HomeMy WebLinkAbout97-6741
BUILDING PERMIT Ii!
Property Owner:
Job Address: ~-I
Parcell.D. # I
CITY OF ZEPHYRHILLS
(813) 788-6611
...;;..s -= JD .;2 tJ . c.'J'i)
cPWMBI~~ ~HANIC~') Sewer Conn
Water Conn:
Permit
- -67418
Date
,- - ~(- cy ~
1-/0. CJ2)
c;;D
Water Meter:
T.I.F.'s:
Zoning: ~L Code: ..-- ~n Gas:
Description of workj!1t }.I~- If. ~ A1u.24~
\:f1:P~AJ h1~ ,!J-~~-?'7 :2:'-.:J-S nrYl
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
City License Registration #
State Certified License#
:20Yo
Permit Fee
Signature
Company
Address
Telephone#
/30.0()
r~
Valuation or
Contract Price
~
)Jf~J/ fJ .11.
(J~ M. /'~f 7J!/Ad,1/
iJ~a: 1?8/
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.
_ MAY-16-:97.FRI 14:16 ID:
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ON CERTIFIC ATE O.M.B. No 3061-0077
ELEVATI - "'. EllpiresMay3r, r993
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood Insurance purchase requirement. This form Is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LO~A or LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY HAIC NUMBER
000- C'cYo 0
STATE
,,~.
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
ZIP CODE
.g ..?..S:'Y
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX ... DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEYATION
/ f) 0 Q~ };).-/?- A -- (In AO z7 depth)
{} () oS- ~ 7'/ ~ g'
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): DNGVD '29 o Other (describe on back)
8. For Zones A or V, where no BFE I~rovided on the FIRM, and the community has established a BFE for this building site, Indicate
the community's BFE: I I I m. U feet NGVD (or other FIRM datum-see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level .5 .
2(a). FIRM Zones A 1-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram Is at an elevation
of I I I 18ls1, ~ feet NGVD (or other FIRM datum-see Section B, Item 7).
(b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, Is at an elevation of I I I I I I.U feet NGVD (or other FIRM datum-see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is LlJ. U feet aboye 0 or
below 0 (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LU.U feet above 0 or below 0 (check ,
one) the highest grade adjacent to the building. If no flood depth number is available, Is the building's lowest floor (reference
level) elevated In accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: ~GVD '29 0 Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM (see Section 8, Item 7), then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.) .
4. Elevation reference mark used appears on FIRM: 0 Yes G1\Jo (See Instructions on Page 4) ,
5. The reference level elevation Is based on: B-actual construction 0 construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate wili only be valid for the building during the course of construction. A post-construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade Immediately adjacent to the building is: I I I 17181.~ feet NGVD (or other FIRM datum-see
Section B, Item 7).
SECTION 0 COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level Indicated In Section C, Item 1
Is not the "lowest floor" as defined In the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I I I I I I.U' feet NGVD (or other FIRM datum-see Section B, Item 7). . '
2. Date of the start of construction or substantial Improvement
fEMA FOfm St-3t,MAY 90
REPLACES ALL PREVIOUS EDITIONS
SEE REVERSE SIDE FOR CONTINUATION
4
" !j~j':
SECTION E CERTIFICATION
This certification Is to be signed by a land surveyor, engineer, or architect who Is authorized by state or local law to certify elevation
information when the elevation Information for Zones A1-A30, AE, AH, A (with BFE),V1-V30,VE, and V (with BFE) Is required.
Community officials who are authorized by local law or ordinance to provide floodplain management Information, may also sign the
certification. In the case of Zones AD and A (without a FEMA or community Issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 . Distinguishing Features-If the certifier Is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included In the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
I certify that the Information in Sections 8 and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME
DAVID
A,RM.5'TRO/\/ C;
TITLE
,PROF65S/0N/lL .9/PvEVtJ,e If frt4/JPEk::.
ADDRESS
51.
LICENSE NUMBER lor Affix Seal)
PS/t1 4970
COMPANY NAME
(!. reEL)
v.
DC-VEL c9 /lSSCJr,) Inc.
STATE ZIP
ZQ/lYR/!/L{.5 r/ 3354-0
DATE PHONE
5"-20 (813) 782-tfl7/7
for: 1) community official, 2) Insurance egent/company. end 3) building owner.
CITY
SIGNATURE
COMMENTS: 8- F; E
/lS.5/CNCLJ
BY C//-y CJ"c ZC7'/I~//L--L5-
ON
BLAB
WITH
BASEMENT
A V
ZONES ZONES
ON PILES,
PIERS, OR COLUMNS
IAIl!
FlOOO
IUVATIOtl
tix 4j~~itf~~!V;~ikY.H
....l.'. ,I '1"'/' "~~t,.1',,p:,C..
I:~J.~::;.trt1\:;~'!?~~~~i~{:~:';?j!.t~~:~i~:
The diagrams above illustrate the points at which the elevations should be measured In A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
MAY-16-'97 FRI 14:15 10:
TEL NO:
1;I'7J7 P04
CITY OF ZBPHYRHILLS MOBILI HOMI ~LOT PLAN APPLICATION
OWNER 1)1 lSTEte -r "rt~( It- alb~
JOB LOCATION
PARCBL 1.0. # (0 - ~ - '2..1-00 to - oQ1oc -COCO
SHOW ALL EZISTING & PROPOSBD STRUCTURES GIVING DIMBNSION' & SBTBACKS.
PONb
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,
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S'~n~ ~
L+N~ rao PROPIRTY LINB
(NOTE EXAMPLEB 1 & 2)
STREET ~/~l :s.H-A-n'l P~r- Uf-(~
1. SETBACKS FOR M1/M2 ZONING(INTBRIOR)
2.. SBTBACKS ~OR K1/M2 ZONING
ABUTTING PUBLIC RIaHT-OP-WAY
T
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C
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1
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10'
7.5' MH 7.5'
,
20'
10'
7.5' MIl 10'
20'
FRONT PROPBRTY LINE
FRONT PROPBRTY LINB