HomeMy WebLinkAbout91-1590
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
PermitN~ 1590g
Date ~ - /7-9/
~
;'0 .
Type of Permit
BUILDING DEPARTMENT
1.813-788-6611
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Property Owners Name: ";;:;~ ~~-~tt~
Job Address: If (] . ~A .. .
P~-
M~
Legal Description:
Sub.Div. J~.g -,2.10'-:21
.
Lot
Blk.
Zoning CI:
(I'
Description of Work /1 . _,
*'/7Lt~~
:t~'I~;L~kJLfIiL
Energy Code Readout:
~
'-2-~-.::tf ~
Complete Plans, Specifications and Fee Must Accompany Application
~
Estimated Cost: jl, 7-5'0 . -
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Fe4 ctJD >~ --)
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SIGNATUREl . cj,,<j ./ \. /""11" ( .( 0
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All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
COMPANY
ADDRESS
TELEPHONE II
OCCUPATIONAL LICENSE II 7~T (}L~.
Cj.MtfLl4~ ~ ~.
_..w. "
LS:B~ILDINg) ~~
Ftr. SLB
Pre SLB Tub Set
Lintel Water
FRM. (p-'Lf><41j ~ Sewer
Insul.CL Final
WL~.~D-"fl ~
~-(I~
_' .....___ " c:... ~
6LECTR~#1/
Tp.Serv.
Rough In to- "'2.0-1 I
Meter Can
Const. Pole
Pool
Pre-Meter
Final
<e.--MFf"'I-I.\u leAL
t3,...e-. Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of1a (f I n .86)
dollars shall be made for each ..,. T')" d.- .d. e (/0..5: 0iJ )
(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
ADDRESS
cto~it7
I!)
10 TT T 0 i_rrt II( E.t..!
Or:: "j(j (. t<E/l- 12-0.
5~'-1 ))/tI~
(
t.fD .2 <f? --:J7)(. I:.'€,~
HF'/f\( ~ i
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PHONE
':?:~:3 - 935/7
APPLICANT
OWNER
C'j't'/'
;?b I
LOT SIZE_X
AREA SQ. FT.
JOB LOCATION
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.4~ /3 - d. G - d- /
BLOCK
SUBDIVISION
WORK PROPOSED:____New Construction _Addition ~lteration' ____Repair --0nstall
____Sign/Temp. ____Sign _Move _Demolish
PROPOSED USE: _Single Family ____M/F ____4~ of Uni ts __M/H
_Commercial ____Indust. ____Swim. Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE:
IV X ::L'{, fRp Fli-O 5lft!t) Square Feet,
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.
PERMITS REQUESTED
_BUILDING
$
:2"7 ,-)7)" {v
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block _Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
c ^. ~. . ! ,)tONTRACTOR SECTION
BUILD"R '.A.'^l5'~. ~.L( <Hie Company
01/- State Cert. or Regist. #
Signature ~' . ~ City License Registration 4F
******************************************
AA"J- (I (/ -) '-JC.... j' .
ELECTRICTAN 11~l\.h)'. (,.... ee/,-' 6
'I {l ll~ C.u:;,
Sil?:nature l, -l "
(
I'
Company H t .,(1 v' J
State Cert. or Regist. #
City License Registration
******************************************
6/ce T L.'C:~.."J-
6 l>{ ~ t9.:J, I "
4~ ,-/1
.
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
OTHER
Signature
Registration 4F
/-
APPLICATION APPROVED BY
PERMIT OFFICER.
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City
regulations. The undersigned assules responsibility for co.pliance 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, both the owner and contractor .ay be
cited for a .isdeteanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
788-6611.
Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl 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 th~ 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 t~ 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 with a copy of "Florida's C~nstruction lien law - Ho.eowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is soteone other than the
"owner", I certify that I have obtained a copy of the above described d~culent and promise in good faith to deliver it to the
"owner" prior to cOI.encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or
installation has cOI.enced prior to issuance of a perlit and that all work will be perforled to teet 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 govern.ental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in coepliance. Such agencies include bllt <OJ e not li.ited to:
I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatment. Septic Tanks
f US Environlental Protection AQency - Asbestos abate.ent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan
addressing a "colpensating volute" will be subtitted which is prepared by a professional 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 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 of errors in plans, construction, or violations of any code. Every permit issll~d ~hall beco.e invalid
unless the work authorized by such permit is cDlllenced within six .onths of issuance, tlr if liork author lZed by the pertit is
suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~ten5ioli of tile, .ay be
allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the pr~ject will be considered abaudoned.
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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2 500 IN VALUE
DO NOT NEED TO RE D POST A IOTICE OF COMMENC
SIGNAT
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R AGENT
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NOTARY AS TO )
OWNER OR AGENT __-'%_:1.-_ '____" Y:.-----
NY COMMISSION EXPIRES
NoCarYPUbtk-PiSCo-~-fL-------
My Commission Expirts May \3. 1995
.~ If f)I) C.;6~";~.E/A
-----------------~--~--
CONTRACTOR
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DATE________~-{JC _[1_________________
~~~~=~C~~R~~___~~~~-----
MY COMM I S S ION EX P I NiIIIJ-!ublic-Pasco -Co.-.flr---
My Commission &pita May ll. 1995
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SUN STATE ALUMINUM, INC.
37528 Hwy. 54 West <<,,-0
ZEPHYRHILLS, FL 33541 "i"~ '( (?i n~
(813) 788-7308 ~y
P?8"3 6f3 'PC; DATE 19-- ()urJ <?(
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CUSTOMER'S ORDER NO,
SOLD BY
PRICE
AMOUNT
PAID OUT
QTY. .
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Interest of 1112% per month after 30 days
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TAX
RECEIVED BY
TOTAL
All claims and returned goods
MUST be accompanied by this bill.
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* Prcs::ur.? Tre9.teu Jkj 1'1 '~:11 r'tl)or Joists
* 3/4" B. C. Treated PIvw.)Qd ?lI'J')T
* Full Length Pla.no Hlnr;ed Door
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SIT E
PLAN
PERMIT #
(RESIDENTIAL USE ONLY )
LEGAL DESCRIPTION;
~i::CTION
TOWNSHIP
RANGE
SUBDIVISION OR OTHER LOCATION DESCRIPTION:
REAR (
FT. )
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StlUW all existing and proposed structures giving dimensions and setbacks. Also, indicate
any adjacent bodies of water and roadways adjacent to the property. Indicate size of
mobile homes such as: 12' x 60', 24' X 36'.
EXAMPLES