HomeMy WebLinkAbout02-1019
BUILDING PERMITN~
1019
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date ~ - ~S" Oa...
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
",operty Owne" ~ R\ C
Job Address: .5 _ (j
Parcell.D. #
Zoning: Energy Code: Radon Gas:
DescriPtion of Work 'R~"e. Alv~",. bvt<-toSUIl"~ "rt ariJ I~}
~lFeyJ i V\ G
3 r s-(-.
Water Meter:
T.I.F.'s:
C~ ,~< J-~.
, ~
FINAL
C.O.
-f),f<
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or L.
Contract Price I, It{ {) ·
~
. ~mitFee /~~~
.> SIgnature ~.~..-.--- _.----.
Company
Address
yelephone# ?--'i ~ -::rv .l..'
City License Registration #
State Certified License#
tJw nvv
BUILDING
Oc...J tl.O-<V
ELECTRICAL
/
/
/
/
Breakers
Ducts Insl.
Compress
Final
AL
Ftr. Tp. Servo
Pre SLB Rough In /3 -.J It, ~O;)..llft
Lintel , Meter Can (l.L"(
FRM. J 3 -J. b-C,;L Hf',rlJ_Y Const. Pole
Insul. CL Pool
WL Pre-Me}er
Fjnalv?l-;l~ ~ I<t.. y
SLB
Tub Set
Water
Sewer
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.
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JOB SITE ADDRESS T J. \ <f ')r~ k'ee7f
CITY OF ZEPHYRHILLS PERMIT APPLICATION ~J C:;-:2. 5 -tJr:<
BUILDING DEPARTMENT 5335 SU STREET ZEPHYRHILLS, PL 33540
Phone:S13-7S0-0020 Pax:S13-7S0-0021
DATE RBCEIVED j2 - ?~ - 0 :;J.....
PLANS REVIEW FEE
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S)
BLOCK
PHONE CONTACT
72- (--h \ k 'J 1p-( I
[ oL q SUBDIVISION
I} -It,-J..I-t>tIO - I.lJiOo-Oo" II..{
(OBTAIN FROM PROPERTY TAX NOTICE)
PARCEL ID #
WORK PROPSED: []NEW CONSTRUCTION
[] ADDITION
P53ALTERATION
[] DEMOLISH
[] REPAIR
[] INSTALL
[] SIGN
[]MOVE
PROPOSED USE:)QSGL FAMILY DWELLING
[]MULTI - FAMILY
[]# OF UNITS
[] MOBILE HOME
[] OTHER
[] COMMERCIAL
[] INDUSTRIAL
[] SWIMMING POOL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK rev>'\"AQ._ ~~i)-l;"""",, eV\.d~W\J K U f\'~.rJ "..IV~ ~CvY\e
BUILDING SIZE
SQUARE FOOTAGE
HE IGHT {;: /'II
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
~ BUILDING $ J(}"pOjf>) VALUATION OF TOTAL CONSTRUCTION
'Ja ELECTRICAL \re) AMP SERVICE ~ FLORIDA POWER [] W.R.E.C.
[] PLUMBING
[] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
[] GAS [] ROOFING D SPECIALTY D OTHER
TYPE OF CONSTRUCTION: D BLOCK
FINISHED FLOOR ELEVATIONS '(\r/ C-
<
~ FRAME
D STEEL
D OTHER
IS PROJECT IN FLOOD ZONE AREA~ YES
[] NO
Ov~
~ COMPANY
~ ~ STATE CERT OR REGIST #
~ CITY PROCESSING #
**** *********************************************************
BUILDBR
SIGNATURE
BLBCTRICIAN ~
SIGNATURE
COMPANY 6 '"""'-' ~
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHBR
COMPANY
STATE CERTOR 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 per.mitting 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 per.mit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a per.mit 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 per.mit
issuance.
A per.mit 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 per.mit 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 per.mit is commenced within
six months 9f issuance, or if work authorized by the per.mit 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 per.mit 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 N~.-RECORD AND POST A ~NOTICE OF COMMENCEMENT".
~ENT~ 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)
C1ho is personally known to me, or
(name of person acknowledged)
Dwho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid [}:lid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
door - pre hung 36" 1 $175
windows 3 varous sizes 2@ 114 1, (ij)~ I
nials for studs $10
blue screws for base 20 $25
wood screws for top 14 $10
outside power socket 2 @ $5
paint outside - white 6gal @$18
drywall tape $5
drywall putty $10
total above - $663 87.5
,l'~ I
I-U WORK SHAll COMPLY WI TH /..LL PRfYAJUi~u
CODES, STAIDARD BUILDING, PLUM.NS.
MfCHAIaL, uc. JlO em Of ZEPIIYIRIw
-
l6"" I . 16- I 136 / 12 SCALE
!,~.~..
()vJ' .
;~
,-
t"'l
J~i!
I
drywall 9 4x8 sheets @5.95
if all inside but house side 3 more sheets@5.95
outside wall 9 4x8 sheets @22.99
2x4xl2 7 3.49
2x4x8 44 1.99
header 2x6xl0 2 5.95
fiberlass ins. 120-154feet running 40' $12.69
electric box 6 @2.00
plates, plugreceptors, blue tubing
electric wire lots $15.00
~ metal electric housing 1 foot 1 bend $5.00
telephone box 4 @ $2.00
pla~s I receptors I wire
cable tv box on side opposite tv $5.00
f f I
112.5
{ 1-
t'....- r
l" I..f
/12 SCALE
-
34.5"
rr I
u)
112' 6
7g'
136" or 11' 4"
144" or 12'
itU WORK SHiUJ. LUblnr i"I,t J..~l. ("-""'''i..~
COlIS. sr.. BUIUJING, PlUMBING,
~ uc.. em Of ZEPHrRNrW
.'IANCES.
If fVLfi-A ,~ (u t5,-L
U ))w As A- ~ibt2cf)"'1.
j",'ST4lLMIi to!,\! 61-..... ,i-LhL T,(ju/~\.'f
Ur\)'Jl..~-rtiJ) S-J.k'- f4i ()h'(~(f~{\'5
[J-) ILL is (i- t-Iif -.J I (Lf). U .
0'
144" or 12'
~
CEILING
HEIGl-IT IS
97'
280"
or
23'4"
345'
CJ7'
/12 SCALE
BI'.tXX
2~1
Steellubing
"
78;'
34.5"
rr I
BtDCk
~ ,"'; ..ft\'''y ~~
r '1fJr~ rc;; P-,
evc~ f, "0 eM. f..) r{-
c.J J(Q &',0 ~
& oAJ~ h\\l
136" or 11' 4"
144" or 12'
ALL WORK SHALL COMPLY WITH AU PREVAlUNG
CODES, STAIIBARD BUILDING, PlUMBING,
MECHANICAL, N.E.C. AND CITY OF ZEPHYRHILLS
ORDINANCES.
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") V\-1 ~~ t){ T t) L r \)V L{)l (L 6h-
rZt-k?v t /i-17A).
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s
144" or 12'
-A
CEILll'.'G
HE/OJ-IT IS
cr,..
2l3O"
or
23'4"
34.5"
97'