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Home My WebLink About91-1652 STATE OF FLORIDA City of Zephyrhills ./ J-D Type of Permit ~.,....,...,.,,,..--- ~ PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1652/6 Date /7' - /~ - q / P~ Property Owners Name: ~qMb~ . ~ /?:744~X~) Job Address: -------'--__~,~ _ _~. Legal Description: Sub.Div. /"1-21"....- ;21-0000- {'.)O ~h 0 ._("'YJOU Blk. EL-EeTRTCAL M.f,C.Io-IM~ ICAL Zoning CI: Description of Work Energy Code Readout: ~ 9-- Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE ~ -' /-~ ((:) uJ7? V? --- Fee: ~ ~f)' &--. SIGNATUREL/~ff<('C) ~ ~ COMPANY ADDRESS TELEPHONE # Estimated Cost: ~ aoo' ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. BUILDING Ftr. J Pre SLB!J-i?>- ''1. Lintel FRM. Insul.CL WL M PLU~' ~ Tub Set Water Sewer Final -- E L E CT .'3J..CA-l'----. --- Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final MECHANIr..t.l __ Breakers Ducts Insl. Compressor Final Driveway Reinspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of teft ('19.00) dollars shall be made for each ~ T yo Cl-d-e_ ()d""; tTlJ) (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. r APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT /<//l-1(ltDt:::= ~A Y ADDRESS 4~/3 'KC>L(IAJS'S-t ~.4 /2f; fI J4- L { LEI (3 u0DtJ) ?~/~-~'31~ PHONE OWNER h1 H-KI tv E LJ1'1 JOB LOCATIONtf gT:) l'<D(Ll~ "" BLOCK LOT SIZE_____X AREA SQ. FT. SUBDIVISION k) 111.:)1 Elh. 11-("h;tt:=~ Me Pfl,I't- LEGAL DESCRIPTION: LOT(S) PARCEL I.D.f~/4-:J..(~-;)! --0000- OOZt"JD-- 60DO WORK PROPOSED:____New Construction ____Addition ____Alteration ---.-Repair V Install ____Sign/Temp. _Sign _Nove --l::::::::D em 0 li s h PROPOSED USE: ____Single Family __M/F _# of Units __M/H _Commercial ____Indust. ____Swim. Pool 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 FOR}IS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ ~ ~ O(), 0 '0 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBIN'G GAS ROOFING SPECIALTY )j.Vt) C'owellrt fJL()~~v")1.A I Other t/fIZ!1JI"2-1 TYPE OF CONSTRUCTION: _Block _Frame ____Steel FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ET .ECTRT CT AN Company State Cert. or Regist. # City License Registration 0 ****************************************** Si!!nature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration # *******+************************~********* MECHANICAL Signature Company State Cert. or Regist. n City License Re.~is~ratioll IF . . OTHER Signature APPLICATION APPROVED BY "Tf:RMIT OFFICER. ;. I , : CONDITIONS OF PERMIT AFFIDAVIT A: NOTICE OF DEED RESTRICTIONS' The undersigned understands that this perait may be subject to "deed restricti~ns' which' ~ay be more restrictive than City regulations. The undersigned assuaes responsibility.for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the o~ner has hired a contractor or contractors to undertake work, they may b~ required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, b~th the Ollner and contractor ~ay be cited for a lisdemeanor 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) 713B-bb II. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the ~wner 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 lay be an indication that he is not properly licensed and is not entitled t~ per~itting 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 Depart.ent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the 'owner", I certify that I have obtained a copy of the above described document and pr~ffiise in good faith to deliver it to the "owner" prior to COlmence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby .ade to obtain a perait to do work and installation as indicated. I certify that no work or installation has comm~nced prior to