HomeMy WebLinkAbout98-7515
BUILDING PERMIT
~
BUILDING
3-.s--C7V
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788~6611
~--.. e-z,
Permit
7515
;3
Lr'"o, ov
Date
~ - 1).3-;98-
PLUMBING
MECHANICAL
Sewer Conn
Pmperty Own., LJ ~~A~ ~
Job Address:. & ~ 0
P,<cel Lo. # :k - bl~ -,9/ ~ 6'" ~ / 0 ~ ~~~
Water Conn:
_ (~Q~O
Water Meter:
T.I.F.'s:
~,;:f- ~
-~'Ylda~~
Zoning: EZY Code:
Description of Wo;;- 'fJ ~ .I). ..A'J......
a
dRadon Gas:
~. ~
NO OCCUPANCY BEFORE C.O.
FINAL "J q
~
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
~
P~rmit Fee /7 J, ~
Signature ,~
Company
Address
Telephone#
t/- ~.
v.vL
Valuation or
Contract Price
) 7. ~. &--D
..
City License Registration # /9 Y f:,
State Certified License#
Qi ~ /t~ j/;?~
~_ t3
J< ~ cr7( ~~
,.
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tpo 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 ($~) shall be made for each trip for each trade:
~-;a-o
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER I S NAHE_/Jj~~
OWNER I S ADDRESS 38'7116
JOB ADDRESS ? y".?06
/1. t..J 1,/0
I) Cuf)J.f I IU
o tr1~ I-~~. R;/
/'
PHONE 9t J - );>9- OLY.1
2e/h..,-f,;/1J F/ S]~-<YO
, /
2e~J..<-"h..I(J FI Sf JYe)
, r
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL l.D.' ~ S- - 2S - '<....( -(j w~ 0 - \ 4,UQ_C~J (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Install
____Sign _Move _Demolish
PROPOSED USE: ~ngle Family _M/F _* of Units _M/H
_Commercial _Indust. _Swim. Pool _Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK:.-W ~t.lAf' ~./l...t JJl o-iQ
BUILlHNG SIZE: ~x 3S:- Square Feet, '3 g',S- Height
d~a" - .-r
RESlVENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET l:NERGY FORMS.
COMMERCIAL: ATTA<"ll (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~LDING
~ELECTRICAL
PERMITS REOUESTED
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
__W.R.E.C.
_MECBAlfiCAL
-0LUMB~NG
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTION
~ vi! COMPANY \A~ A. w ~",Lt-> _
/) ( State Cert. or Regist.' ~U l6-LD
-~ U ~ City License Registration # \ '7"1:~
******************************************
ELECTRICIAN COMPANY 1J.c.fl- I::'t. e c:;- . ./'
I jJ /I /J/J State Cert. or Regist. # F<S 00000 (,.?( V
Si2.nature rjz"uJe. li...iUc;tA./'V City License Registration # cO 'J
******************************************
BUILDER
Signature
./
PLUMBER ~ t COMPANY lA.\~. tJ S"\ U '> /
/ / State Cert. or Regist. #I (l,u \,.i:>'iO V
Signature t......../ ~_ City License Registration # \4'ib
******************************************
H.ECHANI~ COMPANY e... ts-L-ecl,
State Cert. or Regist. #
Signature 1 Y 1cense Registration t
***********~******************************
~ COMPANY
State Cert. or Regist. #
Signature City License Registration #
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDI'fIONS OF PERMI'l' AFFIDAVIT
1\. f-iOTICE Cr' DEED RESTRICTIONS
. ----~._._.._-. -.
i k c"Jersiyned uIlou3tands that this perlit lay be subject to "deed restrictions" which /lay be more !
, l ions. The ,::, '~[signed assu.es responsibility for cOlpliance with any applicable deed restricti,
JNLICEN~.<!) CONTRACTORS AND CONTRAC'l'OR RESPONSIBILITIES
-~ .., -"------."--- - ._~--,--
j,/ner has hil Q contractor or contractors to undertake work, they lay be required to be licen~
';LLt dlld local reYUdtions. If the contractor is not licensed as required by law, both the owner and
_'leu lur a llisdelledi!Jr violation under state law. If the owner or intended contractor are uncertaill
,t~uilelients !lay ap~_ for the intended work, they are advised to contact the City of Zephyrhills Bui:
t'('.-..rli,
!'U LJIe!IJOre, if the vliller has hired a contractor or contractors, he is advised to have the contractor(s
r enor Sections" uf this application for which they will be responsible. If you, as the owner sig
.:r" indicating ll,,:c you, rather than the contractor, are responsible for the work. If the contract.
j:i ~Ui:Udctor that lid) oe an indication that he is not properly licensed and is not entitled to penit!
-iLl 01 Zephyrhills.
Co 'l'HANSPOROl'A'fION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONS'fRUC'l'[ON LIEN LAW (CHAPTER 713, FLORIDA STATUTES I A~
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hl
Guide" prepared by thl! rIorida Departllent of Agriculture and ConsUler Affairs. If the applicant is SOIlI
"u,,::er", I certify tL:. I have obtained a copy of the above described docUlent and prolise in good fait!
-"".,' ~rior to COlli.,. :cement.
.iCliYd than City
J in accordance witl
iltractur .ay be
J what licensing
; Oepartment, (813)
sign portions of th,
JS the contractor,
~ishes you to sign
privileges in the
i\MENDED )
'owner's Protection
other than the
deliver it to tb,
" , "':ON'I'RAC'((jl{ I SjOWNER' S AFFIDAVIT
1 (ellily that all till; infor.ation in this application is accurate and that all work will be done in COIl iance with all
"'F! j ,.]~le laws regu L, ing construction, zoning, and land developlent.
