HomeMy WebLinkAbout97-6554
BUILDING PERMIT N!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
6554/3
'10 JilO
BUILDING
3...J. - iTb
ELECTRICAL
Date J- /~ - ?)
J...s.~- JV
PLUMBING
.;). O. 0-0
MECHANICAL
Sewer conn~,
Water Conn: '#-
Water Meter:
P<aperty Owne, ~ ~
Job Address: 39" ~
Parcell.D. # ;29'-;). (;, -:LI- 0 0 0 - 0 u 10 0
T.I.F.'s:
-01
Zoning: r -,") Energy Code; Radon Gas;
Description of Work ~ JJ1~. ~/ r
2I7?~ 3-~.o-?7~/,'J:.-o Y1H-(
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
Valuation or ~/r-L1.-
Contract Price ~"=L
City License Registration # c2 0 :L/
State Certified License# ~.../
P~AnIJfj}~ ~ ~'t
Permit Fee
Signature
Company
Address
Telephone#
/Y?
. ~ ,.'
r ~k~ ~Jt-
BUILDING
ELECTRICAL
r c20~
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTlON 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.
b.
c.
d.
e.
f.
g.
Wrong Address} I
Condemned work resulting from faulty construction. ;h...I
Repairs or corrections not made when inspection called.. 0...;0- j / 0- /,.3' - 7'7
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
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 ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAHB--.01\c l <iMN
PHONE ?8&~g.8 66
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
4:,1
BWCR
SUBDIVISION
y J/I1i:1/Jr L 0
()J) )jE
PARCEL I. D,'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:____New Construction ____Addi lion --.Alteration _Repair _Install
_Sign ____Move _Deaolish ..I,,:
..
PROPOSED USE: _Single Faaily _H/F _, of Units _HID
_eo..ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Depar~ent Approval
DESCRIPTION OF WORK: rno-6l<-7 "'-I'I (1f>A'le.:t;;: (Y\OOE<)
BUILDING SIZE: X Square Feet, Height
PLUM (~
./
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
AttP Service
Florida Power Corp,
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJEC'l' IN FLOOD ZONE AREA?
..........................................
YES NO
BUn.DER
CONTRACTOR SECTION
COMPANY CZ;YJ}:IAlD If) I VI!: inri f. /l10DE( J At:..
State Cert. or Regist. ,
City License Registration' ~~I
......................... ...........*....
Signature
A/e €!ketuti COMPANY
/~ State Cert. or Regist. ,
City License Registration t
..........................................
PLUMBER ~~. COMPANY :00-ne..s \~ SO'r-S 8..,~h:Y\C1
State Cert. or Regist. ,I J
Signature . City License Registration t ~ ~~
- . . .... ...........................~....... -
IIEmAljIGAl. ~/eeed::li.e; COItPAlIY 81"'" ~~
I "State Cert. or Regist. * sr:: f')r.,
Signature City License Registration ,
..........~.............................
ornER COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
.****..*.*.******.**.**.*....**.*****.....
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands tbat this penit JaY be subject to Ddeed restrictionsD wbieb lilY be lOre restrictive than City
regulations. !be undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, they JaY 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 JaY be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirl!lents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
Furtheraore, if the owner bas bired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of tbe
UContractor Sections. of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
you are indicating tbat you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that JaY be an indication tbat be is not properly licensed and is not entitled to penitting privileges in the
City of Zephyrbills.
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 uFlorida's Construction Lien Law - HOII!OWIler's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the
Rowner", I certify that I have obtained a copy of the above described dOCUJeDt and pIOlise in good faith to deliver it to the
"owner" prior to coaencl!lent.
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, loning, and land developaent.
Application is bereby lade to obtain a penit to do work and installation as indicated. I certify that no work or
installation bas c~ced prior to issuance of a penit and that all work will be perforaed to leet standards of all laws
regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governleDtal agencies laY apply to the intended work, and that it is
IY responsibility to identify wbat actions I lUst take to be in colpliance. Sueb agencies include but are not lilited to:
* Departlent of EnvirOllll!Iltal Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater !reatlent
* Southwest Florida Water Hanagl!lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* AIIY Corps of Engineers - Seawalls, Docks, lavigable Waterways
* Depart:lent of Health & Rebabilitative Services, EnvirOJlle!ltal Health Unit - Wells, Wastewater Treat:lent, Septic Yanks
* US EnviroDlelltal Protection Agency - Asbestos abatl!lellt
I also certify tbat, if fill laterial is to be used in Flood Zone "AU or "A, etc. ", it is understood that a drainage plan
addressing a uCOIpeDSating volllle" will be sulmitted lIbieb is prepared by a professional engineer registered in the State of
Florida prior to penit.issuance.
