HomeMy WebLinkAbout03-1904
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~ 1904
Date .S I b I () 3
(813) 780-0020
S-2. ~
PLUMBING
MEC~L
Sewer Conn
Water Conn:
BU~ EL~L
Property Owner: )",' .'Y) ReeJ
Job Address: 5' ~ 4/ 10"\" "^ a.. \ ~ ",-e Ur.
Parcell.D. # }'1- 1 ~ - 2' - 00 S 0 .- otJQoo - ;)5 Jo
Water Meter:
T_I.F.'s:
Zoning: Energy Code:
DescriPtion of Work _~ I ~ "'" b; '1.!J ~.,..
Radon Gas:
S~r ee..... rcc~ ... sL.ed
FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
)f{ t.,Ot;
p~rmit Fee .~
Signature ~_ ~
Company
Address
Telephone# 7t'g- ~31L)
Valuation or
Contract Price
City license Registration #
State Certified License#
BUI ING
Meyer ~:^~
PLUMBING 21 4,
SLB./ ] - 11-~ lJ10:r
Tub Set i/ J.- ?J'-- 03 ~l,.,'1
Water
Sewer
Final
Driveway
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Ins!.
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
CITY OF ZEPHYRHIIII.JS PERMltl1 APPIJICATION
BUIJ~DING IHllPARTMBlN'f 53315 8th S'fREm'f ZEPHYRHII,IJS, FL 33B40
PhoneI813-780-~020 ra~1813-780-0021
fJA'rm RBCSIVllID ~2:::?f::.. ~__~
PI,ANS R!llVIBlW B'llIB1_uu____._ u
lMtlEJR I 8 llA~1E__J1_~__._.&~__._.._____________________________ PHONE C()N'1'l\?~C?_~{3~~~€~~~\I!gE
,T08 SITE! ADDRESS ~~-~~-~-______=rQKL~~~.lJ~e_J)L:_____________ u______.______________
LEGAL DB1SURlPTIOlll LOT(S) ___~3___
BLOCK
SUBDIVISJOll
~ ~e.('~_~__.P~~;t__
P1\R('ElI, II.I II /')t..{- ':1/ -~l- OD5D-rv-.OflF)- dS30 (OBTAIN PROM PROPER'rV 'l'AX NOTWEl)
__..P.'__~._...____.___._ __ __~_~________.._____..._____ ________._.___________._______.. _.__._...____________
~WRK PROl?8ElIJI ~NBlN l'ONS'l'RtJCTION [] ADDI'l'ION o A I/I' BlRAT ION (] RElPAIR lJ INSTA!,I,
IJ 8IGll
[J MOVBl
[J DEltIJOI,ISII
PRlW08EJIl USE: I rXSGI, FAfvlILY DWElLI,I11G
[lt1lJI.1'I - FAlvJU,Y
C]# UF mUTS
rJ SNH1MING POOIJ
lJ MOB H.El ImllJE
[]CCJtIJMHiRCIAI,
o INDUStl'RIAL
U OTHER
o R~18TAURANT & IIElAU1'1I DEPART~,1ElNT APPROVAL
)lEJ8CRIPTlON OF NORK .-~~g~--....19j)j.J.n.~hlLd,j)-~5>- <4-_Sh!?~_________
BUILflING SIZE __lD)( 2~__.________ SQUARE F'OOTA13El ___,;;)2:Q_____.
IIEJ !GilT
RES IDElN'I'IAL I ATTACH (2) PLo'r PlJJUIS & (2) SETS OF BUnnING PI,ANS & (1) SElT EJNElRGY FORMS,
COl'1MBlRt!IlU'l A'I"l'AC!H (3) SETS OF BUtLDING PLANS & (1) SElT ENEIWY FORtlJS,
PROPERTY SURVEY RB1QUIREJD FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
[] BllJLIJIN(~
$__________._____ VALUATION OF TOTAIJ CONSTRUCTION
[J ELElC'I'RlCAI,
___________._-'- AlIJP SElRVICEl
o FLORIDA POWER
[] W.R,E),C,
[] Pl.tJtIJBING
o '.1BJCHANIC!AIJ
,
$------
- VALUATION OF MECHANCIAL INSTALLATION
[] (3A8
r:.J ROOFING
[) 8J?EctAUl'Y
[I OTHER
'l'YPBl OP' CON8'l'RtJCTION: [] BLOCK
[] FRAJIlEl
[] STElEI,
[) OTI{ElR
FIH ISHElll nooR EJI,ElVATIONS
IS PRO,fEC'I' IN FLoon ZONEl AREA 0 VEla 0 NO
BunnlllR
-..._-----'"-~---.._--~-..._---_._._--~_.~--------
emlJ PAN Y __ _________.___ ________ ____ ______ __u__ ____._.____ _____
S'I'J\TEI CfiJR'l' OR REGIS'I' # _______.____________,.____.__.
