HomeMy WebLinkAbout96-6306
BUILDING PERMIT N9
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
6306 ~
Date
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PmpertyOwne, ~ ()' ~Ztt:z
Job Address: .J... .. )/JPh..1 ". IT 3 Jt.E ~
Parcell.D. #
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
i.o9T,I.F.'s:
Zoning:
Description of Work
Energy Code:
~.A~tZ-P1 ~~
Radon Gas:
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.
DATE
Inspector
Permit Fee
Signature
Company
Address
Telephone#
~UD
Valuation or
Contract Price
~ 9 ..2~ -: cJ-v
t2ri
City License Registration #
State Certified License#
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ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
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.
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BAHR'S ALUMINUM & HARDWARE, INC.
37827 EILAND BLVD.
ZEPHYRHILLS, FL 33541
(813) 782-3513
Customer's
Order No.
111~ol&
/
..
"
.
.
Date
"
.
.
..
.
.
.
AMOUNT
1.
t---
2.
3.
...
5.
6.
7,
..
9.
10.
11.
12.
13,
1...
15.
Received
By
14461L,
In case of claims or returned
I goods, pleose present this bill.
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APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
Nk
<),-<1
I~/tr
----=- 10
OWNER' S NAKE .~ G\\'Y'\e ~ tJ 0 bb,
OIlNER'S ADIJ1lIlSS ~
JOB ADDRESS j' - )-ylli1l1)U) l2.v
LEGAL DESCRIPTION: LOT(S) BLOCK
PHONE ~?/ 1-- ? g 3 -- <g5~3
t'<1"bJ:t (51,Q5iJ
SUBDIVISION
PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ Construction _Addition --Alteration _Repair _Install
PROPOSED USE:
_Sign
~le
_Move
_Deaolish
Faaily
_M/F
_' of Units
_M/H
_eo.tercial
_Indust.
_Swia. Pool _Other
_Restaurant &: Health Departaent Aijroval I
DESCRIPTION OF WORK: ,S'cV'ee1f\ ~(Y) Lj)C1/ b . ( wt/~'JjYlJ
'? r.;? -')? '1 ?l ,/ -
BUILDING SIZE: ,:J () x-!L.. ~tJ'I Square Feet. () Height
~
c~
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.
,
~IDIHC
$
_,,0
JCfd-? ---
PERMITS REOUESTED
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECllAMlCAL
_PLUMBING
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
****************************
r-~
ttI
BUTI.DER
F.T.RCTRICIAH
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
SiQIIAture
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. .
City License Registration t
***********~******************************
Signature
OTIIRR
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
Signature
APPUCATIOR APPROVED B~ ~
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perJit lay be subject to "deed restrictions" which JaY be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance witb 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 DepartJent, (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 perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOJeowner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docUJent and prolise in good faith to deliver it to the
"owner" prior to cOJJenceJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforJation 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 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 perforJed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in th~ jurisdiction. I also
certify that I understand that the regulations of other governJental agencies lay apply to the intended wort, 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 DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDJentally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
t US EnviroDlental Protection Agency - Asbestos abateJent
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 volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perJit, issuance.
. A perJit 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 perJit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
unless the work authorized by such perlit is cOJJenced 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 coaenced. One 90 day extension of tile, JaY be
allowed for the perJit 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.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIM FIMANCING, CONSULT WITH YOUR LENDER OR AN ATTORMBY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHBMCEMENT".
1J1~~
~~
S1GNA E: OR AG NT
STATE OF FLORIDA
COUNTY 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)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER ~(n,es Dr 8rJet')
JOB LOCATION L-ot '1F! 07" J ja ~ Iv &lfw;eu j/,yL 4- .- 5'/1 ~tJ.- ~ f
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PARCEL I. D .' #
SHOW ALL EXISTING & PROPOSED STRUCTUR.ES GIVING DIMENSIONS & SETBACKS.
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A LEYWAY ACCE
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
1
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(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E-
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0 I
10' P S 10'
0 T
S I
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D G
20'
FRONT PROPERTY LINE
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2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
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20'SGL FAM 30 'DUPLEX
FRONT PROPERTY LINE
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[NCmEER - OEVElOPt.aEHT CONSULf Aln
P.O. BOX 4368 '
PORT ORA.NGE. FLORIDA 32119
IEl(PItOHL (90.) 767-4774
fAX. (90~) J6.'-6~~6
SCREEN ENCLOSURES
SCREEN 1 VINYL WALLS
SOLID COVER
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Tl1[ DESIGNS AND SPANS SilO"'" ON THEs(
DRA\MNCS ARE BASED 00 THE LOAD REOUIRfUEtHS
or !liE fOllOWING CooES,
1. srANDARD BUILDING COOE 19!H fO, etlAPT[R 16
IUClUDlNC APPLICABl[ WINO lOADS AND PRO\l1S1Ot~S
or SOCCI ssm 1O~9J
2. BOCA NAnONAl BUilDING CODE '993
J. TEXAS OfPARI...[NT Of INSURANCE WlNOSIOHU
RESISTANCE GUIDE 6-89
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