HomeMy WebLinkAbout02-1459
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1459
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(813) 780-0020
Date
9- /1-0rtL
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Zoning:
DescriDtion of Work
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M~
Sewer Conn
p
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
Inspector
DATE
/./J"O
Valuation or
Contract Price
--
Permit Fee
~gri-atU1e--.J
Company
Addr~
Cf8i;~hone0
II, ~5'~'
,
City License Registration #
State Certified License#
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C~I~.~
Ftr. / '/ -Ii' -();J. I<L'f
Pre SlB ./ '1-/ y--o l Rt Y
Lintel
c9-(P
A-e.c:
(EJ'~CTRICAt
~Al
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final V If) -:f/-(}iJ..
FRM.
Insul. Cl
WL
!l-L~ IIfJO
Driveway
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.
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMBNT 5335 8~ STRBBT ZBPRTRRZLLS. PL 33540
PhoneI813-780-0020 PaxI813-780-0021' /7-
DA.TB lUICB:rvJID /-/S--O~
PLUS RBVIBIf I'BB ,
OWNER'S NAME _ r;f44!JO !k{U 7iJ/V IVI -II, p,
JOB SITE ADDRESS '5'7 (P SO UJ(l-F IV k jJ V I~ .
PHONE CONTACT '1 Y 2 - I ora l(
LEGAL DESCRIPTION I LOT (B)
BLOCK
1--0 r I 2.lf
SUBDIVISION 6tuAJIJ J-.!w.u "20/rJ M-II. P.
PARCEL ID If: 34 - 7-C:; - ;;l-( - 00 (, 0 ~ 026"0 () - 61 Z-
WORK PROPSED: ~W CONSTRUCTION ~DITIO~
(OBTAIN FROM PROPERTY TAX NOTICE)
o ALTERATION
o REPAIR
o INSTALL
OSIGN 0 MOVE 0 DEMOLISH
PROPOSED USE: ~ PAMI~Y DWELLING OMULTI-FAMILY Olf: OF UNITS
o COMMERCIAL
o INDUSTRIAL
[J SWIMMING PbOL
o MOBILB HOME
9()THER
A WIYI I A./U IV\.
QESCRIPTION OF WORK
CJ RESTAURANT & HEALTH DEPARTMEN~TPP YAL ,
, 1/ \. S 2
/2'{ 11- (2,.4/5ff]PSLt2bf3jv /200Nt I I-z.x s CAIl{)ot, .,...
~
SHe 0
BUILDING SIZE
SQUARE FOOTAGE ,57"
HEIGHT
RESIDENTIAL:
COMMERCIAL:
~TTACH (2) PLOT PLANS & (2)SBTS OF BUILDING PLANS & (1) SET BNERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SB~ BNBRGY FORMS.
PROPBRTY SURVBY. RSQUIRBD FOR ALL NBW CONSTRUCTIO~
PBRNITS RBQU.STBD
~ILDING
g..-m;BCTRI CAL
$ II '2.5(P. 30
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C. w/(lE St/I;P
o PLUMBING
o MBCHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING . 0 SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLqCK
o FRAME
o STEEL
o OTHER
FINISHED FLQOR ELBVATIONS
IS PROJECT IN FLOOD ZONE ARRAO YES 0 NO
BUILDaR
COMPANY [311-1 (f)/usr !lucnoJJ .~;::. G=/Vi7Uh.. FL.
n /J ' () /J /J STATE CERT, OR REGIST If: C{5(o S'Y'7 ,rz-
laJ.",. -'. ~. ,C~TY ~ING · :z
* * * * * * * * * * * -A * * * * * * * * * * * * * * * * * * ~ * * ~~* ~ *~~'.1 .I;;J i....<
SIGNATURE
BLBCTRICIAH
SIGNATURE
'~Il. ~
COMPANY 40::: I~ crlZt L
STATE CERTOR REGIST If:
CITY PROCESSIN~1 f"'7
******************************************************************
PLUllBBR
COMPANY
STATE CERT ORREGIST If:
CITYPRO~ESSING If: '
'>, ", SIGNATtmE
IOICRAHICAL'
******************************************************************
COMPANY
STATE CERT OR REGIST. #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTSBR
COMPANY
STATE CBRT OR REGIST If:
CITY PROCESSING If:
SIGNATURE
*****************************************************************
CONDITI0NB OF PERMIT AFFIDAVIT
A. NOT,ICE OB' DEED RESTRICTIONS
The undersigned understands th,at 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 .ay be required
to be licensed in accordance with atate and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a mdsdemeanor
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 Sect!ons" 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 ap.plicable 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 perfotmed 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 ;ffll material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressin9 a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to peDmit
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. Everypermit
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 perrnit 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".
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SIGN~U;t ~ER OR AGENT
J1 /1 -J7~
SIGNATUR~ CONTRACTOR
'.\
STATE OF FLORIDA D f\
COUNTY 01' r C!:.~ ( 0
The foregoing instrument was acknowledged
Before me this~day of Ju,-'f , ~~L
by /:;j7f:h GEr=4c
(name of person acknowledged)
~o is personally known to me, or
o who has produced
(type of identification)
and whoO did (H1:lid not take an oath.
