HomeMy WebLinkAbout03-1917
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1917
Date
3--lg-03
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Con"
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
Zoning: Energy Code:
DescriPtion of Work -R e w ,." €-
~,'cK,'
,5(/)<10
L 11 \J{!/({ ~
(~~ sT.
Water Meter:
T_I.F.'s:
Radon Gas:
E"tT, ;--e. hkv ~ -cc
FINAL
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
Valuation or .--
Contract Price
Permit Fee~- . 7 S-
\ ...Signature ~
/- ,/
Company
Address
y:elephone# g \ ~ - 1 R~ - '2 <2>~ l{
Cl~
City License Registration #
State Certified License#
J3J?i 5W~ e(tLC,
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
ELECTRICAL
?(:t.,ft;;J go
Tp. Servo ;/'3 -11-o3.fR(Iy
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts I I.
Com
Fin
/
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.
OWHER 18 HM1El y. \(. \..a..vc.y ~~ PHONE CON'1'1\f~'I'
n------_l-(.J.._h__.____n_________..~....__. ______.__._.__ ....-__.h __._______ h..h __'..'__
,TOB S I'l'El ADlJRIll8S _h_ 5'h~~L_-U~~-_hS_\Y-e~~+--'2.-~h.-~~-h.;JJ.sh E~'_hh_~.3~_~_Q
LliJrJ1H, DElSCRIP'I'lON: LOT(S) BWeK SUBIJIVISION ~~2~~::..ls.:h~'~
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUUDING DEJi'ARTMBlN'f 6335 8th S'fRBlBl'f ZBJPHYRHILIJS, P'L 33S40
Phon.,B13-780-Q020 Fa~1813-780-0021
DATE Rllel!lIVlIln ~-_h _ "_~
PJJANS RIllVIIlJW Jl'JlII1i
--
----.._---~._-------
PARC!fllIJ IIJ tt
HURK PROPSEltJ l LJ NHlN CONSTRUCT ION
------------..---.---.---.-----------------.-.-..--.---._hn____.._h__ .--___.h_.. h___._._____ ________.._
(OBTAIN FROM PROPERTY 'I'AX NOTICEl)
[] ADDI'I'ION
~ AUI'ElRATION
Ll REPAIR
[J ] NSTALIJ
[]8Iml
[] MOVE
[J DEfvtOI,ISII
PROI?OI3EJ!l USEll IXIsCHJ FAMILY DWEL,I,IHG
[lt1tJIil' I - FAfvtTIlY
[J# UF (JlU'l'S
[]SWH1MING POOlJ
[] MOBII,El llot11ll
[J Cot1MElRC! JAI,
o INDUSTRIAl,
[]OTIlElR
C:J REISTAURANT & HEAlml DEPARTt1EN'I' APPROVAL
IJEJSCRIP'I'WN OF NORK ____-.rew~ ""~-__e..Y\.\"'~
\n ~u.s~_.____.____.. ________.__.__._____._______..~_
BUILDING SIZE
---..--..--- .._._-~----
SQUARE FOOTAGE
CZ>oo
HEl !GHT
REJ8IDElNTIAJ'l
CO~1MER(!IAL, :
A'I"I'1\CH (2) PLOT PIJAIIS & (2) SElTS OF BUII.lHNlJ PLANS & (1) SEl'r ElNElRGY FORMS,
A'I"l'A<!H (3) SETS OF BU!I.IJING PLANS & (1) SET ENERny FORt18.
PROPERTY SURVElY REQUIRED FOR ALL NEW CONSTRUCTION.
.--.-'---.--'- -------..-
~ERMITS REQUEB.TED
[] BtJII.IJIW~
t1 EJLElCTRICAI,
[] PI,W~BINC]
0 I,IBJUHANIUATJ
$
__h__..______._
VAl,tJATTON OF '1'0'1'11.1.1 CONS'rRtJC'I'ION
ji~_____'h____ M1P ~ElRVICEJ
KJ FI.r.HUDA POWER
[J W.R.B.n.
[] GAS
.
