HomeMy WebLinkAbout98-8144
BUILDING PE_RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
8144
Date
It /.':1 0 /q f'
91- .So
30.3;;),
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
",operty Own.' ~ w~ d ti~
Job Address: ~ ~ )(1') QA.A ~ .
ParceII.D.# 35 - ~s -.;t\ ~ 00\0 - l?b DO-'UO<::J 0
Zoning: Energy Code: Radon Gas: :l.~ ~
Descriotion of Work ,Qc.-l(i ;-:h b~ fYh eLl hJf 0nI 0. -to fJOAJC nt. od f J(
Water Meter:
T.I.F.'s:
FINAL
:;
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
DATE
t/~
P.'m;' Fee ~
-signature' { .ki;;t;J:;...R~
Company
Address
vr8lephone# 7 'lCf-tJ .~~ L/. ^--
Valuation or
Contract Price
~G.ao
City License Registration #
State Certified License#
().J~
fM~
Ftr.
Pre SLB
Lintel
FRM. J1.:.JG'- "if S,l.,L
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
BUILDING
ELECTRICAL
Tp. Servo .
Rough In I }( f ~ f?g ~()~
Meter Can
Const. Pole
Pool
Pre-Meter
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 ($ 25.001 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.
HOWARD WATHEN
38706 DAUGHTERY RD.
SQ. FEET PRICE
MAIN OR LIVING AREA 192 $ 40.00
OTHER AREA UNDER ROOF 80 $ 15,00
OTHER
VALUATION $ 8,880.00
FEE SHEET $ 65.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 97.50
CREDIT:
BUILDING LESS CREDIT: $ 97.50
ELECTRICAL: $ 30.32
PLUMBING: $ -
MECHANICAL: $ -
RADON: $ 2.72
TOTAL $ 130.54
SEWERI $
WATER: $
TOTAL: $
3/4"
WATER METERI $
- t
T IF'S 'II
99% $
1% $
: I
TOTAL: $
130.54 I
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTKENT
OWNER t S NAKEto tel 11 R oJ. W4;lf eN
.
PHONE if 3- 779- (J 6-C/:L
OWNER'S ADDRESS "3 f? 7~1:,
1.7 D U.Jl )( re I'? 'f If d.
JOB ADDRESS
5..4NL F.:
LEGAL DESCRIPTION: LOT(S) $1 Cf
BLOCK
SUBDIVJJ3IO{}-UAi(;IO a/J; ~ '~ J
(OBTAIN FROM PROPERTY TAX NOTICE)
PARCEL 1.D.' ~ s:-. '7 s- ''J../~ ~ () /0 - I ~~ GOODd 0
WORK PROPOSED:_New Construction t--Addition --Alteration _Repair _Install
_Sign
_Kove
_Deaolish
PROPOSED USE: .t---Single Faaily
_KIF
_' of Units _K/H
_~ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPrION OF 1IOIlK: ::~/-;';~t-~:tZ ~1A.. -~ fJ~ ~<~
BUILDING SIZE: ~ { X ~, S re Feet, _ _ Height P if
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
...k-BUILDING
$
'3o(Jo,cJ&"
Valuation of Total Construction
_ELEC'l'RICAL
AMP Service
Florida Power Corp.
W.R.E.C.
----lIECHAIIICAL
$
Valuation of Kechanical Installation
_PLUMBING GAS So '/f:e. '- ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block ~Fr_e _Steel
Other
FIlIISBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
RITTI.DER
roNTRA=~D~~
I J A . ~ -1-# State Cert. or Regist. .
Signature t/ ~ tt/~ City License Registration'
..........................~............
RU:CTRICIAN COMPANY ~wnd.A /'
J/ /l t (.~ State Cert. or Regist. .
SilrnAture ~ ~ City License Registration'
******************************************
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration t
******************************************
MECHANICAL COMPANY
State Cert. or Regist. t
Signature City License Registration .
******************************************
OTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration f
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The UDderslgned underslands lbal Ibis per.11 .., b. subjecl to 'deed r..lrlell.... obleb .., be .... restrlell.. !ban City
regulations. The undersigned assUles responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertale worl, they aay 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 .IBd......r .Iolalion und.r stal. lao. If lb. ....r or Inlended conlractor are une"laiD .. I. "'1 lle...lng
regulr....is .., appl, f.r lb. inlended ..rl, lb., ar. ad.lsed I. ""tael the CII, .f Zopbyrbllls Balldl.g Doparlaenl, (813)
188-6611. .
FurtherlOre, if the ONner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
'Conlractor Seeli.... of tbls applicallun for obleb lbey 011I be r""""sibl.. 1f!1>U," lb. lIIIIIer slgu as lbe contractor,
you are indicating that you, rather than the contractor, are responsible for the worl. If the contractor wishes rou to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
I ~,
,
D. CONSTRUC'rION LIEN Lnw (CllAPTER 713, FLORIDA STATUTES" AS AMEHDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is SOleODe other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
BONner" prior to co..ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all worl will be done in cOlpliance with all
applicable laws regUlating construction, zoning, and land developlent.
I
Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no worl or
installation has cOIIenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveCRIental agencies lay apply to the intended work, and that it is
Iy responSibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not lilited to:
· DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
. Water/Wastewater Treablent
· Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docls, Navigable Waterways
· De arblent of Health & Rehabilitative Services EnvirODlental Health Unit - Wells, Wastewater rreatlent, Septic ranks
· US EnviroDlental Protection Agency - Asbestos abateaent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood .that a drainage plan
addressing a "c08pensating VOlO88" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to per.it., issuance.
.
. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
Bet aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of anr code. Bverr per.it issued shall becDle invalid
unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if work authoriled br the perlit is
suspended or abandoned for a period of six 80nths after the UII8 the work is COMenced. One 90 day utension of tile, .y be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six 80nth period, or'the project will be considered abandoned.
WARNING TO OIINER: YOUR FAILURE TO RECORD A HOTICE OF COMMENCEMEHT HAY RESULT IN YOUR PAYlHG RICE FOR IHPROVIIIDrS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORlHY BEFORE RICORDING YOUR MorICI OF
COMMENCHHEHT. JOBS UNDER $2,500 IN VALUE DO NOT HEED TO RECORD AND POST A "HOTICE OF COHHEHCBHENT".
SIGNATURE: OWNER OR AGENT
, I
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTr 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
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
fI ~ W A lord WIlrh. eN
'3 ~ 'l();;' D~i.{C. /, Terry I?d 1-0 T /#
~.s:"?.5= '---/~ 00/0 -/2.t, 000000
OWNER
JOB LOCATION
PARCEL I.D.' #
C!. () LI N Tti 'I (/.4 Irs S CJ r..tT A
. 7eph ?;f/yfh'LL.,S
"'3 ~L r
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
~'&Ij)
'7a,{Jl {2 ~ ;;;
-- I"W... ~~ --uJ
~;ll-z-~tB:
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2)
,.---" - SI- ~
J (.~ . ' s1;N~
[;1---\.
L -111 ~D~'
10 - ~~o
\
--- i:z."-'
l
I
J-,1-
) .
I
(
i
i
I
FRONT PROPER'ry LINE I
6'
c:J,..
30'
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'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE