HomeMy WebLinkAbout97-6966
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N! -- 6966~
Date
9- / ~ ~ 9' 7
~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Pmperty owne:- f!{tf &2
Job Address: 3~ -3 - / . f1v.e (
Parcel I. D. #
Zoning: Energy Code: Radon Gas:
Oese,;pt;on of Won""~:J ,-r~
Water Meter:
T.I.F.'s:
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
(LL
Permit Fee (ff' i'"""D
Signature ~ f ~ -rn
Company
Address
Telephone#
:I? t iLl.!.
Valuation or
Contract Price
'-.:5 -tnJ. c-v
City License Registration #
State Certified License#
~
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 17-[ _..J '.:1 Ofill U .3 ($ ~l shall be made for each trip for each trade:
..as-: tn:J
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.
f}/ .,.... CITY OF ZEPHYRHILLS BUILDING DEPARTHENT
OWNER t-'/)/Ll~/J A For(/erG
JOB LOCATION <. -~80o 9 IF#; Pt1;e, 7- /it/l~ R-! ~?'<,L/ J
PARCEL I.D.'#
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
'roC "'~
t7r\~ CQrl'1\
ALLEYWAY ACCES~ FOR
GARAGE OR CARPORT /
15 FOOT SETBACK
REQUIRED.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
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FRO~ PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S N
JOB ADDRESS
L . I d Dr: '3, ({ ,IV f; 7 1_ h.
LEGAL DESCRIPTION: LOT(S)1~, .~ I e,y; iJ.ya- "BLOCK (OlJSUBDIVISION
PARCEL I. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~New Construction _Addition -Alteration ~epair ~Install
_Sign
---Kove
_Deaolish
PROPOSED USE: ~ingle Faaily
_KIF
_' of Units ---KIH
_~ercial
_Indust.
_Swill. Pool _Other
_Restaurant Ii Health ~epartaent Approval ~. f
DESCRIPTIotI OF WORX:yJ/f-tJf1.dt( 'me!. ,(CrtJ/lm auif'ij/1d
BUILDING SIZE: X Square Feet, Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~:U1LDING
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
---KECBARICAL
$
Valuation of Mechanical Installation
_PLutlBING GAS R()()FING'~PECIALTY
/)
TYPE OF CONSTRUCTION: _Block _Fraae _Steel ( J.. )~ 0 Of Other
FINISHED FLOOR ELEVAnONS:
FT.
IS PROJECT IN FLOOD ZONE AREA'l .&
YES NO
..........................................
CONTRACTOR SECTION
RIJTTDD. COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
RT.RCTRICIAN COMPANY
State Cert. or Regist. .
SignAture City License Registration .
..........................................
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
KECHANICAL COMPANY
State Cert. or Regist. t
Signature City License Registration .
..........................................
OTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with 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. Jf the contractor is not licensed as required by law, botb the OKDer and contractor liy be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departient, (813)
788-6611.
FurtberlOre, if the ONner has hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the OlDer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for tbe work. If tbe contractor wiabes JOu to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
,
"
D. CONSTRUC'rION LIEN L'.I\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify tbat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HoIeoIner's Protection
Guide" prepared by the Florida Deparllent of Agriculture and ConsUler Affairs. If tbe applicant is SOl8ORe other than the
"owner", I certify tbat I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
"owner" prior to COllenCelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
installation bas cOllenced prior to issuance of a perlit and that all work will be perfOIJed to leet standards of all lawa
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber governaental agencies IiY apply to tbe intended wort, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
· Deparllent of EnviroDlental Regulation - Cypress Baybeads, Netland Areas and EnviroDlentally Sensitive Lands,
Nater/Nastewater Treallent
I Southwest Florida Nater Hanage.ent District - NeIls, Cypress Bayheads, Netland Areas, Altering Natercourses
I ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways
I Deparllent of Health & Rehabilitative Services, EnvirODlental Health Unit - NeIls, Nastewater Treallent, Septic Tants
I US EnvirODlental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volUle" will be sublitted wbicb is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
. A perlit 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 tecbnical codes, nor shall is~u~ce of a perlit prevent the Building Official frDl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every paIlit issued shall beCOll 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 six IOntbs after the tile the work is c~ced. One 90 day 81t_ion of tile, ., be
allowed for the perlit with fee charge of $15.00. Tbe (!Itension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned.
NARNING TO OIINER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEllHNT HAY RESULT IN YOUR PAYING DICE FOR IHPROVIIIDl'S TO YOUR
PROPIRTY. IF YOU InSND TO OBTAIN FlKANCIKG, CONSULT NITH YOUR LENDIR OR AN AnORln BEFORB RlCORDIHG YOUR HOIICI OF
COKMENCRHENT. JOBS UNDER '2,500 IN VALUE DO NOT NEID TO RICaRD AND POST A "NOTICE OF COHHINCKHINT".