~',L), ~'
Signature of person taking acknowledgement
STATE 01' FLORIDA n
COUNTY OF ,1f:1.X 0
The foregoing instrument was aCknowledged
Before me this ~ay of \UL-'( , ....2a:JL..
by r;;/l.rc, 13&~;:::
(name of person aCknowledged)
~ is personally known to me, or
o who' has produced
. (!ype of identification)
and who Odid ~d not take an oath
./3uuo A - Oot~
Signature of person taking acknowledgment
1J./Lu c r-=: f-) - 14 sa 6 L-
Name typed, printed or stamped
~ it\. Bruce A Asbel. ,
;.~ ,; My Commission 00116710
"+ OI~'" Expires June 22. 2006 '
Name
1< ILv c e fJ.-. 14 S(j6J-c
typed,L printed or stamped
~'it\, Bruce A Asbel
!~ . My Commission 00116710 '
\;OI~;/ Expires June 22,2006
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2002144064
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COUN1'f c\..ER"
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';' u B \J Ii n c (< S I G H C! 0 h 0 r . by 9 i v .. not ice t hat imp r 0 v e men t '" ill b c ~\ 0) d a l 0 C' ~ r l .: , r,
re..ll pr"perty, and in Accordance with Chapter 71), f'lorido SlOlule~, l1)e
!ollo"lnC) informAtion i. provided in thi. Hotico of CornmcnC'~lnC"r,;
I, Oe\C'ription ot Proporty' Parcel No. '3f-2S-2-I- DOL 0 - 02i"oO - Olzt.f
\If, J-() 12-
t 8 property ao .tceet 0 e)
I,
Centlal Description of Improvement /)iVIYl (/\/VI'Yt
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O\lner In(ocn,ation: Hamo&:2?A"v.o !hIU2<J"v 1Yl...j-I.p,
I.d <.J res s 76 'f~ {;(taf';,,/SLofl= j)fZ. C i t y 2F r #lfflH / t... (..5
St<lte FL. ?~{;Lf-1-16GO
Interest in pr.uperty:
/"Ia/neot fee Simple Titloholder:
(It other th~o o"'ner)
City,
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Address
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t~udre3SttD2S-/1fOV"Il'S" t~IPGE /4/, City 2Eftll.(/l-/-IIL.t..5 Stille FL. ??5Lf 3
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), Surety: H.Jloe
Address
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N\lOUflt of Bond: S
6, L~nder: Harne
Ad<.:rcss
City
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Persons Within the State 0' floridA
not ices or other documonts may bo
71),:)( I) (A) (7), florida StAtU~03:
designAted by O....'n~r ,-'p;>n --;;~
sorved AS pL'ovi-:JC?d LJ'j SeC", ,cr-
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City
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8, In additio,n to himself, O\.Jner dosign4tos
0' to roceive A C'opr c: :-e
Lienor', /'IoU,co A' prov1ded 1n Soct10n 71:l.1J(I)(b), flor.dil Slot":.:\
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07/08/02 MON 14:58 FAX 8137823966
GRAND HORIZONS HOMES
~003
B&H CO}.lSTRUCTIO:N OF CENTRAL FL. lNC.
FREE ESTIMAn5 4025 MORRlS BRIDGE ROAD 1-800-224-1206
ZEPHYRHILLS, FL. 33543
Ucen,ed · Smdc:d · IDswed · Skirtlna · Steps · R.oc= Ad4iti~ · AJlmliDuim · ConQ'ctc
Lee ~ JJ. t{ Subdivision 37(.,. m 16Jl'EiVA DoE
W~"l\.tV ;,)Oc.oh)
(1. I ~ - f../ '(j J?' 7 W ./
3~YlJ{:-
LapID
PaD Co&ar
Trial Color
a.. Co1ar
AI! aJuatilaum roofs iadwlr.,<<tU. Trim. Gutw.
~ 3xJ hm. h4 BcIm.8Dd~
fl....
..s::t2-.Pms~Pt.IAa~Sq Pt x 3.03-3.47 Rl'LO ~
_hlu._ft l.oG&....-S1 PI )( 3.03-3.47
~1"ua_Ft LcloL..-$q Ft x 3.03-3.47
_Pau~ Loo&....-.-Sq fl X 3.0;1-3.47
V_I>> - ..4f..).nx 4.00 ·
Ouu. ClIJ tIclme .m,,1Jf X 4.U ."
