HomeMy WebLinkAbout03-2003
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
2003
(813) 780-0020
Date
'-1- (7, () 3
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
Zoning:
Descriotion of Work
~ob SVV\'\+~\
(0 I ~ <..f J It_L... c)T
Water Meter:
T.I.F.'s:
Energy Code:
Ift'o ;' F--et1(O~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
~ ;3--0;3
DATE
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
-
Pe'mi. Fee& &>'0 -g
,X'Signature '" - ~ ,L _
Company
Address
)cfelephone# 719- / ~ <{;:L
City license Registration #
State Certified license#
V tV I'\W
BUilDING
ELECTRICAL
SlB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
Wl
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts sl.
Co pressor
Inal
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.
Ol'lNElR'8
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEIi'ARTMEN'f 5335 8th S'fREBI'f ZEPHYRHILIJS, rL 331940
PhoneIB13-7BO-~020 ra~1813-7aO-0021
DA'rB1 RBCBlIVI!JD._ __"__
PLANS REVIBlW rEm .. ..
IlAMB_~(~J 4{___ ____________ PHOND CON'!'A",_Z}z-::2iL=<
,roB SITIll AD/JRES8_.C:;L35!... --/L~-.s..6_____._________ ___
LElCH\L ))B1SCRIP'I'HJNI 1jOT(S) ____..LtJ____ BfJ()(~K ----.2_._ SUBDIVISION
_.~._-_.~-------.--~ - . -- -_. _..~- --"
FAR".!, HI ff,__ Q~_~"'~ _ _'-:- _ OD'iS"D_ _ 00;> OLL:cot.oIEl''' A II~_':R(~~-"R'.: P-"~T:':,,~_~,,:rI~'_'.
WORK PRnpSEJrJ I Id1'-lBlN C'ONS'I'RUCTION [) AfJIJI'I'IdN o AUI'ElRA'I'ION (] RHlPAIR [) INSTAlJ!'
-01/
--L~____.._____ ________
USHm
PR()J,108EIJ USHl I [~J Fl\t1lILY DWELI,HIG
o MOVE
o DEltlJOLrSlI
[)IIJUUI'I.. FAlv1II,Y
0# OF l1NI'I'S
DSWn-IMING POOI..J
[] MOBII.m Hot1lil
[] OTHBlR
LJ (XJt1MEJRr.' JAI,
[J INDlJS1'RIAL
o R~STAURANT & HElAIJTH DElPARTtIJElNT APPROVAl,
IlIlJSCRIP'l'ION OF l'10RK --L?I1I~ ____.______._.____________________._____________.______
Bl1ILTHN(1 SIZEl
.__.__..~----._-
SQUARE FOOTAGE
REBIDIllNTIArJ I
(~O)\1MBlR(~I1\f, I
HEl lGH'r
A'I"f1\CH (2) PI,OT PljAllS & (2) SElTS OF BUII,nING PI.l\NS & (1) SElT ElNElRrJY FORlvlS,
A/I'TACH (3) SETS OF BUiLDING PLANS & (1) SET ENElR(3Y FORMS,
PROPERTY SURVElY RElQUIRElJ FOR ALL NEW CONS'l'RUCTION,
-- .------..----- --~._...--
[] B!JII.IJINc~
FERMITS REOUE~TED
$--.-.$2~--__ VALUATION OF TOTAL COHS'fRlJC'I'ION
[] BlLIlJC'I'RlCAI.
--------__ AMP ~E1RVICEJ
o F1,ORIDA POI'lEJR
[J VI, R . El , (~ ,
(] PIJtJlv1BING
o I>1Hlt!HANWATJ
,
$,-----
----- VALUATION OF t>1ElCHANCIAI, U1STAt,lJATTON
[] (JAS
f] ROUFING
[J SPElCJ1AUfY
[) OTHEJR
1'YPIil OF CON8'l'RUC!'fIDN I LJ BLOCK
[] FRANE!
[) STEElL
[) OTHER
FINISHEJJ FT,OOR ElrJElVATIONS
-----~._~~~
IS PROLTECT IN noon ZONE AREA [J YHlS
o No
Bt1nnBlR OV/l ct
B'GUATtJRB ___~~___~.._._
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('011 PAN y -___.f) (,.j fI.l.f'.______~_____... __'__. ____.__ .________
STATEl ('BlR'!' OR REI(HST # --'--.----....--'-----__c________
CITY PROCESSING L--,--------.--_______._.__________o
BlIJBlCTRICIAH
S J (~llATIJREJ ________.
.... _'00.-.___.__. __._____...__ ._..__.___. __ _"..__.______._
COf.1PANY_._____..,____________._____.___ ____ ___ ____
STATE CERT OR RE~T8T #
CITY PROCES8IN~ #
'---..- -. ~~'-"- -~. ---.- .-------- -- ---.--.-...... '---
******************************************************************
---------..-- ---.------.-.--.--. ..-.--..---...-...---
Pi,UMBBlR
_.__.~--_._..~----_._._---
(~OM PANY -.-______________________.__.__.____________
STATE CER'I' OR REGIST # ____~__.__.______..
