HomeMy WebLinkAbout02-1099
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1099
J/o,ttKY
rlU~LDING
3~'~
ELECTRICAL
(813) 780-0020
3 ~ .~ 025" . ,;.0
PLUMBING MECHANICAL
Date ,'3";{::J ~o ~
Property Owner:
Job Address:
Parcel I. D. ,
em: ~ ~YLj(
3'1 /1m ~ sf tJ"r
Sewer Conn
Water Conn:
(r.~d ~~',.f)
-t ?- ?......
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code: .2 Gas:
1<1} ~. Peuk fiUJtldJ1 ~
NO OCCUPANCY BEFORE C.O.
FINAL ~ f"- tJ ::L
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector RL t.{:n
jSig
. Company
Address
)><felephone#
Valuation or
Contract Price
I; -:s tJ47. ~
City license Registration # 29 V 0
State Certified license#
<R15 qq, - '-\DSY=
-tJ;s
/:)/J0it~ '*/~;~
MECHANICAL
5 hfl.rown f..)~
BUILDING
7:>oJ...fJ 17 ;~ tv! t.
f 4-/7fLi
ELECTRICAL 7
.5~MJJ1 WA~
~d&Jf(o
PLUMBING
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Con st. Pole
Pool
Pre-Meter
Final /,/-~,p. .et.~ p:ru
b-
SLB
Tub Set
Water
Sewer
Final i/~~-"'.:l /n~ ,AL r
Breakers
Ducts Insl.
Compressor
FinaL/Y-~t"~ N~ ,RlY
Driveway
iJRfC /f-S''''lJC)- f.-,')(} Skl"Y, t;I-.
REINSPECTlON 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.
March 22,2002
Zephrhills Building Dept.
To whom it may concern:
Dorothy Baker has my permission to pull permits
and due whatever necessary to pick up permit.
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LEGAL DESCRIPTION: LOT(S) ~ ~ BLOCK
CITY OF ZEPlfYRHILLS PERMIT APPLICATION
BUILDING DEPARTKBNT 5335 8~ STRBBT ZBPRYRHILLS, FL 33540
Phone:813-780-0020 Fax:813-780-0021'
DATE IUlCEIVBD
PLANS RBVIBW FEE .
OWNER'S NAME
PHONE CONTACT?I 377 ?-Yo3y
~~~ ~( r
SUBDIVISION ~Of\QOd. p~
PARCEL ID # ~
WORK PROPSED: ONEW CONSTRUCTION
~- 00000 .... D~O (OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERATION
o REPAIR
(I INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: ~SGL FAMI~Y DWELLING
o COMMERCIAL
OMULTI - FAMILY
0# OF UNITS
o SWIMMING POOL
~BILE HOME
o OTHER
o INDUSTRIAL
DRESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Ru yf Up PA~ 'fnod...to
BUILDING SIZE ///1 r '/) / I SQUARE FOOTAGE k{]1
RESIDENTIAL: ~TTACH (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.
HEIGHT \ \ V'2/
~BUILDING $
fit ELECTRICAL
'fl1.. PLUMBING
~MECHANICAL $
o GAS 0 ROOFING
I sbO b~
/()U
.
PBRMITS RBQU8STBD
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
.
W.R.E.C.
/3S--D
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLqCK 0 FRAME
FINISHED FLQOR ELEVATIONS J?o<l'~I.Wr
o STEEL Pf OTHER
IS PROJECT IN FLOOD ZONE AREAO YES ~ NO
BUILDBR it '-
SIGNATURE. ~1.1r;
. /'
COMPANY l}... s (J. 4l.. ,) 5 01 ~5
STATE CERT OR REGIST # :r I..L~uui), 6DY
CITY PROCESSING # .2q'1 D
ELECTRICIAN
'7
******************************************
SIGNATURE
COMPANY ))olplr.,;Y\) E.Jft<='A/ DY' J'_'S~5
STATE CERTOR REGIST # C:ROonCJ,-<6;~
CITY PROCV,gG It / /'ff? f.
