HomeMy WebLinkAbout96-6196
BUILDING PERMIT N!
Permit
OLO. cJiJ
CITY OF ZEPHYRHILLS
(813) 788-6611
- 6196.A
....s'tJ. (TO
~~~
Pwperty Own." f) 1/lf -", ?f#-
Job Address:J 7 ()J - / ... O&'-€...
Date It) -;26"- - P 6
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel 1.0. #
Zoning: ~ /~nergy ~e:
Description of Work _b ~ .K J'9-.l1-v1..--
Radon Gas: :2. Yo
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
Jr
I1Irm;tFe~
Signature
Company
Address
Telephone#
Valuation or
Contract Price b ;;L YtJ. ~
./
6/1 L !2f~
1
~;AAftJl~/V-b
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ft.. 'tJ. ?t ffhJ hY. Sa",. SLB
Pre SLB!"/ '" f?/ Rough In / Z - ~ ...~~ Tub Set
Lintel Meter Can Water
FRM. /2. ~(p ....(({:; $~ Canst. Pole Sewer
Insul. CL Pool Final
WL Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/1 00 Dollars ($ 1 5.00) 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 ZEPIIYRlIlLLS
BUILDING DEPARTMENT
OWNER'S
NAMJ~bb; ~.
3CJ 03'-1
Lve. IGh
loth
PHONE
7~3 - 3D1 ~
OWNER'S AUDRESS
,f/j}NP Ihve-
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.t (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~W Construction ----Addition ----Alteration ____Repair ____Install
_Sign
~ove
____Demolish
PROPOSED USE: ~ingle Family
_M/F
_' of Units ____M/H
____COIIDerciaI
____Indus t .
____Swim. Pool _Other
_Restaurant & lIealth Department Approval
DESCRIPTION OP WORK:
BUILDING SIZE: I 'J-
G Iq~.5
X .J().
hJtJYl1
~ '10 Square Fee t.
Of
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS.
ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~UILDING
~LEL"TRIGAL
$
[;;)'1 0 ~
PERMITS REOUESTED
Valuation of Total Construction
AMP Service
Plorida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLlJHBING
GAS
ROOFING
SPECIALTY
TYPE OP CONSTRUCTION: ~lock _PrOle _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
u
COMPANY
State Cert. or Regist. ,
City License Registration
******************************************
BUILDER
Signature
COMPANY
. c.
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration t
****************........*****.*...*...**..
MECHANICAL COMPANY
State Cert. or Regist. f
Signature City License Registration ,
*******.**..*......**.***.****************
2IImR COMPANY
State Cert. or Regist. #
Signature City License Registration t
***************.*.*.**********.*****...*.*
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to IIdeed restrictions II 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 lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJents lay apply for 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
IIContractor Sections II 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 perlitting 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 IIFlorida's Construction Lien Law - HOJeOWDer's Protection
Guidell prepared by the Florida DepartJent of Agricultur~ and Consuler Affairs. If the applicant is sOleone other than the
lIownerll, I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the .
lIownerll prior to couencl!lent.
E. CONTRACTOR'SjOWNER'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, laning, and land developlent.
Application is hereby 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 perlit and that all work will be perforled 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 lilited to:
t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatleDt, Septic Tanks
t US EnviroDlental Protection Agency - Asbestos abatl!lent
I also certify tbat, if fill laterial is to be used in Flood Zone IIAn or IIA,etc.n, it is understood that a drainage plan
addressing a "cOlpensating volOle" ~ill be sublitted whicb 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 lrOl 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 authoriled by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, aay be
allowed for tbe perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
WARNING TO OWNBR: YOUR FAILURB TO RBCORD A NOTICB OF COHHENCEMENT MAY RBSULT IN YOUR PAYING TWICB FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORNEY BBFORB RBCORDING YOUR KOlICH OF
COHHENCEHENT. JOBS UNDER $2,500 IN VALUB DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHENrn.
~b~
SIGN TURE. OIfTRACTOR
STATE OF FLORIDA
COURTY 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
-------------
------------
,
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,
...
/vI a It:> r tv fiJJ <;. It,,)y- S
GALlZE IN (813) 782-3513
.-..J.~ Appalachian Hardwoods (813) 7824778
PHONE:
;,
3r
TAX EXEMPT NO:
I SALESPERSON: J
IDA~rO/ r~jUJ
{ ( \
BAHR'S
ALUMINUM & HARDWARE, INC.
