HomeMy WebLinkAbout02-1411
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1411
&0 ~ if'
BUILDING
1(0 ...,~
ELECTRICAL
(813) 780-0020
,,0
l(rJ"'/ 3.5'-
PLUMBING MECHANICAL
Date
2' -..2.0 - 0 tJ...
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I. D. #
Zoning:
Descriotion of Work
Chll( K
3&:;OLI
5u/l'I1'S
'7'YJ A. fp. c A I 'f-e.
dr.
~7/~ Y
Water Meter:
T,I.F.'s:
Jergy Code:
r ~f
Radon Gas:
5-iT~
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.
Inspector
City License Registration #
State Certified License#
3<oof?'
Permit Fee
,.>d9igriature
Company
Address
..)d"elephone# SIo,}- 3S-J 0
Valuation or
Contract Price
PLUMBING
'UtJ/f'7. ;yt At'lf{ S'IS ~
#/7 y/
MECHANICAL
'SeVf/r. fJ~ ~v 5~
BUILDING
'7:)0&7/',',., C.d:
, #r71"Lf
ELECTRICAL
S~f/~ 'Rv S~/.:)
# 3d€! 8'
Tp. Servo SLB Breakers
Rough In Tub Set Ducts Insl.
Meter Can Water ' Compressor
Const. Pole Sewer Z .... R. Finat../"'/I..--IF.-P2 I2Lf
Pool Final ~ L.....I:> - 0 'l. - Ur
Pre-Meter
Final ./1 /...../S... 0 z R- Lt
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
I OWNER I S NAME Chvc/<
JOB BITEl ADDRESS 35() <(
LEGAL DElSCRIPTION, LOT(S)
CITY OF ZEPaYRHILL8 PERMIT APPLICATION
BUILUIN(~ DBPARTMBNT 5335 Sth STRlIlBl'f ZBPHYRHILLB, PL 33UO
Phon6IS13-'180-0020 FaxISl.3-780-00n D II {l "J
DATB RIOBIVBD _~::::"-.f'~~,
PLANS RIVIBK ...
Stt (11rt 'i
1y)J~6iie dY,
PHONS CONTACT
(f n--~d ;:6/ ~-t J
BLOCK
SUBDIVISION
PARCEL 10 #
- i
D ADDITION
o
(OB'I'AIN ll'ROM PROPERTY TAX NOTICE)
WORK PROPSBlDI [JNEW CONSTRUCTION
[JALTI:llRATION
o REPAIR
o INSTAl,l~
OSIGN
o MOVE
o DEMOLI8H
PROPOSED USEr DeGL FAMILY DWELLING
o COMMERCIAl,
OMlJLTI -F'AMILY
o INDUSTRIAL
0# OF UNI're
[] MOBILE HOME
DOTnER
o SWIMMING POOlJ
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMSN'r APPROVAL
- p~ ~cW
S-e --=t- ~
FOOTAGE
BUILDING SIZE
SQUARE
HEImlT
RESIDENTIAL:
COMMElRCIALI
A'l'TACH (2) PLOT PLANS & (2) SE'fS OF BUIl,DING PLAN'S & (1.) SET ENERGY FORMS.
ATTACH (3) SETS OF BUn,DING PLANS & (1.) SI!IT ENIlIRGY FORMS.
PROPIlIRTY SURVEY RIlIQUIRIlID FOR ALl, NEW CONSTRUCTION.
~BRMITS RBaU~STBD
[] BtJIUlING
$
VALUATION OF TO'rAl, CC)NS'1'RUCTION
[] El,EC'l'RICAL
AMP SERVICE
o FI,ORIDA POWER
o W.R.E.C.
[1 PLUMBING
o MECHANICAL
$
VAr~UATION OF MECHANCIAIJ INSTAr.I,ATION
[] GAS
o ROOF INC1
o SPECIALTY
o OTHER
'l'YPE OF CONSTRUC'1'lON I 11 BLOCK
o FRAME
D S'l'EIlIIJ
o O'rHER
FINISHED FLQOR ELEVATIONS
IS PROJECT IN FLOOD ZONE ARIilAO YES Cl NO
BUILDBR
COMPANY ~ QOue-- flU!
STATE CERT OR RIlICHST # n I H e(!)OO 3(:.
CI'1'Y PROCESSING # ~t' 2r
BIGNA'ruREl)( &# ('~,
I
************************ ****************************************
JlLICTRIOIAN
******************************************************************
COMPANYu::'lpbl~ EAJf&rpr/sC'.5 "'---._
STATE CER'r OR REGIS'}' # €{2i)OOO$-" t.
CITY PROCESSING # i'l[l{
~4~
S WNA'l'tJRI!I
PLUMBIR
COMPANY SLu..-.. ac/~ JCV
STATE CERT OR REGIST # {)/ J..I
CI'l'Y PROCESSING # :30.0 g-
~----,
8IGNA'l'URE'T IJH ~.
.**********************
()()CJO I'rc
SIGNATURE
MBCHANICAL
*****************************************************************
OTHBlR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
S WNATURE
*****************************************************************
CONDI'.PIONS OF PERMI'l' AFFIDAVr'1'
A. NO'rICE 011' DEED RESTRIC'rIONS
'l'he ur~dersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. '1'he undersigned assuJnes responsibility for
compliance uith any applicable deed 1:'estrictions.
B. UNLHlENSED CONTRACTORS AND CON'1'RAC'l'OF. RESPONSIBILI'l'IES
If the owner has hired a contractor or contractors to undertake work, they may be required
I to be licensed in accordance with state and local regulat~ons. If the contractor is not
licensed as required by law, both tile owner and contractor may be aited for l!l misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended \'wrk, they are advised to contact the
City of Zephyrhills Building Department, 813-766-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advi.sed to have the
oontraotor(s) sign portions of the "Contractor SectionsH of this application for whioh they
will be responsible. If you, as the owner signs as the contractor, you are indioating tllat
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign ae contractor that Jnay be an indication that he is not properly licensed and is
not entitled to permitting privileges ill the City of Zephyrhills.
C. 'l'RANBPOR'rA'rION IMPAC'r FEES AND U'l'ILITY CONNEC'l'ION FEES
D. CONSTRUC'l'UION MEN LAW (ClfAP'l'ER 713, FLORIDA S'l'ATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
li,Ul l,aw -- HOllleowner's Protection Guide" prepared by the E'lorida Department af Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerlJ, I oet'l,fy that I
have obtained a copy of the above desoribed ~ocument and promise in good faith to deliver
it to the "owner" prior to conunencement.
E. CON'l'RAC'l'OR' S/OWNER' S AIi'FIDAVI'l'
I certify that all the information in this application is accurate and that all work will
be done in oompliance with all applicable laws regulating construction, zoning, and land
development.
AppHcation is her.eby m~de to obtain a permit to do work and installation as indicated. I
certify that no work or installation has oonunenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
oodes, zoning regulations, and laud development regulations in the jurisd.iction. I also
certify tllat'I understand that the regulations of other governmental agenoies may apply to
the lntendad work, and that it is my r,sponsibiHty to identify what actions I must take to
be in complianoe. Such agencies include but are not limited tOI *Department of
Euvi.ronmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensiti.ve
Lauds, Water/Wastewater Treatment
""Southwest Florida Water Management District-Wells, CYPEess Bayheads, Wetland Areas,
Altering Wateroourses
*Armv Corps of EngineerS-Seawalls, Docks, Navigable Waterways
""Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Tre.tment, Septic Tanks
*u.S. Environmental Proteotion Agency-Asbestos abatement
I also oertify that, if fill material ls to be used in Flood Zone "A" or "A,eta.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared }>y a professional engineer registered in the State of Florida prior to permit
issuanoe.
A permit issued shall be construed to be a license to proceed with ~he work and not as
authority to violate, oancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requlrillg a
con:eotion of errors in plans, construotion, or violations of any oode. Every permit
is"ued shall become invalid unlsu the work authorized by suoh permit is commenced withln
SiK month. of issuanoe, or if work authorlzed by the permit is suspended or abandoned for a
period of six months after the time the work is conunenced.. One 90 day extension of thus
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building offioial. An approved inspection must be logged during each six
month period, or the projeot will be considered abandoned.
WARNING '1'0 OWNER I YOUR FAILURE TO RECORD A NO'!'ICE OF COMMENCEMEN'l' MAY nESUJ.'l' IN YOUR
PAYING 'rWICE B'OR IMPROVEMEN'rS TO YOUR PROPER'1'Y. IF YOU IN'l'END '1'0 OB'l'AIN FINANCING, CONSUL'l'
WI'I'II YOUR I.ENDER OR AN A'1"l'ORNEY BEfORE RECORDING YOUR NOTICE OF COMMENCEMEN'1'. JOBS UNDER
$2,500 IN VAI,UE DO NO'{' NEED 'I'D RECORD AND 1?0S'l' A "NO'l'ICE OF COMMENCEMENT".
SIGNATURE I OWNER OR AGENT
SIGNATURE I CONTRACTOR
S'l'A'l'1Il OF InoRIDA
COUN'I'Y OF
'J'he foregoing instrument was
Before lIIe this ___ day oC.
by
aoknowledged
, 1!L-
STA'l'E OF FLORIDA
COUN'l'Y OF
The foregoing instrument was
Before me this _"pay of
by
acknowledged
, 1 9 -:....
(name af person lloknotiledged)
IJ who is personally known to nlei, or
o who has produoed
(type
and wholJ did fJdid not
of identification)
take an oath.
(name of person aoknowledged)
C1ho Is personally known to me, or
o who has produoed
(type of identifioatlonl
and who Odid DUd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment I
Name typed, printed or stamped
-.
Name typed, printed or stamped
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
PERMIT ."
J l,5 O~ I I
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections sholl be mode before the job
. will be accepted.
,
A \ \ P rcf€j'4-v
-i0- t/\ O() e t r
ADDRESS
LeA IS L( ;1A c. (o.. ~ I t.e
Dr.
ft~4flf,r)
Se\- LAp.
S ~L," l \
lS~
t:.
~ )( (Jo setA
1
fb.,,-
II il unlawful tor any Corpenler, Contractor. Builder. or other peraonl, to
coy.r or cau.. to be cay.reel. any port of th. work wllh flooring, loth, earth
or oth.r material. until th. proper Inlpeclor hal hod ampl. tlm. to approy.
th. Inllallatlon.
, AFTER CORRECTIONS ARE MADE CALL
788-6611 ~}R/lPE~
INSPECTOR I})-V , ~
,/
OFFICE HOURS 8 - 5 MON.-FRI.
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADDJTION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
I ;;~.~ ~ d "d,;/f \) ,- I ;7;'5/0 Z- PERM];' ~ / / I
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections'shall be mode before the job
. will be accepted.
,
~'~Oe&,t-,V tYt'ir~t/r5
+-, ,"" e oJ. I 1'1 ) t .e cJ- I r /)
\h.c.11
be
~. (Jc).5<?d
/
4+
'nlawful tar any Carpenter, Cantractor, Builder, or other peraon., to
or caUM to be cavered, any part of the work with flooring, lath, earth
" material. unlll.he proper Inspector has had ample lime to approve
allallon,
HOURS 8 - 5 MON.-FRI.
INSPECTOR
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Table A:
(0
\'o{umc 2~, Numbu 4Y, December 4,1998
:=
PIER SPACING TABLE
18Yl" X 1811z"
20" X 20"
26" X 26"
4'
5'
Shaded areas are at the maximum eight feet spacing.
FIGURE A
T
BLOCKING (Single Tiered)
I,Bellm (Frame)
Wood Shims 0 '11' 1-1axlmuml
CliP . 2' x 8' x 1 (). Hard",.:xx!IPre'5ur~ Trull!fl nc ~ivillcnl
% ~v----
II 1/
54
.,.....'.....
_.. . .',., ._ _..'. e.
" , , ::~',:,: ~ Solid or Ce/led Cuncrl!ll! l3lcx:ks
MAX. " .
O G I, :.,.,.. . ,',: ';, ..,. ____ Ground UMI
~ .',_.- I...... . .... ~ ____ r"'OOtar or Pler FoundAtol
/h ;g.- 'f..-- ": ~ " ",. : . :.' :,' ::::.----- 4' x 16' x I()' SO;;U (One: P,<.>al Ill' (;qu1V..I<.~11
Sod and OrganIC /-.~at..rlal ReTT>Cllo'l!li
36-
c:
FIGURE B
H"
"AX.
BLOCKING (Double Tiered ,and Blocks Inlerlocked)
_I Bellm (f'ram~)
-\Vood Shims (1'~" I>laxi('l1\/1n)
iOplionl HarcN.ood or PIl!SSurl! Trnll!d Plait! 0" x 8' X 16" MinitrAunl
Cap , 4 ' x 16" x 16" Solid Blexk or F.q\liv~l
(OpllOO 2 4' x 8" x 16 oJ Mu~1 ~ flI'TTll!"dicuL" II) (,bP.nm
Salid or CdlPd ('.l~ ,,"<'Ie Block
Grcanld ~I
?OOlrr Of P:er roundahOt:
~. x 16" x 16' Solid Block 01 F.quivclent (One ricer)
Sod and Organic Material Rm-o..W
Section 11 . Proposed Rules