$-----.-------- VAIJUATION OF t-1BJCllANCIAr, H1S'I'JU,IJA'I'TON
r.J ROOFING
[J SPElC!lAUl'Y
[J OTHER
TYPE OP' COl~8'I'RtJc!'rION: [J BLOCK
[J FRM~El
[] STElEL
[] OTHER
FINISHElIJ FLOOR EJIJEVATIONS
-----_.._-~.._------
18 PRO,fEC'I' IN FLOOfJ zemEl AREA. [J YElS
[] Nu
BUltDBlR
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COt1PANY ---h-----.____.___________.__n.__.___.. _ ______..._. ,_.
STATE: CfJRT OR RElrJIS'1' # -.---.-h-----_____.._____._h_______
CITY PROCESSING tt..___. ___.___.____________._.._______._____
81IJNA.TlJREl
-.."------.--....----.----...--.--------------.----. --~~_.-
BlI,BlCTRIC!AN j C()11PANY____1>~__.~..~._~h___
0.... ~ STATE C'ER'!' OR REC~T8'1' #_tc._~~~ -l..J.._~....:l.{~~~~S!c....,)
s HlllA'I'i1R. -.. .--.9, t) ~~.._.__ .. .._ ..... _ ..._. __.. '" TY PROC' S SIN" # _ ___. _. ...____. _ ___ __ .__ _. _._
""""""'*"""""'*"*"""'*"**"'*""'*'"*""'*"'"
P JJUMB l!IR (!OM P ANY ___._..______________________..__..____._.___....._.._____'__
STATE CERT OR REGIST # ___________..._._________
8WNA'I'l1RE: CI'rY PROCESSINrJ #
-.- ........----..-.....---.---.- -.-------.--..--- --.....------ ----.-- .... -.--____.h"'_'h .......____.____._.__
"""*"""""""""*""""""*""""""'"""'*'*""
MBlnHAIUCAJ,
----.-~-~--~-_..~____~M..A___~__._____.....__.._______
COlvJPANY______.______.___ ..---.h___._h.___......
STATE (~ElRT OR REG I 8'r #------.-h---___nn_n__.h_____n h.h__.......
CITY PROCESSING #
S [enIA'!'l IREJ
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------.-------...--.------.--- -..-----.-
OTlIl!IR
.__._----~---_._--_._--_._~--._-~
C!m,1PANY
S1'A1'El CElRT OR -REGrST -#------____.__h___..__.________
CITY PROCESSINrJ # ----.----__________________
~.---_.~_...._--------_.__._----------+_._--------
SWII1\'l'lJR El
'*""""**"""""""**"*"""""""""'*'"*""~'*'"
-~-----_.._------------_._.-.----- ...-..--.-...- --.
CONDI'l'IONS OF PERMIT AE'FIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'I'he undersigned understands th~t this plf:lrmit may be subject to "deed restr:iations" wlllcb
may be more restdati Vel than City regulations. The undersigned assumes responsibili ty for
oompliance with any applicable deed restrictions.
B. UNLICENSED (~ON'I'RAC'l'ORS AND CONTRACTOR RESPONSIBII,I'l'IES
If the owner has hired a contractor or contractors to undertake work, they may be required
to b~ IJcensed in accordance with state and local regulations. It the contractor is not
licensed as required by law, both the oymer and contractor may be cited for a mLsdemeanor
violation under state laH. If the owner or intended contractor are uncertain as to y/hat
licensing requirements may apply for the intended work, they are advised to contact the
City ot Zephyrhills Building Department, 813-788-6611.
FurtberlllOt:e, it the oymer has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for Wllich they
will be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
you, lathe~ than the contractor, are responsible for the work. If the contractor l^l1shes
you to sign as coutractor that may be an jndication that he is not properly licensed and is
rjot entitled to permitting privil~ges in the City of Zephyrhills.
c. 'I'RANSPOR'l'ATION IMPAC'l' FEES AND UTILI'l'Y CONNECTION I!'EES
D. CONS'l'RIICTUION IJIEN LA\i~ (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
J certify that I, the applicant, have been provided with a copy of "Florida's Construction
1 it:n Law -- Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affair's. I f the appU.cant is someone other that the "owner", I cerify that I
have obtained a copy of the above described Qocument and promise in good faith to deli.ver
it to the "owner" prior to con~encement.
