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HomeMy WebLinkAbout97-7117 IoD ~ BUILD!~9HY~L~.RM~M! 7117/5 (813) 788~6611 ./ E~CAL PL~" M~L Date / /J __~,~- 9 /7 'i-.u-7~ . 9:'if~ Sewer Conn Water Conn: Job Address: Parcel I. D. # Water Meter: T.I.F.'s: Zoning: FINAL Cjl- I ')., q CfJ DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price Permit Fee Signature' V-- Company Address Telephone# City License Registration # ~ State Certified License# ~ 11)- &oq, BUILDING ELEC M AL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway A f""...: Y\G) t'",~ IfoOT 7!,f~ /,11 (=- C! 0 -.f -9<f- ~M ~frLo ,~..( J Ftr. Pre SLB Lintel FRM. 2/J)..-J 91 {7,'l/ Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($~) shall be made for each trip for each trade: .;1.6.....0-0 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. CITY OF ZEPIIYRJUI.LS BUILDING DEPARTMENT OWNER j)1l~X~le.. -\- tHIl~\tl ~e.O U JOB LOCA'I'ION S- J 3,c') ~'/J:A f~ It' ~<:'r ( ~\) \ (? t=P It '1 P 1-I1l (c.. PARCEL I. D. . # ~ 7......(, - L l_=_ OOJ9_~-=__9_~~~~ .- OCOc> l~L S3~1 -.....~.......-..... t ~ a. ~ 0- d j =~ ~ ~,;:J -J ,-:::.: ..Q.h -$.-<- J J4l 7J J \l.. , ~j~ ~ ~qVJ~~ 'j V\ i t "- (~\ ,~-; I \):"~ ".", ~ ~ ~ ~~ ~ ~ '] ,.) . "J J V')~t ~3 SIIOH ALL EXISTItIG & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. ALLEYWAY ACCESS FOR GARAGE OR CARPORT _ 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) -:P~tl b / ~...~.. "', ~ol3 (,<:, r( -~_ II f.- lye '-<:::: k "- 2";>, C l'( <:'" ~.. /~ . ~c)1 ......--., ,f--...(r<. // I ~- r::/ Lc,( (0 I I ,/ ~~ ;;;\--- ."" Q~\ ~RON'r L-+w~ '\ " ./ lDT 70J. PROPER'l'Y LINE STREE'I' ~'~9 SttA-O'f I2...ES.T LA-N~ ~~ I ~ '~ ~ , " ~ I 'no I ~ '. 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' 1'10 PROPOSED 20'SGL FAM 30'DUPLEX t- lJ ct:!j , () t.J -:t. ~ ..p - ~. -" -i~ V) ~. 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TAUT OX 4.188 ORANGE. flOfl'OA 32110 'Cl[P'-IONE: (904) 761-.4174 "AX: (904) 161-6556 ~ ~~ '" ;<" ~~~ O~ ~~ .,.\'! pi ;<f,j .,.~ 5~ ore ,. ~~ ~~ ~~ ~ o ~ r. ~ . f a ~ ~ " SCREEN ENCLOSURES SCREEN I VINYL WALLS SOLID COVER m( OCSlCtlS .utO SPANS SilO""" ON TH[S( g:A~C~a.."fJ~~~~~1 TII[ LOAO R[OUlR[U[IlTS I STANDARD 8U1lOtNO COO{ 19~4 [D. CH,A,PT[A 16 'NCLUOING APPlICABlC ""uo LOADS AlID PR0'o1Sl0US ()I' SOCC' SSID 10-OJ :l. DOCA HAnONAL nUft.D1NG COOt '99.1 J. 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O;;''J ,. - II /.- . .I~' Ji . f i w ~ -0: _ U ~R ~ ~ ~-' t, . ~ (.) 1;1; 3 i" ~ ~ J-J ~. . lL ,~:J, 1 N ~ ~:.~ \. >- z' o 1- ~ (( UI <L U'I . ~ ~ - \y-=-l ~ \J' h 1\W ;./ t I'! ." ~ j:! t a ~ ~ to h ~y ~ ~ J ~I" ~6 'l~ ~~ "Ill N~.~ ~:; I; ,_~,I -I )~! ! ~ ~ {j IU:t' ~ S~ ~ "l'l~' \q ;. .~ 1\: ' _-?TlI -.1 ~J' <= lIFi" \ \ l~lIL I~ 'i l\Xd~ ~ t1 QQ ~i~~ ~l I:i fa 11".- ':.,' . lei .:~,~ \.~. ~ ::,,-.1- ~ ~ \!l. ~ ~ o ~ g r.J ~ t ~ fI' "Ill I" a n~~~ ,i ~~;6 ~ ~ il~~~ @@OOQ z o r= U ~I P: z VlO z r= ou UtoJ _J ~ ~o ZU gl 7.1.0 ylO ~... n f> :I: ui{ ~o :J"- Z ~ :J .J ~( .I, 2~ go 0' n 7llJ Iii ::E '_.1 ..( 0' n: () ll. ff) 0 ~8 ~3: :1w :)1J.' _10 ..( Z :, ~ ~~ " '0 I!' ~].,. g '" 11 U.. ~ ~ g 3 ~~ ~ ~ a~ ~. iJ !' ~._ , ~I ~ ~.11., . r'. , ,Ii: ~,,~ ' ~ ~;:,~y ~=~~ ~ ~ li ;:;~ 2w~I.~ ,- l,l..' ~~ ~. ~ l ~ 1 " V,-~" II ~ ~q ~~~~~St ~~:i JI') , I~ ,. .. ~ > ltip, '.11: 'J oS ' 11' ~N'-~~r;.,~ :;~~ ~~~ APPLICATION FOR PERKIT CITY OF ZEPllYRllILLS BUILDING DEPARTMENT /'t" / I It; 10 OWNER' S N~ \ ~ +- ~~\A-- Q..~ \1 PHONa.(g t~ I IS- - ,~q I OWNER'S ADDRESS bl'1'" S /fAn" e...e;. r (*t'JE \ ~PH"""i?-l+i US ) TL .S3.s-4I_ JOB ADDRESS S-( ~ C) SH- M::."1 fLe-..r u-N E ? ~ eJ.f.( LLS I FL. $ ,<s-4- J LEGAL DESCRIPTION: LOTJ.8L (0 I BLOCK SUBDIVISION PARCEL loD.' lo - '2 b - 2.1 - 00 \0- oqqoo - O(t)C:> (OBTAIN FROM PROPERTY TAX. NOTICE) WORK PROPOSED :_New Construction ~Addition ---.ft].teration ~epair _Install _Sign _Kove _Deaolish PROPOSED USE: /Single Faaily _KIF -' of Units _K/B _ec-ercial _Indust. _Swia. Pool _Other {. " _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: Sc..