPH 13.33 13.33 13.67 14.33 15.17
140 MPH 12.33 12.33 12.83 13.50 14.33
ENCLOSED STRUCTURE
100 MPH 9.67 9.50 9.83 10.33 7.50
110 MPH 8.67 8.67 9.00 9.50 7.50
0.024 120 MPH 8.00 8.00 8.17 a.67 X
130 MPH 7.33 7.33 7.67 8.17 X
140 MPH 6.83 6.67 7.00 7.50 X
100 MPH 12.33 12.33 12.67 13.00 13.67
110 MPH 11.33 11.33 11.50 12.00 12.67
0.032 120 MPH 10.33 10.33 10.67 11.17 11.83 I
130 MPH 9.67 9.50 9.83 10.50 11.17
140 MPH 9.00 8.83 9.33 9.83 10.50
100 MPH 13.83 13.83 14.00 14.33 14.83 .
110 MPH 12.50 12.50 12.83 13.33 13.83
I 0.036 120 MPH 11.50 11.50 11.83 12.33 13.00 .
130 MPH 10.67 10.67 11.00 11.50 12.17 .
..
I 140 MPH 10.00 9.83 10.33 10.83 11.50
INTERPOLATION BETWEEN SPAN VALUES IS PERM IS SABLE.
[ SPAN VALUES ARE IN DECIMAL FEET
~ AWMJ^;UM STRUCTURES MASTER PUN ~ 8~
~:d ENGIIEERING, INC. @ COPYRIGHT AL. INC 1994
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