HomeMy WebLinkAbout03-1898
BUILDING PERMIT
. NO
Permit -
CITY OF ZEPHYRHILLS
(813) 780-0020
1898
Date _g...y'.-O 3
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcell.D. "
~,~ ~CO
t..PT d-.5 =3 Tou"jIY\~l,~
Water Conn:
clr.
Water Meter:
T_I.F.'s:
Zoning:
Descriotion of Work
Energy Code:
[I e (. tJ t9 tk r-:o'l
Radon Gas:
5cruh Rvy\ d- s'~
NO OCCUPANCY BEFORE C.O.
FINAL
I'
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
:2t/3C/
Inspector
P~rmit Fee~' .. .;;l s- ~
~Ignature ~ _
/
Company .
Address
qelephone# 'it g~ 5311
B
Valuation or
Contract Price
6&tsT ~J c~ 67.e..c .
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
ELECTRICAL
Breakers
Ducts Insl
Compre
Final
Tp.SeN. SLB
Rough In ,/ ).. 2!-~3 ett Tub Set
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
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.
(WlHEJR I S IlA~1EJ~__~-_m____1S.e.ed_____ _u___ ---__n________._________
'..,. ~
,108 8 ITEl ADDREJSS ~.~5.:3---Ja.uLrr'L4-JLne__Dr::.-_ ______ _ _______
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33~40
PhoneI813-780-Q020 FaxI813-780-0021
IJA'rm RBaJll!VI!JD --.& _~ f:~.~__
PI.ANS RIlIVIEW rlllll!._______. _,________.
PHONE (;ON'l'1\C!'I' 'ASCQ PERMIT SERVICE
-------- Ir{3=nJa:S314-
lJElGAL DE8UR I PT IOll: LOT (S)
;2.:)3
BU)CK
SUBlJIVISIOtl j::. t::l':'.er:-~d__PQ1~t____
_.~-----~-_.~--_._--
I?ARC'ElIJ ILl #_.~ Y - ~- ~L:..CO~D ___QQQ9Q =__?-'=> 3.Q..___________~~l~TA~~_._~_R(~_!~~~~~~~r~~_'r'~~_.~~~~I_~~_~__
HrJRK PROPSEfJ I pq NIllN l'ONS'l'RuC"r ION [J ADD 1'1' ION (J AL'I'ElRAT ION [] REPA IR [J INS1'ATJI,
[lSfGN
(] ~10VEl
(] DElr10I,I SII
PRt)/,luSEIl USE: I ~SGIIJ FAt-lILY DWElT-1I,U1G
[h1tJW'I _. FAI'!Il,Y
CJ# UF lJNITS
[J SWH1MING POUL
[J MOB I r ,EJ llot1m
f] cm1~1BlRC! fA I,
o INDUS'1'RTAIJ
[) OTHIllR
J!ESCRIPTION OF NORK
C-::.J RE18TAURANT & HElAI/l'H DIllPARn1ElN'r APPROVAL
6('j t: e~~_.:_ _1~)-',b n 'fLrN I lA,d OIfJ..2_..:L s." ~_du__________________ ___ .______
--__J!L'&.~~__..________ SQUARE FOOTAGE_d-?jJ__
HElIGH'I'
Bt1Il.fHNI] SIZE
RES IDBlN'rIAL I
(~O~1MElRCIAr, :
._._~"---~ ------._.~--
A'I'Tl\CH (2) PLotI' PLAIIS & (2) SElTS OF BunDING PI,ANS & (l) 8ElT ElNElRr~y FORMS.
A'I"IiAC!1I ("3) SEi'I'8 OF BUrr,TlU1G PLANS & (I) 8ElT ENERGY FORt'lS.
PROPHlRTY SURVEY REQUIRElD FOR A1,I-1 NEW CONSTRUCTION.
FERMJIS REQUESTED
[] 81/JLIJINl3
$--.---------____ VAl,UATTON OF TOTAlJ CON8TRIlC'I'ION
L1 ElI,ElCTRl (lAl,
--------_.____ At'lP ~ElRVICEJ
[] FlDRITlA POWER
[J W, R , E . (1 .
