HomeMy WebLinkAbout91-1625
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1625 B
Date
(7-_5" ?/
TYP,f?~
~ia-=:-)~ P~ MEC~L
Properly Owners Name: "'(}---~= '
Job Address: '-;;; 9 b cJ Y, {,j (>( ~
Legal Description: Sub.Div. Lot
Blk.
Zoning CI: /-.:5- d ~ -d-- / - 0/ yo ()
Description of VVork" ~~ {)
.- C) c..' 0 D D -
/D~O
Energy Code Readout:
~AI
tD <'~
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: -.5..... {, Lf"' o---D
Fee:
oL rJ ~ (.JV
OCCUPATIONAL LICENSE # ) 7' "'<..) +L,
SIGNATURE""\f1., .
COMPANY (.J(., ','
ADDRESS
TELEPHONE #
I
rf ....
All work shall be performed in accordance
with the above and all City Codes
and Ordinances.
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-;-~'f A 'L ~ .
, ( BUILDlN 5 Pt1:fMS1tIQ
Ftr. SLB
Pre SLB Tub Set
Lintel VVater
FRM. Sewer
Insul.CL Final
VVL
-----.
E'EEC:f!3\ CA L
-------
ME~ICAL
-.........
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Ins!.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of t~ (t It? go)
dollars shall be made for each tMtp."/rd-.de_ f~-; tl?J)
(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.
FENCING CONTRACT
KAREN WILTON D.B.A. PASCO FENCE
4254 PLUM STREET
ZEPHYRHILLS, FL. 33541
(813) 788-5642
For Value Received, I, E. PHILLIPS of
39604 MEADOWOOD LOOP ZEPHYRHILLS, FL.
Promise to pay to the order of KAREN WILTON
with offices at 4254 PLUM ST. ZEPHYRHILLS, FL.
the sum of FIVE HUNDRED EIGHTY FOUR DOLLARS & .70/1.00
$
584.70
for fence work described below
172' OF 48" CHAIN LINK FENCING
9 2-1/2" TERMINAL POSTS WITH FITTINGS
1 4' X 4' WALK GATE
1 4' X 12' DOUBLE DRIVE GATE
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') -.. '-( l- - . -.J..\
c.."' '1 1..1 C.- ('('O( )() - I (:' (\
TO BE PAID AS FOLLOWS:
----------------------
----------------------
PAYMENT IN FULL WHEN JOB IS COMPLETED
*** NOTICE : LOCAL CHECK, CASHIERS CHECK, OR CASH ONLY ACCEPTED.
---------------------------------------------------
----------------------------------------------------
Work to be started on: 7-05-91 Completion on: 7-06-~~1
or sooner.
We the undersigned hereby agree to all the terms listed above.
Signed this 7 TH. Day of JULY 1991.
PROPERTY DWNERS SIGNATURE ~f4
CONTRACTORS SIGNATURE ~Il~ -Y1 (A 1 ~)
NOTARY
SEAL
OWNER
CITY
Pill' t....L /11 5:
.~.
JOB LOCATION .J '/0 c V
OF ZEPHYRH:I:LLS BUILDING DEPARTMENT
/J1 ~jJJJ cPi./o r..: II
2//;//J'
PARCEL I,D. #
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SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS,
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION,
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1, SETBACKS FOR Rl, R2 ZONING
60'
2, SETBACKS FOR R3 ZONING
60' .
10'
P E-
R X
0 I
I 10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
_._---_.-------~_..-.-
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT E. PII/II/' P S
ADDRESS 3 9 ~ (7 ~ /'1 ~/1liowo 0 II (..0 o.p
OWNER t:, pJl:l/ , ~p s.
PHONE
JOB LOCATION
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.l~ /3-26. -a.I-OJfo -00000 - /o~o
WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ~nstall
_Sign/Temp.
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
_M/F
_l~ of Units
__M/H
_Commercial
_Indust.