E. CONTRAC'l'OR' a/OWNER'S AFFIDAVI'1'
I certify that all the information in this application is accurate and that all vlDrk will
be done in oompliance with all applicable laws reglllating construction, zoning, and land
development.
Application is hereby made to obtain a permjt to do work and installation as indicated. I
ce~tify that no ywrk or installation has commenced prior to issuance of a permit and that
all work Hill be performed to meet standards of all. laws regulating construction, City
codes, zoning regulations, and land development regulations in the jllrisdictlon. I also
certify that I undEll:stand that the regulations of other governmental agenci.es may apply to
the intended work, and that it is my responsibility to identify y/hat actions T II11H:lt take to
be in compliance. Such agencies include but are not limited tOl *Depat:tment of
Enviroll~ental 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 '1'reatment, Septic 'ranks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~Au or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume"'will be submitted Hhicll
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A per:mi t issued shall be construed to be a license to proceed Hi th the work and not as
author! ty 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, construction, or violations of any code. Every permit
is~u~d shall become invalid unless the work authorized by such permit is cOllunenced within
six months of issuance, or if work authorized by the permit is suspended or abandoqed for a
period of sLit months after the time the work is conunenced. One 90 day extension of tillle
may be alloy/ed for tbe permit with fee charge of $15.00. '1'he extension .:lhall be 1:equested
1 n writing to the Building Official. An approved inspection must be logged dud lig each. six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOrrrCE OJ!' COMMENCEMENT MAY RESUW' IN YOUR
PAlING TWJ CE FOR IHPROVEMENTS '1'0 YOUR PROPERTY. IF YOU IN'1'END TO OBTAIN FINANqINq, \.x.m~UI:l'
WlTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMENT. ,JOBS UNfJER
$2,50D IN VALUE: DO NOT NEED 'I'O RECORD AND POS'l1 A "NOTICE OF COMMENCEMEN'l'''.
STGNA'l'URE: OWNER OR AGENT
S I GNA'i'URE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before Ille this _.__ day of _" 19~
by ___________
(name of person acknowledged)
Dwho i~ personally known to me, or
STA'i'E OF FLORIDA
COUN'1'Y OF
The foregoing instrument was acknowledged
Before me this _---J.iay of.---, 19
by _____
(name at person aoknowledged)
o.,ho is personally Imo\'m to me, or
o who has produced
(type
and who[] did Ddid not
o who has produced___
(type of identification)
and y/ho Odid DUd not t.ake all oath
of identification)
take an oath.
Signature of person taking acknowledgement
Signature of person taki.ng acknowledgment
Name typed, printed or stamped
Name typed, prInted or stamped
Braswell Electric
5640 - 18th Street
SQ. FEET PRICE
MAIN OR LIVING: - $ 50.00
OTHER AREA UNDER ROOF: - $ 25.00
OTHER: - $ -
VALUATION $ -
FEE SHEET $ -
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ -
CREDIT: $ -
BUILDING LESS CREDIT: $ -
ELECTRICAL: $ 56.75
PLUMBING:
MECHANICAL:
RADON: $ -
TOTAL $ 56.75
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
I
r
I
I
r
WATER METER:I $
IRRIGATION METER $
SUB-TOTAL $
: I
56.75 ,
SIPS'I $
97.5% $
2.5% $
- I
- I
TIF'Sr
99% $
1% $
TOTAL: $
56.75 ,
bei
-
Receptacle :a
GFCI #
Switch s
Light
Smoke Detector .
Ceilim! Fan g
o closet
o . Os
Bedroom 1
o
Screened Patio
# # [f] ss
Kitchen
0
J:l
J:l
. :a
0
Dining Room @
:a
Braswell Electric, Inc.
s
Utility Shed
Dryer
Washer
o 0
#
Bathroom
closet
0
Bedroom 2 0
.
:a
s
:a
0
:a
Living Room @
:a
:a
.\",,\",
5640 18th Street
Zephyrhills, FL 335411
:a
:a
:a
I Note: Drawing is NOT to scale!! Contact 813-788-2884 for additional information.3-11-03 S.D.
www_braswellelectric.com
Electrical Notes
2002 Electrical Code
5640 - 18th Street
210.8(A):
All 125-vo't, single-phase, 15- and 20-ampere receptacles installed in the locations
specified in (1) through (8) shall have ground-fault circuit-interrupter protection for
personnel.
( I ) Bathrooms
(3) Outdoors
Exception No_ 1: Receptacles that are not readily accessible_
Exception No.2: A single receptacle or duplex receptacle for two appliances located
within dedicated space for each appliance that, in normal use, is not easily moved from
one place to another and that is cord-and-plug connected in accordance with 400.7 (A),
(A)(7), or (A)(8).
Exception No.3: A receptacle supplying only a permanent installed fire alarm or
burglar alarm system shall not be required to have ground-fault circuit-interrupter
protection
(6) Kitchens - where the receptacles are installed to serve the countertop surfaces
210.11(C)(3):
In addition to the number of branch circuits required by other parts of this section, at least
one 20-ampere branch circuit shall be provided to supply the bathroom receptacle
outlet(s). Such circuits shall have no other outlets.
Exception: Where the 20-ampere circuit supplies a single bathroom, outlets for other
equipment within the same bathroom shall be permitted to be supplied in accordance
with 21O_23(A).
210.12(B): All branch circuits that supply 125-volt, single phase, 15- and 20-ampere outlets
(RECEPTACLES, LIGHTS, SMOKE DETECTORS) installed in dwelling unit
bedrooms shall be protected by an arc-fault circuit interrupter listed to provide protection
of the entire branch circuit.
210.52(A)(I): Receptacles shall be installed so that no point measured horizontally along the floor line
in any wall space is more than 1.8 m (6 ft) from a receptacle outlet.
210.52(B)(I): In the kitchen, pantry, breakfast room, dining room, or similar area ofa dwelling unit, the
two or more 20-ampere small-appliance branch circuits required by 210.11 (C)( I) shall
serve all receptacle outlets covered by 21 0.52(A) and (C) and receptacle outlets for
refrigeration equipment.
210.52(C)(1): A receptacle outlet shall be installed at each wall counter space that is 300 mm (12 in.) or
wider. Receptacle outlets shall be installed so that no point along the wall line is more
than 600 mm (24 in.) measured horizontally from a receptacle outlet in that space.
210.52(D): In dwelling units, at least one receptacle outlet shall be installed in bathrooms 900 mm
(3ft) of the outside edge of the basin_ The receptacle outlet shall be located on a wall or
partition that is adjacent to the basin or basin countertop.
03/13/03
7:29 AM
210.52(E):
230.70(A)(1):
406.8(A):
406.8(B)(1):
422.31 (B):
Electrical Notes
2002 Electrical Code
5640 - 18th Street
For a one-family dwelling and each unit ofa two-family dwelling that is at grade level, at
least one receptacle outlet accessible at grade level and not more than 2.0 m (6 Yz ft)
above grade shall be installed at the front and back of each dwelling.
The service disconnecting means shall be installed at readily accessible location either
outside of a building or structure or inside nearest the point of entrance of the service
conductors
A receptacle installed outdoors in a location protected from the weather or in other damp
locations shall have an enclosure for the receptacle that is weatherproof when the
receptacle is covered (attachment plug cap not inserted and receptacle covers closed).
15- and 20-ampere, 125- and 250-volt receptacles installed outdoors in a wet location
shall have an enclosure that is weatherproof whether or not the attachment plug cap is
inserted.
For permanently connected appliances rated over 300 volt-amperes or lI8 hp, the branch-
circuit switch or circuit breaker shall be permitted to serve as the disconnecting means
were the switch or circuit breaker is within sight from the appliance or is capable of being
locked in the open position.
03/13/03
7:29 AM