HomeMy WebLinkAbout01-0693
BUILDING PERMITN~
0693
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
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~--- Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D, #
Water Meter:
T.I.F.'s:
Zoning:
. Chi 0'
NO OCCUPANCY BEFORE C.O. / 8ca>' ~
Complete Plans, Specifications and Fee Must Accompany AP~ C.O.
All work shall be performed in accordance with City Codes a:~'lr~;~~nces.
o:P
Valuation or ~ '- f?,' .
Contract Price tJO
,
City License RegiSUation # ':-,.,. Z,
te Certified License#
Address
~Phon~~? f'(!)
-~
~.a5r
Ftr,
~LB 1/-1-0 I ~ 'I
Lintel
FRM,
Insul. CL
WL
Tp. Serv
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 Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site,
g. Work not accessible,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
OWNER'S NAME {Jd'rlfol1 )l1C/11 ~'re
JOB SITE ADDRESS ,g g r tf / 0$ A (f e
LEGAL DESCRIPTION: LOT (S) 14 -IS-I' BLOCK
PARCEL ID # J
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMENT 5335 8th STRBBT ZBPHYRRILLS, PL 33540
Phone:813-780-0020 Pax:813-780-0021
DATB RBCBIVED
PLANS REVIEW PBB
PHONE CONTACT 1ft) -:2 S 5" I
WORK PROPSED:
SUBDIVISION
o /t.JU (OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o MULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK e;:,((J;{(lIzeJ C;lpel ..sfOrd3e
BUILDING SIZE I~ j X :2 i {
SQUARE FOOTAGE
Bk/g ,.
/<j;r
HEIGHT 7 t
,
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.
/kSUILDING
o ELECTRICAL
PERMITS REQUESTED
$
jC'(V1 --
0(..( ,"
VALUATION OF TOTAL CONSTRUCTION
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
~STEEL 0 OTHER
IS PROJECT IN FLOOD ZONE AREA 0 YES
XNO
FINISHED FLOOR ELEVATIONS
BUILDBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
BLBCTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REG 1ST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHBR
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
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 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 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.H, 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 requi~ing 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: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
D who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
D who has produced
(type of identification)
and who Ddid [}iid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
OWNER
CITY OF ZEPJlIR1ULLS BUILDING DEPARTMBNT
t'ilY/h"h Ife J11lyre
3&10/. 5~ Aile .2~(JAvA.~,115 1-L 335'1'6
f I
II :2 C, :1-1 (XJ I 0 I itS 00 () /4 0
JOB LOCATION
PARCEL I.D.' ff
SIIOH ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
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FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
'jf' ?tJ I
1I'e
s'rREE'r
1. SETBACKS FOR Rt, R2 ZONING
60'
10'
-P E_
R X
0 I
10' P S 10'
0 T
S r
E N
D G
20'
2. SETBACKS FOR R3 ZONING
60'
1 0'
10' ,
10' EXISTING 10'
PROPOSED
20'SGL FAA 30'DUPLEX
1 0'
FRONT PROPERTY LlftE
FRONT PROPERTY LZNE
~
. lX6 iNCH RIDGE BOARD 2X4 INCH
SOUTHERN PINE RAFTER
t~l..
INCH PLYWOOD CUT TO FIT.
NAILED TO RAFTERS.
ROOF SYSTEMS SHALL BE PRE-ENGINEERED
TRUSSES OR SOUTHERN PINE CONVENTIONAL FRAMED
RAFTERS SIZED AND ASSEMBLED TO SBCCI SPECIFICATIONS.
MAX . 1 FOOT
ROOF SHEATHING OF WOOD SHALL BE SIZED AND FASTENED SAME AS WALL SHEATHING,
ALL OTHER ROOF SHEATHING MATERIALS SHALL BE FASTENED AND SIZED PER
MANUFACTURE AND ALL APPLICABLE CODES.
~ INCH BOLTS 4 FT. O.C. MAX.
WOOD FLOOR SYSTEM SHALL HAVE CONTINUOUS TIE FROM GROUND
TO ROOF WITH APPROVED GROUND ANCHORS, AND MANUFACTURED
METAL CONNECTORS.
EAClI IlAPTIla IlHIl OR TRUSS IlRD S1IALL RAVE l'liO IIIIIlII.Ic.um
CLIPS, ORB ON OIJTSmE 01' WALL. ORB ON IlfsmE.
COIlCUTJr lOIJlIIDATIONS SIW.L RAVE COIl'1'IIIUous
TIE PROH ROOF 'l:'O GIlOURD llI'l'R APPRoVED PRE-
IlIIGIRIlIlIIED IlIlTAL COIIIlBCTORs.
... WALL FIWIIIIG COIlRBCTOR SIW.L BE FASTERBD
YROM 1IO'l'TOII PLArIl 'l:'O STUD AND STUD 'l:'O
rOPPLATll !lAX. 4' o.c.
~'...... ..
IlALL SRllATING SllALL ax 15/32' PLYlOlD OR 7/16 O.S.B.
IUNIIIlJM, "ASTEII lo/ITR 8d COIHlN IIAII.S 6" O. C. IlDGIlS
12" O,C. Ilf FIELD.
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IIRBIl1l AIIGAR AIICIIORS AIlIl OSI!D, TIU!: IIBTAL lIAIIDS WILL
BB IRSTALLllD OVBB TIU!: BUILDING PROIl GROOIIII .\.NCmR
1'0 GllIlIIRIl AIICl1OR. A ONIT 100 SQUARIl FBllT all LESS
!lAY IJSB, 24 OR 30 IBC8 AIICl10IS A'l PULl. DIlPTR. ALL
llTImIS 48 IBCII AIlCllOIS.