" ;Je: iH L Issued shall elL construed to be a license to proceed with the work and not as authority to violu
<d -';.(1" Jny provisic: of the technical codes, nor shall issuance of a peuit prevent the Building Offi
;~c.,"ii'J tl correction cf errors in plans, construction, or violations of any code. Every peflit issued
JllieSS Ule work author.i~ed by such peuit is cODenced within six lonths of issuance, or if work authori~
:3uspellded or abandoned for a period of six .unths after the tile the work is couenced. One 90 day extel:
JjJu~ed for the penit with fee charge of $15.00. The extension shall be requested in writing to the Bu;
-.:; . - : ',specLioiJ ..c, ue logged during each six lonth period, or the project will be considered abandl
",:\li"'l.. dWliEh: ,)!'AILUHE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FUH lM'/EHENTS TO YOUR
: ;,FL:'; iF YOu jifHr, TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING tL. ilOTICE OF
/""1.1":'1'.1"1'1'. JUBS UN!::' $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
:,;"",'UHf:: 0"" OR 1>,,<,,0 diAl!!( ~ U~
:;,,: l i Jfl is nl~[I:L i .Jde to obtain a peuit to do work and installation as indicated. I certify thaL
_LJLioIl iiilS cowa, ",;ed prior to issuance of a peuit and that all work will be perfofled to lIeet st::
":.,>; COliSlrucL. City codes, zoning regulations, and land developllent regulations in the jurise.
'I, .; lliat i under::; ,,,d that the regulations of other governIlental agencies lay apply to the intended.
..-;ibility Lc "intify what actions I lust take to be in compliance. Such agencies include but oi
.. :.;,~n_LQf J~.trui"._ental Regulation - Cypress Bayheads, Wetland Areas and Enviroilllentally Sensitive
Water/Wastewater TreatJent
A ,d"ls~-IlLJ.[0L'i0LI~r Manage.llent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watereo
^ 0F~L;()~Q~J~L Engi~l:d~ - Seawalls, Docks, Navigable Waterways
^ ~~P?J~~!.ent of BeallL .~. Rehabilitative Services, EnvirOll.lental Health Unit - Wells, Wastewater TreatIaeJl
^ ~L~Il~irolllental Pr<:r~~ction Agency - Asbestos abateJent
J1SU 'Jertify that, if fill lIaterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that
JiJdressiIlg a "compensilt ing volUle" will be sub.itled which is prepared by a professional engineer regisl
~lo[ida prior to perlit issuance.
~IAlt ~i !LUHIUA
,'UUlff: Ji
_.__._-~-+- -
Tile foregoing illt; Lrwnent
~'c:tu,-~ HIe this
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
was d,
, 19
..110 is personally known to me or who has
produced ____
:.t", iJentificatioll and who did/did not
luke ,w oath.
"ork or
:rds of all laws
~[l. 1 also
ex, and that it is
not lillited to:
Jnds,
~s
.ieptic Tanks
,rainage plan
'J in the State of
cancel alter, or
.Jl fro~ thereafter
,,all be cOile invalid
by the per.it is
In of ti.e, lay be
,Ilg Official. II!:
tlowledged
by
who is personally known to me L who has
produced
as identification and who did/\ j not
take an oath.
lSignature)
(Signature)
d :.J.W(~
'.'yped i Pr I ,~d or Stamped)
,JjBLll'
(Name 'I'yped, Printed or Stampl'c
NOTARY PUBLIC
., '_'- . .I..... .
?;??-- 1:2-0~-
SITE PLAN
(RESIDENTIAL USE ONLY)
PARCEL 1.0.
'3S-
SEC
.2S-
TWl'
2-L-
RNG
Q~~O
SUllD
l2bQO
BLOCK
000.=>
LOT
l'ROPEHTY HE./\SUHEHENT
3) (K ).2 (
CUIUll-::.NT OWNlmS
~J ; \. fV r
\\
\J<L- \ \ s.
IwrE
~II Sf?)?
, /
All drnwlngs sball be drawn to
parcels or lots flve acres or eS9.
---- sJ1
r;'
L+,ij ro
5).1
/t/
J~'
~
-s:'
.-.->
\1,1
t
~I';",J
SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIJ1ENSIONS AND SETBACKS. ALSO, INDICATE
ANY BODIES Of WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY. INDICATE
THE SJ~E. YEP~, ^~D N~~E OF MOBILE; SUCH AS 12' x 60'. 1981. FLEETwOOD.
All "EASEMENTS". "RIGHT-Of-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans.
DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE
HOUSE CONSTRUCTION
't"~I:: '...0'
PROPOSED ADDITION
"ALI:: .-. .0'
MOBILE HOME SE TUP
'CAI..(: 1-. .0'
\oJ
:I
..
z
~ 7~'
o
II
,oa, 160 ".l
-
~
::
o
Q
I~ .
20' . 10'
32.!l'
odd.
P'L
!l0' <l0'
~ -
0 0 0
If}
'" 2:1' \D ~ [_I,IIn, ...
. <i '"
.. 0 Shod
" !-i:l .
...
. .
~O'
ROAD "A"'E
~
.
!
.
!
(,1. ling
....ou..
o
7!l' 0
.
"
20'
20'
R~ NUI(
ROAO NAM(
PC95035005