[] P1rtJtIlBING
o 1.1EllmANIC'ArJ
,
$-- -------------- VALUATION OF t-1ECHIl.lWIAI, nrS'l'ALIJATTON'
[) C~A8
L.1 ROOFING
[J 8 PElot AUl'Y
[] OTHElR
TYPE UP' CON8'I'RtJC!TION: [] BLOCK
[J FRAlv1EJ
[] STElEI j
[J OTHER
F'IlHSHElJJ FI,OOR BJIJElVATIONS
--_._--_._--._~
I8 PRO,TEJCT IN FLOOD ZONEl ARElA. [] YR1S
[] No
BtJILm!lR
Sll3HA'1'lJREJ ___
******************************************************************
Cot'! P AN Y_ __n__~___n_.______ _____ ________________ _____ .______ '_
STATE CEJRT OR REGIST # _d_.______________________ -___n_
CITY PROCESSING #
------... . - ._._~-_..,. ._--~. -'--~-"-- --..--..--......__.m. _._. .-<.._ _.___
81rJNATIJREJ
- -
_..._._--_.._-----_.._----_._-----~--_._-----
******************************************************************
cot1PANy_~+_.e~_~~____ ________
STATE CERT OR RE("HS'l' #--e/((Jp/f'3r'2L__ ____.
CI'I'Y PROCE8snm # /Jd~/
-.-~.4 ____.u_..~_~ -- --. ___ _. _ .._ ._______.. -_'''_~'_~.._n.
P r.UMB B1R (,Dt-1 PAN Y ____________________ ______._________ ____ ___________
STATEl CER'l' OR REJGIST # _____..___._..______
SI13NA'I'I1REJ CITY PROCESSING #
.- .-....-.....---....-- .-.-,.......--..- -._---_._---_._._--,.._~-_._---- ..---~.__.._.-._--_._---- _.~.- .--.----.----.----
*****~************************************************************
MBlCHANI CAT, COHPAN Y ______________________________.__. ________
STATE CERT OR REGrST # ________._.______________________
SWNA'I'IJREl CITY PRUCESSING #
--_.__.<_...__.._-----~.._._-~_._.__..,..__.._---- ------..-----.-...-.---...-..---...---.
**************************************~**************************
o'rlBUR
--...--_4_________~_.__
cor.1PANY
STl\1'E CEJRT- OR-REoIST #--~----~..~---- -'--'---"-'-"'-~~',---
(!ITY PROCESSING # ----.----- -.-_._.__._._______
._--_._.._--~---------~-----_._----_.--
S WNA'I'IJREl
*****************************************************************
-._--.,_~_ _;".u. _ ___.~.___.___.._.._. _.....__._ .. ._____~ ._____._,
CONDITIONS OF PERl'.uT AFFIDAVI'r
A. NOTICE OF DEED RESTRICTIONS
The.undersigned understands thqt t.his pl'lrmit may be subject to "deed restrictions" Hhich
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNIJICENSED CON'I'RAC'l'ORS AND CON'l'RACTOR RESPONSIBIJ,I'I'IES
I f the ol'1ner has hired a contractor: or contractors to undertake work, they may be required
to be Ii censed in accordance Hith state and local reglr1ation6. If the contracl:or is not
licensed as required by lav~, botb the OHner and contractor may be cj ted for a mlsdemeanot:
violation under state laH. If the OHner or intended contrClctor are lUlc.n'tain as to Vlhat
li c:ensing requirements may apply for the int.mded work, they are advised to conta.ct the
City of Zephyrhills Building Department, 813-788-6611.
Furtherwor-e, 1 t the OHner has hired a contractor or contractors, he is advised to IHlve the
conttactor(a) sign portions of the "Contractor Sections" of this application for Hhich they
Hill be responsible. If you, as the owner signs as the contractor, YQij are indicating that
you, r-ather than the oontractor, 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
llot entitled to permitting privil~ges in the City of Zephyrhills.
C. 11'RANSPOR'l'ATION IMPAC'l' FEES AND UTlLI'l'Y CONNECTION IfEES
D, CONS'l'Rllc'rUION I,IEN LMl (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
1 certify that I, tile applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agrioulture
and Consumer Affairs. If the applicant is someone other that the "owner:", 1 carify that I
have obtaineci a copy of the above ciescribed document and promise in gooci faith to deliver
it to the "owner" prior to commencement.
E. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'r
I certify that all the information in this application is accurate and tllat all work will
be done in compliance with all appllcable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do Hork and installation as indicated. I
certify that no Hork or installation has con~enced prior to issuance of a permlt and tllat
all work Vlill be performed to meet standards of all laws regulating construotion, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I under-stand that the regulations of other governmental agenciee lOay apply to
the intended work, and that it is my responsibility to identify what actions I must take to
1.>e in compliance. Such agencies include but are not limited to: *Department of
Envirollmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally SensJtive
Lands, Water/WasteHater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable WaterVlays
*lJepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*11.8. Environmental Protection Agency-Asbestos abatement
I al150 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 Vlhioh
is prepared by a professional engineer registered in the State of Florida prior to permit
isauance.
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 ill plans, con~truction, or violationa of any code. Every permit
isaued ahall become invalid unless the work authorized by such permit is aounenced Hithin
six months of issuance, or if work authorized by the permit is suspellded or abandoqed for a
period of ail, months after the time the Hork is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be tequested
j n \'1ri ting to the Building Official. An approved inspection must be logged during each six
month perlod, or the project will be considered abandoned.
WARNING rro OWNER: YOUR li'AILlJRE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUUl' IN YOUR
PAYING 'l'WICE FOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO oB'rAIN V'INANGWtj, J,X,{N\JUI,'l'
WITH YOllR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNfllllR
$2,500 IN VALUE: DO NO'l' NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'111/.
S I GHA'lllJRE : OWN ER OR AGEN'I'
SIGNA'l'URE: CONTRAC'l'OR
acknowledged
,19_
STA'l'E OF v'LORIDA
COUNTY OF
The foregoing instrument w.s acknowledged
Before me this ---liay of-------, 19 __~_
by __
(name of person acknoHledged)
Diho is personally known to me, or
o who has produced____
(type of identification)
and who Lldid DHd not take an oath
S'rA'i'E 013' IfLORIDA
COUNTY OF ----
The foregoing instrument Has
Before me this __ day of
by
(name of person aaknow1,dged)
Owho is personally known to me, or
Owho has produced
(type
and who[] did []did not
of identification)
take an oath.
Signature of person taklng acknowledgement
Signature of person takiug aaknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
SITE PLAN
EMERALD POINT LOT: 253
36'
~.
5 '
,-
PROPOSED
UTILITY
ROOM
lO'X 8 '
PROPOSED
CONCRETE
PROPOSED SLAB
VINYL 26 ' X 63'
WINDOW
ROOM
10'X 14'
5'
5' - -
- - - ..
.. -
TOURMALINE DR.
68'
=G)
-Y:n
o
:Ecn
-0
Z;u
8m 0:
~ :EZ
0 cn;u
-0 >< 8
~ :s:::
:E
=i
::t
:S;
Z
;:S
[0
g. m .....c -~""';-_.:c
--- ---- '^"'.':- ':'~~==c::=::.=::'=_~...-::-_-:...~___
--.------=-=:.-_.=~=-='o.,:=_::==: ..______
-------=-- -- --
- -- --
~ .
"f I-
e
....
J
0
i= e
<( ....
~1
!z
0
Cl:
u-
-I . -+
"f
en
1111111111
u-
g-
Cl:
-l
~
<(
a..
~
C) Ul
:::!: 0-
0 z !!
0 15
Cl: -l 0
>- 5 N u
m N
l- e..,
:J Cl:
5 w
0
<<l 5
:::!: Cl:
0 ~
0 8
Cl:
~ u-
J:
I- Z
Z s: 0
s: m ~ z
~ <( > 0
-l i=
Ul W
-l <(
:> w >
~ W
-l
W
~
P/bT (n5C ~ ~;c:Ty(J<--
UT 2--5?
7 l~YlM~L)N~ l>t
GJiui 5/3~O-)
IiLji L 7< l'-
SO. FT.
PRICE
Main
Other Area
Under Roof
Valuation:
Building:
Electric:
5Co.z-r-
11 -
- ( Z-::>
')'0.
Plumbing:
Mechanical:
Radon:
School Impact
Fees:
Connection
Fees:
Trans. Impact
Fees: