HomeMy WebLinkAbout97-6524
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
- 6524'~
Date
.$J-6 -7t;
~~i ELECTRICAL PLUMBING
Pwperty owne~ (", t:2Z
Job Address: , ' ~t. - . ~ J./:
Parcell.D. #
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
Ener~ode:
-d2L
Radon Gas:
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
Valuation or
Contract Price ~ ~ ~
c-v
Permit Fee
Signature
Company
Address
Telephone#
3S:.'.cfc)
,~~
-
----
City license Registration #
State Certified License#
t1'Y\Jy\ vL...-
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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 PERKIT
CITY OF ZEPllYRHILLS
BUILDING DEPARTMENT
L'cfl
3 ./...J
!7!'"?-'66 if~
~O-J~93
PHONE ??/J-7gf/ - %~
FL 33~ '10
OWNER'S NAKE k? C A- Yt n D""Y"\
OWNER'S ADDRESS ~;l~ /;i -Msr Z~f(kV,l; Ik
JOB ADDRESS 5//-me .45 /9-e,trl/f:.-
LEGAL DESGRIPTION:LOT(S)~ +20 BLOCK IO~ SUBDIVISION C.'ITi o~ z If.>
PARCEL I. D.tlA-/\ ~""P~ 1l-.2~-;tJ-~JO -IDS<<>- 0 Ao (OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition -Alteration _Repair _Install
_Sign _Kove _Deaolish
PROPOSED USE: ~ingle Faaily _KIF _' of Units _K/H
_<=<-ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
BUILDING SIZE: ~x ?:in. -:0'" 0 Square Fe:et. 9'/ Height
RESIDENTIAL:
COMMERCIAL
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
---..KEGHAlfICAL
$
Valuation of Kechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Fraae _Steel Other
FINISHED FLOOR ELEVAnONS: F1' .
IS PROJECT IN FLOOD ZONE AREA?
./'
******************************************
YES NO
CONTRACTOR SECTION
BUTT.DER COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************************************
F.T.~CTRICIAN COMPANY
State Cert. or Regist. .
SiDnAture City License Registration .
******************************************
PLUMBER COMPANY
State Cert. or Regist. t
Signature City License Registration .
******************************************
KECHABICAL COMPANY
State Cert. or Regist. #
Signature City License Registration t
************~*****************************
OTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration #
******************************************
APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perJit JaY be subject to 'deed restrictionsH whieb JaY be lOre restrictive than City
regulations. 'he undersigned assDles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CO~TRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, tbey lay be required to be licensed in accordance with
state and local regulations. If the contractor i!J not licensed as required by law, both the owner and contractor JaY be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJeDts JaY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
HContractor 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 be is not properly licensed and is not entitled to perJitting 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, have been provided with a copy of HFlorida's Construction Lien Law - HOJe01IJIer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOHOne other than the
Hovner", I certify that I have obtained a copy of the above described docUEDt and prOllise in good faith to deliver it to the
Howner" prior to coaenCeJeDt.
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.
i
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has COIIenced prior to issuance of a perJit and that all work will be perfoIJed 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 goveInJental agenCies JaY apply to the intended work, and that it is
IY responsibility to identify what actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to:
* DepartJent of KnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and BnviroDJeDtally Sensitive Lands,
Water/Wastewater Treatlent
* Southwest Florida Water ManageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic 'anks
* US BnvirooJental Protection Agency - Asbestos abateJent
I also certify that, if fill .aterial is to be used in Flood ZOne "A' or "A,etc.', it is understood that a drainage plan
addressing a 'cOJpensating voluteN will be subJitted whieb is prepared by a professional engineer registered in the State of
Florida prior to perJit, issuance.
. A petlit issued sball 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 tbe technical codes, nor shall is~uance of a perlit prevent the Building Official frOll thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall becOJe invalid
unless the work authorized by such perlit is cOllenced within Sil IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of sillOnths after the tile the work is c_enced. One 90 day extension of tile, lilY be
allowed for the perJit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during eaeb sillOnth period, or the project will be considered abandoned.
WAMING TO OWNBR: YOUR FAILURB TO RECORD A NOTICE OF COMMBKCBllENT MAY RESULT IN YOUR PAYING !VICE FOR IMPROVBIIEIl'S TO YOUR
PROPER'l'Y. IF YOU IlfIBND TO OBTAIN FIIlAMCING, CONSULT WITH YOUR LBNDER OR AN AftORJIBY BlFORE RECORDING YOUR HOfICE OF
COMMBNCBMRlfI. J BS UNDBR $2,500 IN VALUE DO NOT IBBD TO RECORD AND POST A uNOTICE OF COMMBJfCBMBNT".
SIGNATURE: COmmCTOR
STATB OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATB OF FLORIDA
coum 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)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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12 COLE~1AN ROAD
WI.HER ~VEI-l. FL. 33880
(941) 299-1048
CONSTRUCTION TYPE:
OCCUPANCY:
ALLOW, NO, FLRS.:
w,.o VELOCITY:
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VI FRE RATE EXT WALL: 0
RLSIlC PLAN NO: RC^93
I ALLOW, FLR. LOAD: 50/125
110 APPROV AL DATE:
ROIlN BlJLDERS PO BOX 1067. LME WALES. FL 33853
DAN FRODGE
AVID NORRIS
12 COLEt1AN ROAD
WriTER HAVEN. FL, 33880
(941l 299-1048
COr,JSTRUCTION YPE:
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(941J 299-049
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12 COLEMAt-1 RO^D
W. HER H^VEH FL, 33880
(9411 299-1048
COtISTRUCTION TYPE:
Dwn BY: LH OCClPANCY:
DA TE: 'H5-'l} ALLOW, NO. FLRS.:
SCALE: I'IOHE WfoO VELOCITY:
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VI FRE RATE EXT WALL: 0
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ALLOW. FLR. LOAD: 50/125
110 APPROVAL DATE:
ROBIN BlU~RS, PO ilOX 1067. LME WIlLES, FL 33853
DAN FRODGE
The Classic style gable roof and lap siding
make this beauty a first choice for
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Its full interior height make it the perfect
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It looks like a permanent site-built
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Order it custom built from our wide range
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It's a Classic. For every reason,
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Our Secure-it TIM II strong stud-type construction
leatures turned 2x4s, steel connection plates and I x4
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. Beautiful aluminum lap siding with baked-on enamel
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. Available in many decorative colors
. Fully boxed-in eave with 6" aluminum soffit
. Secure Weather-tite door with keyed lock and spring chain
. Double 2x6 skid foundation for heavy-duty support
. Sturdy I x4 tongue and groove flooring offers more strength
than plywood decking
Classic
Standard Features
SECURE-nT™
~----~--_._.-
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Your Classic will be transported
to your site fully constructed. fully wired.
and set in position, There's nothing for
you to do but enjoy years of carefree use!
Options
Robin otters more options than anyone.
So custom order the Classic that's
perfect for you, and it can be ready
for shipment to dealer within five
working days!
. Extra windows
. Special doors
. Garage doors
. Skylight
. Wind turbine
. Louvered vents
· AIC cutout
. Shingle roof
. Polyurethane floor
. Custom shelving
. Pegboard
. Service ramp
. Interior custom lighting
. Exterior custom lighting
. Extra outlets, switches, bell box
. Plywood paneled interior
. Pressure-treated framing
. Special skids, joists and decking
~~~~~~~~~~~~
~ Limited Warranty ~~
GUARANTEED 30 AGAINST ~
~ = ~'!;~ROSION ~
~~~~~~~~~~m~
Guarantee of Excellence
All Robin buildings are engineered from
top quality materials chosen for strength
and durability, And each building is
protected against termites, and vermin,
Against rain and moisture,
So only Robin can otter this amazing
warranty,
Robin Builders, lne, / p,O, Box 1067' Lake Wales, Florida 33853. (941) 638-1294 cmd P,O, Box 519. Lyons, Georgia 30436' (912) 526-3266
All Robm bUlldm'gs are desIgned to meel or exceed the Southern Sta.1dard Building Code and the South Flonda Building Code and have Dade Cly Product Approval 1985 Robm BuJiders
, ) .. CI~ OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER K. C~V\ f\ o-n
JOB LOCATION 5b'J4 1'"2 S T: Z~~eh ,lIes J:~L ?'3G4o
PARCEL LD.' # JJ --:J./p- ;ll- 0010 - 10500- Dl<fO
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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UTILITY BU,ILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
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STREET
FRONT PROPERTY LINE j~\ 5~
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(NOTE EXAMPLES 1 & 2)
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E_
R X
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10' P S 10'
0 T
S I
E N
D G
20'
2. SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
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