~~N R.oo'M ,<;HE'J::> + ~Poe\ - ( BUILDING SIZE: I !;. X 2...~, 42-0 Square' Feet, to I )< 2..0 ( 40 0 RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. COmtERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~PIT(ON To l(-o"&l~ ltoM e: Height PERKITS REOUESTED ~UILDING $ Valuation of Total Construction , _ELEC'J'RICAL AIIP Service Florida Power Corp. W.R.E.C. ----1IECHAIlICAL $ Valuation of Mechanical Installation _PLUMBING GAS ' ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION RunnER o~. N~ COMPANY CJ l,() Ne1e.... State Cert. or Regist. . Signature ~ ; Q., t:'~ City License Registration . , ****************************************** ~.RCTRICIAN COMPANY State Cert. or Regist. . Si~Ature City License Registration . ****************************************** PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration . ****************************************** OTIJRR COMPANY State Cert. or Regist. f Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERKIT 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. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reguireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have tbe contractor(s) sign portions of the "Contractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, ratber tban tbe contractor, are responsible for the work. If tbe contractor wisbes you to sign as contractor tbat lay be an indication that he is not properly licensed and is not entitled to petlittiog priVileges io the City of ZephyrhilIs. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~ , D. CONSTRUCTION LIEN Lnw (ClrnPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - HoaeoIoer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is BOIeODe other than the .owner", I certify that I have obtained a copy of the above described doculent and prOlise in good faith to deliver~Jt tu the .owner" prior to couenceaent. . 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 installation as indicated. I certify tbat no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perfoIlld to lIet 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 governaenlal agencies lay apply to tbe intended worl, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not Iilited to: · Deparllent of Environaental Regulation - Cypress Baybeads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treallent · Soutbwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalis, Docks, Kavigable Waterways' · Deparllent of Healtb , Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater !reallent, Septic !anks · US Environaental Protection Agency - Asbestos abateaent I also certify that, if fIll laterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan addressing a .cOlpeDsating volUle" will be sublitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit 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 technical codes, nor shall is~u~nce of a perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCDII invalid unless tbe work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work autboriled by the petlit is suspended or abandoned for a period of sil IOnths after the tile the work is cOlleRced. One 90 day 81tension of tile, IBY be allowed for the perlit with fee charge of $15.00. Tbe extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each sil IOntb period, or the project will be considered abandoned. NAMING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBKCBHllft' HAY RESULT IK YOUR PAYIKG nlCH FOR IHPROVIIIIITS TO YOUR PROPIRTY. I' YOU IIfTEKD TO OBTAIK FIKANCIKG, COKSULT WITH YOUR LENDER OR AX ATTORRIY BEFORl RlCORDIKG YOUR MorlCH OF C EKCEMENT. JOBS UKDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "KOTICE OF COKKEKCEKKNT".. . I SIGKATURE: COKTRACTOR STATE OF FLORIDA COOKTY OF The foregoing instrument before me this was acknowledged , 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 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