HomeMy WebLinkAbout02-1658
1658
bo.eD
BUILDING
')
/j tJ · fJ^J
ELECTRICAL
(813) 780-0020
If 0 (f1-o
PLUMBING
.3. 5' . (PlJ
MECHANICAL
Date
Sewer Conn
Water Conn:
/, :27 y. &'C7
'.1 5'0 .. f9"'?
i~ - t1'O
Property Owner:
Job Address:
Parcel I. D. ,
. '10
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code:
111. s.d
NO OCCUPANCY BEFORE C.O.
Radon Gas:
',_I""tI 3
FINAL
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
Valuation or
Contract Price
City License Registration #
State Certified License#
305"8-
[Vii:
tt / 7,f fI'
-r.-U(~ j-~ln1-~/f /J1 H. Sd't D(Jfhl~
BUILDING ELECTRICAL
DATE
Inspector
JO
;rSignatur
Company
Address ~' ...
ftelephon #813) 7 ?'3 ~ 7 S ro -7
-;VY, 1'4,n-tCy m.H. s;:,t~ Dotrh/;'/J;R
#- 171"1 .J ',/5.
MECHANICAL
PLUMBING
'1
1110 ;' /? . .7c /f'
o JL{j[~.) ~/JJ..1. . .
# /.".,[1) (1 <''JrllVl-
1.'1'6 <7 7" /"
..'. "'1),AS
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:
Ftr,
Pre SLB
Lintel
Tp. Serv,
Rough In
Meter Can
Const. Pole
Pool
pre-M~
Final I I ()... - J..(p - 0 tl..
FRM.
Insul. CL
WL
Driveway
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,
SLB
Tub Set
Water
Sewer
Final /i tl. -.2./rtJ ~
Breakers
Ducts Insl.
Compressor
Final ",//:( -;2 ~-/H.
/IJo
11'70
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
.~~~~~~:- ~
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....
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CITY OF ZEPHYRHllLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
DATE I [ - / '1 - c 2
OWNER/
RENTER
"Y' . . .
" J-.C1 If ~
l. c..((e..
'?~~
~
~
SERVICE ADDRESS
6/2~
/f:z/ ~'7
C/
~ry?
SHUT OFF SERVICE 0
TURN ON SERVICE ~/
INSTAll.. METER [1.//
READ METER 0
CHECK METER 0
OTHER 0
g..--wATER
o SEWER
o GARBAGE
~CITY
o OUT CITY
~ No. OF UNITS
_ DEPOSIT AMOUNT
",
A,/
j I L { -----rr-
/4 - Lv' /vf.ir
I
(;~--n'r
_ AMOUNT lAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPlETED
ORDER TAKEN BY
OWNER'S NAME C ((1/ r efl-e. PII VCA...
JOB SITE: ADDR~SS7:::4o. . K/clge Way
LEGAL DESCRImON':'- LOT (S) ~ -{I tJ BLOCK
PARCEL ID # 05 - c? ((, - (). / - O!30 - oOoDO -()t.;6 ()
WORK PROPSED: ~EW CONSTRUCTION o ADDITION
CITY OF ZEPRYRHILLS PERMIT APPLICATION
BUILDINQ DBPARTMBNT 5335 8~ STREBT ZBPBYRBILLS, FL 33540
Phone:813-780-0020 Fax:813-780-0021
DATB RECBIVBD 10 - ':;I(-o~_
PLANS REVIEW FBB
Dr,
PHONE CONTAC'l{g/3) r; / V - 9 VI 5'
Z ep /z i..1 rr-h / /15-
'/,
SUBDIVISION Ce;?.hjV- k/;.fq'e
(OBTAIN FROM PROPERTY TAX NOTICE)
o ALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
~OBILE HOME
o SWIMMING POOL
o OTHER
DESCRIPTION OF WORK
New
, dt'X5&'
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
fV7{)b; Ie
thn7E '-Pltl.C e y'l'eflf
SQUARE FOOTAGE IS w j'
BUILDING SIZE
HEIGHT
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
Ii' BUILDING
nf ELECTRICAL
[B"'PLUMBING
hCHANICAL
$30/0{) 0
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D FLORIDA POWER
D W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
D FRAME
D STEEL
GY OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
BUILDBR
Q~/?~
SIGNATURE
PL"""BR ~"
SIGNATURE' ~81J-7--
BLBCTRICIAN~' ....:.. ..~.. ....~. ~. .r...... ... ::: .;:~: ~~: E nHr iff ze <
~. ~~ STATE CERT 6R REGIST
SIGNATURE C-.. - fJY P.ROCESSING #
, 7]);.1 ~M;)
********************************* * ~~***** p , .
COMPANY - r. J?u II kr
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******....72....~...........****"'** *,**** t"'***. *'**-*'*.
4.. . COMPANY"~ ,~S ~ms
' /
I/o /./ STATE CERT 0 REGIST # C;4f'()$71IF
~--- ~-I - C~TY P~o SS NG # 17'"
, ..................................~~~~~~~
~
MECHANICAL
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 restrictions" which
ma~ 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 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 Uowner" 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 till 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 Offic~al 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 ~xtension 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
$, 0 IN VALUE 00 NOT NEED TO RECORD ANO POST A~ICE OF COMMENC~ENTU,
~1UUl Lf71Mtr--
SIGNATURE: CONTRACTOR
STATE OF F~IDA
COUNTY OF . I D.S (I 0
The foregoing instrument was ac~oWledged
Bet.Q.re me this ~day ofD{I~ r-, ~ll~
by .DOV\f'\.C-..mDD~
_/ (name of person ackno~ledged)
~who is personally known to me, or
STATE OF FLORIDA.v r. "-
COUNTY OF I as '-'.....u
The foregoing instrument wa~~owledged
Bef~ me this IS'-#-day of ,~~ .Ar , :r&~.14-
by 0 V\ NA.-. rn c () r-....
_/ (name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification)
and whoO did Odid not take an oath.
~~~
Signature of person taking acknowledgement
o who has produced
(type of identification)
and who Odid [}:lid not take an oath
~~~
~
Signature of person taking acknowledgment
Name typed, printed or
si~e~f\ ';..ISh": "N~ LN/AT.
~; '~ar::::::. ;-.j8' _ ,'< v -
j,Jr '6.
CC'nrc
'1
Name typed, printed or '.$'~~~tf :.
'" " '*' !
PnpInd by:
SUNSTA'm
SIIaItM. Tide ApIc:)r, Inc.
1393771h SCrect
Dade City. FJorida 33525
.. 5-21003 rtfJ "
/:"
.'111~UIII"'IUUWIIIWllrnUUIIII
Itcpt.: 5I11~C; 1.88
DSI 1115.., TI '.811
11/13/12' Ilp~v Clerk
A~l~~n"'Ic:U=O fO"NT.", T
011 IN( 4977. JIG 977
Warranty Deed
Made 1hla JUDe J 0, 2002 A.D. By ROGER l. M&RC&aud DORarHY G. MIRCER. ladlvldlUlUy aad .. Tn..tee or6, ROGER
J. ud DOROTHY Go MIEaC&R TIWIT,IIIa'" J... .4. '''3. hereinafter called tho anna, to CLAIRE'lTE J. PlY A. whole post
offico IIddna II: S~MAU.AJU) DIIV8. J.AKBl.ANO. FLORIDA 33109. hcroinafter c:a1Iod the ann-: .
(w.-......... 1M - ......... .. ..... iIld..lll1be pIftIoa to IblI '--lIIlIlIlc bcln, Icpl ...--iva 11CI1IIiplI Dr
~ .. 1M -.......",..,..UOU)
cS WhDeuetb, ................ far IIId ill CODIidentiOll oftbe IlII1I of Ten Dollars, ($10.00) 8I1d other vaLlable llOllIidcratiOlll,
oS nceipt w-., II hInb)r ~ IIInIby II'IIItI. barpiaa, sells. aliClll, rcmbes, releuea. conveys II1Id confimll UDto 1be anntec.
tall lr c:analD IIIId --.. ... CcIuaIlY, PIarida. vir. .
.f'i I' Lot 40, ZBPHYa RlDOE, . I*'IIlIp or plal1bcreof recorded in Pial Book 26. Paces 78-80. Public Rccon1:. of Paleo
.!2 S -' County, Florida.
~c.'ju.:.
Q) ti ,;j. . ,
~ ~ ~ ParcolIO Number: 03 U 21 0138 ... 0400
~!2c!
