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HomeMy WebLinkAbout91-1564 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1564 ~() Date I" - ./..f - 9 I PL~ MEC~ Properly Owners Name: ----Ja ~ ~~) Job Address: 55~ ~_ _ ~ Legal Description: Sub.Div.IJ~ 20-1/- OOl" -Obioc - 0 I ~ Lot Blk. Zoning CI: Description of Work ~ ~\ W0..t4 + ~ ~ tn~ \A)'~ .&uL~ ~~ Energy Code Readout: F'.- -d. ~. ~~ b'-(/~ql iLl Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: fJq 1C;- Fee: -iJ~O ~. SIGNATURE v-7:l~ (jl ~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # J ~tJ 4- ~If/ Rough In Meter Can Const. Pole Pool Pre-Meter Final i MEC~ICAL / Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of L [II L~) dollars shall be made for each vip. /-r-a.de. (/06: t)D) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. VJ.J..l vS' t...crn,l.nnJ..IJ.l.I.:> .t:IUJ..lJUJ.'~\.I Ul!.r""J.llu:.nJ~ OWNER \:5D f2LLG1V &rJH:81l\ JOB LOCATION &"'5"'?7 C/lJ-t- ilL ilL). LEGAL DESCRIPTION/SUB DIV. z~ /I//...LS ;:/11,. BLK. LOT Show all existing and propos~d structures "giving dimensions & setbacks. r t< MAttJ$,tJ I1LH~ OlX.J. ".'I~I... f~/snN6 3 WF/t.L. SHE}) a- t' jIt.J4 P'J, .3 " J!. '..s IE IZ- Pr4Al~ R,.OOr J. >1 E.xr. JAlu_1.. 118 1RJALE~ . ~~. . S JrJ ~ d-- r IVI) .FJ.~d.. J...16IIr~( 'llRJ... q ~ tit) 0 A /)OfJJ6- ,we, vJ/lI-I.S tJ- D ,v IF .Q.qQ. .J ...q rJ (f fvi.\ ~ I t ~o",.s NO TE EXAMPLES 1 " 2 d) Se/backs for 'R-11 ~-2. f 1?-3 , , ~o""n9 Nofe: k Street ~ B' hO' ~ @ I\- GfrLL .9U/,tJ. "0 . .., 1< Ie >t , 10 ,!f' 8efba.eks to' .~-:+ XC'""~ . Q;JYCJ1e G;- e.,rpcu.t jl"OfIC atlelf lffu:Jf ItI91/e us' ~t!.f&:xk. uf;/'rr /,vilJw,:6 ,,*-'$ I ~~ s;t.e ~ focJRJ... ~{~. ElCi..sti "c:r , ~ 110' fie ;05 T'',." .- ID , 10' \tP Pro ~.~..cJ IIJd ;+"0" 30' . ,0 , 'dJ .:5ftt!ef Ft'Of1'" 1015 sf slret{ ':ron 10 rf, st~ ( ( ( 38545 Palm Grove Drive Zephyrhills, Florida 33540 ACE ALUMINUM Job No. Phone: (813) 782-2818 ::::r"AJ~ 5" ~ . SOLDTO ~D 'Pu-"EN ft1t?J.ltt Ii fr\ ADDRESS _~S-:? 7 c.1Ji-l- /lLV./J. 7-Jl/~,-:-s r/tf r SHIP TO DATE ...s- - .::; I,. q I PHONE 7 ,,~- 1~ "h .slt~ . D CJ 00 /J E;nJ/L P/IIJIJ,t) tV /J r ~ ~ 4:, / 0 CJ;J:&L 1/1/ ,.tr. , otJ PERMIT PRICE TAX TOTAL PRICE I DEPOSIT , BALANCE C.O.D. / APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT fJ~E llt-uM I ADDRESS :? cf..5VS' PIlt-/11 r;.b)tJ~ v. Z-II/t-t:f' h /9 OWNER .:r 0 lZ-l-ktS rV FJ4-~ {\.J H"~fY1 JOB LOCATION:( ~J 7 ClJtL 1ftt/f). 2 -III LL.{' rill. LOT SIZE APPLICANT PHONE 7c?rS2-d6/6 x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCR SUBDIVISION PARCEL I.D.4F WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _if of Units __M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval AI>DII\J17 BUILDING SIZE: II' X I~' , rtv/Y ~#I--t-.( Square Feet,U,.vL)elt $A7..rf: R~ Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ,~* **COPY OF CONTRACT REQUIRED. V' BUILDING ~ELECTRICAL I 9SOV PERMITS REOUESTED Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of MechaniGal Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** SECTION Company RUE /!LI./ 1"'7, S ta te Cert. or Regis t. if C/l. CD J'/6 tPO City License Registration iF /107 . ********;;;;'***************************** - Company M~,(7b,J ~ I t~ 71,- e State Cert. 