issuance of a perlit and that all work will be perf~rmed to meet standards of all laws regulating construction, City codes, zoning regulatiDns, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies flay apply to the intended ~ork, and that it is /lY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~ie Bot lil1ited to: I Department of EnviiDnmental ReQulatiDn - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment . Southwest Florida Water ManaQelllent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Coros of EnQineers - Seawalls, Docks, Navigable Waterways . Depart_ent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~ent, Septic Tanks . US Environmental Protection AQency - Asbestos abatement I also certify that, if fill lIaterial is to be used in Fle.od Zone "fl" or "A,etc.', it is underste.e.d that a drainage plan addressing a 'colpensating volume" will be subtitted which is pr~pDred by a professional engineer regi5t~ied in the State of Florida prior to perllit iS5uftnce. A perait 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 Oif\cial frol thereafter requiring a correction of errors in plans, construction, or violatiDns of any code. Every permit issll~d ~hall becole invalid unless the work authorized by such perlit is cOlmenced within six mDnths oi issuance, or if work authDflzed by the perait is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e:tE~5joll of tile, lay be allowed for the per~it with fee charge of ~15,OO, The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered dbaiidoned. 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~~~ ~ ~ OWNER JJl" U'it&~ SIGNATWRE ------------------------------ CONTRACTOR DATE__~_-l-~-}l~~~--------------- NOTARY AS TO r\ .. . Q!! OWNER QB liil!lM'~_~- - -- ~~ PAsc:.O) FL[) (U oPe MY COMMISSION EXPIRE~~~~~~~~~~;;~~: Ronded thru Patterson -Becht Agency DATE ----------------------------------- NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------ #r/?~c~ ? _ CITY OF ZEPHYRHILLS ,- /tS-7 I .. L ../ OWNER /J1A't-1 N G '" H-, JOB LOCATION /f5/ / 3 ;2v (;L, tV so ;:s T r pn~Ci:L 1. D , # VV/H/TEt) ~ md/J~ -;~If--d)#~ " ~ BUILDING DEPARTM~NT ' , "r \\. ~~rS~1\ \\ L tl g'" SO/..) 2e/l'lyel../i t (s . Pt.. \ ~;:t: SHOW ALL EXISTING << PROPOSED STRUCTURES-GIVING DIMENSIONS & SETBACKS. m 14- te-~ iAf.., , I ( \. ..... 3 1--- \,., ~ "- \ l? 1\ 10 silL v, :3 -+- a .p DS""'" n ,,, ~ 1-- 7 (/1/11/5" Ft;r ~1/,1rot--t lWtM (p'''' (.AGeI;,t T/2iW' (3 rYe f'<.I W S /l.J':1 VI \J ~ l-t e:-,t. 'So (IV e II-~If IR~' UTILITY BUILDINGS~ MUST SHOW SIZE & FOUNDATION INFOR~' MATION, \ \ D t:- N e.....) c.....,.. po V',... U>~\- 1.:J d-.' )(;)." n:. (NOTE EXAMPLES 1 & 2) re-HiL DDW f-} e~tS1't't.:>s el'9r ~r-t ri/Vl> f:,e 80i'tJ, 1J e..J 0 If; {; !)..l ~:z. 2. f't; i' tJ euJ f (.),fIe~rr fJ lilt; v ",d 0 tJ 7'OTItC 0 f' '-J..:i-J 1 t.'l-'C [ '\. 50 /11ObilJ? /fdpt ~ - 1 ~r-lS-tl.~' ( i- POD ot.Y 1<5 1(,. slI ;8 1\.1 t 0' Il ?~fuse-j) elL 2,ft:.. ~I I ? oU f flI.:5 .:3 r FRONT PROPERTY LINE STREET -- 1, SETBACKS FOR Rl, R2 ZONING 60'---- 101 -p -E R X o I 10' P S o T 5 I E N D G 20' 2, SETBACKS FOR R3 ZONING 60'- 101 10' 10' EXISTING 10' 1 0 PROPOSED 20.' SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE FOR CARPORTS OR LIKE STRUCTURES PLEASE COMPLETE THE FOLLOWING: (1) DESCRIBE WHAT TYPE: FREE' STANDING OR~ACH~(CIRCLE ONE). r (2) IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE? ,/JtvntIP{)/"K H~HJ s-IZ. (3) DESCRIBE POST SPACING << FASTENING (IF TO CONCRETE, IN WHAT MANNER?) .1' F"j- p /!tn."/ /I ~ _~ ,( /I N~IJ1) r-. ff' (4) GIVE DIMENSIONS OF CARPORT I..ENGTH, WIDTH, & HEIGHT: a")(;l!J...'/... 7. (5) GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: ~~ (6) COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT PLAN.