HomeMy WebLinkAbout91-1589
STATE OF FLORIDA
City of Zephyrhills
, ".--
fltJ
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1589~
~-17-q I
Type of Permit
--..-""'."".-.-',
C~UILD~
Date
~.~"~
Job Address:
Sub.Div.o?- :219-
Lot
Blk.
Legal Description:
Zoning CI:
Description of Work
I ~.,
10 X tv
.
C;l*7
u,......J~ (,.Z.1AJ p
1
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Fee ~[)'~
SIGNATURE~.. ~___
COMPANY
ADDRESS
TELEPHONE #
Estimated Cost:
6 75'- !i2-
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE #
ELEC~'-'
----
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
JA.ECI'1ANICAL --
BUILDING
PLU~6
---
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of' l_n 1111.CO)
dollars shall be made for each.-.Tra..de. (A5"itnJ)
(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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT )/ - W. JI} ~ 'f' GcrJA ~
Y g--y~{) ~ J1-t.-O_ PHONE 7rt='--sDYV
-
r~ Li'~-D
JOB LOCATION &,,1 y y- ICe; yo..J)
ADDRESS
OWNER
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL I.D.~~ ~ - ~ C -:;;1..I-~ ,-cJ
LOT SIZE~ bt?1" AREA SQ. FT.
SUBDIVISION_O ~0
WORK PROPOSED:____New Construction ____Addition ~lteration ____Repair ____Install
____Sign/Temp.
_Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
~/F
_# of Units
__M/H
____Commercial
_Indust.
_Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t, /O)cY' b ,...
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 FORNS. H
**COPY OF CONTRACT REQUIRED.
____BUILDING
$ 6? 5'-
~
lY ~
PERMITS REOUESTED
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_H.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBIN"G
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
Signature
Sil?:nature
Company
State Cert. or Regist. #
City License Registration #
******************************************
ELECTRTCTAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration IF _
******************************************
MECHANICAL
Signature
OTHER
Signature
IF _
/
APPLICATION APPROVED BY(
PERNIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit lay be subject to "deed restricti~ns" which may be lore restrictive than City
regulations. The undersigned assules responsibili'Y,fof cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, b~th the owner and contractor lay be
cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s} sign portions of the
"Contractor Sections" of this application for which they will be responsible. If y~u, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the c~ntractor wishes y~u to sign
as contractor that may be an indication that he is not properly licensed and is not entitled to permitting 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 with a copy of "Florida's C~nstruction Lien Law - H~.eowner's Protection
Guide. prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sOle~ne other than the
"owner., I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
.owner. prior to cOI.enceaent.
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 compliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has co..enced prior to issuance of a perlit and that all work will be perf~rmed t~ meet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is
.y responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ile not lilited to:
. Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treat.ent
. Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
, Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
, Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~e~t. Septic Tanks
, US Environmental Protection AQency - Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is underst~od th~t a drainage plan
addressing a .co.p~sating volule" will be sublitted which is prepared by a pr~fessional engineer registEr~d in the State of
Florida prior to permit issu,ance.
A pereit issued shall be construed to be a license to proceed with the work and n~t as authority to violate, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every permit issued 3hall bec~.e invalid
unless the work authorized by such per.it is co..enced within six months of issuance, or if work auth~rJzed by the per.it is
suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~tE~sioli of tile, may be
allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspecti~n must be logged during each six eonth period, or the project will be considered ~bal~oned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINA NG, CONSULT WITH YOUR LENDER OR AN ATT RNEY
BEFORE RECORDING YO OTICE OF C MMENCEMENT. JOBS UNDER $ , 00 IN VALUE
DO NOT NEED T AND 0 'T "NOT I CE OF C0i1t1ENCEME
SIGNATURE _' ~~._. _ SIGNATURE_
WNER OR~T ~ --
DATE_____~-~2~JJC2~_----------------- DATE___~--L~~~JC~~-------------
NOTARY AS TO (-, / . ~. NOTARY AS TO -J I- ). 1 '
OWNER OR AGENT_li~~.LtL, CONTRACTOR___t!~0::--gL~~~
'~ Pub\,c State of Florida
MY COMMISSION EXPIRES___~!~nL~~~~~~!~~~~~!_ MY COMMISSION EXPIRES___~O~~__~~~~~,'~~
My Commission Expir05 AUil. 6, 1993 My (on;l'IU~~I~~,,' "j,"~"'"
Bondt)d Thru Troy Fain _ Inlurance Inc. 81'l~( '~.J 1 .
