HomeMy WebLinkAbout97-6427
BUILDING PERMIT N~
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
64276
G~~.
p,"pertyowne'~~~~ ~ ~/
Job Address: .5 $.)
Date
1- ::3n ~ 9 7
I'
~- ~~rconn
Water Conn:
-----
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning:
Description of Work
Energy Code:
C./;/ZJ~J~~
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
DATE
'?
Inspector
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
~ ~v
;70D -
City License Registration # ______
~";f;ed Ucense# _~
~LJ71-P1
BUILDING EL~AL
--
PL~-
------
MEC~ArJICAL
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
It? -/--9-6
OWNER'S NAMEJ )e\...Ui'(!) ^
OWNER'S ADDRESS /8' / / ~
JOB ADDRESS t:;CJ LjD 1Si-
L . M u. yS ~ PHONE
{/S. H ~1 4. I ; Lo'""t-- I ~ - 15
5+ )-e q (
/ D - A BWCK I~ SUBDIVISION
7//(J - /~ t!) U
LEGAL DESCRIPTION: LOT(S)
PARCEL I. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:____New Construction ____Addition -4Alteration _Repair ____Install
_Sign ____Move _Deaolish
PROPOSED USE: ____S ingle F8Ilily ____H/F ____, of Units ____M/H
_C~ercial _Indust. _Swia. Pool ___Other
_Restaurant & Health Department Approval
RESIDENTIAL:
COMMERCIAL
I
ATTACH (2) PWT PLANS & (2) SETS OF BUILDING PLANS & (1) SE
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
---.tL:\---- -""
~:,;~~ )
l i.Nc...rAJG /
ENERGY FORMs? t<J~
DESCRIPTION OF WORK: en
,-
BUILDING SIZE: Ii{, ~'r x I D /, / l/ t; Square Feet, 7 Height
PERMITS REOUESTED
____BUILDING $ 1;0 0 c) #'00 Valuation of Total Construction
_ELECTRICAL AMP Service Florida Power Corp. W.R.E.C.
_MECHANICAL $ Valuation of Mechanical Installation
_PLUMBING GAS ROOFING SPECIALTY
TYPE OF CONSTRUGTION: _Block ____Fralle _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
BUTI.DER COMPANY G t"l~J U" "'-I <, 5 ""'--1f' \\ \'1 e ,
State Cert. or Regist. ,
City License Registration ,
..................................
ELEGTRlCIAN COMPANY
State Cert. or Regist. ,
SiROAture City License Registration t
..........................................
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration t
..........................................
KECHANICAL COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
.............~............................
OTRF.R 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 peIlit .ay be subject to "deed restrictions" wbicb lay be lOre restrictive than City
regulations. Ybe 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 .ay be required to be licensed in accordance witb
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requiretents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
FurtberlOre, if the owner has hired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of the
.Contractor Sections" of tbis application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that .ay 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, bave been provided with a copy of "Florida's Construction Lien Law - Hoteowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
.owner", I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
"owner" prior to couenCetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and tbat all work will be done in cOlpliance witb all
. applicable laws regulating construction, zoning, and land developlent.
..\Application is bereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation bas cDllenced prior to issuance of a peIlit and tbat all work will be perf OIled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber goveInleDtal agencies laY apply to the intended work, and that it is
,y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
t Departlent of EnviroOlental Regulation - Cypress Baybeads, Wetland Areas and EnviroOlentally Sensitive Lands,
Water/Wastewater Yreatlent
t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Yreatlent, Septic Yanks
t US EnviroOlental Protection Agency - Asbestos abatetent
I also certify that, if fill .aterial is to be used in Flood Zone NA" or "A,etc.", it is understood tbat a drainage plan
addressing a uco.pensating vol Ole I' will be sub.itted wbich is prepared by a professional engineer registered in the State of
Florida prior to per.it. issuance.
A per.it issued shall be construed to be a license to proceed with the work and not as autbority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOt thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued sball beCOle invalid
unless the work autborized by such perlit is couenced witbin six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOntbs after the tile the work is cOlleDced. One 90 day extension of tile, laY be
allowed for the peIlit with fee charge of $15.00. Tbe extension shall 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICB FOR IHPROVEHBlft'S TO YOUR
PROPER'fY. IF YOU IIfYBND TO OBTAIN FINAIICING, CONSULY WIYH YOUR LBNDBR OR All AnOmY BBFORE RECORDIMG YOUR MOTICE OF
COHHEMCEHBHT. JOBS UffDER $2,500 IN LOE DO NOT NEED TO RECORD AND POST A uNOTICE OF COHHENCEHBH!".
