HomeMy WebLinkAbout02-1258
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1258
), 10 ' t;J:fJ
BUilDING
'-8"
3 7 ' ~--
ELECTRICAL
(813) 780-0020
3o'~
MECHANICAL
Date r; -3.o~
.l/7- 5ft
PLUMBING
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
5 CJ;/
? SjJ!i~M
I t/',t;:... sf
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
~ Code:
11'/. . ~pIA--FrrfrY) .
,
Radon Gas: s: c; tl..
t3~r~
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
'/TcJ
-
Permit Fee_ ~
YSignature roN)lrM~ it wcuU
Company
Address
't<(elephone# g t~'1JD.9()DS
tl(,J~
Valuation or
Contract Price
;;2 3/ ~tYt/ . ~
I
City license Registration #
State Certified License#
(Jt-J rlL~
Ow~
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BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr, /t;, If -.f). 1/::10 fl'1 Tp. Serv. SLB Breakers
Pre SLB {/ (; -/~-oJ /lTO)'I('-'1 Rough In /9-t~.:J-lt't,ItTOTub Set ,/6,/7-t1~ I<U(./IJO Ducts Insl.1./c;-t-o;z /<LI/;.;tTu
lintel Meter Can Water /9-?-O.l. ,l?L.'1..I-15V Compres~r .
FRM, /c;- t -()2 RL'1, ffJ21 Const. Pole Sewer Final./ ~-/3-tJf
Insul. Cll/ 9-/3 ,p:J.. ,RU.(Ii!(1ool Final /?- -/3-() ~
..s, v
Wl V/ 0/ -1':3' ()'2I2Li.j/If~re-Met,r .
Final....! ~. / J.-O(
Driveway
~J\l,,--H\I~~ 1~).Jh r O~dJ/_ 7-/& -o~ 1-fJ?1,RCf
REINSptCTION FEES: ~~t;,?r~ 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,
I CeJfJ~JJ ' _
CITY OF ZEPHYRHILLS PERMIT APPLICA'TlOO _ (p -3- 0 '::Ld
BUILDING DEPART~ 5335 8th STREET ZEPHYRRILLS, FL 33540
Phone:813-780-0020 Fax:813-780-0021 __
DATE RECEIVED .j ~ d'lt-O,j...
PLANS REVIEW FEE
OWNER'S NAME CA \2..L ~. -SUU:1.V'A,J
JOB SITE ADDRESS 520 I 01J!.. ST.
PHONE~NTACT (rl;)] 11 S- '1CD~
( '-- .
-
----~------
LEGAL DESCRIPTION: LOT (S) 3+4 ~ItTH JS(OfS BLOCK
IqL(
SUBDIVISION
PARCEL ID #
\\- 2(p - 21-(X)\O -1'1'100- CO '3 0
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
1&1 ADDITION
[JALTERATION
[JREPAIR
[J INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: ogSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
0# OF UNITS
o MOBILE HOME
[J OTHER
o INDUSTRIAL
o SWIMMING POOL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK (Y\A~T2~ R2\,:)~COfV\-\- r.,AI"r\Q.CX)M,
BUILDING SIZE ~l X l (.p SQUARE FOOTAGE
SCi2
HEIGHT 8 FT
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 REQUESTED
IKl. BUILDING
$
\ la,ero
200
VALUATION OF TOTAL CONSTRUCTION
I)!I ELECTRICAL
~ PLUMBING
AMP SERVICE
[J FLORIDA POWER
[J
W.R.E.C.
I&l MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
Ig'ROOFING
[J SPECIALTY
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
~ FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES ~ NO
BUILDER (!~ J~
SIGNATURE CP.V-.L SULL-r-I/ Ar--J
COMPANY OWNc~
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
ELECTRICIAN L?~ ~~
SIGNATURE CAQ.c &JLL'ZVAo-J
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
OUJNC:.~
******************************************************************
PLUMBER
Cw dJL~
CA~L .suu.::LVA"-.l
COMPANY cw tveIL
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
******************************************************************
COMPANY {jWNf::;'"i..
STATE CERT OR REGIST #
CITY PROCESSING #
COJlL S ~\
MECHANICAL
*****************************************************************
OTHBR \LC()r llV (..0
SIGNATURE ('['",10 0~'
COMPANY Q()JjJE"'--
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 Ddsdemeanor
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.", 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".
SJ:GNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
.by
acknowledged
15L-
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
o who has produced
(type
and whoD did 0 did not
of identification)
take an oath.
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
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5Il"lNG MEA
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AP~OVED PRINT REQUIRED
ON JOB SITE
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PRE-ENGN:ERED TRUSSES
R-3Q NSU..A TION
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FIBERGLASS SHINGLES
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CONVENTIONAL FRAMING
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CLEAN. COMPACTED ~
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210.8(A):
21 O.11 (C)(3):
210.12(B):
210.52(A)(I):
406.8(B)(I):
410.4(B)
Electrical Notes
2002 Electrical Code
Carl R. Sullivan
5201 - 10th St.
All 1 25-volt, single-phase, 15- and 20-ampere receptacles installed in the locations
specified in (I) through (8) shall have ground-fault circuit-interrupter protection for
personnel.
(3) Outdoors
In addition to the number of branch circuits required by other parts of this section, at least
one 20-ampere branch circuit shall be provided to supply the bathroom receptacle
outlet(s). Such circuits shall have no other outlets.
Exception: Where the 20-ampere circuit supplies a single bathroom, outlets for other
equipment within the same bathroom shall be permitted to be supplied in accordance
with 210.23(A).
All branch circuits that supply 125-volt, single phase, 15- and 20-ampere outlets
(RECEPTACLES, LIGHTS, SMOKE DETECTORS) installed in dwelling unit
bedrooms shall be protected by an arc-fault circuit interrupter listed to provide protection
of the entire branch circuit.
Receptacles shall be installed so that no point measured horizontally along the floor line
in any wall space is more than 1.8 m (6 ft) from a receptacle outlet.
15- and 20-ampere, 125- and 250-volt receptacles installed outdoors in a wet location
shall have an enclosure that is weatherproof whether or not the attachment plug cap is
inserted.
No parts of cord-connected luminaires (fixtures), lighting track, pendants, or ceiling-
suspended (paddle) fans shall be located within a zone measured 900 mm (3 ft)
horizontally and 2.5 mm (8 ft) vertically from the top of the bathtub rim or shower stall
threshold. This zone is all encompassing and includes the zone directly over the tub or
shower stall.
06/03/02
12:23 PM
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LEGEND
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