HomeMy WebLinkAbout96-6201
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N!
6201l~
Date
/0 -:28'-9'-&
BUILDING
~L')
:~:::,:~e'3 ~J~ ~~ ~
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: ~gy' Code: _ Radon Gas:
Description of Work M<~ N~JV-,4 :t;-"&'Yl.J
/:l..-~-ft, ~di4 ~-;6~P-P1:/{J/~/
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 lZ-;;;J,
C.O.
DATE
Inspector
Pe,m;t Fee ~~
Sigl'\ature .. . tfu.lr
Company
Address
Telephone#
-
/'4-
/~
City License Registration # If.!! 7'
.
State Certified License#
Valuation or
Contract Price
BUILDING
/J,p"!",, _
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In J )-5- 9~ &13
Meter Can
Const. Pole
Pool
Pre-Meter I z.- Ie - q t, .$66
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 PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
:/111 it; /1 b(J; . . (; i", .
. . --:-MJ ~q}l~
~ ij~ /o?
OWNER'S NAME
E /s; L
i ? 1"\ <..
,
PHONE
OWNER'S ADDRESS
J tV-A V -- ~I/ #(/C
LEGAL DESCRIPl'ION: LOT(S) 2/' '2.. L. - L] - Bto~ SUBDIVISION
//---lC-2.(
JOB ADDRESS
PARCEL I.D.f
(OBTAIN FROH PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _R.epair _Install
_Sign
_Hove
_Deaolish
PROPOSED USE: _Single Faaily
_H/F
_, of Units _M/H
_eo..ercial
_Indust.
_Swim. Pool ___Other
_Restaurant & Health Department Approval
DESCRIPl'ION OF WORK:
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 REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
~CHANICAL
$
Valuation of Kecbanical Installation
_PLlJHBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
COKPANY
State Cert. or Regist. ,
City License Registration f
******************************************
Signature
~.::~ /11. A ~. =~ert. or egist. .;<< '
-- --- -- ~ ~~~ City License Registration f
******************************************
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration .
******************************************
MECHANICAL COMPANY
State Cert. or Regist. #
Signature City License Registration ,
************~*****************************
OTHER COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. . NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait lay be subject to Bdeed 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 lily be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requiretents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
DContractor Sections" of this application for wbich 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 pertitting 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, bave been provided with a copy of DFlorida's Construction Lien Law - HOIeOWDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consl1ler Affairs. If the applicant is sOleOne other than the
"owner", I certify that I have obtained a copy of the above described docutent and prolise in good faith to deliver it to the
"ownerD prior to couenCetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, 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 bas cOllenced prior to issuance of a perlit and that all work will be perforted to teet 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 goveIDIeDtal 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 litited to:
t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rebabilitative Services, EnvirOntental Health Unit - Wells, Vastewater Treablent, Septic Tanks
t US EnviroDlental Protection Agency - Asbestos abatetent
I also certify that, if fill laterial is to be used in Flood Zone DAB or "A,etc.", it is understood that a drainage plan
addressing a "cOlpensating volUle" will be subtitted 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 frOt thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perait issued shall beCOle invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perait is
suspended or abandoned for a period of six IOntbs after the tile the work is CQIIeDced. One 90 day extension of tite, laY be
allowed for the perait 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 OIflfER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCEHHNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHHNTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FIHANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR MorICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OIflfER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUHfY 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 oCith.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~ ... .
E ('" LIt" I"ea I IJrO-W;#1j
Fo r .~ g o/J- C fJ1 eLl It
I?~ CI1t 13
t!/~
fr "40 rVj8'
/!,iJW 7~Y E/~LI 1/'1- L.
. Or:6"C <- -# }l-rf J72.-'TY
~bur/?OWle-t:f .2 c.;VCy Vy
wJ (~,.><1 D!1 .
q Q
!iJ----. ~~/')
-=- l.....IWjp
Q4vr 5/1 )
[[.
O L
'- -, ;<10
.....' ~ ~
t::. \R.
~~~/'S~ ~
@
, I ()
~ /0
\
1
I
~
~
(
/.------..'.,.
.....-..-----............--1
\
I
..1 I
,1/-.' '
L-.,.ki \ ~ '
) 1 11v" I
~ ,.
, i
,- 'II
"4 _~.............--~_.-,"-_.
j;
i
-~
! -----'
, I'
ill
j ,\ !
" \
!.,-~...-~-.....i
J
~,
,
/1
I '
l'I'i~
. . \
'\' \
~-,.
-:-=----)
'~.I
, i
, f ('
,)
,)
::-_,l
I {I
\ I r"
~'-'
r"\
'-".......
-ff
~~ in
r-~ /1\
~ 'It
~---
-r;;:; ,
'-fJ -p 'f r '
! \ I
, !
f
Ii \,
I!
It; ~,
, . I
,/:.--,.
Jf
I.' ..
, ,
I \
1 ; :
r1~
rl \~
il ~
v/
tf;:. I}
,~l
.--".
--
-
~~ ~___________7
,
/ ~......-----. ,
/'1
('. r \ \
; \
I
I .
.r~' \....
1::"(
:\ I \
\
'\ \
v--J
(,
~
~,
'"
G-
--- _._._~->',.._.__._..
(Z, L~.. 7 ri~. :=1...-- .... c; e.
..- -.---... r . .'=!!f\/
.t;" :2 J.,;~p --..
--+
----
~- 2j': /[:'/"' { t-'~~l{! 4
----~ 1If
---...~...._~-.- "
~,
S13-1IIAVH-13V-AV1I9-013 ISIlOH A1ddIlS H31HAl
ISIlOH A1ddIlS .I.V .I.H9IlOB 110 OISIl S1V11I1.l.VH
::BOt 010 OHAl
:S1V11I1.l.VH ~1.LUI9 IQIl13~1 -BOt ~O IHI.I. nr.l.o.l.
: 9~m1B 110.4 SSI1I0QlT
:~OI.l.V3fn BOr
:IHV~ BOt
::::::::::::::::::lIJL1VfI
.I.snlBor
A1~O 1SIl nrN1I1.J..NI
.3~1 318.1.3111 81AAlOR
.~/7/l e( ~c ~dvlt
.3 c;z> 2- -~ D V IYlI3 .. J 2 C;' r 12-, \
6h/1'.{(
:3 /'iJ( (~o ~/ C ,)0 11 <{
J Ib I ~ Io Ii (. ^ f -) i) 1/ <6
{ ~(( 70 i;51\ #fL
! f', (( 70 If (~t2
{ltJ/< LV t..t
J~/tt~ ftA.J\.)
fil G b () -# $I
/1 (~+01!/ ~
j.jr J / ). L $
lie S--6 II Y
li~~~1 ~() r/?
I ~ ((. 'J 6 vf'cc~ #/1-
I/"(((CJ /'~V
I fO/l- 'lo '- if;
/~ / l "l" /:: #I{~
Ill; !&or Y I/o 1/1< <..j J-c C'L! I /l~io"" (C")c
11 /1 v-; q CU. Vld Il
II 'I ;~ ~ E;.".) OJ-~;- trct.....~/J
/!; Z (I-- /}'4- 5/"- i'Y' .
~ /( /5s/J t;/ '-11; r-4'{ A C(/~
L,. '5 It. I) f.-J I rf- l.f/"--
~tI e; Ifr;rt C:'u.
J Z C ("'l-
I 'lvl"" or
Svr fi........ '
;:~c tv /
-rtJ u vtJ /oj 5
;JON L~ONt,
Kecpf;cle,. LORd. I
d-O c# 5 (lJ i fJ6 1/ It:: .S&c)O v' Jf
Con-f )',v@u3 Lotted.
G- ~N. . I- J'5 it .~ " I'J:) k /tcJ .
~g '7 & [] ~ ,3 {It ;:: 8 0;2 a II It
SfcYG FRoN r Sl\Ov.) uJ; .l\c1ov0
. Jj / I ,x, ().f::J:) v It ~ Q.J Fcc 1- ,
S . ., ( ;".' \ \
~ 5 j\.J j' r. CCJtS,dlt.)
, I
,. /-/ fAf/ A-Ic
LairD C?j1.LC~
----~' -,-----~-
3~
// ;2~/cJlIO
TcJf;r I
=- f?:J ()o v 11-'
::::; j / d:. G () II tf
Iv} 0 or) v't
:it &d-.'l VA.
I1'l ('j\)' . tt~ 2 e ~J I:,f~,
To fit L ;v~;v (~9J) lovte>l. :::- S (d)ov 4,
1'0 A-t It. L (. 0 (0tU(\-~ \.)S <1.- / J0~%
:2~f 012~ X- ,. J. .S-- - AS' o.3~n,~.1
.~ D 01:5 .n.n
, /
L.,31o
/(jCf g
Que./" CJfr~rV~
ItMf
~ /' ~J rJ .,
rr-~ l 1.-1..5- !.-;A
~- 9' 7. 7L/4~.
..'# / If-... "-- ,,) L t/ ..
1~6-.q YV1-p ;n, IS;