--:a.....~.:;l<<.-r;-,.~t< 1,....,.'1IC;,~:~.Jf1.~,I'1$r~:_~.'J~.\iltJdJ-,~~,s.:l?ti:>. :<;,j,~'~,.;:J.!ii~~, ,
~.
H. W. ALUMINUM & CONCRETE COMMUNITY
, 38430 SOUTH AVE. LOT/ADDRESS.'-'
. ZEPHYRH I LLS I FL 33541 CUSTOMER NAME
(813) 788-3044/ Lie. # RX0049667 :~
~REP
ALL PATIO & CARPORT ROOFS INCLUDE: TRIM. GUiTERS. DOWN-SPOUTS. 3x3
POSTS. 2x4 TILT BEAM. SHINGLE FLASH. & BOX PAN RECEIVER.
EXTRUSION COLOR:...... WHITE..... .BRONZE...... .SILVER
GUiTER / TRIM COLOR. . . . . . . . . . . . . . . .. . . . . . . . . SMOOTH. . . . . . . C.E.
ROOF PAN COLOR:
WHITE IVORY SMOOTH C.E.
.-;:,.1!J,~:~,,;~",:i~;1:,,;' "I."j'~Kp.f"";,~~" --.....,..,!,,_,--<'OQ-~, .~-~;;..y~~'lf..r .",,~;i.j\t.?;~lt;.:~.i~
~;,....
I.OB ~...'.''''''''-;
I" 'lr.; ......:.
DATE OF ORDER .,
ORDERED BY
DATE PROMISED
:f, ,-, 'It'
.
, \
TELEPHONE
. "
GLASG ROOM: WITH AWNING OR SINGLE HUNG WINDOWS
CONVERSION. ..... ... ._+_+__+__UF
NEW INSTALLATION .._+_+__+__UF
EACH
PASCO DooR(S) .. . . . . . . . . . . . . . . . . . . . . . . . '-
WIRE TO ELECTRIC CODE (MINIMUM)........................
.024
.030 EXTENSION MiSC..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UF
LAP SKIRTING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PANS FT. LONG _ sa. FT.
PANS FT.LONG- sa. FT.
PANS FT. LONG _ sa. FT.
PANS FT. LONG & SO. FT.
PANS FT.LONG- SO. FT.
VALANCE FLASH FRONT REAR - UF
DELUXE FLASH FRONT REAR.._UF
GlTITERS ON HOME .. .. . . . .. .. .. . . .. . . UFT . .
COMMERCIAL DOWNSPOUTS IADDITlONAL) EACH..
GABLE BEAM-WORK ON FlUSH FRONT . . .. .. . . .. . . .. .. . .. .. . .
DOUBLE CARPORT BEAM-WORK. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.R"SYSTEMINSULATEDROOF.. _X_&_SO.FT
MISC. . . . .. . . .. .. ... .. . . . . . . . .. . .. . . . . .. . . . . . . . . . . . . . . .. . . - . . .
. . ~ . . ~ . . . . . . .. . . .. .. . . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . .. . . . . . . . . . . . .
SCREEN ROOM WALLS:
KICK PLATE: BUILT-IN
16" KIP ONLY +
SCREWED ON . . . .VS . . . .OJS
+ - UF
,
SKIN KIP . . . + + - UF
LAP KIP . . . . + + - UF
KICK PLATE COLOR. . . . . . . . . . . . . . . GABLE FILL COLOR. . . . . . . . . . . .
SCREEN DooR(S) INCLUDES:
KEY LOCK. CLOSER. THRESHOLD & DOOR GRILLE. .
GABLE FILL (SKIN) .., UF x 9.00 (LAP) UF
FAN BEAM (NOT WIRED) . . . . . . . . . . . . . . . . . . . . EACH
MiSC........,..................................... ........ ...
MiSC.................. .... ...... . ..... ..... .................