'or Regist. iF City License Registration iF ****************************************** PLUMBER Company State Cert. or Regist. iF City License Registration iF ****************************************** Signature MECHANICAL Company State Cert. or Regist. iF City License Registration iF ****************************************** Signature OTHER Company State Cert. or Regist. if City License Registration if Signature APPLICATION APPROVED ~~,******************************* BY ".'1~ tY .. PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait aay be subject to "deed restrictions" which lay be aore restrictive than City regulations. The undersigned assules responsibility for coapliance with any applicable deed, restrictions. B. UNL I CEN.SED CONTRACTORS AND CONTF'ACTOR RESPONS I BI LIT I ES If the owner has hired a contractor or contractors to undert.he work, th~y;.ay'~e r~g~irep to be lic~nsed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the o~np.r and contractor aay be cited for a lisdeleanor violation under state law. If the OWller or intended contractRr are uncertain as to what licensing requireaents lay apply for the intended work, they are advis~d to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtheraore, if the owner has hired a contractor or contractrrs, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they wilj be responsible. If you,'as the ollner sign ilS the contractor, you are indicating thilt you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills, C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided lIith a copy of 'Florida's Construction lien law - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture anei Consuler Affairs'.' Lf-the applicant is sOleone other than the 'owner', I certify tbat I .have obtil'ined a copy of the above described-dctE11aent alld -pro.ise in good faith to deliver it to the 'owner' prior to cOlmencelent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a pertit to do work and installation as indicated, I certify that no 1I0rk or installation has comaenced prior to issuance of a perlit and that all 1I0rk will be performed to leet standards of all laws regulating construction, City codes, zoning regulations, anll land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govl!rnlental agencies liay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but ill P. 1I0t li.ited to: . Departtent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent . Southwest Florida Water ManaQelent District - Wells, Cypr~ss Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health ~ Rehabilitative Services, Environler1al Health Unit - Wells, Wastewater Treat.ent, Septic Tanks . US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is tQ be used in Floon Zone "A" or "A,etc,., it is understood thilt a drainage plan addressing a 'colpensating volute' will be sublitted which is prepared by a professittnal 'engineer registered in the State of Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the IIttrk and not as authority to violate, cancel alter, or set aside, any provisions of the technical codes, nor shall issuance Df a permit prevept the. Building Official from thereafter requiring a rorrection of errors in plans, construction, [Ir violations of any code. Every petmit 'isslIpd ~hall becclle invalid unless the Nttrk authorized by such permit is cOI.enced within six months of issuance~ or if work authorIzed by the permit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One' 90 day e~tEnsioii of tile, lay be allowed for the permit lIith fee charge of $15.00. The extel,sion shall be requested in writing to the Building Official. An approved inspection lust be logged during each six tonth peliod, or the project will be considered abaBdoned. WARNING TO OWNER: YOUR FAILURE TO ~ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN yOUR PAYING TWICE FOR IMP~QVEMENTS TO YOUR PROPERTY. IF YOII INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO DING YOUR ~IC OF COMMENCEMENT. JOBS UND 500 DO NOT NEE ECO D D R ST A "NOTICE OF COMMEN ". SIGNAT ~-o AGENT ~~---- SIGNATU ~NTRACTOR----------- __Gc~~ _L1~~----- __________.,_ DATE_~~__~t_L'_fj1~-_------------ NOTARY AS TO NOTA~~~~ A ~ A C~./ .I ~ ~ _ ./ OWNER OR AGEN ~ _ i_ _ _~~~~~ CONTRACTO~~;I\~~ p f'Of:da .~i~-'.~0 f.J Lar~la. I 11~ ~.h MY COMMISSION EXPIRES_~~~~~~;2~~j~~~0~~~ MY COMMISSION EXPIRES___~~~~2~----- DATE