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HomeMy WebLinkAbout02-1423 (1) BUILDING (813) 780-0020 I/o - Jlo - ELECTRICAL PLUMBING ~L :::::~.'>J1~ - cYj!la'dt'* ~ Parcell.D. , -BUILDING PERMIT .--; \ CITY OF ZEPHYRHILLS Permit N! ~/ I / ,/ / 1423 Date 1-;21-o~ Sewer Conn Water Conn: Water Meter: T.1. F.' 5: Zoning: DescriDtion of Work Y!l;;JE1I~- 0?~~~.;"L - FINAL NO OCCUPANCY BEFORE C.O. 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 Valuation or Contract Price ~ City License Registration # ~ 0/1 State Certified License# -:z: If tJ t) aQ ~/i) ,:j~ s;( _:t,J~~ BUI(&NG 0-~ ~ ~'ephone#) 017- If /- 17 'I.$' d~2~~ PL BING ELECTRICAL ~~ Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final III 'tr {I'J""" SLB Tub Set Water Sewer Final,//fl-28'~ ;t 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) shaH 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. CITY OF ZEPHYRHILLB PERMIT APPLICATION BUILDINQ DBPARTMENT 5335 8th STREET ZBPHYRRILLS, PL 33540 ~ Phone.813-780-0020 Fax.81J-780-0021 ~ DATE RECEIVBD tl- - .J., f - <::>"L- PLANS RBVIBW PEE _.__._____ PHONE JOB SITE ADDRESS u 1<- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # j-eJ040-d4/tlt1_CJo"o (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION o ADDITION [JALTERATION [J REPAIR o INSTALL [JSIGN [JMOVE o DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI - FAMILY 0# OF UNITS [] SWIMMING POOL ~BILE HOME o OTHER [] COMMERCIAL [] INDUSTRIAL DESCRI PTION OF WORK /}J () tf:, ~ L . BUILDING SIZE /d.~ c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL M/t1fE ~CH~r. SQUARE FOOTAGE j?~ HEIGHT 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 [J BUILDING $ '/.;)7 l.J VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL 100 AMP SERVICE o FLORIDA POWER o W.R.E.C. [J PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [] GAS [J ROOFING [J SPECIALTY [J OTHER 'I'YPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO ~UILD~ ****************************************************************** COMPANY 'S'7"""~./.LJv "J"f- ;;H f1cJ 1<; /<. 2. Ad" "..~ STATE CERT OR REGIST # 'Wt:JoOO 57 d CITY PROCESSIN~ cEo I BLBCTRICIAN SIGNATURE ~~ G R.- ~ ' SIGNAT~~ . ****************************************************************** ****************************************************************** COMPANY FEE. E.l..E.C.:rR..IL. STATE CERT OR REGIST # 'E-f<.C0C4bYO CITY PROCESSI~. \0<.0 COMPAN~S'r~......--- J-~ Z~",e;1L ..z::.....ShLcL____ STATE CERT OR REGIST # :Z:-,4., 0.. or,o CITY PROCESSING # MBCHANICAL SIGNATURE ~ ;.,c" /-)-0 c...U ~.Iw I "-r- ...::> COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** 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 restrictionsH which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBII,ITIES 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 SectionsH 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 GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~ownerH, I cerify that I have obtained a copy of the above described aocument and promise in good faith to deliver it to the ~ownerH 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 ~AH or ~A,etc.H, it is understood that a drainage plan addressing a ~compensating volumeH 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 COMMENCEMENTH. ~~o~ SIGNATURE: CONTRACTOR STATE OF FLORIDA ,J) "" "" STATE OF FLORIDA COUNTY OF 1""11 S ~ COUNTY OF The foregoing inst~qrnent was/ac~nowledged The foregoing instrument was acknowledged Before me this~~ay of ~t,l/tf ,~ Before me this --'pay of , 19 ~ by by (name of person acknowledgedi Owho is personally known to me, or ~who has produced 'J;iI/e. r;; L, C e.n S-e..,. (type of identification) did not take an oath. (name of person acknowledged) C1ho is personally known to me, or Owho has produced (type of identification) ~id not take an oath and who 0 did acknowledgement Signature of person taking acknowledgment Name t Name typed, printed or stamped CITY OF ZEPH~RHILLS IINOTICE" OF ADD.ITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE I ADDRESS DATE ~~] 57~i Gn.n,)>14J/,J;- /{J-za-o~ / 1~~1Y'./~?1 THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job , . will be accepted. J 11 ia unlawful for any Carpenter, Cantractor, Builder. or other peraona, to cover or caUM to be covered, any part of the work wllh flooring. lath, earth or other malerlal. until the proper Inapeclor haa had ample lime 10 approve the inllallallon. . AFTER CORRECTIONS ARE MADE CAlL INSi'ECTO:BB@ECTION OfFICE HOURS 8 - 5 MON.-FRI. -~_. ---- .---.- -- .--- ~ OW""! _LH..e-./r LAN,,/:- . .;, R-___ _ CI'T! O!' !EPMriW.n.~: BUI.LIH;.;(; iiiri<ii:tltlin' JOE :"'CCATICii 5753 ~.I / ~....c. eRA'" ~~o~k --.-..- ..--........ --.,"-"~ _....."'._-_.......~.- ---_. PA~CEL I. D,' It /0 -~~ -~/- O!UW - o~.{~t:J -=-..Q5J.~.______..._ BWJ~ .~1J.. .~1r~,'in':'1.5IG. PR(jIF;I.H;:~V $~l'J~Uf~-,:Jr~~~;; u:nl.l~ uj,hiUlS:a:~::.Q, =.~ e~~A,-,",~8.. r-"~.n i I i I I f , f 1 ~ ,. ,n t1 13 r , t: II () m C UTILITY BUIl.DINGS MUST:-"'"1W SIZE & FOUNk,;,u'.a;ON INFOR- MATION. Id/P~ 11/ ~ p/t'J' R o p o S e /)31 m o P..- I I e J.J () hi e. -r I I I I I I I J ~ l( ;- ~ If .s T. I tJ 't- (Y) o 8 r I ~ J-! a '" e. ~ -;!~ FRONT PR~RTY LINB i ,.L (NOTE !~.l.~..~I.J.:;S 1 & 2) S'i'REE'i' ----._:'.....- -----,. .... ..--... ...~..._..__..._-_..---.. ----.---... ,-- 1. SETBl"l.C!W FOR Rl. R2 ZONING 60' 10' I 10' r~T~! 10' I (1! 'r' I · s! ; I - I :: I ,I .15 n I D G I L_:..~~__J l"ROIn" PRO!"E!lTr L~3B 2. SETBACKS FOR R3 ZONING 60' -,- i I I 4 L, .&...v. I I I 1 ~~-~-lT I. I,. ! 10' BXISTING 10' I 'I '1~O' I I . I PROPOSBD I j rAM 30'DUPLBX j~ I ! j j j20'SGL , FROII'I' PROP.an LDt. - -~ --- ----- --~-- ------------ ~ ------ ---.._----_._------~ ---- PERMIT 1# MOI3ll.E / ~u"F ACTURED HOME SET -1:JP PI~RMlT APPLICATION SUPPLEMENT Applicant 1~~__JUlI"1~ ___.__ Address S'?LS-3 rlillft'" 6,.nt!.k S~ -------- Manufac;:r's Name-ii:~ EX- __ .---.----..- Roof Zone ..:zl!.. _ Wind Zone ~_ Number of Sections --'_ Width .&.._ Lenath -:!.~ Year } 17" _ Manufactured date __il ? ~ Inst31lalion ~tandard UlI,ed (chedt one): ManufKturer's lnanual__ 15C-l "1- . SITE PREP ARA nON: Under-home iRde cleaned of eLll vegetation and organic material ~U-_ Sloped for proper drainaae ~~ Distance (approx ) between finisbed grade and bottom of l-bcam(I)....l!l.f..oLJ.Jl. " FOUNDATION: Load bearing soil densit). ISao assumed 1,000 psf__ · (Attach penetrometer test results per the requirement on the back afthis form) Maimait fram~ blocks: Size /(,x,,, Placement oc~.L Perimeter blocking: Size /t,xlfL Number 4 Location ~s Ridge beam support: Size X Number >( Loc:alion)( Center hne blocking: Size -2L- Nwnber _L- Location -L.. Anchors (type); 6,000 _____ Angle of strap '10 - 56 O~ Number of frame ties 2 ~ ~urnber of sidewall anchors ~__ Number of centerline anchors __ 4,725 ~_ Spacing ~ 1/ OC Nvw.tder (J f: L OHf.:-fcJ D;"''''/ Nwnbcr of stabilizers i?1_ 77C$ ~ - InsuJlJer or Engineer __ <;;/ ~~~_. a---, c.-~.tJ:_/C State L1CW1.ib_~(2-5..1a.__.______ RF..QFlRED A TT ACHME?-./ ,{'S ~- ..... 1. FOUNDATION PLAN, TO SCALE, SHOWING SC'PPlEMENT AL INFORMA nON. 2 S}1'E PLAN (2 COPIES), TO SCALE. li'a\",".MCwIl....,.. /,e\lllld J~1y 1. ~ 999) -c "- 0 ~ z ~ .. ... .. .. III C Z ... :::. Q X .. .. 1.30 z t: .. - ~ ~ ~ .. CD Q " c !I ~ - a. t; ~ ~ I C H .. I ~ ~ III U z i .. .. 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