A penit 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 the tecbnical codes, nor sball issuance of a penit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code, Every peIlit issued sball beCOle invalid
unless the work authorized by such peIlit is cOlleDced ,dthin six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of sixlOntbs after the tile the work is cOllenced. One 90 day extension of tile, laY be
allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during eaeb six IOnth period, or the project will be considered abandoned.
WAIUUHG TO OWNER: YOUR FAILURE TO RECORD A NO'I'ICE OF COHMEIfCBMBN'l MAY RESULT IN YOUR PAYIIG 'NICE FOR IHPROVEHBH'lS TO YOUR
PROPERft. IF YOU IN'lEHD TO OBTAIN FItWlCIHG, CONSUL! "IfH YOOR LBMDER OR D AftORm ORDING YOUR NO'I'ICE OF
COHHEIICBHEH'f. JOBS UHDER $2,500 III VALUE DO 10'1' HEED TO RECORD DD POST A II10000ICE C II
SIGJlATURE: OWHER OR AGEH'l
SIGJlA!lJRE: C
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE 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
tot CO[
(jJ)
l'f x 3,-
IdcJlY/f. d) ~
~KI,
@
g)
@
""
ATTACHED ALUMINUM COVERS
MAX. ROOF BEAM SPANS FOR CARPORTS, SCREEN & VINYL
ROOMS AND OTHER OPEN STRUCTURES WI SOLID ROOFS 6063
T-6 ALLOY
EXAMPLE: FOR SPAN "L" ON DRAWING USE LOAD WIDTH = "W'/2 + O.H.
2"x 4"x (>.050" TILT BEAM: LOAD WIDTH = 14'/2 + 2'O.H. = 9'
LOAD WITH = 9'; L.L. @ 22#/SF BEAM SPAN = 7'-3"
BEAM SIZE BEAM SPAN FOR DESIGNATED LOADS
BEAM LIVE LOAD WIND LOAD
LOAD WIDTH 22#/SF 32#/SF 100 MPH 110 MPH
2"x 3"xO.050"TILT BEAM OR 2"x 3"xO.OSO"EXTRUSION
5 '8'-1- 6'-7" 9'-0-
6 '7'-4- 6'-0- 8'-3-
7' 6'-10" 5'-6- 7'-6-
8 6'-5- 5'-2- 7'-2-
9' 6'-0- 4'-11" 6'-9-
1 0' 5'-8- 4'-8- 6'-5-
11' 5'-5- 4'-5- 6'-1-
12' 5'-2- 4'-3- 5'-10-
2"x 4"x O.OSO"X TILT BEAM
5' 9'-9-
6' 8' -11-
7' 8'-3-
8' 7'-9-
9' 7'-3-
10' 6'-11-
11' 6'-7-
12' 6'-3-
2"x 4"x O.044"x 0.120" S.M.B.
5' 12'-10-
6' 11 '-8-
7' 10'-10-
8' 10'-1-
9' 9'-6-
10' 9'-1-
11' 8'-8-
12' 8'-3-
2"x 5"x O.OSO"x 0.120" S.M.B.
5' 15'-2-
6' 13'-10-
7' 12'-10"
8' 12'-0-
9' 11'-3-
10' 10'-8-
11' 10'-3-
12' 9'-9-
2"x 6"x O.OSO"x 0.120" S.M.B.
