HomeMy WebLinkAbout96-6098
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BUILDING PERMIT 0
CITY OF ZEPHYRHILLS Permit N.
(813) 788-6611
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60988
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ME~Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
Water Meter:
T.I.F.'s:
Zoning:
~-e~
1-
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or ~ c5 00
Contract Price 00 '
Inspector
~~
Permit Fee
Signature w.~
Company
Address
Telephone#
City License Registration #
State Certified License#
BUILDING
Ftr.
Pre SLB
Lintel
FRM. 9-!JD~9'" I3'L L-
Insul. CL
WL
Tp. Servo
Rough In r;-3D'9~ 8Ju
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 followin9 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.
9, Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION lR PERMIT
CITY OF AZEPIL.JUIILLS
BUILDING DEPARTMENT
1
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/1J11(J11 . "'0 r
PHONE 7 g' J -- <fLY ~ y'
OWNER'S NAnR t{1 V IJ21g AA' "'- us;?
OWNER'S AUDRESS d II ~
~~
~
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S) BLOCK
:-
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c,'.,....,...'''._/ ~C?- ~~ A!~
WORK PROPOSED:_New Construction _Addition
SUBDIVISION
_Sign
_Move
(OBTAIN FROM PROPERTY TAX NOTICE)
~Alteration ____Repair ____Install
____Demolish
PROPOSED USE: ~ingle Family
____Commercial
____KIF
____1~ of Units _M/H
____Indus t .
_Swim. Pool _Other
BUILDING SIZE:
_Restaurant &
~~
x~,
Health Department Approval
2~
~
~
----
~ ~ /..~
DESCRIPTION OF WORK:
\
8'
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
X' BUILDING
(.~ELEL~RICAL
____MECHANICAL
1)0
$ ~--e?I?; Valuation of Total Construction
AMP Service Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
~LUKBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _FrOle ____Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
COMPANY)<' ~ O~~'--
,
State Cert. or Regist. t
City License Registration I
******************************************
~ELEGTRIC~) //':' . COHPANY ~(~ lU'7IL/l ./
";=~ur.vff(~J.~ ~~~~\~~~~. o;.:~:~:~~i:n t
******************************************
BUIIJ)ER
Signature\' MtlAa-.. €k~
PLUMBER COMPANY
State Cert. or Regist. t
Signature City License Registration #
******************************************
MECHANICAL COMPANY
State Cert. or Regist. #
Signature City License Registration t
******************************************
OTIIER 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 per.it lay be subject (0 .de~ restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED 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 the contractor is not licensed as required by law, both the owner and contractor laY be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirements .ay apply (or 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 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
D. CONSTRUCTION LIEN LAW (ClffiPTER 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 the Florida Departlent of Agricultur~ and ConsUler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
"owner" prior to couencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVI'l'
I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby lade 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 perlit and that all work will be perfofled 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 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:
t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Serv~ces, EnvironJental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US EnvironJental Protection Agency - Asbestos abatement
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 volOle" will be sublitted which 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 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 perlit issued shall becOle invalid
unless the work authorized by such 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 the 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 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 COKHENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORIEY BEFORK RECORDING YOUR NOTICE OF
COMMENCEHENT. JOBS UNOER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURB: OWNER OR AGENT
SIGNATURE: CONTRACTOR
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 oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER
JOB LOCATION
PARCEL I.D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
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5'
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UTILITY EqILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT PROPERTY LINE
'--------........
.
~---
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30' DUPLEX
1 0'
10'
P E
R X
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10' P S
o T
S I
E N
D G
10'
20'
FRO1ft' PROPERTY LINE
FRO1ft' PROPERTY LZHE
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210-52. Dwelling Unit Receptacle Outlets.
<a) General Provisions. In eVCIY kitchen, fatuity room, dining room, living room, parlor, library, den, SWl room,
hedroom, recreation room, or similar room or area of dwelling writs, receptacle outlets shall be installed. so that no point
along the floor line in any wall space is more than 6 ft (1.83 m), measured horizontally, fi:om an outlet in that space, ,
including any wall space 2 ft (610 nun) or more in width and the wall space occupied by fixed panels in exterior walls,
hut excluding sliding panels in exterior walls. The wall space afforded by fixed room dividers, such asfre~tanding
har-type counters or railings, shall be included in the 6-ft (1.83-m) measurement.
As used in tbis section, a "wall space" shall be considered a wall unbroken along the floor line by doolWays, ftreplaces,
and similar openings. Each wall space 2 fl OJ' more (610 mill or more) wide shall be treated individually and separately
lhml other wall spaces within the room. A wall space shall be penniUed to include two or more walls of a room (aroWld
corners) where unbroken at the floor line.
Receptacle outlet", shall, insofar as practicable, be spaced equal distances apart. Receptacle outlets ill floors shall not be
counted as part of the required number ofreceptaclc oullets unlcss located within 18 in. (457 nun) of the wall.
The receptacle outlets rcquu:ed by tlris section shall be in addition to any receptacle that is part of any lighting ftxture or
appliance, located within cabinets or cupboards, or located over 5 1/2 fl (1.68 m) above the floor.
Exc:eption: Permanently installed electric baseboard heaters equipped with factory-installed receptacle outlets or
f11ltlets provided as a separate assembh' by the manufacturer shall be permitted as the required outlet or outlets for the
wall space utilized by such permanently installed heaters. Such receptacle outlets shall not be connected to the heater
circuits.
(FPN):- Listed baseboard heaters include illstmctiolls Omt may nol pennit tlleir installation below receptacle outlets.
"
210-70. Li~htlnR Outlets Required.
) ,ighting outlets shall be installed where specified in Sections 21O-70(a), (b), and (c) below.
<a) Dwelling Unlt(s). At least one wall switch-controlled lighting outlet shall be installed in every habitable room; in
bathrooms, hallways, stairways, attached garages, and detached garages with electric power; and at the. exterior side of
outdoor entrances or exits. A vehicle door ill a garage shall not be considered as an outdoor entrance. or exit.
At least one lighting outlet controlled by a light switch located at the point of entry to the attic, Wlderfloor space, utility
room, and basement sball be installed where these spaces are used for storage or contain equipment requiring servicing.
The lighting outlet shall be provided at or near the equipment requiring servicing.
Where lighting outlets are installcd in intelior stailways, tllere shall be a wall switch at each floor level to control the
Jighting outlet where the difference between floor levels is six steps or more.
Hxception No.1: In habitable rooms, other than kitchens and bathrooms, one or more receptacles controlled by a wall
switc:h shall be permitted in lieu a/lighting outlets.
, ,
Ji:xception No.2: In hallways, stairways, and at outdoor entrances, remote, central, or automatic control of lighting
shall be permitted
Hxception No.3: Lighting outlets shall be permitted to be controlled by occupancy sensors that are (1) in addition to
~l all switches, or (2) located at a customary wall switch location and equipped with a manual override that will allow
the sensor to fimction as a wall switch.