SIGNATURE: CONYRACYOR
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
fJe.u.)"'~ M.A-YS ~.L ~ '7<<.-I0'fO .
5<3lt-i) ('?+- s+.
CJ-R d~ /~.~
blV b' 10.~. ~ /c..ri' ':;11" ~+.
if tJ~ l~'-L. :~~. ~aQk~~
M ((tlA ;J I A-
~&. /Jltr
t~tSrMdt -,J ~<-C) IJ/ t/t-
~ ,J/~
uf"~ N/A-
[j)
@
G)
cH ii..LK 'BLu~ SlZ:.-t ~L\L~ v//
f& ~,L ''2 uN (t'i I..; '13 k ~~ "/) p,rc.J (7-L-
L-C+,i-cL Fe ^- Flee L ?Lr;l~ /Jeels FloCi 2-
ur-t-( -;c..w...te- ~ Flc:>vr ~fk. \{l:.vc 1=((:C<. {<~,J.
h k Lr f /rtfroyc; I ~ 01 ,u)
_.~ .
r
. t
I
i
"
SCAI.&.:J'" ~O'
'"
-
-.
~
-.
.
~-
..
~~ ....
~ ,O'~
t-.: ....
'0
~ tII
"'-
Ie
li:
.
o
oS
y~
~
~
~
"1-
~
~,
~
,
~
~ ~
~ ~ IO~
,,'!l II" ~ ~
..... . I'~
~ . ~ Ie
~ ... ~
", S. H~H ,... \J
1'''
,5
'DiE: A IItit t ,,"all frionq Ie 'Lv' or d
o~ thowf'l on pfo#, bvl IOlAnd Ci+4 WI." ",m",I-
I SIV t!orn'r tJ' B lor.l 10 o. ,hewn above,
tit t"
(pO'
If
,?FD
I" ~/7-- 9' t
~V-~~
I!JmI~3 All of Bloak 1Q..,
~rHYRHILL8, al per
plat thereof reoord.~ in 'lat
I~ok 1, Page 54, 'ublio
Reoords of PalOo County,
'1 orlda.
Thll oertifies that we made
the lurvoy a. .hown hereon,
that the Burvey Is correct to
tt:e bee t. ot' our knowledge and
bellet and that thi8 plat 18 a
true representation thereof.
J ,..
11., ~~v::= ~
R8rt'~rt'- ah~, Fla. SurvErYor"B-
R'el~tratlon No. 551
MULLINS AND SHOUN
210 MaBsey Building
Da~e City, Florida 33525
FOR: Mr. & ~re. O. D. Maye
ORDKR NO. '23~
Nov~mb'r 15. 1968
FOUHDATIOl\ SURVEY: Jan. 15, 1969
"
:1
t
,
i
I
Ii
: I
Ii
, ~
.~
11.
L
'~
:~
~ ;
,
I
J
JI,
l' .
i\.
:\'
:,
,~
:\
I ,
!\
"
.
r
~
r
.4,..
V'l
Q
\!)
--- \ \.f r \0"- .
- \..\ 7 Y .) ---- -
.v....
J--
."'"
o
0--
cv
)
\I)
'}
y-
:r
~ tf..A'^^ vV\Ay
~ tt r;:J 6 01 ~ I-\ALL-
-\:tP 0 (\-' A - f+ ~~ V
t ^ ^ l,,:J \ VIA- U "" l) S .r
vv ~ ~ \ 1--1 C-e(-+' fILl>- ~
Ve-( l rlV::- v/ l ~
6'
.~l>-~J~
e f- S~"\'~ Itc..) C
.-~ ~\-- \? c' ,-\.. .
k
t) ~ ~..-<-- t'--~l5
I? vi l"G> I- f leer '
o-r (co--L.-
t..J..- ') e, i-l<; -ft oAJ
In
,~
I~
'f
r
~.
