HomeMy WebLinkAbout91-1661
STATE OF FLORIDA
City of Zephyrhills
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'/11'" !:J........_ BUILDING DEPARTMENT
~ :;..~ 1-813-788-6611
Type of Permit /~rl~'~~ fRD .- 1ft
(~ ~ (,pCUMBIt<i:> ~
~:~:::r~:~ers Name: (f~; D qy;b~;;. (~;~,
PASCO COUNTY
Permit N~
1661~
/f-lg.-5' /
Date
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
Energy Code Readout:
15?) '6 ~q2-~
_ (g7)4,~
Fee+-- 1<9:3' 'fL-
SIGNATURE -. t:<.' t /I---"'-^
COMPANY
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
~
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All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
OCCUPATIONAL LICENSE # C I
ADDRESS
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SLB Jo-<g~il 12.-3 *,/1 TP'S:~,
Tub Set Rough In
Water Meter Can
Sewer Const. Pole
Final Pool ::1
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ftUl'" V -t(~vI,d r/.2Y7( Final
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Relnspectlons: When extra inspection trips are -ne e of the folIowing reasons, a charge of ~J. ~)
dolIars shall be made for each It!ip. '/'r d-. de (/.::.--' n)
(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 calIed.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same,
Breakers
Ducts Insl.
Compressor
Final
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APPLICATION FOR PERMIT
CITY OFZEPHYRHILLS
BUILDING DEPARTMENT
APpLICANT ~"t'~ {'E>t~;'. .
ADDRESS ~/.~ 1~~~/:j 'i. U.
OWNER ~/t"S- ~ w eL ' ~iu
JOB LOCATION "/0;'0 ~l/"" dU. --2-tLt!s
PHONE 5t l-7~.l7'
~
LOT SIZE
X AREA SQ,FT.
LEGAL DESCRIPTION: LOT(S)
BLOGK
SUBDIVISION
PARCEL 1. D. ~j
~ " t(./.:J.'k.
WORK PROPOSED:____New Construction '~~ddition ----Alteration ____Repair ____Install
_Sign/Temp. _Sign ____t'love _Demolish
PROPOSED USE: _Single Family _M/F --'-" ~, of Units ._~l/ll
_Commercial ~Indust. _Swim. Pool ~f)/~~ Other
,
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square fee t,
Height
RESIDENTIAL:
COHl-IERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORt'IS. H:
**COpy OF CONTRACT REQUIRED.
}'ERMTTS REOllESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida power Corp.
_H.R.E.C.
_MECHANICAL
_PLmmIN'G
$
Va~uation of Mechanical Installation
GAS
/Block
ROOFING
SPECIALTY
'[YPE OF CONSTRUCTION:
_Frame------s te el
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
Company
State Cert. 0 ,egist,
City License R_~ . on
** ** *, ,,********** * * ** 1, ,': 1<1:'~ 1, 1. 1,~, ,', >" -:: -:,~: >" ,,~'" *
Signature
. , Company ~//tt:'e/"v'/ """~ /#~
z::.... ~ '. State Cert. or Regist. " .::./"2:! '" ,:; .-,:;;,r
~ City License Registration !;
, * ~***************************************
Company
State Cert. or Regis ~ 0
City License Registration 0
******************************************
Av C~ ELt"::u1'UC.
JJJC
PUTMRF.R
Signature
. Company ~//4!?e/#/ .A'~,# /,A./~'
~~ _' State Cert. or R"oist. i~ ~,N~ e><'$1/..;'/
. . C~ty L~cense Reglstrat~on 'r
...* '* * J~ J.* _ * _ oAo .... ..... ..... .;.. ~ * ...;:.. .;.. ;.:,. ~'!,. J. ~_ ./.. ~'. ..', J, -', .I~ .'. J. ot, ..I.. ..l- ..1.. ,J~ .'. J. J. .'. ,).
^ '1. '1. " ^ ... ^ ", '" ^" .....,.......,.... roo ^ ^. 11 " .. .. .. .. " .. .. .. .. .. .. .' ..
MECHAN1CAL
Signature
APPLICATION APPROVED BY "~~~:'~*(*:'f'~~~~~*'*'*'
Company
State Cert. or"Regist. 0
City License Registration iF
QTHER .