CITY PROCESSING #
---.-.. - '--~~_.". --------.--------.-- <_ ... ___..''''0 __ ____ __._.~
8lr3H1\TtJREl
******************************************************************
!llrJBlCTRICIAN
8 J lHlA'l'lJREJ ______
.... -_.._----~-_._-._-,-~-- ~-,_.._-~ --- _.-._~_._---
C0l1PANY _____.___ ___________ ________._ ____ _______ ___
STATE CElRT OR RE<H8T If
CITY PROCESSING If
-----.---.--.,---. --..-...----. -.----..-..---.'""--
*. ~ * * * * * * * * * /0: *. * * * * * * */0: * * k * * * * * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * *~* * * * * * ,
PLllMBIR \ \) ~ ~~~~~N~~~~-:::l"--(;S~S~l- ~.-.-.~...
S1<""'1'I1RO -Q~1:'(l ~~......_._. CITY PROCESSING # ~..,Iij~~
." * * * * * * * * * * * * * * * * * * *\* * : * *.* * * * * * * * * *,~ ~ * I-: ~ * * *. I-: * * * I-: * * * * * * * * * * * * * * * * * * J~ /J /~.A":r~..t.
M!llCHANICAT. <.<JI,1PAllY.--------______.______+~_~7~~-.
STATE CE1RT OR REG! 8'r # _______________.__ ________________
STGNA'l'llRE1 CITY PRUCESSING #
-----~---_.._-----_.~--_._--_....---_.._--
**************************************~**************************
OTUBlR
-+-----~---------_._-.~----._-
COI:1PANY
STArI'E CE1RT - OR - REGr8T -W-----....-.----.----- ___d_._._.___.._~..~~
CITY PR()(~ElSS!NG # --------------------.----------...
-..-.------------.---------..------.-.
S I <HIAtl'IJR E:
******1-:**********************************************************
CONlJI'rIONS OF PER\'1IT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undeI:signed understands thqt thie permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned aesumes responsibility for
compliance with any applicable deed l:estrictions.
B. UNLICENSED CON'I'RAC'I'ORS AND CON'l'RACTOR RESPONSIBILI'l'IES
If the owner has hired a contractor or contractol:S to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor 1s not
licensed as required by lav~, both the Ovmer and contractor may be c.tted fOl: a mil:ldemeanor
violation under state law. If the owner or intended contractor are uncertain as to Vlhat
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furtherll1ore, if the Ovmer has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for Hhieh they
vllJl be responsible. If you, as the owner s.igns as the contractor, YQq are i.ndiaat:.ing that
you, rather than the contractor, are responsible for the wo_t:k. If the contractor wishes
you to sign as Gontractor that may be an indication that he is not properly licensed and is
not entitled to permitting privil~ges in the City of Zephyrhills.
C. 'JlRANSI?OR'l'ATION IMI?AC'l' fEES AND UTILITY CONNECTION fEES
D, CONS'l'RUC'!'UION LIEN LAW (CHAP'l'ER 713, fLORIDA STATUTES, AS AMENDED)
T certify that I, the applicant, have been provided with a copy of "Florida's Constructlon
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the appl.lcant is someone other that the "owner", I cerity that I
Ilave obtained a copy of the above described document and promise in good falth to deliver
j t to the "owner" prlor to COlTUllencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and tllat all work will
be done in compliance with all applicable laws regulating constt-uction, 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 connenced prior to issuance of a permit 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 fllso
certify that I understand that the regulations ot other governmental agencies IRay 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
Envirollll1ental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Bens.j.tive
LanJs, Water/Wastehlater 'l'reatlllent
*Southwel:lt E'lodda Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
""Army Corps of EngineerS-Seawalls, DOcks, Navigable Watenlays
*Department of Health," Rehabllitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
"(J.S. Environmental Protection 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 draillage plan addressing a "compensating volume" 'will be submitted which
is prepared lly a professional. engineer registered in the State of Florida pdor to parlRJt
issuance.
