HomeMy WebLinkAbout98-7719
,JlUILDING PERMIT
IJIJ ~ -' r$O CITY OF ZEPHYRHILLS
V y\-' v (813) 788-6611
c210 ..
Permit
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Date
BUILDING
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Water Conn:
Wate~r:
T,I.F.'s: ~ 7/ ..,0:2.0
Zoning:
Description of Work
Job Address:
Parcel I. D. #
u
NO OCCUPANCY BEFORE C.O.
FINAL_
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City license Registration # .----'
State Certified license# ~
--
Signature
Compan
Address
Telephone#
Valuation or
Contract Price
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BUILDING
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Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
PLUMBI~~"
------
ME~'
sit/In bot
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ t15.um shall be made for each trip for each trade:
~-: d-o
a.
b.
C.
d.
e.
f.
g.
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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APPLICATION FOR PERKIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTHENT
~
7/?f30.
J.t - ;) ;) -<is
OWNER'S NAHE ..:JOAn 2r./P/lJe)/Ji.5/S1 /lJ/~" S~u-tJ< PHONE213 -78.s-~:'S7~ yo
OWNER'S ADDUSS 394&1 C. R, ,2)4 &s/- Z~LJJ.'lf~,'I/r f'"L 33.5"40
, ,
JOB ADDRESS 384(1) I C\ H. 6{ Ec..si Z.,. /)^}" ~ III ') ;:L~ ?, 3 .J-(o
,
LEGAL DESCRIPTION: LOT(S) BI.OCL-SUBDIVISION
PARCEL 1.0.' 62 -2(" -:JI - DO 10 -lStO 000 - OG 40 (OBTAIII FROM PROPERTY TAX NOTICE)
WORK PROPOSED:-J(New Coastruction -.Addition ,-..Alteration -.Jlepair _lDatall
_Sign -.JIove ---.J)eIIOlish
PROPOSED USE: _Single F_ily ---Jt/F _' of Units --.Jf./B
-t-ec-erCial _1Ddust. -5wia. Pool _Other
____.:testaurant i: Health Departaent Approval
DBSCIlll'TIOII OF ~: J11, /, I. ,<;'k/Ct'l.(' /!1e /,,( . S/~Ug j" ~,. td, ~, Q r
'. J v
BUILDING SIZE: ?rl X 4D , /02011 Square Feet, ~ '41' Height al eve'
RESIDBIITL\L: ATTACH (2) PLOT PLANS &: (2) SETS OF BUlLDIIiG PLANS &: (1) SET ENERGY FOBHS.
COtIKERCIAL: ATTACH (3) SETS OP BUILDING PLANS i: (1) SET ENERGY FOBHS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
1,UXUJ4j) $
~
__I
~
PERMITS REQUESTED
/~ 7oc)
Valuation of Total Construction
AMP Service
Florida Power Corp.
W.R.E.C.
Valuation of Kechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OP CONSTRUCTION: ~loclt _Pnae -x'-Steel Other
FDlI.Sm FLOOR ELEYAUOIIS: ~ '0 '''PT. IS PROJECT IN FLOOD ZONE AREA., .L
YES NO
..........................................
Bml.DD.
-CONTRACTOR SECTION
COHPANY 0 <.A/ /l t2J ,
/ State Cert. or Regist. .
/~ City License Registration .
..........................................
Sionature
COKPARY
State Cert. or Regist. .
City License Registration .
.........................................*
COKPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
COKPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
---
COHPANY
State Cert. or Regist. .
City License Registration .
..........................................
Signature
APPLICAUON APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
- A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands tbat tbis perait ai' be subject to -deed restrictions- wbicb ai, be lOre restrictive than Cit,
regulations. ibe undersigned assUlS! responsibility for CUlpllance witb any applicable deed restrictiona.
B. UNLICENSED CONTIlAC'l'ORS AND CONTRAC'l'On RESPONSIBILITIES
If the OIOler' bas hired a contractor or contractors to undertake IIOrk, they aa, be required to be liceD8ed in accordance with ,
state and local regulations. If the contractor is not licensed as required by law, both the owner and COIltraCtor .J be
cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat liclDling
rBquirBlents ai' apply for tbe intended work, the, are advised to c~ntact the Cit, of Zephyrhills Building Departlelt, (813)
788-6611. '
FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave the cootractor(l) lign portl.. of the
-Coo tractor Sections- of this application for which the, will be responsible. If JOU, as the OIIDer lign as the CGIltractor,
,ou are indicating that you, rather than the contractor, are responsible for the work. If the contractor wi_ fOIl to lign
as contractor that .y be an indication tbat he is not properly licensed and is not entitled to perlittiDg pd,Uegu 11 tile
City of Zephyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUC'l'ION LIEN Lnw (CIIAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided lith a copy of -Plorida's Construction Lien Liw _ BoIeowaer'. ProtectiOD
Guide- prepared by the Plorida Deparllent of Agriculture and Consuaer Affairs. If the applicant ia IOIIODI other than the
-owner-, I certif, that I bave obtained a cop, of the above described docuaent and prOlis8 in good faith to deli,er it to the
-own8r- prior to cOllenceaent.
i i
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.tlon in tbis application is accurate and that all work will be done in COIplianee witb all
applicable la.. regulating construction, loning, and land developlent.
,
Application is hereb, aade to obtain a perait to do work and instailation as indicated. I certify that 110 worl or
installation baa C3IeIIced prior to issuance of a perlit and that allworl ,ill be perfoned to Mlt ItlDdarda of. 111 1_
regulating construction, City codes, loning regulations, and land IJevelo,.ent regulations In the jurisdiction. I al80
certify that I understand that the regulations of other go,ernaental agencies ai' apply to the Intended worl, and that It la
a, reaponsibilit, to identify what actions I aust take to be in cOIpliance. Sucb agencies include but are not lia1ted to:
· Depart8ent of Environaental Regulation - C,press Barbeads, Wetland Areas and InviroRleDtally Sensitive Lands,
, Vater/Wastewater !reataent
· Southwest Plorida Water "anageaent District - NeIls, Cypress Baybeada, Wetland Areas, Altering KatercourB81
· AllY Corps of Iogineers - Seawalls, Docks, lavigable Ifatenays
· DellU'taent of Health' Rehabilitative Services. InvlrOlllleDW Health Unit - lfeUs, llastewater Ireatlent, Septic llOb
· US lD,iIODleDtal Protection Agency - Asbestos abateaent
I allO certify that, if fill ..terial i8 to be used in Flood ~ -.- or -.,etc.-, it ia understood that I drainlge plan
ac1dr8l81ng I -COIpenSating vol..- ,ill be 8ub11itted which is prepared by a professional engineer reglatered iJl the Statl of
Florida prior to perait, issuance. ,
. I perait lllued sball he construed to be a license to proceed with tbe work and not as authority to violatl, caacel alter, or
set aside anI provisions of the technical codes, nor sball is~u~e of a perait prevent the Building Official frOl tblreafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery pera1t IIBued Iball becaIe lo'all4
unless the IIOr1 authorlled by sueb perlit is co.enced within lillOIltbs of illuance, or If worl authorlled hI the penlt i.
suspended or abandoned for a period of sil IOIltba after the tiM the work is co.enced. One 90 day at_ion of tile, -, be
allowed for the perait lith fee cbarge of $15.00. Tbe otension sball be requested in writing to the Building Official. II
approved inspection aust be logged during each sil IOIlth period, or' the project will be COIlIldered abandoned. '
VARNIIG TO <<*110: YOUR FAILURE TO RICORD A IIOTICH OP ~ lilY RlSULT II YOUR PAYING rllla FOR DIPROVIIIBIIS to 1001
PROPlm. IP YOU IIUIID to OBTAIII PIUICIIIG, COISULI VITH YOUR LIIDIR OR All AnORlII BIPORB RICOIDIIIG YOUR IIOrICB OF
COItHIII I. JOBS UNDER 2,500 II VALUIIlO 1101' MIlD to RICORD AID POST A -II01'ICH OP,~-.
K ,'I
STATI OP FLORIDA
COUllfl OF
Tbe foregoiDg~rqoeot wae acknOWledged
before .e thi L2-f>" 19!iL by
S~I\J S. B>D~
who is personally known to me er whe has
preduGed-
as id60Lifi~on and W~d/did oot
take \en~~ .LtA __
(Signat t5. ' &, ch - ,
~()+ L. ilL O.At2.-.J
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
rko
CJJOm OF P II-SCo
The foregoing i~t was a~ledged
before me this ' LJ. , 19q Y by
TFrhu ~. toledw
who Is personally known to _ or wile lias
Pl'edu\Oud'"
tJY '11.
...' 6.~'io Brenda L Buchansn
*~ * My CornmIlIionCC816554
~fItfR ~.. expire. J-.y 'ZT. 200f
~.",...-
:\..... "u#.
,~ 6 ''I- Brende L Buch8n8n
* ~ * My Commlision CC618M4
'::.~~ ~~ ElCpire. J-.y 27, 2001
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CITY OF ZEPIIYRHILLS BUILDING DEPARTMENT
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--(~//C-Pr 'CIS ",. ///1/
OWNER
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JOB LOCATION ..";~)....., - (
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PARCEL 1.0.'# ()::J-:?( '21- 6016 ()~(J()() -0046
SIIOW ALL EXISTING &
10' ..
10' EXISTING 10'
PROPOSED
20'SGL FAM 30' DUPLEX
,..
INV,
P 0 EL. 81,5
~
INV,~
[X'ST rENtE
::E
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
BO HOM Of' DR A , J
TO EL. 86,00
(NOTE EXAMPLES 1 & 2)
~
-54~
STREET
1. SETBACKS FOR Rl, 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'
FRONr PROPERTY LINE
FRONT PROPBRTY LDfB
N.
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1 0'