37827 EILAND BLVD.
ZEPHYRHILl.S. FL 33541
CUSTOMER ORDER NO:
JIM STONE H. V. MH SUPPLIES
RANDY BAHR ^ 1\ .wE HELP THl DO-Il YOUiSELFERS
SOLD TO: ~)?U){X 0 ~ 0LtV'\
JOB NAME: < .~ q 0,"3 'i J Of:!J fJJL~
DELIVER TO: PHONE: 71,y - ~/ ~
.
CASH
CHARGE
I C.O.D. I
MDSE RET
I VISA I M.C. I DELIVERY
DESCRIPTION
P.O. ~
QTY.
STOCK NUMBER
UNIT PRICE
AMOUNT
I l\ " _ ^ A j
:J\' '- ;)" ~ ~OOM :~.{Lf iJ/ktw() ~/lUt1IM)
~ WU'dfubt\)~ '1_ Q~
d\1 \ - rQl' (~-)A~ kJ~ lA..'QOl ~ J'Ad
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SUB
TAX
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CUSTOMERS SIGNATURE N' '}"k A
(
1/1
Jttffi~
DEP
TOTAL I/IfIifI!!ifilt
'71'"
~ CITY. OF ZEPHYRHfLLS
JWNER ~iJb) '€ LJ~ \c.-n
JOB LOCATION .3 9031 / tJ !!
BUILDING DEPARTMENT
live-
PARCEL 1. D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
~~
~
/
/cJ.u
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
hA1I)~ 1i.c.t..;L IIttl6HT .JA~rI J.;L $(1 ...-.-ht ,I""C-
C/ll.ls~.,.J D F ~cl\t1 D(L. S^^'- t2- I~ ~ f;.; 'S (~G
l---hflrJ6 ~
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
P E
R X
0 I
10' p S 10'
0 T 1 0'
6 I
E N
D G
20'
FRONT PROPERTY LINE
! {)'1'b A,!(:....
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 'DUPLEX
1 0'
FRONT PROPERTY LINE
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NOTES
17 xu, 8000 & 890l An ~ *EI"lWl U PER IN3'fR\JmON5 ca
YHLlf 0". I 8~ 1$ ,uSl:D U CQ!}o;!;!t pO:i1,nin Y1lL tAR Ua.D.x
'IHAT IS ~U:DtO to SV(PORf rnJ 3 IN. OR' IN. ROO' Pls!.!3 TEA'I
ARB: ~CLVD!J) L"j) CEJm1El) IN m 'lU.'ft.'1^(,1VF~.AS LO~G 0\' m!Y
.1Jl..s Nor .uClOL~ ~, IN. BiTIU'lf tl.'iTCRS,
4
~... 111 "'"T~ 100<" 1000
....................~.
NOlES:
"'.. - o.:>e&Oto In^2
Jlumhr of ~,"'" ..~.. 1000
.....................HIR............
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NOlES
3,) All. DATA IS CAlCUlAll:0 fOR fXl?OSI.l~E 'C"
AS DESCR:BEO IN THE A.S.C.E. H,l.N0600K ANSl/ASCf:
4.) B,O.C.A. ANO u.e,'c. HAVE BW-I ,e.pPliE() fOR.
P.,d..., '" ~.., ...__
..............,,~..........
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r~-~-l
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l~_:"~~-~j
..... - O~Q$~81 In'2
t.} CALCUlAnONrA13lf.S .INClUDE A 3D"
INCRE^St fOR SOSMlC ANO W:NOCC~DmONS,
2.) Boll!.l> CONt'ECnONS:
snn. ~1$ \JSt:0 ....M I!L: STPi.icfuRU 9{1\U. at ~L'MlNlZll)
001 CII'PElI (AlVA.<I'2.!;l). ~l't.AllP, 1Ul;ll\O-~AI.\"^",Zl.il. OR
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ALL METAL THICKNESS TO BE .062
c.~..,';' - t.M729't. 7.~Lrt~et ..
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. . ... .' 2" POST & 6" O.C.
[ . .. -= I /. 80m SIDE.S AS SHOVv'N
~.T.8900, 1/
r----
ANY AND ALL DATA
IS WITH THE USE OF
ONLY VINYL~TECH
AND P.G,T. :PRODUCTS
ANY MODIFICATIONS
MUST BE APPROVED
BY REGISTERED PROFESSIONAL
ENGINEER
WARNiNG;
THESE CAlCULAnoNS ~I> TABlES'AAE jNT(.NOEO .AS
MIN1J.4UU GUIDEUNES TO NPRIUL tit. PROf'LR . !t4STAlLA 110H
ANY VARIANC1S MUST BEREVlEI't{.O av A R[G!STIRED
PROfE.SSlONAL ENGiNtf.R.
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