******************************************************************
~
COMPANY \A. s A.- a.. U St:i ~ )
STATE CERT OR REGIST # J\\ (')CX::.obo'f
CITY PROCESSING # . c2Q 'I L>
PLUJlBBR
">, '0 SIGNATURE
SIGNATURE
**************************~**************** 7t
COMPANY~{)I~ ;~) fI i \II ?;.\/1 e-/J//3
STATE CERT OR REGIST # ry It Co?) .5'? J J f?
C~TY PROCESSING # /1'~
********************************************~*t?~************
IOICHAHICAL
OTHER
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 Zephyrhil1s 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 UContractor 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 STATUTE~, 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 Uowner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver.
it to the Uowner" 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 perfor.med 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 ;till material is to be used in Flood Zone UA" or UA,etc.", it is
understood that a drainage plan addressing a ucompensating 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 V E DO NOT NEED TO RECORD AND POST A 'N~"'-""~-2~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this '2 z., day of M~r& h , %f2Q.-z.
by -:(' 't'\ r~~.,..-l~
(name of person ackno~ledged)
'f(I who is personally known to me, or
{)A5CO
STATE OF FLORIDA f)
COUNTY OF ~ ~S ( ()
The foregoing instrument ~~s ac~owledged
Before me this ?->- day olin... j" , "2Jl!Po""L
by ~" C:.A-\r(~
(name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification)
and whoO did Ddid not take an oath.
Signature of rson taking acknowledgement
J. D. GARBER
~IMary Plfhlir., State of FIoAdI
Name typed, pr.f:~t;8MrrP.~wp~ 2004
Comm. No. CC919784
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Table A:
..
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PIER SPACING TABLE
fooler
SI1e
'1000 psf
'1500 psf
2000 psf
2500 pst
3000 psf
3500 psf
16" l: 16" lSYi" x'lSYi" 20" x 20" 26" l: 26"
/7x ti'f
3' 4' 5' S'
4'6" '6' 7'
6'
Shaded areas are allhe maximum eighl feel spacing.
FIGURE A
BLOCKING (Single Tiered)
l.[leam (Frame)
Y'
)6" .
MAX.
-L
Wood Shims or olher maLe rial appro\'ed And Iisled by the depanmenl pursuanllo Nics
I SC.I.O 1 OS In~ I SC .1.0106 (I V, Ma.xlmum)
CAp - 2" X So x 16. Pressure Trealed \....ood or oLher male rial approved and listed b)' the
departmenl .
Celled ConcreLe Dloc~
FIGURE B
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BLOCKING (Double Tiered and Bloc:ks Inte'rroc:ked)
I.Delm (Fr:une)
Wood Shims or other m:lterial approved and listed by the depanmenl pu~uantlo Nics
ISC.1.0IdhndISCo1.0106 (IYio Ma.xlmum)
(Option) Pressure TreAled PlatellO x So x 160 Minimum)
CAp - 4" x 160 ~ 160 Solid Bloc~ .(
2 - 2" x &~ x 160 Pressure Tre:llcd Wood or olher maJcri:l1 approved and listed b~
lhe. depilttment
(Option 2 - 40 X So x 160) Must be perpendicular to I.Dcam
Celled Concrete Dloe\:
Ground Level,"
Fooler or Pier FOllndadon
40 x 16" x 160 Solid Bloc\: (One Piece) or olher malerial approved and liUed by the
dcpanmcnl.'
Sod and Orllallic: Material Removed
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POCKET PENETROMETER TEST RESULTS
PROPERTYL~CATION: ..~... .~/-
T'"'u Location #1
If.....::>~ sf"
X
Test Location #2
I),J 5-' psf
X
Test the per-meter oftbe home a: six (6) locationl
Take the reading a~ the depth of the fooler . ~
Using 500 LB incrc:ncnt, take the lowesl reading and round down to that
increment.
x
~
X
Test Location #5
ISO {;) ,psf
X
Test Loclltiori #6
11'- :J:> ,sf
T^~t l,oc:aticn #4
I C~o ps:
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Soil bearing capac-ity used to dete:m1nc pier layout:. If:tJ f) . psf
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I hereby certify tha.t the aboye is II true and accurate repre$W!t.Uon nr nflt:kt't oenerro:neter lesr
reslllts tAken by me L\t the above re!'erenced Jocatlon on _) _ J"2' (I u J.. . ...
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