HomeMy WebLinkAbout02-1645
BUILDING PERMIT
Permit N!
CITY OF ZEPHYRHILLS
(813) 780-0020
1645
?9
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~
Date / /-IJ/-P:L
Property Owner:
Job Address:
Parcel I. D. ,
Zoning:
Description of Work
El~Al ~NG M~-
A~~ .~~ ~A1<-
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Energy Code:
c;;;. ~ t?~(gAI
~ Radon G." 1_ .:l 0 I
.~_~ /0 / '/-. /2_
, ,
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
.- o:L
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation or ..,/ J
Contract Price '.::p.> iJ DO 0
~~
Company
Address
~Phone0
Inspector
City license Registration # .-------
C5"if;ed Ucensel -----
i.V71.Jl---1
BUilDING
~
PlU~-
,.;...-
--A4I!OIA~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
WL
SlB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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'S NAMe S ~ A (l el"\ (Permi t4=F1 ~ ~5 )
JOB SITEI ADDRess 3533 Pen'doT La...I'\..e....
CITY OF ZEPaYRHILLS PERMIT APPLICATION
BUILUINC~ DBPARTMBNT 5335 sth BTREB'f ZBPHYRHILLS, P'L 33540
Phbrt.,S13-1BO-0020 FaxI813-7S0-0021
DATa a.oaIVIID 11- ~ ~
PLANS R.VIa" "8. - ---
PHONe CONTACT 78~ - Oti<S(P
LEGAL DeSCRIPTION. LOT(S) ~~~ _____ BLOCK
PARCEL 1D #
-~-----~-----
SUBDIVISION
Emerald /Jot n..t
WORK PROPSBlO. DNEW CONS'I'RUCTION Jl\( ADDITION []ALTERATION [] REPAIR [J INS'I'Al,l,
oSIGN [] MOVE [] DEMOLISH
PROPOSED USEI}&sGL FAMILY DWELLING []MlJLTI -F'AMILY 0# OF lINrI'S [] MOBILE HOME
o COMMERCIAl, [] INDUSTRIAL [] SWIMMING POOL OOTlIER
(OB'rAIN F'ROM PROPERTY TAX NOTIeB)
DESCRIPTION OF WORK
o RESTAURANT
S C-,e e..vL
1;;2-1
& HEAL'l'H DEPARTMEN'I' APPROVAl,
RoorYl
BUILDING sn~E
IDIX
SQUARE FOO'rAGE
(;;2.0
HeIGHT ,:See.- ;:;/at...-s
,
RES IOIIINTIAL,
COMMERCIAL.
A'I'TACH (::I) PLOT PLANS & (J) SETS OF Bun,DING PLANs & (1.) seT ENeRGY FORMS.
ATTACH (3) SETS OF BUIIJOING PLANS & (1) SET ENERGY FORMS.
li'ROPIIIItTY SUitVEY REQUIRED FOR ALl, NEW CONSTRUCTION.
PERMITS REaUmSTED
Jl<1. BUII,lJING
M B1LBlC'l'RWAL
[] PLUMBING
$ /000.60
VALUATION OF TOTAL CONSTRUCTION
AMP SBlRVICEl
o Fl,ORIDA PdWER
[]
W.R.Ill.c.
o MECHANICAL
$
VALUATION OF MECHANCIAIJ INSTALI,ATION
o GAS
o ROOFINr1
o SPECIALTY
[] OTHER
'l'YPE OF CONSTRuc'nON, 0 BLOCK
o FRAME
o STEElJ
[] o'mER
FINISHED FIJOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE ARIlJAO Yes 0 NO
BUILDBR ~ ~- COMPANY Oc.un~r
(, ~, STATBl CERT OR REGIBT #
8lGNA'rURE U;:r CITY PROCESSING ff
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8LIOTRIOIAN
SIGNA'l'(JREt
COMPANY O?O~
STATE CERT OR REGtST #
CITY PROCESSING #
.J.-.._L_
******************************************************************
PLUMBBR
COMPANY
STATE CERT OR REGIST #
CI'l'Y PROCESSING #
SIGNATURE
HIICHANICAL
**********************************************************~*******
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNA TURS!
*****************************************************************
OTHIIR
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CI'l'Y PROCElSBING #
*****************************************************************
CONDI'llIONB OF pE.RMI'r AFFlDAVIT
A. NO'!'ICE Ol!' DEED RESTRIC'froNB
~he uMdersigned understands that this permit may be subject to "deed restrictionsH which
may be more restrictive than City regulations. The llnd~rslgned assumes responsibility for
complianoe Hith any applicable deed restrictions.
B. UNLICENSED CON'fRACTORB AND CON'l'RAC'l'OR REBPONSIBILI'l'US
If; the oHner has hired a contractor or contractors to unjertake work, they Jrtay be required
I to be licensed in accordance with state and local regulcitJons. If the contractor is not
licensed as required by law, both the owner and contractor may be ai.ted for a misdemeanor
violation Ullder state law. If the owner or intended contractor are uncertain as to what
licensing requirement.s may apply for the intended Hark, they are advlsed to contact the
City of Zephyrhills Buildlng Department, B13-788-6611.
Furthermore, if the owner has hired a contractor or conl:r:aotors, he is advi,sed to have the
oontractor(s) sign portions of the "Contractor SectionsU of this application for which they
wl1l be responslble. If you, as the owner signs as the contractor, you are indicating tlJat
you, rather than the contractor, are responsible for thl! work. If the contractor wishes
you to slgn 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. TRANSPORTNfION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONS'l'RUC'fUION I,IEN LAW (CHAP'l'ER 713, FLORIDA S'rA'rUTES, AS AMENDED)
I certify that I, the applicant, have been provi~ed with a copy of "Florida's Construction
l111n Law - Homeowner's Protection Gulde/l prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone otller that the \lowner", I ced.fy that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to cOl1U1\enaement.
E. CON'l'RAC'I'OR' S/OWNER' S AFH'IDAVI'r
I certify that all the information in thls application is accurate and that all work will
be done in oompliance wlth all applioable laws regulating construction, zoning, and land
development.
AppHcation is hereby m~de to obtain a permit to do work and installation as lndioated. I
certify that no work or installation has cOl1U1\enced prior to issuance of a permit and that
all work will be performed to meet stan~ards of all laws regulating tlonstruction, City
codes, zoning regulations, and land development regulations in the jurisd.tction. I also
certify tllat'l understand that the regulations of other governmental agenoies may apply to
the intended work, and that it is my rfjlsponsibility to identify what actions I must take to
be in oompliance. Such agencies include but are not limited to: *Department of
Environmental RegUlation-Cypress Bayheads, Wetland Areal5l and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest FloriQa Water Management District-Wella, CYPEess Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unlt-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental li'rot.otian 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 whlch
is prepared j>y a professional engineer registered in the State of Florida prior to permit
issuanoe.
A permit lssued shall be construed to be a license to proceed with ~he work and not as
authority to vl01ate, oancel, 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 erron in plans, construotioJlI or violations of any aode, IIIvery permit
luued shall beoome invalid unless the work authorized by such permit is conunenced within
SiK months of issuanoe, or if work authorized by the permit is suspended or abandoned for a
period of liix months after the time the work is cOl1U1\enced,. One 90 day extension of thlle
may be allowed for the permit with fee charge of $15.00. The extension ahall be requested
in writing to the Building Offioial. An approved inspection must be logged during each six
month period, or the project will be aonsidered abandoned.
WARNING '1'0 OWNERI YOUR FAIWRE TO RECORD A NO'I'ICE OF COMMENCEMENT MAY RESUUl' IN YOUR
PAYING 'rWICE B'OR IMPROVEMEN'fS TO YOUR PROIi'ER'fY. IF YOU IH'l'END 'l'0 OB'l'AtN FINANCING, CONSUL'I'
W1'1'1I YOUR I.ENDER OR AN A'l"l'ORNEY BEFORE RECORDING YOUR No'rICE OF COMMENCEMEN'l'. JOBS UNDER
$2,500 IN VAI,UE DO NO'l' NEED '1'0 RECORD AND POS'l' A "NO 1 CE OF COMMENCEMEN'I"'.
~J2 'j ;/ tlfL~
~GNAT~ OWNER OR AGENT
Jd!-4ff-
S'fA'rE OF FI,ORIUA 0
COUN'l'Y OF r a7CO
'J'he foregoing instrument was~acknowledged
asfore ~s k~ day of -LJovec.c.J,u; ~o~
by , lAe.-rA~
(name of person acknowledged)
[J l.,ho is personally known to me, or
/
121 who has produaedV L--. '
(type of identification)
Ddid not ta e
BTA'l'E OF FLORIDA 8
COUN'fY OF a5Cn
The foregoing instrument wa~a~i8dged
Before me thia &;; ~ay of t:..J.OJ~r, ]::I.;loP:)-
by ,c:.,~ tJ le Y\.
(name of person aoknowledged)
[1ho is personally known to me, or
/
EJ who has produced }).! -' .
~ (type of identlfioaUonl
and who ld Oi:: tr~
signa ure ~ taking acknowledgment I
81 of person taking acknowledgement
~\'ltl'" Suzanne Bahr
, ~y p~,
. ~'R.~.,.. .i~ eo . HmNDf>l51131
Name typed, pdn~~~:;?E_''"Nov 15,2006
',,";.p0;;;'~~ Bonded Thru
"'" "",\ Atlantic Bonding Co" Inc.
Name
'lcRi!e,uPI / -I ;y~ ;;~
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STORAGE
AND
UTILITY
ROOM
10 x 20
. Pn<.MIT #
I iQ Ol- 5'
PRDPOS€D
.sc:rzEEAJ
f<DO M....
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10 )( 1;1..
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cXISTIN{, SI...f't/3
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3533 PERIDOT LANE
MERALD POINT
LOT: 235
6' x 66'
DATE :!]E""""'-f)
BUIL"'NG OEPT I,PC ",:,!'" ~O
PROPOSED SCREEN ROOM
I 3" COMPOSITE PANEL ROOf
2X3.045
POSTS
2X3 .045 SHED
EDGE BEAM PERMIT
# 1625
=
-
~
~
12'
SIDE ELEVATION
T
r- "T
....
10'4"
l:./- EXISTING SLAB
9'4"
1
~
10'
FRONT ELEVATION