TOletber witla Ill" ~. bIndJtamcou 8I1d appurtcnaDccs thereto belongina; or in 8I1ywiIC appen.liniJl&.
l~ To lIa", ad to Bold. ...... in fee limple forever,
J AIld tbe II'II*W ...., ~ wida said pmlcO that die anna ill lawfully sei7ed of said land in rill limple; that the
II'IDtGr .. aood rtp& _1nIIl ~ to IIIU lIDd CODVCY Aid land; that lhc anna hereby fill1y WIlTlDtl tho title to laid IanclIl1ld
will do&ad tile ... ...... .. IawIIl ...... or all pcrIOI1I whOllllOOVer; 8I1d that laid III1Id II fiw of all _mOllllCOl except taxa
ac:cruiDa 1lIb1~ to Om ..:n, 2GOl.
In W..... WMrMI. ..... pIIltor bas Iipod II1Id aoalod those plCIOIItI tho day 8I1d year fint abovt "rinon.
~~~~ (SoaI)
R lIllIIy aad u tna>m:'
McNI: 20Soo NO BEACH DRIVE, )ULMAN. Ml. 49746
.A".7Y~./ (SooI)
DOROTHY G. ME Ell, ladivldlllllly aad . trUlIoo
AddnII: 20500 LONG BEACH DRIVE, HILMA"'. MI, 49746
~
w.....
~&~-4.j~
::~~s__
County of "",,-1 i/ .,~
Tho foroaoiaa __ ..1Cbow1ldpd befon D10 this 10th day of JUDO, 2002, by ROGER
MBRCEa. lDdlYidulllJ 1IlII. TruIlIc or tile 1lOOER. J, II1Id DOROmY G, MER. TR
)IOIIOQally Imowa to me .... .. produced Driven llcclnao . iclentific:ldon,
New,
PrIM
,
DIiIID ......... W..., DIIlI- LIpI OIl '....
a...-~
CHARLES T. t1ANNING
JGrMY .....IC irATE OF "latlfIAII
~ COUIII"I
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ru..c No.l~ 02/25 '02 F'M 02:28 ID:HCtES OF MERIT
PAD SIZE
16" x I 6" CEMENT
(G5B sq. in.)
18 1/2" x 18 1/2"
ASS (342 sq. in,)
16" x 22 1/2"
ABS (360 sq. in.)
1 7" x 25" ABS
(425 sq, in.)
FAX:941 534 3639
--
I-BEAM PlEA SPACING
~
PAGE 2
160' FLOOR
~
~
SOIL PSF SPACING
1000 N/ A
1500 N/A
2000 5'
~
2500 6'
1000 N/A
~.._-_.-
1500 4'
2000 6'
2500 8'
1000 N/A
1500 5'
2000 7 '
2500 8'
~ .7 :'\. 1000 N/A
( ~o"x 20" ABS PAD \ 150...Q 5'
(400 sq. in.) .,... 2000 J l OJ
............. "2000 0'
1000 N/A
1500 6'
2000 8 '
..-- --'--
2500 8 '
PAl!:) sIZe SOIL PSF SPACINQ
_.
1000 5'
10"x 32" ABS 1500 8'
(576 sq. in.) --..-
2000 8'
2500 8'
,
1000 5'
- -
24"x 2'4" CE~ENT 1500 S'
PAD Ui76 sq, in.) 2000 S'
2500 8'
.
1000 6'
2'-' 1/2"" 32" ABS 1500. 8'
<.
(720 sq. in.) 2000 8'
2500 8'
-.
MAIN I-BEAM BLOC::KING
MAX, 160" FLOOR WITH MAX, 12" Q,H.
(MINIMUM FOOTING AREA Ii\ SeU.ARE INCHES)
-r ,
6'-0' I 7'-0' I 8'-0'
-. .
~:~.L 838
474 538
PIER
SPACING
4'.0'
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1000
1500
2000
2500
3000
5'-0'
44 ~, 541
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2C14 348
639
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1f6
2]0 256
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138
304 35C 396 I
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240 277' 314 1
199 I~I 260 I
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10' -0'
935
1034
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665
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490
444
35l
388
290 321
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.-. -~ v~ IV~ lU'i~ An HONES OF MERIT FAX NO. 8635330310 P. 02
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