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Home My WebLink About91-1603 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 160iJ-E Type of Permit ~~ ELE<:-mIOAL ().;/ J1 j Property Owners Name: IJ../.& V.J ....?~ Job Address: ~~/ 'I () ~~ Legal Description: Sub.Div. -(fL.~ Zoning CI: d - d G -- ~ / - S.- - () Description of Work 1] M,H -- J Date-l0 - d- <; - ? I ~ ME~CAL Lot Blk. I~J-ql 6nf4Ji Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ ~-. o-v Fee: ,1-:tj,hJ-;j SIGNATURE ~ 41.)l_l~' ~ /1_ /""-1 COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # 9 );fer ~"ftA(l- )j --/' )J ~1 ~ ~_~ CB~ Ftr. _ ~ Pre SLB~ - ~ ....1/ J.~p Lintel FRM. Insul.CL WL ~ING ----------. E~L ~ ME~AL '-----. SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge ofT {II S .06) dollars shall be made for each _.t'Y'a.d-e (;6~OV) (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. CITY OF ZEPHYRHILLS Building Department OWNER 0\ eJ<: &~h(Y)a.n JOB LOCATION fc/CjC K ~~ 0../ LEGAL DESCRIPT. SUB. DIV. ()J~2ldp/ rbrl<. BLK. LOT Show all existing and proposed structures giving dimensions and setbacks. r ..-- - t.( If( .--------_...___...._.-.. /1' / j;---.-. I !.; I ! ! I 1\ ~I .-- '"'~ I .,.../ i I I I / /. . ./ . '/ / ,,\/ .~/. jW\\\' . ,\' . ~' l:l , I -I I ! ! I i I I i I I I i /" ,-;,/ '._ I , --- -/ :,,'J ,\' . --1 / f?;; I v ,rt i 1 "I 'I f---~ If' " q I I I I '. ..' />J. . ; _ L. /1 I r; ! i ~ - I r >i------, (() , (~P 1"- I I s)J ,-:PC) L. . I , ) ( { ,./ ,{ I I \1/ ,I , 11/ / , ~----.__.__.. '.- Street I:. : t' , , ,-"";:--.--.-.. ; .-:'!; !_---- - - --- '- / .~ I I"~ l. -_._-'~-,- . -r,_ " ,. l . . c"" P,\'~/ , ;/.."','.. i// J i .. '7 'il-- _ \ i-. ", i. .<.J .j /., I -- ---.-.....---.. ~---- ". t: .} r'----- Street Name . .-..-- ,;.r, ' _______~ I I 10th Street ------...-----.-- _._-- -.-. -".. , ....~~1 ! ,t j I , I i ( i\ "\ \ -~----_._..- ,~ l t. I ' 1 I , . ....- ~) -,4 i ''f~ .. .'; ! /lOti --_.--~.._-~ --. ~----,.. :,. 1 ._,1 ! i : f to.,. i .' 7'.11.;. i i -'. --j 1-11., J''/ /.'., I I I ! ! j '} 1 '-1 !. / i I I .. uL i I I I I I ____4 __I 'j (' Street Name 10th Street JJLj r .lOB ~I"'I' j? /J. A..l,,:J)L7 Pa..~ I H. W. ALUMINUM . CONCRETE COMMUNITY " DATE OF ORDER 3'-J <"J-Q/ /,. /4/?1 1/ ~- ",;?..., , 38430 SOUTH AVE. LOT/ADDRESS ORDERED BY 00::> H ~ L>~ ~ ~1 ~ .. _ .1/1_ ~..--.i"r ZEPHYRHILLS, FL 33541 CUSTOMER NAME -n~r/ k- DATE PROMISED ~ (813) 788-3044/ Lie. # RX0049667 ~ReP / IA~//X/1/7.. A_ "- TELEPHONE' ./ j,Y ~". .I ~ (" ALL PATIO & CARPORT ROOFS INCLUDE: TRIM. GUTTERS. DOWN-SPOUTS. 3x3 GLASa ROOM: WITH AWNING OR SINGLE HUNG WINDOWS POSTS. 2x4 TILT BEAM. SHINGLE FLASH. & BOX PAN RECEIVER. CONVERSION.........._+_+_+_-UF NEWINSTALLATION.._+_+__+_-UF EXTRUSION COLOR:...... .WHITE..... .BRONZE..... . .SILVER PASCO DooRIS) ., . . . . . . . . . .. . . . . . . . . . . . .. EACH GUTTER I TRIM COLOR . . . . . . . . . . . . . . . .. . . . . . . . . SMOOTH . . . . . . . C.E. ROOF PAN COLOR: WIRe TO ELECTRIC CODE IMINIMUM) . . . . . . . . . . . . . . . . . . . . . . . . 'WHITE IVORY SMOOTH C.E. .024 .030 EXTENSION MlSC . .. .. . . .. . .. .. . . .. .. . . . . . . . .. . . . .. . .. . . .. . . . . . . .. . .. . . . . PANS FT.LONG- sa. FT. LAP SKIRTING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UF PANS FT.LONG- sa. FT. HAND RAILING. . . . . . ... ........ .. .. ....... UF PANS FT.LONG- sa. FT. STEP RAILING IINCLUDES 2 POSTS) . . . . . . . . . . EACH PANS FT. LONG. sa.FT. 8x 7 GARAGE DOOR...................................... PANS FT.LONG. sa. FT. "' 16 x 7 GARAGE DOOR. ... ..... . .. .. . ... . . .... . . . .. ..... . . . . VALANCE FLASH FRONT REAR. UF SHUTTERS lRANCH STYLE) . . . . . ... . . .. . . . . . PAIR. DELUXE FLASH FRONT REAR. _UF SHUTTERS (STEPOOWN) .................... PAIR GUTTERS ON HOME . _ _ . . . _ . . . . . . . . . . . . LiFT .. WINDOW AWNINGS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . COMt.1ERCIAL DOWNSPOUTS IADDITIONAL) EACH.. ......................................... ...................... GABLE BEAM-WORK ON FLUSH FRONT . . . . .. .. . . .. . .. . . .. .. . . ALUMINUM TOTAL DOUBLE CARPORT BEAM-WORK. . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONCRETE. BLOCK WORK .R"SYSTEMINSULATEDROOf.. _x_-_sa.FT PATIO SlAB x . sa. FT. MISC. . . . . .. . . . _. . ..... _ . . . . . . . . . . . . . . .. . . . . . . . . . . - . . . . . . . - . . . PA TIC SLAB x - SO. FT. ............................................................... SIDEWALK x - sa. FT. aCREEN ROOM WALLS: SIDEWALK 11"'1I'~2 . sa. FT. KICK PLATE; BUILT-IN SCREWED ON . . . .VS . . . .OIS DRIVEWAY 9/. sa.FT. C. ..2 ~II . 16"'KlPONLY + + - UF DRIVEWA Y x . sa. FT. SKIN KIP . _ . + + - UF DRIVEWAY FLAIRS. . . . .. . . .. . .. . .. . . .. . .. . . .. .. . . . .. . .. .ADO F.JAC. LAP KIP . .. . + + - UF AIR CONDITIONER SLAB. . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . .ADD KICK PLATE COLOR............... GABLE FILL COLOR. ........... RAISE UTILITY AREA 1 1 12" 3 1/2" . . . . . . .. .. . .ADO SCREEN DooR(S)INCLUOES: RAISED PATIO x -- . _. SO. FT. KEY LOCK. a.OSER. THReSHOLD & DOOR GRILLE. . RAISED PATIO x . SO. FT. GABLE FILL (SKIN; . . . UF x 11.00 (LAP) UF BELL FOOTER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UF FAN BEAM INOT WIReD) . . . . . . . . . . . . . . . . . . . . EACH FOOTER (8 x 16 REINFORCED) . . . . . . . . . . . . . . . . . UF MiSC...................................................... . .. . 1 TREAD STEP. .. . .. . . .. . ...... ..... . ... . '___ EACH MiSC......................................................... . 2 TREAD STEP. . . . . . . . . . . . . . . .. . . . . . . . .. . . EACH UTIUTY ROOM: 3 TREAD STEP.. ............... - . . . . . . . . . EACH (PAN SHED)._. .... _+_+_+_-__lJF 4 TREAD STEP.. . . . . . . . . . . . . . . . . . . . . . . . . . . . __ EACH WITH: 2x2 ALUM OR 2x4 WOOD STUDS ON 16. CENTERS. THERMOBAR: STEP PLATFORM.......................... EACH SKIN EXTERIOR. .. ..__+_+_+_._UF SPLIT BLOCK AIR STACK SKIRTING (MAX 6 HIGH). L1F LAP EXTERIOR. . . . . . . _+_+_+_-_LJF SPLIT BLOCK SKIRTING (SOLID WNENTS: . . . . . . . UF ELIXIR DOOR & 1 WINDOw. . . . . . . . . . . . . . . . . . . . . . . STUCCO SKIRTING WNENTS................... UF COTTAGE DOOR & 1 WiNDOW..................... PLANTERS W SOLID SPLITS) . . .. . . .. . .. . . . . . .. . . . UF DOUBLE ELIXIR DOOR & 1 WINDOW ................ PLANTERS BACK-UP WALL .. . .. . . . . . . . . . . . . . . . LJF ELIXIR DOOR (EXTRA) . . . . . . . . . . . . . . . . . . . . . . . . . . . FILL DIRT. . ....... ....... ... ............. . . .................. SLIDER WINDOW (EXTRA). . .. . . .. . . .. . . .. . . .. . . . . . MiSC.............................................. . ......... ALUMINUM SHELVES. .. . . .. .. .. . . . .. . . . . . . . . . . . . . UF - ........ .................... .... ........ ... ....... . . . . . . . . . . MISC. ....._..... ....~..... ... ..... ...... ........ . . . . . . . ....... MISC............_................... ... ......... -.- ...... .. -,. CONCRETE TOTAL VINYL ROOa.,: DOOR INCLUDED CONCRETE C ~.S/o; TERMS: . . . . . . . . . . . . . . . . . . . . . ........... ..... CONVERSiON...... ...._+_+_._UF ~;'~~;;0.:Q~.... ... ..... ALUMINUM NEW INSTALLATION... ._+_+_._UF PERMIT l::Ck C. Mise ....................................... .......... ........., ~,t" c:. TAX MiSC.......................................................... .~.:DU4 . ............................. /"".:l..~a ./, TOTAL M-worKmans:-.lp and ma:~na!s Quaranteec :0' o~e year. A FINANCE CH~GE 0: ~ .5% per ~or::n Villi oe assessed C~ a:t ,Jr.:l3;C accc.;:::s.n arrears. ~I\..S a::or:-evs' '..es ,I -COOSS:!'" :0 c::.::ec:. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT f~. LU. A ) U {Y--)j' /7 U /n ;} (' ()nfl Ie { t ADDRESS 38C/30 ;). 4 tJ-e' 2-(> LJI)( Ir h -' //~, r/' PHONE 7 2'l - 3 oC/V r I OWNER CJ ~ r V, ~l_\..6hvy,o...Y' JOB LOCATION f.c, / (/ D if? ('xlo I e)olA~/d'f' (br!q,.OT SIZE 'I~"{ g-?,AREA SQ.FT. SUBDIVISION ~~~)(() LEGAL DESCRIPTION: LOT(S) PARCEL I.D.4t :J - C)(O- (;) )-5- 0 BLOCK WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair ____Install c _Sign/Temp. PROPOSED USE: ~Single Family ____Sign _Move _Demolish ~/F _4~ o,f Units _M/H _Commercial .......:.-Indust. _Swim. Pool Other ____Restaurant & Health Department Approval BUILDING ~IZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS' & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.** **COPY OF CONTRACT REQUIRED. PF.RMTTS REQUESTED 1BUILDING $ CD d.---s-, u \:) Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation ____PLUMBIN"G ... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. BUILDF.R Signature ,;{~. /. / . ****************************************** / I. 1,// ... CONTRACTOR SECTION / J I.. f :;", 1... i." Company J.I. LV. 1i/0rn/l7tJFY\ dL~f)nL'/-e/C / .' // State Cert. or Regist. ~~ R.xc..of..t9&ffJ 7 j1, L {/[l "'z / ' City License Registration # 9 ? * *****1*** * lv.*********** **** * **** of, * \'dd: ,'r **." SilZnature Company State Cert. or Regist. # City License Registration ff _ ****************************************** F.T.ECTRTCTAN' Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature . Company State Cert. or Regist. # City License Registration # _ ****************************************** MECHANICAL Signature Company State Cert. or Regist. 0 City License Registration # _ OTHF.R Signature ****************************************** APPLICATION APP~OVED BY )1/JAU""J K!.Q/JAJ"r .. PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit tay be subject to .deed restrictions. whic6. may be more res~rictive than City regulations. The undersigned i1SSUlI1 relpOnsibili\V..for cOlpliance lIith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ollner has hired a contractor or contractors to undertake work, they tay be r~quired to be licensed in accordance lIith state and local regulations. If the contractor il not licensed as required by law, both the owner and contractor lay be cited for a tisdeleanor violation under state lall. If the ollner or intended contractor are uncertain as to what licensing requirelents tay apply for the intended 1I0rk, theY are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. - Furthertore, if the ollner has hired a contractor Dr contractors, he is advised to have the contractor Is) sign portions of th~ .Contractor Sections. of this application for which they lIill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that tay be an indication that he is not pro~~rly 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 Construction Lien Law - HOleowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the .owner., I certify that I have obtained a copy of the above described doculent and pr~lise in good faith to deliver it to the .ollner. prior to cOltencetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortation in this application is accurate and that all w~rk will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby tade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has COllenced prior to issuance of a pertit and that all work will be performed to teet standards of all laMS regulating construction, City codes, zoning regulations, and land developlent 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 IIhat actions I tust take to be in cOlpliance. Such agencies include ~lt ~le not litited to: I Departlent of Environ,ental ReQulation - Cypress Bayheads, Wetl~nd Areas and Environlentally Sensitive lands, Water/Wastewater Treattent . I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arlv Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environtental Health Unit - W~lls, Wastewater Treatment. Septic Tanks I US Environtental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tllat a drainage plan addressing a .cotpensating volule. will be subtitted which is prepared by a professional engineer regist€r~d in the State of Florida prior to perlit issu~nce. A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fr~. thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every per.it issllud ~hall becole invalid unless the work authorized by such perlit is cOllenced within six .onths of issuance, or if work authol J.ed by the perlit is suspended Dr .abandoned for a period of sill tonths after the tite the work is commenced. One 90 day e~t.,nsioll of tile, laY be allowed for the per.it 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 tonth period, or the pr~ject will be considered dballdoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU tNTEND 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 /RECORD AND POST A .. NOT I CE OF COMMENCEMEN;r". 1/ / SIGNA~URE__~~_~~~~~~~--~~-- CONTRACTOR-- DATE__~__~Ql._Jl3._L_____------ NOTARY AS ~ . (\ "'\ CONTRACTOR~_J.:l~~- 'C ST~~' cr FLORIDA My COMMISSION EXFtmMt'l PUs.';'" y '~j. :'-':;'1.21,1995 Ii '!;c..l;il~.........-.:;'{.\.I-l-\i.):.? "'-.'--m.,...-- I~, 'JI'..":-,;::' rl:r-jl.AL INS. u,'u. 80\'(DEO I h;\u d::...~' t. / . /".:'// - . . . j//;/;/' . SIGNATURE ~~~~-~--~--_t_~~t-~---------- ~ OWNER OR AGEN:r / DATE_~_~_c)~_J_~CjJL_--------------- NOTARY AS TO C--\ . \.\ \ f ~r,~^ n A / OWNER OR AGENT ~~lL__t"J.i.~~.~~\=p~::-::_- r~!DT/~d1Y nl;;:, Tr ~'T",,""r- "..- MY COMMISSION EXPIRESjiY. c.:,'~:~::'.'~~:~ l.,. FLORIO." BO~UEo-0;7:7'b" [ii:;; ;'I"1''':"r 7:,~Tu;:.f~95 ..., .- 1'-.\1....... j~;.}" ND.