10
1_,
if'
I
r~'
r,
!r
,/
./
14 ..-
D~
. ~ t~v.,.l
----L.~L W C\.-"I
----_.l
----- (o'._--:....-~~--=-- ..
\)<)
x
J
X
oS
If'"
C).)
....;-
~
,
,
.']-
,)I"
-rt<
I
c1-
o
.~
'?- .)J..
"-~)y
.-p
--
0- 'V
f\%
j0 .;
-t-- \I)
~
'^
'.
J
x..
::r
:><
,.-~
I'M
J ;~-~:=-=~:.g~~~L ----1:===-=:_ ~X.h~);
\
\.
.---.9
~)(
'.:j-
~
~
,J
J;
I'"
~
~
~
~
~
r:I
-
C>.p
q.-
..f-
"
!~
~.~ ..~'i
. roo{ :t-
<t:
.... ~
C;
'\)
~
"-
,~
---,-.-,' --- ._,
i '
ll' "
.'
.....
..... 1.-
,...-(1 ,
~1- i.
~~
(~ -i. ]
'<J cb
~~ I.
1)
\'><. \J
r
....\,)\ .~.1.
, ~:
~ :1<.&
X y... (,k>
~
j
/
x
t
()
12+
~
"t
s-
)( 8
-"
J,
~G--
" ,
-'
r 0
J~
;f;.r
f~ ts'
--
Q.,.
. "
..
.N
,~
~
Q.j
?;
:r )(
~
)(
)( ---'.--'.-._-0.' "'_ ,.....
-- .,-'~ .. )(._-'----~
'^
---------- ------- -......._-. -.----- ..._~----.
.:f'
'-,,(
,
-~ b
..~r6._ . _ 7~h";>(y;
- ~ - . . ... ~ . 1lC
~".._...,,---_.-.__.
'.
~ ~
t
\J
()
---/
,,-J:)
~
(j
(n
..~
Cl)
.-t-
G
.---'
C??
~
~
~ ~
.J-
~ ,f'l
o/'C
~
;,.. ..J
';) "':i
';) ..
......... -s
u,.f'
J.-w]
J..~~
~':r ~ !
! 'X ~
~~ -D
~5 J
.J.V)
------1-- ---T-----. ----.---ct..--- I.... .-.-
1-
\
~~~ Il---r-')
UOO'f.
,..
I
t
\
I,)
\\0
I
I
~'if
I
-3' // I
l & .. ,4----- -j J ~~.-h.-~
:,...- .-
i /'
''''
I 1b I'J..
&~ I )
I
I I
I i
i Is
It':> f II., I \0 . ...../(;, -
\tv es,\ \~ Q. \ \
w~ s ~ C{ h<- (t;Nc-L LA.J14~ e-rfo'l'''''-<
<;; -{vJ c- -tr--J r c~ ( ~ {,~ t:L....'7'~~-fo'el~ ~6
CDJ~
~ ---:;-;<a __...
,\Ul ~---C'<.:.> ^- -C C:;;~(.-1\t- -- - - ---
A ,,-<..~ kol' '5 '1' ;,
--------- ----~-____ --_...J)_ ________ m___ ______
-
~. .
..s>
Jc
'V
-- ------ -- .-/-
-<
~
\.J
.(
()
,
':J>
--
A
,
"
-!>
..!
~
. ------
--- -\):::>-
::r
,I
*"
\I~
~
.J)
----- ----. --------------------------.;;t'---
~
.
"..J
':)
~-' ----
d J
-
:3 "
.....0
-
./
-:f \\
.....i)
Y -
(J
2. ~
--..u
-
.
~
...!J
-
~
...j)
-
"
:r
-_.~--
0-
, "
,. ::r--
~---- ,.~~
~
\P
---H----.-------------------
"T
"------"T
o
-.9
~
--r-
~
~
..p
----------
~
~
~
J
~
..- 0-
~---
';,n
~
':T
~
. ...::r
--~~ ~:~1- T;--~;~~i VJJL
s fv-v c- fuv CL l <j/L~~fL (t'\5 F4--s +<-<.1.<-- <..
\~
-J-
. )<..
:::J-
\)
<
,oj
.,)-
. '"
:f2
u
/
c~r tF~
--t ~ L'a.Lt::....,