CITY PROCEl8SING #
8IC3NA'l'IJREl
******************************************************************
-.....--....---.----____w __.____._..______
-------------------.-.---.--- ---------.,---..--.-----
*****************************************************************
o'rUBlR
--.....--.-------
CorlfPANY
STATE CERT OR RE~I8T #
CITY PROCESSING #
SI<1rlA'l'tJRE
----_._--~_..~ ----.-
------ ---~- ._---~.._.-._-_._- _._-
***********************************************************~*****
--------_.~-----_._~~---~. -P--'--._-_......_~-- ________._
CONDl'rIONS OF PERMIT AFFIDAVIT
.A. NO'rICE OF DEED RES'l'RIC'rIONS
The ulldersigned understands thqt this permit may be subject to "deed restrictions" which ~
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed re,strictions.
B. UNLICENSED C;ON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may he required
to be licensed in accordance with state and local reglllations. 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 uncertai.n as to vlhat
licensing requirementfl may apply for the intended work, they are advised to cantact the
city of Zephyrhills Building Department, 813-788-6611.
Furthennore, it the owner has hired a contractor or contractors, he is advised to have the
contractor(sl sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as tile contractor, YQ4 ate indicating that
you, rather than the contractor, are responsible for the work. If the contractor l'iishes
you to sign as contractor that may~be an indication that he is not properly licensed alld is
llot entitled to permitting privil~ges in the City of Zephyrhills.
C. 'l'RANSPOR'l'ATION IMPAC'l' FEES AND UTILITY CONNECTION FEES
D. CONS'l'RUC'l'UION LIEN LAW (CHAP'l'ER 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 Depa.r:tment 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 "owner" prior to commencement.
El. CONTRAC'l'OR' S/OWNER' S AFff'IDAVI'l'
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
devl?lopment.
Applioation is hereby made to obtain a -permjt to do work and installation as indioated. I
ce.!=tify that no .wrk or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construotion, City
codes, zoning regul.ations, and land development regulat10ns in the jurisdictlon. J also
certify that I understand that the regulations of otller governmental agencies m~y apply to
the intended work, and that it is my responsibility to identify what aotion.. I lllU..t Lalie to
be in compliance. Such agencies include but are not limited to: *Department of
Enviroml)ental Regul~tjpn-Cypress Bayheads, Wetland Areas and Environment.ally Bens.jtive
Lands, Water/Wastewater Treatment
*Southwest ~lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watereourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*llepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also eert1fy that, if fill material is to be used in Flood Zone qA" or "A, etc.", it is
undenstood that a drainage plan addressing a "compensating volume" 'will be submitted Vlhich
is prepared by a professional engineer registered in the State of ff'lorida 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 Official from thereafter requiring a
correction pf errors in plans, oon~tructionr or violations of any code. Every permit
iSfjued shall beoome invalid unless the work authorized by such permit is cOllunemced ~dthin
six months of issuance, or if work authorized by the permit is suspended or abandoqed for a
period of six months after the tillle the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extellsion shall be requested
1n writing to the Building Official. An approved inspection must be logged during each ajx
month period, or the project will be considered abandoned.
WARNING TO OWNER; YOUR FAILURE TO RECORD A No'rICE OE' COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING 'rWICE FOR IMPROVEMEN'I'S TO YOUR PROPERTY. IE' YOU IN'rEND TO OBTAIN IfINANqIl'iq, ~X)N~Uljr
WITH YOUR LENDER OR AN A'fTORNEY BEFORE RECORDING YOUR NOTICE Off' COMMENCEMEN'I'. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMEN'l'''.
S I GNA'l'URE: OWNER OR AGENT
SIGNA'l'URE: CONTRACTOR
acknowledged
, 1 !i..-
STA'I'E OF FLORIDA
COUNTY OF
The foregoing instrument w~s
Before me this ------Pay of
by
STA'l'E Qff' FLORIDA
COUNTY OF
The foregoing instrument was
Before me this ____ day of
by
acklloHledged
, 19 _~_
(name of person acknowl~dged)
Dwho is peraonally known to me, or
(name of person aoknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identifioation)
and Hha Ddid DUd not talie an oath
Signatur.e of person taking acknowledgement
Signature of person taking aoknowledgment
Name typed, printed or stamped
Name typed, printed or. stamped
OWNER
'M C): ~FZlll?UY1llU:u.S BUIWLNG DKP1Ul'nIBln-
~ (m/~
G 135/ / / .t< s,,L'
JOB LOCATION
PARCEL I. D _' #:
SHOH AL1. RXIS"rDfG .. PROPOS3:n STRUCTURES G~VUIG DlJtEHS~ORS << SX"1"BACXS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATI ON.
K
(J D\)~t{) , II'
'~(D" tkr-~l^ L.:(r"t-U~ ~___._"._ .,
:l) FRONT
,....-..---.
(NOTE EXAMPLES 1 & 2)
.
1. SETBACKS FOR Rl, R2 ZONING
60'
1(J.h --:
10'
p E_
R X
0 I
10' p S la'
0 T
S I
E N
D G
20'
2. SETBACKS FOR R3 ZONING
60'
'1 A'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPL.EX
1 0'
YROIIT PROPERTY LDlK
YRomr PROPDn .LINE