GebI. Baal Wcri; OD FnlQr tOld I.J J '"
W SM a.m-..... n.Ji!..Vf;ll;:%..4a
l~ SM Ba.aa . r J.!LJJf. 4.'S
P.1 SM 8Qm - H-ur X S.1.5
%xl SM lHam- lJFx 6.1$
2x9SM8NIO . -- -UFIC 7.44
~ IUX>M WALLS
Lap KP.J!..... M. + ~ ... _ ....1:Lth X 26.31
$cteen Door lncluda:
o.c,. ud llvesboId '-'.-EA x 15.10
o.bIe "'111- oa. sieSe Uf x 13.73
lasullted KIck PiMa- -lJF" 3.30
FM Beam (Nor Wircd)--- _LJ:A xS7.20
l1T1LnY ROOM WAU.S
Walls....L...~ L~ _ -~Vf x 30.19
2x4 Stud5 16"" OC
Sbo6 Door uad I W'm6ow- LEA lC 131.2'
SiDaIe W"~ (Extn)-- -L-EA x $1.41
Sue Shield. . UP x 4.56
MiJC': -
Vf1('(L lIDOM WAllS
Vuayl w.u ... ... ... - LlFx4S 76
made JGdc Plato. - - - UF x 52.9
Lap Top iDsicIc and ClUC- tJF x 13.73
PIeri'" OluJ -l.JF x 9.15
ImWatc Top ad !Sott1)lJl-- UF x 4.90
~ Ud,* (2) 2 T~ Uniu
nreshoJ4 aACf Q<*I" . EA II: 1'1.56
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GLASS ROOM WAUS
Walls + + ... - 1/F x
Jl S)w.aD Imulate R.oof_x == Sq ft x 2.'6
LapS.ding & .LL:Lur" 6.2. ?JI.:JL
HID4~1 ..... LlFx 17,16
SUIp~. LUFx gO.08 1N'J.OIt
o..,eDoar x~x~ .
a.r.p Door 1Mder- x EA'x
Uuap Door- ()pater ~ x - EA x-
Misl:: - - -
AJwninum TotllJ .rG'Jo,gL
'd
CONCRETE AND BRICK. WORK
hIio Slab-- ...ld....x-L!.- -...6le.Scl ft x 2.16 2SV,~ ~
Pllio SJ~ ..lL..xK - 3J..ASq Pc x 2.16 ~ ~... 9 ~
Pu.iOSIab--~lI;_-_SqPIX 2.16
P8d0Slab---_x_=_S,Ftx 2.16
Side W.lk- Lx...ta. -..Lf...Sq FJ x 2.16
Oriw:wr:y---./.Lx.J:L -..1.tt...Sq PI x Z.J6
Dri~F1ws~"'aSqFtx l#/
Raised Ucili!)' _, In" -A- 4" 32.40
RaisCd Patio 6 C...1L x1L .l!J..t...~ Fe x 7..29
Rai5Cld Pasio 6 C_ x_ · _Sq .Fr x 1.29
~6perttpcrOC)..l-':..x-L-;JALl.JFx 1.94 .104,5.-
Foarer IxlZ~M ~U1x 3.78 -~.ll ,,~~
foo&cr' Ib12 kinfetol:s..._-~LIf:lt 5.67 ~ ~ r... 96
Fo$r Skirting ~L/f x Z.70 ..~ L (J
1 Tre:td Sap _EA x 62.64
Z Trod Step-- :.l...'$A x J 25.21 "', c-;~
, nwdStep ~x JI1.92 /17... 9-.2
4M Stoop .. -...fAx 199.10
Brick SJUniog Max 5 High
Ovct $ per it per QOUne-- _IJf x 1.73
Split Brlak Ail' StaCk -_UF x 8.64
SplU .Brick Solid -1!l-VF It 9. 72 .z'~~. ~"
Owl' S po- ft.per ~ ~lJF x 1,94
Pilll'.>irt- -,4Loe1:Js.x 100.00
Prarat- 100.00
. Mist:
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srO~~~1l O. ~o....I..L~ Concrete ;rO 3S,qlf.
DATE ') - ~-O ld AJ~inum .)Jt tnl J"
FAX TO 71$-6585 PC'tftj, .s..m,{)() ,
FORENOINEERlNG ~:'I ~J:J&~~J ~o
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LEONARD G. "GEOFF" WOOD. P.E.
4034 THE FENW A Y
MULBERRY, FLORIDA 33860
(863) 646-5517
Date: 7-9-02
B&H Construction
Zephryhills, Florida
Re: 2003
Jacobsen
37650 Lorena Ave
Zephyrhills, FI. 33540
Mod# CL 3-4487 W
Lot # 124
Dear Sirs,
This letter is to certifY that I have reviewed the above referenced project to determine
the structural adequacy of the existing structure to receive the attached structure. The
proposed structure is roughly a 12x12 raised screen room, a8xlO shed and a 12x26
carport, The existing mobile home, to be considered an adequate host structure,
should be blocked and anchored in accordance with the manufacturers suggested
and permitted set-up permit.
Therefore, it is my opinion that the marriage of the proposed structure with the
addition will not compromise the structural integrity of the host structure, if the
addition is constructed as per the attached aluminwn engineered drawings.
As always, should you have any questions. Please feel free to call me at ay time.
S7~~
~G(!fI
4034 The Fenway
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ALL WOIU{SHALLCOMPLY WITH ALL
pREV AUJNOCODES,FLORlDABUUDING
CODE.NAnONAL ELECfRlCCODBAND
crrv OFW}NRHlLLSORDINANCES
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