UTILITY ROOM:
(PAN SHED) .. ....._+-+-+----UF
WITH: 2x2 ALUM OR 2x4 WOOD STUDS ON 16" CENTERS, THERMOBAR:
SKIN EXTERIOR.. '''__+_+_+_ _UF
LAP EXTERIOR..... '_+--=--+ _+ =_L'F
ELIXIR DOOR & 1 WiNDOw................. .....
COTTAGE DOOR & 1 WINDOW .. . . . . . .. . .. .. .. . . . . .
DOUBLE ELIXIR DOOR & 1 WINDOW.. ... ... ........
ELIXIR DOOR (EXTRA) . . . . . . . . . . . . . . . . . . . . . . . . . . .
SLIDER WINDOW (EXTRA) ................. ......
ALUMINUM SHELVES. . .. . . .. . ... .. .. .. .. . . .. . . . . . UF
MiSC......................... ........ ........... .... ....
MiSC................................ ... ... .... ..... ..........
VINYL ROOM: DOOR INCLUDED
CONVERSION... ... ...._+_+_=_UF
NEW INSTALLATION... '_+ __+ _=_ UF
MiSC............................ .............. ...... .... ......
MiSC.......................... ................. ... ...........
UF
HAND RAILING..................... ..... . .
STEP RAILING IINCLUDES 2 POSTS) . . . . . . . .. . . EACH
8 x 7 GARAGE DOOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16 x 7 GARAGE DOOR. . . . .. . . . . .. . . . . .. . . . .. . . . .
SHUiTERS (RANCH STYLE)................. PAIR.
SHUTTERS (STEPDOWN) .... .., .... ......... PAIR
WINDOW AWNINGS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
;-
ALUMINUM TOTAL
CONCRETE & BLOCK WORK
PATIO SLAB x - sa. FT.
PATIO SLAB x - sa. FT.
SIDEWALK x ..- - sa. FT.
SIDEWALK x - SO.FT.
I ~, ,-:/ (.'1,",
f' sa. FT.
DRIVEWA Y :./ X &
.Jt..
, "''7.OC.
r".., i~, "
DRIVEWAY x - sa. FT.
DRIVEWAY FLAIRS.... .. ............................... .ADD
AIR CONDITIONER SLAB. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .ADD
RAISE UTILITY AREA 1 1/2" 3112" . . . . . . . . . . . .ADD
RAISED PATIO X__&_ uSO.FT.
RAISED PATIO x &_ sa. FT.
BELL FOOTER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UF
FOOTER (8 x 16 REINFORCED)................. UF
1 TREAD STEP. . . . .. . . .. . . .. . . . . . ... . .. . . .____ EACH
2 TREAD STEP. . . . . .. .. . . . . . . .. . .. . . . . . . .. _ EACH
3 TREAD STEP.. ..... . . . . . . . . . . . . . . . . . . . . _ EACH
4 TREAD STEP. . . . . . . . . . . . . . . . . . . . . . . . . . . . _ EACH
STEP PLATFORM. . . . . . .. . . . .. .. .. . . . .. .. . '. EACH
SPLIT BLOCK AIR STACK SKIRTING (MAX 6 H:IGH). UF
SPLIT SLOCK SKIRTING (SOLID WtVENTS~ . . . . . . . UF
STUCCO SKIRTING WNENTS .. . . . . . .. .. .. . . . . . . UF
PLANTERS (~" SOLID SPLiTS).................... UF
PLANTERS BACK-UP WALL. . . .. . . . . . . . . . . . . . . . uF
FILL DIRT. ,. ...................,....."......................
H~
,
*
~.
l
r
t
MISC..
CONCRETE TOTAL
TERMS: .
CONCRETE
. ALUMINUM
......... ..... ./....... ..................- ..-
ACCEPTED BY., ._;;. ...'... .... .. .......... ....... . PERMIT
u'!;' TAX
... ";;//;:.i.f-". .... .<...... ;,.:,;.............
. / :1 -,%/Z,---'- ._--- TOTAL
..'
Alj...wOfKmans"lp anc rr.a:ena!s guarar:teac :;;Jr DCia ye~'. A FI~,ANCE CHARGE-o:.'<S% per r.1.or.tn Villi oe assessee c:c a:t .J,,:Ja,c accc~:::s ,n arrears.
~lLs a::o:"r.€'vs' ~..:-~S !~ -eccss:r.... :c C:;::EC~. I