SIGNATURE: ONKER OR AGENT
, I
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUny OF
The foregoing instrument
before me this
was acknowledged
I 19_ by
STATB OF FLORIDA
COUNTY OF
The foregOing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not"
take an oath.
who is personally known to me or who bas
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
I S[JRVEY
I
SKETCF] OF. BOUNDARY SUR VEl?
NOT FOR CONSTRUCTION
NOT FOR DESIGN
STREET ADDRESS:
38039 11th AVE
ZEPHYRHILLS, FLORIDA
,
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70' (P)
N 45"02'56 'E. 70.16'
x- x x x x x
~0.3' 1 .5
,~2] ~ I. METAL SHED
I 9.0'
-9.8-
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rCM
4" X 4"
NO 10
rCM
4" X 4"
NO ID
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~' T';'''f~1 ($ j:{,'..
fR6 ~. 1~:5'
,6,~' l
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10'
27.0'
:i:
W. 1/2 OF LOTS 8,
9, 10, & S. 3'
OF W. 1/2 OF
LOT 7 BLOCK 60
12.5'
34.0'
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RESIDENCE n..
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4" X 4"
NO 10 70' (P)
69.93' (H)
reM
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NO 10
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NO 10
R1GHr OF \.lAY"
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f" r r -
BASTS OF BEARTNG,
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'S.45"OO'OO'I/, 70,00' (P)
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C[N~ERL TN[ \,
LEGAL DESCRIPTION
THE WEST ~ OF LOTS 8, 9, & 10, AND THE SOUTH
3.00 FEET OF THE WEST ~ OF LOT 7, BLOCK 60, A
MAP OF THE TOWN OF ZEPHYRHILLS, ACCORDING TO THE
PLAT THEREOF AS RECORDED IN PLAT BOOK 1 PAGE 54
OF THE PUBLIC RECORDS OF PASCO COUNTy, FLORIDA.
CERTIFIED TO :
PHILLIP A. FORCIER;
NATIONAL CITY MORTGAGE
SCHRADER, JOHNSON, AUVIL ~ BROCK;
LAWYERS TITLE INSURANCE CORPORATION
11th AVENUE
60' ROW
~
o 5 ~ ~ ~
GRAPHIC SCALE
CERTIFICATION :
I CERTIFY THAT THIS SURVEY WAS MADE UNDER MY DIRECTION AND THAT IT MEETS
TliE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE BOARD OF PROrESSION.A.L
LAND SURVEVORS AND MAPPERS INoPTER 61GI7-6. FLORIDA ADMINISTRATIVE: CODE.
PURSUAN TO SECTION 472.027. FL RID' STATUTES.
BY : ~-:Jd..1t1<d---a _ ''0---IZ~... SURVEY DA TE : _d.:.r222..J__
eLl 0 W. FINSTAD. PLS #2453 NORMAN A. PAHL. PIS #1349
JE RY H. HILLIGOSS. PLS 114488 LELAND F. DYSARD, PLS #3859
NO A CERTIFICATION OF TITlE. ZONING. EASEMENTS OR FREEDOM OF ENCUMBRANCES.
"UNLESS IT BEARS THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND
MAPPER THIS DRA\.,.,NG. SI<ETCH. PLAT OR MAP IS FOR INFORMATIONAL PURPOSES ONLY AND 1$ NOT VALID"
PLEASE REFER TO REVERSE SIDE FOR GENERAL NOTES & ABBREVlA nONS.
THE \IlL DER CENTER
tranS1't1'on to 3000 GULF TO BAY BLVD STE 212
CLEAR\lA TER, FLORIDA 34619
813-797-3603 FAX 8IJ-797-3~67
CARROLLVOOD PLACE
380B GUNN HVY STE 206
TAMPA. rL URIDA 34624
813-969-2066 FAX 813-264-1662
"X"
FLOOD ZONE :
COMMUNITY PANEl 120235-0005C
DATED: 12-17-91
(FLOOD ZONE: "S"."C":D", & "X" ARE NOT
IN DES!GNA lED FLOOD HAZARD ZONE AREA.)
NOTD
TN COMPLlANce WITH F.AC.
61GI7-6.0031 (5) (D (JF LOCA TTDN OF
EASeME:NTS OR R1GHT-DF-WA'I OF RECORD,
OTH[R THAN THOSE: ON ReCORD PLA 1', lS
RF.QUlRED, THIS [NFORHAT/ON NUST BE
rURN1SHt:D ra rHE: SURVeYOR AND MAPpeR.
FINSTAD, surveyor in
F.L.A. SURVEYS CORP. LB 6569
PROFESSIONAL LAND SUFNEYOR'S. PLANNERS & MAPPER'S
REVISIONS
1!
PROJECT NO: II
97-8623 ==:!J
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