A pet-mi t issued shall be construed to be a license to proceed with the work and not as
autllority 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
cor~ection of errors in plans, con~truction, or violations ot any oode. Every permit
issued shall beoome invalid unless the work authori2:ed by such permit is oOllunenced within
slx months ot issuance, or if work authorized by the permtt 113 suspended or abandoqed for a
period of six months after the time the work is conunenced. One 90 day extension of tIme
may be allowed for the permit with tee charge of $15.00. The extens.ion ~hall be ~equeated
in writing to the Buildi.ng Official. An approved inspection must be Jogged during each slx
month period, or the project will be considered abandoned.
WARNING TO OWNElR: YOUR FAILURE TO RECORD A NOTICE OE' COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING TWICE FOR IMPROVEMEN'l'S TO YOUR PROPERTY. IJ.? YOU INTEND TO oB'rAIN InNANG,lNq, CqN{jlUI/l'
WITH YOUR LENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. .1OBS UNDER
$2,50D IN VALUE DO NO'l' NEED 'I'O RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'llll.
S I GHA'l'l1RE : OWN ER OR AG EN 'I'
SIGNA'I'URE: CONTRACTOR
S'l'A'I'E OF FLORIDA
COUNTY OF ____
'l'he foregoing instrument Has ackno\rdedyed
Before me this __ day of ___, 19_
by ____
(name of person acknowledged)
Dwho ts personally known to me, or
STA'I'E OF nORIDA
COUNTY OF
The foregoing instrument was aoknowledged
Before me this _----Jjay of-----~, 19 _:.._
by
(name of person acknowledged)
Dvho is personally known to me, or
Owho has produced
(type
and who!] did Ddid not
Dwho has produced
(type of identifioation)
and Vlho Ddid DUd not t.ake an oath
of identification)
take an cath.
Signature of person taking acknowledgement
Signature of person taking acknowledgment
N-~i;;-tYP;~C-p~T;1 t ed 0 ~-~t a mped----------
Name typed, printed or stalRpdd
jL \M)\,13I,J~
!f\A~'fdL rc~~~
L,tS( t~~ ~Vr\-I1M~N~. Ut"
cJM )'3,d-'
SQ.FT_
Main
Other Area
Under Roof
Valuation:
PRICE
Building: ~ /rr
Electric: ~
Plumbing: 5'2 ,S-O
MechmricaljIJ h
Radon: 'k
~ _~ 50
..::> '- ,
School Impact . I
F= jJ /;
Connection ~
Fees:
Trnns '- rJ ~-
Fees:
SITE PLAN
EMERALD POINT LOT: 253
36 '
j~
5'
,1
PROPOSED
UTILITY
ROOM
10'X 8'
PROPOSED
CONCRETE
PROPOSED SLAB
VINYL 26 ' X 63'
WINDOW
ROOM
10'X 14'
5' _5' _
- - - ..
- -
TOURMALINE DR.
68'
"- .
[r::- _ ._.. .. .- . .
-- -- F.
1=~_3--- ~
o c -
>< ~
00 ;:0
o
o
s::
:6O~p
.~"~<)
~)
.-J
c____...
/~\)
\ .
:QgJ
[._'~;-;// Gl
/0 ~
// / - -......
:Ecn
-0
Z;:O
8m 0:
-" :EZ
0 cn~
><
-" 0
-"" s::
:E
:::j
::c
S
Z
;:S
o
~
- .'.--
-----~-~----------==.:..-==.;,~"-~ -;::--'------- _.-.;:.:--:=::--:,,:;=-==='-~
DATE
8ur!...::'ING
~
m
m
h;
<
~
~
pl
m
<
)>
-l
- <5
z
~
n
o
~
-0
Ul
~
m
-0
)>
Z
m
r
~
-0
....,
~
IIIII11111
1....,
~
;
..... )>
o :::!
r
<Q ~
~
~
.....
q
~
~
r
~
€i
~
:;u
8
3t
Qo
~
F
~
-<
:;u
o
o
:s::
1-