5' 17'-2"
6' 15'-8-
7' 14'-6-
8' 13'-7"
9' 12'-9-
10' 12'-1-
11' 11'-1-
12' 10'-3-
TABLE 2
EXAMPLE
8'-0-
7'-3-
6'-9-
6'-3-
5'-11-
5'-7"
5'-4-
5'-0-
10'-5-
9'-6-
8'-10-
8'-3-
7'-9-
7'-5-
7'-0-
6'-9-
12'-4-
11 '-3-
10'-5-
9'-9-
9'-2-
8'-9-
8'-4-
8'-8-
14'-0"
12'-9-
11'-10"
11'-1-
10'-5-
9' -11-
9'-5-
9'-0-
10'-11-
10'-0"
9'-3-
8'-8-
8'-1-
7'-9-
7'-4-
7'-0-
14'-4-
13'-1-
12'-1-
11'-4-
1 0'-8-
10'-1-
9'-8-
9'-3-
16'-11-
15'-6ft
14'-4-
13'-5-
12'-8ft
12'-0-
11'-5-
10'-11ft
19'-2-
17'-6-
16'-2-
15'-2ft
14'-3-
13'-T
12'-11-
12'-4-
8'_1ft
7'-4-
6'-10-
6'_5ft
6'-0-
5'-8-
5'_5ft
5'-2-
9'-9-
8' -11ft
8'-3-
7'-9-
7'-3-
6'-11-
6'_7ft
6'-3-
12'-10"
11'-8-
10'-10"
10'-1ft
9'-6-
9'-1-
8'-8-
8'-3ft
15'-2-
13'-1 Oft
12'-10"
12'-0-
11'-3ft
10'-8ft
10'-3ft
9'-9-
17'-2-
15'-8-
14'-6-
13'-T
12'-9-
12'-1-
11'-T
10'-3-
120 MPH
7'-5-
6'_9ft
6'_3ft
5'-10-
5'-6-
5'-2-
5'-0-
4'-9-
8' -11-
8'-1-
7'-6-
7'-0-
6'-8-
6'_3ft
6'-0-
5'-9-
11 '-3-
10'-8ft
9'-11-
9'-3-
8'_8ft
8'-38
6'.1 Oft
7'-68
13'-10"
12'-8"
11'-8-
10'-11-
10'-4-
9'-9-
9'-4-
8'-11-
15'-88
14'-3-
13'-38
12'-48
11 '-8-
11'-1-
10'-6-
10'-1ft
LAWRENCE E. BENNETT, P.E.
CIVIL ENGINEER 8t DEVELOPMENT CONSUITANT
P. O. BOX 4368 SOUTH DAYTONA, FL 32121
PHONE 1 (904) 767-4774
FAX It 1 (904) 767-6556
3
49
C COPYRIGHT, 1996
NOT TO BE REPRODUCED IN WHOLE OR IN ~RT WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT. P.E,
fI f. p'~ r rn ;"+ >, !Joe.
ACE
Air Conditioning
(f Eleetric
941-688-2238
FAX 941-686-9798
WATS 1-800-282-7841
Sales & Service
923 W. Memorial Blvd.
Lakeland, Florida 33801
..---'71:& ~-..i_3_1-_.LiP <.....__..____
r!r:t;- r' ~~.-
! . {7
---------.
Deal" Si l"S:
Please be advised by this letter that I, Susan K. Williams do
hel"eby alJthol"ize L/.L~_ /U ~ ~_
/'
to sign and pick up mechanical permits on my behalf. If you
have any questions please feel free to call me.
Thank you,
t2i<JOA_ t ~J!UTY'-o
Susan K. Williams
CAC039755
Nota~y. ~ 0~~
'i.';A~:'riJ:"'/ FELICE I. ROWLAND
f:!tJ;;,''f:;' PIN COMMISSION /I CC390799 EXPIRES
i ~'~;Jl September 18,1998
~r.;;F;;'~~ IlONllEDTHRlJ TROY fAIN INSURANCE, INC.
",..",,\
State Certified Electrical - ES0000061 Air Conditioning CAC039755
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PASCO COUNTY, FLORIDA
Permit No,
/S 5 -. Y' j..;,.'
Builder Name/Owner Name
: i I
,/~,J:'/
. . /--'j;)~
<:'.1.. . l,( ~- I - -'I
Date Permitted .L2. - / <;- - / ")
/
,.....,..j'
,
County Parcel No. "~ 9 ~ G - j,/ -.'-:, r:'~ /' .,.
C i../ (.,' '-)- (.
[~-)
'< -,
Location ~'1 I .s
/)
/I~ J i
/ i
J.( ,.... ''-L'...-~~
/;.:;>.... ." ',' (' / r" /
L-l.. '_ ~ .{ J". ~t.,,,- . """,-..K'
Subd,
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
....,....""-
-.
Zone No.
Sq. Ft./Unit
-'
Impact Fee AmOOflt"-S-::
Prepared By
The above impact fee has been established pursuant to t sco County Transportation Impact Ordinance as adopted
by the Board of County Commissioners. This amount is payable OR to the issuance of a Certificate of Occupancy
or authority to utilize the permitted structure. ___
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
No. Units _
/
Gross Sq. Ft. (GSF)
Rate/ERU - 52.00/Year
or $0.142/Day
ERU Assign No.
Assessment - (No, Units) x ($0.142)
x (No. D&S)
TOTAL FEE $ J O. ~
Assessment -
(GSF) x (ERU) x (0,142) x (No. Days)
100
TOT AL FEE $
The above assessment has been established pursuant to the Pasco County Ordinance No, 89-07 and Resolution No. 89-197,
as commended.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF
OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
Date
Received By
---------------------------------------------------------------------------------------------------------------------------------------------------
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce .
PC93113094/A