HomeMy WebLinkAbout00-0004
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
00004
Date I 2 / ~ I /00
Permit
~o.oy
EL~RICAL
PL~BING
MEC'~NICAL
Sewer Conn
BUILDING
Property Owner: VJiIlll'\ d c.. IZ n e l (
Job Address: '3 8 c; L.{ Co 1"!! A,.e
Parcel 1.0. # -11-2(., - 21. 0010- ,~qoo. vO\\
Zoning: Energy Code:
DescriPtion of Work l X R f!e.: yuJ ..s tt:b
Water Conn:
Water Meter:
T.I.F.'s:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
1--4-1
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
City License Registration #
State Certified License#
Inspector
? ()II
Permit Fee JO._
Signature ~(.~ IL fl.f1.LO
Company
Address
Telephone#
"")'/1
Valuation or
Contract Price
J C'{.(b ' 20
~ ~ 1-\ C~,,~t:
BUILDING
~'( p-h'/oo S~
~ti(Ff /2- 2-9 tl?JJW!{ J
Lintel
FRM.
Insul. CL
WL
ELE TRICAL
PLUM NG
MECHA
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 00/1 00 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.
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SOLi 0 SPL/ I rAce
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8'X8'XI6' ceLL
BL OCK 6' MAX,
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NOTE: FOR HEIGHT ~ 32". C,B. PIERS
C 8' O.C, (MAX.) ARE ALLOWED.
FOR HEIGHT < 2-4'. 12" WIDE FOOTER &
C.B. PIERS C-10' O.C. MAX. ARE ALLOWED
o
5/8' RCBAR
rROH roorCII
INTO SLAB
TI-IRU cn L
BLOCKS
61-0'
61-0'
J
61-0'
VARJ ~S
RAJS~D SLAB PLAN
N. T. S.
6X6 110/J 0 V. V. H-
DR f'I BeRHeSH
ApOR IARIU CR
CLCAN COHPACTCD FILL
SOIL TO 9SX STANDARD
DCNSI Tr.
PfeRS
(I) IS RC8AR PCR
COLUHN , 6' a C. HAX.
I N CONCReTe f'I LL 8LK.
(I) IS ReBAR CONT.
THIS STRUCTUR[ HAS 8C[N O[SICN[O IN
ACCORDANC[ K1TH TH[ '97 STANDARD BL:JC
COO[ K1TH ALL ReviSiONS TO
CH,A.Pr. 1606 FOR I/O MPI-I ~NO vnooT'-
\lQ'D AFTE:R 2-1-01
OA \10 NORRIS CHGIN[[RING
112 COUMAN RD.
't+1NTE:R HA Vf:N, f'L. JJ880 P9 2 - C
(86J) 299-1048
TYPJ CAL S~CTJ ON
No T. S.
NORRIS
ENGINEERING
'\
ENGINEERS · LAND SURVEYORS . PLANNERS
PERMITTING · DRAFTING
112 COLEMAN ROAD
WINTER HA VEN, FLORIDA
(863)299-1048
33880
'vQ T[ 5 TRUC TURES DETAILED IN THESE PLANS WERE DESIGNED WI TH
THE 1997 S TO. BLDG. CODE w/ALL REVISIONS TO CHAP. 7606
(OL,+20 PSI / L.L.(6 - 1/80 MAX.) 100 MPH WIND VELOCITY
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APPLICATION FOR PERMIT
CITY OJ' UPHYlUIILLS
BUILDING Dll:PAR'l'MIi:HT
/~-13-())6
DAm RECEIVED
PLANS REVIEW I'll:ll:
OWNER'S NAME tJA/V!J/f /( JV,;L-L
JOB ADDRESS 3tff/Lfh 3 f.IJ. fJ\lC .
PHONE g-13 - '71'2 - /00 tf
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # II~ U- ZI- nO! 0 - {q q(9D- (90 II
WORK PROPSED: ~W CONSTRUCTION
Os I GN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
IOBTATN FROM PROPERTY TAX NOTICE)
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
OMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
~ER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 0Xr fLp,(~pf} SL-HIJ ('t9NC/l-t::-r-c 6N/.-cr
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$ I Lf5f.o. 2-.0
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
SIGNATURE
R~ fl. ~
COMPANY 81' f.-( (()/'Ihr/lu.-t/Dn..! or-:- C6'~ t=l f
STATE CERT OR REGI ST # cat 0 5" 1'}'7 t""Z-
CITY PROCESSING # 2(P
BUILDER
******************************************************************
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 the:
will be responsible. If you, as the owner signs as the contractor, you are indicating thai
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 i:
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 construction, 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 tc
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".
SIG&' ~2J;:L/-< s~~(]coll~
STATE OF FLORIDA D(,\ r STATE OF FLORIDA
COUNTY OF [~C)G- C COUNTY OF
The foregoing instrument was acknowledged The foregoing instrument was a~oWledged
Bef?}:e me this fl- ~ay of f2::c/~4L, ...~o Before ~e this ~day of frr.h &/L-, .?iK2o
by ~~ /J, .J1S1!E.A-- by 11J)L.L-E ~HSfl~L--
~ame of person acknowledged) (name of person acknowledged)
~who is personally known to me, or ~ is personally known to me, or
Owho has produced
...Jtype
and whoO did [il.d'f'd not
~A.~
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid ~ not take an oath
~ A~ a,J~
Signature of person taking acknowledgment
Signature of person taking acknowledgement
]R.V0~
Name typed,
A.. A SBGI.-
printed ~~ed ~
.." ~ cocnm'&s\OI'I CC7486
.. .tIr1. June 22. z002
~.,...'/ EltpitEl'
Name
B/2.(L(? A- L A-5/35L
typed, printed or stamPed
Af>' ~ BnlC8 A Asbet
~1I'b ~ My eommIssiOn CC748877
* *
,..~ ExPireS June 22. 2002