_Swim. Pool
~. ;V e,~
Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t,
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 FOill1S.**
**COPY OF CONTRACT REQUIRED,
EF.RMITS REOUESTED
LBUILDING
$ ~~'1?c)
valuation of Total Construction
_ELECTRICAL
AMP Service
Florida power Corp.
_\-l.R.E.C.
_MECHANICAL
_PLUMBIN'G
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
~ONTRACTOR SE~~:
Company c.. D P z'" c tI" e~
State Cert. or Regist. #
City License Registration ;! /1'2. crprc
******************************************
Signature
Sil!nature
Company
State Cert. or Regist. #
City License Registration 1
******************************************
f,LECTR1C1AN
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. 0
City License Registration j~
******************************************
MECHANICAl,
Signature
Company
State Cert. or Regist. 0
City License Regis tration iF
PTRER
******************************************
PEmlIT OFFICER.
APPLICATION APPROVED BY
I
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay be subject to "deed restrictivns" which ~ay be more restrictive than City
rl!guhtions. The undersigned assules re5ponsibilitYf~f cOl\\pliance with any applicable deed restriction~.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake Hork, they may be required to be licensed in accordance with
state and local rl!gulations, If the contractor is not licensed as required by law, bvth the owner and contractor .ay be
cited for a lisdeleanor violation under state law, If the owner or intended contractvr are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City vf Zephyrhills Building Departeent, (813)
788-6611.
Furthermore, if the owner has hired a contractor Dr 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 yvu, as the vwner sign as the cvntractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractvr wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the
City of 2ephyrhills,
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 - Homeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is SOIEone other than the
"owner", I certify that I have obtained a copy of the above described document and prvmise in good faith to deliver it to the
"owner" prior to cOlmenCel\\ent,
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 co~pliance with all
applicable laws regulating construction, zoning, and land development,
Application is hereby lade to obtain a perlit to do work and installation as )ndicated. I certify that no work or
installation has commenced prior to issuance of a perlit and that all work will be p~rform~d to meet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulatiDns Df other governmental agencies may apply to the intended wurk, and that it is
IY responsibili ty to identify what actions I lust take to be in compliance. Such agencies include bllt ill e not 1 iili ted to:
I Department of Envi~onmental ReQulation - Cypre~5 Bayheads, Wetland Areas and Environmentally Sensi tiv~ Lands,
Water/Wastewater Treatment
I Southwest Florida Water ManaQement District - Wells, Cypress Fayheads, Wetland Areas, Altering Watercourses
I Ar.y Corps of EnQineers - Seawalls, DOCKS, Navigable Waterways
I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - W~l]s, Hast~Hater Treat~Ent. Septic Tanks
I US Environmental Protection AQency - Asbestos abatement
I also certify that, if fill Itaterial is to be Ilsed in Fle,od Zone "A" or "A,etc.", it is underste,e,d tllilt a drainage plan
addressing a "colp~nsating volume" will be sublitted which is prepared by a professional engineer registcicd in the State of
Florida prior toperltit iss~ance,
A perlit issued shall be construed to be a license to proceed with the work and not 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, Dr violations of any code. Every permit issued ;hall becole invalid
unless the work authorized by such perlit is coamenced within six months of issuance, or if \'lurk authorIzed by the per.it is
suspended or abandoned for a periDd of six .onths after the tilte the work is commenced. One 90 day e:te~5ioll of tile, lay be
allowed for the permit with fee charge of $15,00, The extension shall be requested in writing to the Building Official. An
approved inspectie,n must be logged during each six 1Il0nth period, or the pruject \'Ii 11 be ([,nsidered dballde,ned.
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 RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE_~~A~______ SIGNATURE_~~1-------
DATE________~/;?~-qJ---------------------- DATE_______:7~~ :r{___________
NOTARY AS TO ~
OWNER OR GENT _~___ _
MY IRES___ _ ______ MY COMMISSION EXPIRES__________________
'ft-~OT.!\.1]Y rr'pr~~l :.c.. :-:,":"'\'"F~P, c~::, r7..C!:.ID.'\.
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