HomeMy WebLinkAbout97-7181
BUILDING PE,RMIT .7181
Permit
13
{V
/i D'
~~
P..p,rty Owne' ~1!-/~ %Fb.
Job Address: 3 ~. C<- ~
Parcell.D, # J'f-:J. b - J./ -0 /6tJ .... () DC} CJ 0- e :-v
CITY OF ZEPHYRHILLS
(813) 788-6611
Date
j/-S.--Y7
.
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
~:::t;on ~ j:~9, ;;;;o?t;;;/r. ~~~
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
f Il
City license Registration #
State Certified license#
Permit Fee
Signature /
Company
Address
33.~
~~
Valuation or
Contract Price
/ :J..- o-v . ~
./
Telephone#
CJ'v. rv...I2A_
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SlB
lintel
FRM. GAllf)fh1;/t;7 ~
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
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars l$le.Sot shall be made for each trip for each trade:
c2..!:. ':. (Tf)
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
6~-g 30100 3JNVJ.SIS]~
1100J.SOf4~ lJHVtfnSNI ~ J.N]nJ.UVd]O SVXll "(
'661 300J ONlOlInB lYNOUVN VOOD "l
[0-01 O.l$S 0:>85 10
SNOISVl.O~d ONV SOYOl OHM l18VJllddY O'NtOfllJNI
VI M.1l.dvlO '03 t661 )OO~ ONtOllf1E1 OHVON'iJ.$ -l
'SlOOO ~_OT1OJ lH! JO
$.1H3ftlHOOlH OVOl lH1 NO O)SVB ]W sn,..,vtro
lSlH1 NO tw.OHS SNYdS ONV SN~](J ]HI
to!
~ ~~
5 ~ ~ ..:1,
II I ; 2;
~~ I u ~I
-::; I" f~ {I
.. I f/I~ I
N.. tc -'
" " ~ e~ .
I-.l-. J ilif S5
~
!!i
A
I
iii
~
!i! i
~ ~;t ~
~ "'..sA m
~ S~~~ ~
~ ';S~::l ~
~ ~~J.~ ~
~ :2"~7
~ ~5::~
U ljIiI'lI. g
o ~'~to! Q
.. ~ iSi~~ A
~~ !IIlA! ,
V) boo S
~ ~~~
5~ ~l!zz iii
A~ nU
liI~nn
i -'0'101.,<
>'/;:
!is
~j
~I
~lil
~-
~~
1;!j
\.,~
)o~
~'"
~e
J!!~
~1It
1iI~
~~
~..
..~
bi
.:
c;
~
I
..;.0
h
~~
i
~
]N)H ]"'80" ~NU.SIX]
,
I
~..
ji ~
~ .
ia l::.
I!lf "
I~ .'
.., ...
~il ~
d
ia
gr
lWU.:>NIlS lSOH 0Ml$1X]
t; ~~
iI i
~.. ~B
~~ ni
i~ n~
~
~'WWW 1~. ~
H1~1~!~r~~jr~r~ii - ·
U ,',.,-.",."", .'
5....C't :;:::;. :::::;:;:::; .-..J
:~! lJ
~~~ B
2l!5h~
d;i:~
a~ri ~
r
is
!
iI'
II
I
3WU.:HlailS I.$OH ONJSUC]
i
lit
,,~~,
fn~
~l!. &~ u u S
~i~h~~ ~ ~ ~~~ ~~'~ ~J i ~~i. t! ~
:1.~;~~iili ~ > S.'if .......~" 6 -1\ ~:^' 12 g
!bii~~!~ i : :~! i ~n:u ~! ~ ~ ~ <
to!lI!!dw~iI'~r I( li! W I I I : 511l~ I el >' .. ill
~ ~1~hA~~S 5. Gi ;~~! ~~! ~J~ ~ r ~f ~ ffi
It: A!,,!!. - -I I;!; ~ lit ~!!II:: I I:: I ii);J ~ ~ '5 I .. g"
zuit~< :IF 8: .~I \...U~E& E, m . '"-..<.:>
~ ;~ ~U~~g ~ ~IK ~;: ~~~~~ij. ~ ~~ ~l~ -t ~~ ~
~ ~lll ~ ~ ~ ~~~S ~~S g~~ ~~ !l ~=~ ~~ ~
~ ~ ~ ~d~ d~ ~g; ~i ! i;~ r> i ~
~F e~ SgAj gAj~l~h 1It..~2 ~ t;
to ~ !z!" ~ ~ ~ .. ili g!l!l5 II d~ Ii ~ Cl
..~ '('{ ~ ~ 9f"', Of~... -ili a .Q~, ~
'i~.ilw ~~! U~ j~gl~gqd:: idg IH~~
iii a I ~!! 1It_ ~~ ~~to!~~;to!~81: ~i nl !i (
!~i ~~ u ~~h~L;h ~f~ ~5 I .:
:~~ b n ~~~,;~tN ~ to! to!"~-
~! ~,'"
A~" ~ ~
~;tS ~ ~
~~b ~ tt ~
~rl> ~
- -, ~
~ 5
-1 !!)
i L..,j
..
itl::; 1-:0 Z
1(;;: g t1 g
g ~., ~ ~r ~ g
~ ~~ ;:~ ~ ~g
~ ~; ~ as ~ 8~
z
~JI~
L,--1:Lf
0(
9li3f,OO 03HOV l.l V
S
5 ~ ~
n I ;
.~~ ~ ~s
!. 5 -i
~; i~ ~i
~'... a...
/Ie" a: ,.
NN VII' N
~'O ..tl . $QtUs .to . ..t
JnOH )1190" ONJ. SIX]
I!!
~
8 ~
~jl
ill iI;
:.. i
" .
~~~
.., ~ ...
"-...
~
lL
~
U
~
z
ill
. l-
V>
o
lL
o
~
~
Ul
~
j
i::.~' .
to!". ~"l
"'"Goo-
C.h~
i~'fl
'ilj!;~li
1-.' ;s
"i ~5~
:"AEi~~~
iei3~~
0:
r
i
I
l-.
~~i ~;el 3
~!ei~ ~ iri c
~el~~ III AR5 0
I.~!!Ia ~ f~~ ~
ig 1lIll! ~ ~ 8 ~ l::.
! di\i ;1,0 ~l ~ I
~ ~ i :~
~ ~~\- J> i ~
~ - II ~ z ~
... ,~~. ~
iil ~ i h u
g rg: __SISOH ~
~..,~
"'~
~;..
lI'ljil
I.U,
9l;l;9-L9L (t06) :xVJ
~LL" -l9t (tOG) ;]HOlltJJHJ
6HZ' valOOH '~HVYO J.lK)d
Q9'" )(00 '0.
IN'f'llflSNOJ IN]ndQUUO - U3)N il"-I
"'ErG] auu~ "EI @
-'
:;:
I-
...
o
::E
<
...
Ul
~
~g
't~~ ~
-~1Il ~ ~~
~~~ , :~
~Q~ ~ " ~ ~~
1II~~ ;\:1 I' 2 ~Q
e:lH~ ~ :....!;i
lj l$ _ to! i' I-
~ .L -I- !f~'"
~~~ ~. "0. :!:~ 0
i.. w
". U
::;
l);
~
III
~
lL
..J
<
o
~ ~ ~
r I~; 1Il~j!i~l:! ::::::::::::-:.::
!:Vf ~I-~ 5 ........u~o
~1Il 5 d~~~ -
1Il~ 1Il~ !:!~~~
l!1 ~~ '7S$i" . , 1--\0'
~ ~~ -l.i.~ :~~ lOC ~
'\ '\" '1"'~lio..". ,
lL Co ~of'f..~ NNf'fNNN
~lileuu
ei~A~
iJi5~' I
~b~;~
~8' u~
~i~n: ..
i
N
~!
~~
,,~
n
~
~i ~i
hl~
Gi~..
~~~
Jie
lWU::UUUS lSOH ONU.SIX]
~~
I!
2
O'
t:
ffi
Cl.
~
~
ex:
f2
Kl
~
~
..:
a:
o
::E
<
...
Ul
.:
o
. :;;
~ ~
~
z
tl
a
I
I-
~
~ilio: ,
to!!ltw II!
~ ~ Iii ~
~ 8 ..R~ g
e. ~ 'il ..1J> ,
~'" l:l ~'e~ S
If ~~O -;- 0-
:::\1lI ~ I~ 1 i
~ i '" is
e. ~ i a
!i ~ J>~
io<~ ~ ~
~~ C\ t;
/ llIruJn.,s 'SOH lJl
't
~
I
II!
----4
l
"1
lh
11~
..J
Ul
a
o
6Q-1J )OU):) )JNVJ.S!SJlj
ntt01S0Nw. JJNv"nsNl JO .lNlnl"vdlO SVX31 '{;
H61 300:> ONI01UlU lYNJUVN V:>QU l
SNOISv.O"d QNY SOYOl OHM ~.fa-:~n~S.:)=lj~ Stl3^OO aNIONV1833~::I
~, .:UdY>Q 'Oi 0661 JOO~ ONI01In8 OHYOHnS "
'SlOOO OHlOOllOJ ilU 10
SlN]'OijIflO3ij OVOl lHl NO OlSYO lUY $OHM\Ylf(J
]S]H.l NO twOHS SHVdS ONY SN:)IS)Q 3H.1
9....9-L9L (..06) .XVj
nO-l9l ("06) :lNOHd]131
6llZt VOIWlj 'l:)NVW' lt10d
89tt XOB .
.lNY.llllSNCY.) IN3ndOll1\30 - H33NIONl "M~
"Ef<1l eulJ~ "EI /!)
CD
en
en
,-
@]
~
S I
~~~ .."., ~ I Rl!: ~ !il~<l ~ ~ ~~~ ~ ~I
~~ NN~ ~~ ~:~! N ~ ~iil ~ I~~F;;;~~!~ ~
~~. :<,lIe2~~ ~~ ~~~ ;~~ ~~~ a__',:1_.~ ~ ~ ~
i(-NN"".'~ ri~~: Ii 0 i ~~ i
h~ t.. ~ n~~ ~* ~!~ ~:~ I~ ~~~:!~ ~g~:!lllSMi:;;
~ Jl I" l> -- %~ ~"
~ ....~ .,.....~ -~St ~ !is.... ~
l:l w88881'1.....'l' " i~:'$l:!~::;;' 'l"ll!; !g~ a~~ ll;,,;;i ij~!l If
.. Ol"..........::.. ~~I!l ....... -' ~I!l t~ i'!
~i~I'rl:~q;: .. t~ ~+ ~ ~i8~~..~~~~
: ~;:~Cl:: ~~~:i5~ ~~ ~8~ ~~:! ~! a~~:~ ~~ -~~ 'ft
~ ~~'" ... 'h 1lI ~
~ UBi! ..,~ is: I . ~ iiS ~ i
,h ~~~~ ~( ~~~~~!~~!LiS~w~~~.;jj;6..: ~hiY:TJJ:r~;
d~''''''''':'''''l!~~~.......t aod"'''Jti=''i!:!:i'''t<l~:I,!l! ~~ ~~c~2
~!!~ ~ ,... ~ ~ ~ ~ ~ a~,~ ,!,!,!,!,!~~,!
...~ 1<1'1'1'1'1<1'1' ,. '~bbb vabb~obb. ~bbb ~lo,bb ~I.bb~i oIli~81~CC~U1:1' ,1'1
::I~ h.....w.....~ t.J ~1111-)-rl"'-, '" ~ t wi "tllll I
~ 1CJtC:!Cr1<rJ1CfC I I I M_Ofl M:!....~ M~"'~ .~~~ .~~b ~ aA, __._______. :..
~ ~~~... hlo~"" --h---h---t.,---'..--fl...:....
~ ~
III ~ :n'o.:"OWNgQ. __~b~:.,oo. :.,~~~\:i:"2~ o~'io,="'o.'.,= ~:.,:.,...~~.~ ~ Ooo:,~oo'''r'~,:: ~)...IlDh~o :....\o.oo:Ohb~ ~~~~".'o.b'..
~ 11111111 I III II - I II -""",_, 1.',11"'11 III I t I Iltlll ~.II.lI'iI" ,.lff;.~..I.~...I""~
;~~: ~o< "....in""". :,:,,,,,...:,..in ~~;;,;;,"'.:..." b'!f;::5!5!......'" ~~~~~,~,;~ ~;!~';::5! ~~b-~~=~5! ~~:e~;!;! "'~~~:e:e~ N ...,.~-::-;;i
1'ft:.e:"99~ ',...""O~'o~:ON o.';....~~"',...~:., . N~" ~_....."" .~J...___ ....CI...._Ootr))...."d.o).... Nh'..h..;oo.. ,_No.'.ooon~o.b'j
"'~~+.Ip.eg 111'11,1 III I b~b',..."'...m"" Noooh'ioh'o. ~ 111'1"11 IIII I, ".'1.11"'" I~.J."I.III~
Z r ....~... .. -..':-..I';,.,....~~;~:... 'tll-'. 111.11.11.1 III.', I '_~-_~__-~'-~'_'_ c..~,~I.IL-,.1 "f'f:o.' I ....-.f'f: '
W~ .~. 6- .......~..",," - '---- ;';::;5!~"';;'~ ~b~~::!!5!" t~tb~!:!,~5! ~.~..-..~ -~,.,.;!~~~;:: N"'.."!,!:!!!::!:: ieN"",,~:!!:!!~
~~j!-~.. .!:i5
~~Wj!.l~ ::'I~O"~~o.:n' c '..-bnm"':"",".o ':.,.':.-':.-':.,.w~~h =~':.,.~wo~':.-_ r..~~~ho.....':...'" '::~""'~ ~'cQo.._~~ o~2;""~Qo_.- ._}.(oo'N'o";::....~~
~Q:~ ~~ 8~.,}...1 '.I :.1 I t 1..11.... "I I.' I I ,.. '.' 11.',-.. ...11....,.1.... .111.11,.'.'" " 1.'.,.1 I '.II I~.'"'' 'I"~
~agiW~ -w.."'........~.... ~~.:.;;,;;,~~~ ."'''''-00.... "'in'.n"'''',-o ........in."'~N ~+;!~ li::....~....;!';!~ .!:l;;;2.......... \:;~:::t-o..... $!Nll::G;!.::fl:l;;;r
,~~~&. ~ ,----- -------- -------- - -- -- - ---- .....-- II
~~~~i!~ ~:;:'_blok..~:n:., '0:.,:':"';::,_,+'0 :nlob:.,:':nb:' 'lo,:n:':":".~ b:''o~:'''_:nb ~ 'o~'_~i1 "~b\.Jo-'oI- ..1o:n1o~:'-_ ,-lo..'.lo:.~...::l
~1I!~~.Ill!i::;:.'.'.',';.',.' -'.'.'.';},'.'.' '.'J.".'.'.' .,,-,.'.',-, '.'J.'.'J,.' ~~:.',,-,-,-, -'J.'L'-,-'-'-' '-""-".'-' '-"-'.".'J ,-,-,-,..'-,.'",
"'~8e J 0 . CoG..,.".................. Cl,...1D1D ..,..,on OOlClIDJ.."""1D "'-"'OOlClOClaaCl .....rl__OClO.. ____~ ~;;..."""~__OOClO Id.o.......~ CIO~J..IOir1f)""'" N~~~IO~Vl~
61u ~J ~ N .;- ",--- .;----- ~ -.; - ---- .c-------.;- ______~ __-__
~~i5~-.; ~~~,.,.,'" i, , . . :." " ~, . . . '. . . ~, , 0 , . . . 0 ~. "!-\'" . ~J-.:..\o~"(f. '0" '0',.' ;t.....:-" ,.. iN!--..,.., oA, ...:..... J
~ '.JSl. ...... -"2onOClonN~(JO;:""l0l ::"~. 2CC2-IO_Cl~" ""220~CC~Ol, NlDtQ _~...~ ":: 2" ". en N ".r-000" ....."1~90_,:: 10..,100.
~' ~ ~Ii:l.''''' ' 1.1 '..~.'.' 1.1~.' 1.12.' I.'.' I '.I.' ~ '.....1.... I.I~.'''}-'.II ,.I ~~.'.f.I.II"" Ilq: I' 11.'.1111 ~I.II I, II f ~I.f '.. I f I 12f '.. I , '.1 ,~
~~~~i ~Cl"IDIDIO"'~"'~(JOClCl"" 1D1D1O~~~220l0lClCld~~~~::2201d~~~~~~::2d_~~~~~!~::dN~~~~ d~~N~~~~d~~~~~~
,e;&..o" ." w." ," 0" h ." ." ." ," ej
=!&,"~ j!:ilo ~ ~; ~ ~ ! 8 ~ ~ ~ i
::IOILN-'~_ 00- ~ ~ ~ ci ~ d d d ~ d ::I
N~ J Ie toe ~
~ ~ j~~2in""""':r;::~ ~ in.." "':5!'~~:i '""""''''5!::~ ~in""""'5!::~~in""""'5!';::~~""""'!!"2b': ~"NOoo5!::t!;:!';! ~""5!'::t!;:!;! ~"""'5!'~Y.:l':! ~"''''''5!';::t!~t~
"f ~ ....... . ...... :. ~!
I ~ ~0::~-2 b"lN....cr..... onl()V'lNtO.....Q u Gl:: >
h ~ i~ :O:"-'I,I-'~-'-'I'.' '-'-'.'.'1'.'1 i!> 1'10'+''-10 .:.,.,l8
;I 5 '" i.... O.in:!....OO;:!"'-n.......oo ':.,NOO,.....f-.t....;:! '" XOIIOl_ ..... "1- i
!:~ :11 Hi HI 111 ~~ ~~: Ii I! Ii Ii 7; ~~~! ;i"'~:N:~<:~~::f~::~~:~;.+11 z~~~t~~~ ~~~~~!:
~ !si-) lot -~ _:2;!:j I i~~{~~~~...~~I;!.::.I~~.~h~~~~i~~ ~~:n~:~''''~ x"'~v.''Oii
i i i-4~ hooh ....~h ~ ~b....'O "...__ irl~ j5N------:e--!!-- ------- ~. i.o.:a':!b~~~ o..~~~~
0% III ~-.!J ~I.-' ~,~ III fl II .1 ~~ 5?~ ....::; A & ~"-~o.O~bNObo"'" ~'O.=_hb""~ ! ON- .-- N:!---.5
gO....... --- ~... ....__ 10"......, d w.... 00'" ...... 0010 I, ....;r15 )- 0:::<'" - -.- .~ I 0 . :ON. . ~ '. '^~
~ ~N --- N __ .,!:!- 0 ~o I '.' 1.1.' f.11 ,I.' ~ I" ,.1 , , ,.1 +.... ~ %,x_ _;... X~,"":n-:3O)
. .- !;fV~o~1t!~~!~:2!!;!:?~!!! ~::~::~'::~:!i!~~ <(.d"~~.I~;;' dl"I.I~~
~ S~% ..:.:. ..-.:... :..~'+ ""-:.,. . ~~9~ 1;1 '" .0. 9' .,..' . o~i ~-~--~-- '-!:1\!?:e~~
9t 111'- Cdo2 x h..... too ...... 0..... ....'0 ~"";!:93i . .1...Glco\o::)...aooaOl\"a:"-2Ncr.on-~N.3 0 cs:!: .' I' .9
~-i 0 "" ~ ~~~ ':'.:t 1,1 0 I I I I 'I i I I I I' Wa"'! ~ -.... - .i ~ ..' ,..0'00'" x.~.,
:;;~~'- -~~il'- ".. "" ".. "" :1';:: ~!:!a~i>-;i ~i;},~k~b;}"~~':'':'~~~~~~~~;},b~aL; w~~~..\~l;},~~:~7a~
~1!il% CP. .. '" '.. . /: ill ~ '" -- - -- -- ~:~:~:l>:l> '2~~!il%-==-==~z:e-\!?-.~
i vi .~ ~ ll'lilO- CItQ- idQtoj:!: 001 1")01 "'0 J...b "'01 .. r ~ ~ ~J -,J .....J .J.J'''...''..''~,~;!:" V)~..,.. -l~~~~~ .J...r~
Di~'-i~ ~~;}, .:.:.~ ~~~ ~ '~,; '.i~ d '-' .... '-' ".... ~;;..IP j ~...~Jtli~~lI~lI"::i!~i!~~~i!::;jb:''li~ :ll:~~!u j~j...ri~
i Z --- --- i "'" ..'" ".. "" :12 :e~"o"'f .. iFl::iFiFliFiFliFiFl~ ,;j ,~ ~Z"~Z,, "'t!:.l>~~"
iz . . 1 . . . " .~~8 z J2::JS!i2S52!22W ~~:l1: o~ 00 ~~~...w~
8 A~J~Ja~..JJsJ~Ja~~~ ~~~ ~J~;JUJJa-JJiiJJaJJ JJ JJ!;li~~ Iil 8g~8g~8g~8g~a ..6li8 ~~;::-~;::~-1 2101~~:~
;;~~oll.lIdlllllld..lId.... ...:.,.... ';d,JJdJJdJJdJJ\i:JJNJJ:~ . QA- - - - !. ~'" ~;;:?lj!, , 'lA., ::;
:. 9~g~~!g~!!g~ngU~;m~ln~s~~~~~~~~g~~g,~~~~~~~~i~ll!! 3~ ~ ~ ~ ~ ~ ~ ii a J:. ~n ~ ~U 3 ~1
::I ~d,8!!NI8-",8!!2,82li:L8!!2. 8!!2!h,oo,oo,ooI00,xoo,"00 "~"o ,d d d d ~d d d .. 0..::1 !1rX ... ," " i!..
' i ----------------~---~---:Jo-..~-N~_".,_".,.,"~.,".,;i.. Z % x h ~" h ~,. ~ . '. h ~"i. 0,.
~ gl!!" J oh ... ~ h .. -'N ~ 0., 0., lo, :N
-'Nj
APPLICATION FOR PERK!T
CITY OF ZEPHYRHILLS
BUILDING DEPART"~'1'"
PASCO PERMIT SERVICE
813-788-5314
Ie, ,-3(-r7
PHONE L
OWNER' S NAME
,~ ~ e-) \' ~ Ii (' kYloV'
38 05 -g
~ q) idf ~t:)
OWRER' S ADDRESS
ltfWQholQ
My~'i'W/
.LoouJ
/e;/'I?/
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BWCK
SUBDIVISION
PARCEL I. D.' I 1./ ~;) It> - d) - [) / ~D ~ Oocoo -- 0050 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~w Construction _Addition _Alteration _Repair _Install
_Sign
_Move
_De.olish
pmPOSD~E: ~i~eF_i~
_H/F _, of Units ____M/H
_ec-ercial
_Indust. _Swia. Pool _Other
~estaurant & Health Department Approval
DESCRIPTION OF WORK: LA rp'D r-T ~ LDhCxe ie~
BUILDING SIZE: 3?5' X I D. 3rg L' Square Feet, cg' Height
RESIDENTIAL:
COMMERCIAL :
ArrACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) 'SET ENERGY FORKS.
ArrACK (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~UILDING
$
00
J d.[)O-
PERMITS REOUESTED
Valuation of Total Const1~ction
RI"~CTRICAL
NIP Service
Florida Power Corp.
W.R.E.C.
-1IECllARICAL
$
Valuation of Mechanical Installation
_PLUKBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUcnON: _Block _Fr_e _Steel
Other
PIRISBED FLOOR ELEVAnONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
CONTRACTOR SECTION
RUTLDRR
Signature )( ~
,
~7i-
COMPANY OLD/\) E~
State Cert. or Regist. .
City License Registration .
..........................................
RI.RC'l'RTCIAR
COMPANY
State Cert. or Regist. t
City License Registration .
....*.....................................
Si.ulAture
PLUMBER
COMPANY
State Cert. or Regist. ,
City License Registration f
..........................................
Signature
tlECllANICAL
COMPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration ,
.......*...............*..*.*...*...*.....
Signature
APPLICAnON APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTl;CE QF DEED RESTRICTIONS
!be undersigned understandsYthaf this penit lay be subject to "deed restrictions" which lily 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 IilJ be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireleDts lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
788-6611.
