HomeMy WebLinkAbout98-8073
BUILDING PE.RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
8073 &
/1/3 /q g
, I
Date
JO.()O
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
PmpertyOwo", &IM t fZritl
Job Address: :3..:2, ~ 'It
Parcell.D. #
k 1l~1z
- I inMtlId fJ-U.
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code:
SMd 41DT a. ~.l
Radon Gas: .
~p
J
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
II 6 '11
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
10
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
107-5.00
City License Registration #
State Certified License#
DUJ JttiA
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 001100 Dollars ($ 25.00) shall be made for each trip for each trade:
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME .':' L ( .<1 N 'i- fA T~I f' , "l kA Y
JOB ADDRESS 5.).5"1:, i3;Et<'1L LA..v~ 2~r:J'I-IYICI..//L{.5
PHONE f?;.) - 'If J -I/D~-
F~'" II" f 7
FLeJl<l!JRf, EY'1~tl!...Ac....iJ ,oOI,v'iC
LEGAL DESCRIPTION: LOT(S)
:J'1
BLOCK
SUBDIVISION
PARCEL ID # 2.~-).'. ::2./-00 Oi)- DolO D
WORK PROPSED: ~EW CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
0"'ADDITION
DALTERATION
o REPAIR
o INSTALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
or OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
ST()((~a..e
t3 U . L j) 1/1/ a:..
BUILDING SIZE
f' X I u
SQUARE FOOTAGE
~t) /
.
~ ~
. HEI GHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
DrBUILDING
$
() {l
101S,
,
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
D STEEL
MOTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
[j}-NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
********************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating constru~t~on; zoning, and land
development. .
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit 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 technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
STATE OF FLORIDA Q
COUNTY OF a.-,~(! <..)
The foregoing ins~~ent wa~knOWledged?_ )
Before me this T ~ of I D vi , 19..2j:/
by ;q {-{ 'IV /9f(
(name of person acknowledged)
o who is personally known to meCi:: . .
~s produced(!~~,14 /SI/X(~.
(type of identification)
and who did ~id not ~ake a ath.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
19
(name of person acknowledged)
[1ho is personally known to me, or
Dwho has produced
(type of identification)
and who Ddid Diid not take an oath
~e of person taking ac nowledgement
~~/r c;( . <~rYLfi41
Name Yfl.rlf~rinteBbbbie:S.~e. d
~": :.oE MY COMMISSION" CC534927 F'. .
-!!I" -
o.~"".." ..Js.~~ February 22, 2000
"P.f..f.\." BONDED THRU TROY FAIN IN3IJ~ .
Signature of person taking acknowledgment
Name typed, printed or stamped
.< ":;!ll~'-". ,,\''- .~'" J:.)1061 Hwy. 92 West
t ~i': ~ '. '?l 1 i1 Jf ~l", S',,~ , 1 t-1 ~":'J
"~'~It,: t- ::j";:j : ',::. 'I", _.' 'I',. Auburndale, Florida 33823
"flt4".;; ~' !'~ 9" ," 11 .A;'1oiq .' " . .'t"" ,,~: (941) 665-3767
.~..I'L"'.:"a.__.i'._
SOLD TO:
flllAn KAY
3256 Baryl Lane
Zephyrhl11e, Fl
Office:
I,,,,' .. 11
I
Phone:
Location Sold By: Phone:
'1t*N <T~rr.y Scott 859 7570
Terms:
COD
Phone:
Other
Shipped To'
o
MANUFACTURERS OF THE:
BU..asHED
Customer ORDER
~
Office
POI ,(.
~M ,,/I-I\\..I) e~. I...tftl
Delivery Date 11-5-98
IMiOf8 x~l
Contact Person:
Qty. Size Model Base Color Trim Color
1
8 x 10 eave lolaI' white ant beljT,e
112 MH
Door Size Style Hinge
Door Size Style Hinge
Window(s) ]. Size 24Jt?7
Window(s) Size
Vent(s) twO Electric P'ltd
Loading Instructions:
load door to~riverF Rld~
Comments:
Put Beige XXX on door
Sale Amount
Misc. Char es
Frei ht
Sales Tax (. 't.5'iJ
Total ~
" i Amt. Received
Balance Due I'} .il)
It,)
~~/
Customer SignaturL~ ~ ~.Jj". . " ~-:t
..?
Roof
white
Unit Price
Amount
Corners
1045.00
30.00
N.C.
Terms & Conditions:
1) Price of building includes delivery and setup, i.e. block,
leveling & anchoring.
2) Customer is responsible for any necessary permits for
installation of building.
3) Smithbilt Industries is not responsible for removal of
fences, trees, existing sheds, etc.
4) Smithbilt Industries is not responsible for damage to
underground utilities.
5) All electrical connections should be made by a licensed
electrician and completed per existing National
Electrical Code and local Code Requirements.
OWNER Jd LL rt r0n'y OF ft~PIIY RII';K,'ti yl.'HNG nBPARTHBItT
JOB LOCATION
PARCEL 1. D.' tf
SIION I\.L.L EXIST U'G & l'nOl'OSIID STUU<"'"TUJUts G.l V .lNG D.lHKNSIONS & SETBACKS.
\
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4>
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
PROPERTY
i
I
I
~NE
(NO'I'E EXAMPLES 1 & 2)
S'I'REE'l'
1. SE'l'BACKS FOR RI, H2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
20t
10' ,
10' EXISTING 10'
1 0
PROPOSED
20'SGL FAM 30 ' DUPLEX
10'
-P--E-
R X
0 I
10' P S 10'
0 '1' 1 0'
S I
E N
D G
FRONT PROPBRTY L.lNK
FRONT PROPERTY LINE
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fOR r.('-o. MX BUfLDJNCS
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use (2) TOC N..ILS IMIN.)
NO _rCH r.:P OF fJC.A1I
ro ~(df J:)ST 70 p~
"IHRlJ - SEI 'six fLIVo
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3/'" Pi.~ FLOOR
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ISOMETRIC OF BUILDING
SCAI, r,I2.~(-O.
[NO UEVAnON w/ DOOR
DESIGN LOADS
SO~[: V2.~f'-O'
J. .FLOOR Ult' Lc.<D n_...__ 75 P Sf. f:.asr! , '" ~C)
1. FLOJl LYf LCAJJ __--0-- 12' P.5.F. J(lSr!' 15' ~C.)
l RO:F Ult' L"'O ----0--- 20 R.5.F.
.. ~1If) Lc.<D (120 ILP.H.) --- 2f. " P.M.
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WiND CODES
7"HfSC (M<.:;tNGS ~fIT "/HC I+I.ND P[()IJRCJ.O/TS CF r...c
fiM'ff""/:r~!..fWNG COOC ~1If) TIE AS:E SW/L~RD
GENERAL NOTES
l .FL0Jl J)l5r! _ /JU.14 SJVIU 8C 110. 1 5011_ PINe (p. T.)
L ~ nKY.ll FLoaI IN'..1 BC -1/,' Tii'C1( SX"/HfRN PI/IC, , ~ Y, Urai!Q/l
t;I1~1!C. ~.JC 1M) (;PX.r ('srvRD-I-FLOOf'").
l 1 , , ~ALl A'I) RXf rTWI;HC SHALl Be N~ 2 SOOTHf1/ll PINe.
( ~:F AND ~ALl SI:lNG !riAL!. Be 1/2" C-JIfIUCI, TfJ) ALUW..:Ii It'TH A
U7' I'frai 01/ ~ " W SiJIII' OfTH A 3/1' SrrP, eo"/H SliAL!. Be
/lJ.NI.OcruRffJ FP::M ~O,,' TH1(}( SifiT ALUlJ:NW JXJ IH' maY
1 rrlRUJ)f]) rAS'IDIUIS rOl/ AL:.N1"U~ ROOF AND S::JIIIC S1IAJ1 8C I'
~~CH:II! sans flST~L1ID ACCOR;;.fo!G TlI SD/IIC ~IJ/JACTUfIllIS
SPf(]flCA nONS.
A AJ.1. /JNrH/I[)J)f]) IlOa:> rASrrHa/S ARC sex IiAU rtfTH A ~1J1'
O!AIoIC1l:R 8Y J 'I"~ LOH~ I)/lWiS NOTfJ) OlHUilt'SE
7. AL!. C!1JJ-F0i1!/fD S7RUCTUF.1V. srm CCNl/fcnQN ItA D SHALl I1C
10 CAGe (CAH) AJP'JIC AIIf)/:XI 71MGJ( ".'"" D ~~NJACTURfJ) BY
ALPINe fN'.}//EIRf!) PRODIX1!, /NC. ~ 1ll1oS'" ~+<I-51
CMX A C1I ECTTUI SPfCl.'ICA nQl(
A UN"IHRC.QJJ rloSTfMRS FC1I TIE 71MQIt CCNNCCnCJol PlA D SliALl EC o. '2OIi",
(II G<.) , / 3/1' _IV. :YWIJ( muss ^ALS.
a AS AN ~nOA/, (J) 1'2 "/HriN SOl.ll COfff/l IIfKS RUN IN 1/2' CQVJUIT
~u a.E ",^'ClCSr:DIr UGHr rtfTH A SHU P(U W~ SNraI.
,a 000 IliSTAill1J ITDIS S'J/UCT 1ll LOCAL _VAL:
A TlCXI#I CF U/IIT nl Sl1l.
B. nrcllllClV. CCHNCcnQN ffi::M Paa SOORa TlI <J</T.
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[NO ELEVAnON w/ WiNDOW
SCALf: f/2~" 1'-0.
"..
"""".....
....
EAVE STYLE BUilDING
TYPICAL PORT ABLE SINGLE WIDE
SMITHB/L T INDUSTRIES INC.
AUBURNCAL, rLOR!~A
S4145 S-1
M
McCARiW( ENGINEERING, INC.
I~JItAl co.lLIL~~' U4...NCl" ~
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