FurtberlOre, if the owner bas bired 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, rather than the contractor, are responsible for the work. If tbe contractor wisbes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HoIeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleOlle other than the
"owner", I certify that I bave obtained a copy of the above described dOCUleDt and prOlise in good faith to deliver it to the
"owner" prior to COIleDCeleDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify tbat all the infoIJation in this application is accurate and that all work will be done in cOlpliance witb all
applicable laws regulating construction, zoning, and land developlent.
Application is bereby Iilde to obtain a penit to do work and installation as indicated. I certify that no work or
installation bas COIIeDced prior to issuance of a penit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in th~ jurisdiction. I also
certify that I understand that the regulations of other goveIlllental agencies laY apply to the intended work, and that it is
If responsibility to identify Ihat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
t DepartJent of BnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and BnvironJentally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida Water ManageleDt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t AIIY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health i Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US BnvironJeDtal Protection Agency - Asbestos abatelent
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 "COIpeDsating volute" will be sublitted Ihicb is prepared by a professional engineer registered in the State of
Florida prior to penit, issuance.
" . penit issued sball be construed to be a license to proceed with the lork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery penit issued shall beCOle invalid
unless the work authorized by such penit is cOllenced within sillOnths of issuance, or if work authorized by the penit is
suspended or abandoned for a period of sil IOnths after the tile the lfOrk is c~ced. One 90 day l!Itension of tile, lilY be
allowed for the penit lith fee charge of $15.00. !be eltension shall be requested in lriting to the Building Official. An
approved inspection lUst be logged during each sillOnth period, or the project lill be considered abandoned.
IIARJIIfG TO OIlIER: YOOR PAILURE TO RECORD A 10TlCE OF CClfMKlCEMm MAY RESULT II YOUR PAYING TWICE FOR IMPROVIMmS TO YOOR
PROPERTY. IF roo IIImD TO OBtAII FIMAlCIIG, CONSULT WITH YOUR LENDER OR AI AftORm BBFORE RECORDIIG YOUR MOTICE OF
CCJOO:ICIMm. JOBS OlDER $2,500 IN VALUE 00 NOT NBED TO RBCORD AND POST A "NOTICB OK~CBMlNT..
~~~ ~~~ )c2 5JYWL J..e-___
SIGNATURE: OIIIIBR OR GENT SIGNATURE: CONTRACTOR
STATB OF FWRIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
STArE 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)
(Rame Typed, Printed or Stamped)
ROTARY PUBLIC
(Signature)
(Rame Typed, Printed or Stamped)
ROTARY PUBLIC
~
OWNER
CITY OF ZEPHYRHILLS BUILDING DEPART'KENT
o hie let Tlc/enor
33 o5~ !--qk)qI1da loofJ
,
/'I-;Jl.c, -/)) - O/&?D '-QuCGe. . DO~rJ
JOB LOCATION
PARCEL I.D." #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
()Lf'
II':
~,~
Jh!
tj' .
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT
15 FOOT SETBACK
REQUIRED.
-----
rrof>~
CA tfori-
~
C.oY)cre~
E Y16j,iJ6
f/o me /
7't..'1
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
I-
I
I 0<.0 '
J
FRONT ~ROPERTY LINE
I
(NOTE EXAMPLES 1 & 2) (STRE~~'
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E_
R X
0 I
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'
FROHr PROPERTY LINE
FRONT PROPERTY LINE
r ,0 ~
r ,.r
- -
-,
:J"J( L I H P. q In
.
UJ ~
( X\ ~
W l.l,j
~ ~ ~\J
~ \ ~ "
14-
f ..
I
. Carpor-r
;) ift ~ ~pe~rt'iC-0
.-/
If' 12 IX ~~ r:q
~2
-
,-3~ (
I
-Mfc.ched ~ 'r'
.. e:pu- l;'olnem ':;,'
'-IJ ",'*
'- '.~f
~,:(~~ TiH- Beq"" wi; . lj/'K3Yl tVt-\-~
~
3)( 3 Poo+
~~\'t1J <b pe.r "E<),'/leer: ~
ArJor as per ~l"i'en'~)
(J
J - It- 5 BeY'
Jr!)1
~
~
~
t
~
.t
,~
~
C'
--
-t-
-!Q
x..
lll.
')
"
I"
I:,
. II
;1:
. ,
" f,
.
I
I