PERi'lIT OFFICER,
bONDITIONS, OF PERMIT AFFIDAVIT
A.': NOTICE OF DEED RESTRICTIONS ;'. " '
Thl undlrsi9n~d understands that this plrllt IIY bl lubjlCt t~ "deed restricti~ns" which ~ay b~ lor~ restrictiv~ than City
regulations. The undersigned assules responslblli~r fo~ compliance Ilith any applicable oeed restrictlon~,
, _:_ ':0\' ~.. ~""
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B. UNL I CENSED CONTRACTORS AND"CONTRACTOR RES PONS I B I LIT I ES
If the owner has hired a contractor or contractorl to undertake wor~, they may b& r~quired to be licensed in accordance with
s~atr and loc~1 rrgulatlons. If the contra~tor il not Ilc'ns~d al r~quirod by law, both the Duner and contractor ftay be
ctted for a Ilsde.eanor violation under state 11M,', If the owner ~r intended c~ntractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent (913)
788-6611.' ',',' '
Furthermore, if the owner has hired iI contractor or contractors, he is advisl!d to have the ce,ntrac\orlsl sign portions of the
'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the c~ntractor,
you are indicating that you, rather than the contractor, are responsible for t~e work. If the contract~r wishes you to sign
as contract~r that lay be an indication that he is not properly licensed and is not entitled to 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 pro'videdHith a cop'y of "Flclrida's Cc.nstruc\ion Lien Law - HC'leowner's Pre.tection
Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is SOBeone Dther than the
'ollner", I certify that I have obtained a copy of "the above described document and pro~i~e in good faith to deliver it to the
'ollner" prior to COi!enCement,
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work Hi]l be done in co~pliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby .ade tc, obtain a p'erllit' t'o"do Mork and installatic.n as indicated, I certify that no Ilclrk or
installation has cO&lenced prior to issuance of a perlit and that all work wil] be performed to roeet 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 o~ other governll~ntal agencies may apply to the inlended work, and that it is
IY responsibility to identify Ilhat actions I luSt 'ta~e to be in compliance. Such agencies include bllt ~le liCIt Ii.,ited to:
I Department of Envilon~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitiv~ L3nds,
Water/Wastewater Treatment
I Southwest Florida Water ManaQeaent District - WellS, Cypress ~ayh~arl5, H2tl~nd ~r~2s, ~ll~ring ~atercour5es
I Army CorDs of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health L Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~en~. Septic Tanks
I US Environoental Protection AQency - Asbestos abatement.
I also certify that, if filllatt'rial is to'be used in Flc.od ZClne "A" or "",etc,", it is understc,e.d t!.3t a drainage plan
addressing a "colpensating volume" will be sub.itted which is prepared by a pr~fessional engineer reqi5t~ied in the State Df
Florida prieor to permit issu,ance.
A permit issued shall be construed to be a license to proceed with the work and not as aulhority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official froft thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every permit iS5U~d ihall becole invalid
unless the work authori2ed by such permit is co.menced within six months of issuance, or if uork authorIzed by the perlit is
suspended or abandoned for a period of six lonths after the tile the Mor~ is co~menced, One 90 day e:te~5iDII of tile, lay be
allowed for the per0it with fee charge of $15.00. The extension shall be requested in writing to the Bui]ding Official. An
approved inspectic.n oust be lc.gged'during each six IIOnth period, eor the pre.ject Ifi]l be cc,nsidered ilbalidoi.ed,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUI~ 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____~ER . __________ SIGNATURE_~o~~:----------
DATE__-1jrA;--------------------------- DATEm]jf1k---- - ------ - ---- ------
NOTARY AS 110, .. ,,_ ':-x: ,---" ~~'. \.n NOTAR~~., ~\ '\:\.,... . "---,,-,
OWNER OR ~~~..._\.:;:-~~~ CONTRAt>-~~___~--:..~~~\l.,
MY COMM I 5S I ON EXP I RES____:!_l::::'!.:::!.::1-~~~Y.!i~~~4 MY COM~1 155 ION EXP I ftfnfEt.rY.l~ullIIc..stat"4~':/~--
,. l,[,," ',', ' 1",1 MyComm~uion Expires Feb;}"i-993'
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Best-~t.~~ec~~~ S6~ pany
DADE an. FLORIDA 33525
~~I, 1'791
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LARRY BROOKS. P. E.
...... C."N..
81]-10.1 --1;
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"'.......... CO,,"".
813-.Jf, '.
CIVIL ENG'NI:ERINC'
P. O. BOX 691. ELFERS. FL 34680
.'
OU\NNEL LETl'ER AND/OR WAIL SIGN (PER saJl'HERN S'ID. BUIIDIN:; CXDE, 88 J . I) .
110 MPH WIND W1\DING
WINDLON>. 25 psfx SHAPEFACroR -1:5 - -37.5psf .....0-15.
28 psf x SI~E FACTOR -1,5 - -42 psE ..,..15 - 20'
34 psf x SHAPE FACTOR -1.5 · -51 psf .....20 - 40'
AREA OF STEEL REQUlRED/SQ, FT. SIGN
. -51 psf .00192 1M2
1.)) x 20,000 psi
FOR 3/8" BOLT/SCREW (STEEL) As · 0.11 IN
FOR 1/4" BOLT/SCREW (STEEL) As - 0.049 IN
FOR 3/16" BOLT/SCREW (STEEL) As - 0.0276 IN
nlUS SQUARE FOOT OF SIGN PER BOLT/SCREW
FOR J/8": SQ.Fl'. SIGN - As PROVIDED - 57.5 + SAFETY FAcrOR 2
As REQUIRED/SQ. Ff.
· 28.8 SQ. FT. IER BOLT/SCREW
FOR 1/4"': SQ. Fl'. SIGN - As PROVIDED - 25.6 + SAFETY FACTOR 2
~s .REQUlREO/SQ.FT.
- 12.8 SQ. FT. PER BOLT/SCREW
FOR 3/16": SQ. FT. SIGN - As PROVIDED - 14.4 SF2 - 7.2 SQ. FT. SICN/nOL'l'
As REQUlRED/SQ.FT. OR SCREW
FOR HOLLOW CONC. BLOCK USE TOGGLE BOLTS
FOR MASONRY/CEMENT USE ANCHORS OR SIIlELDS HIN, )" INTO
FOR WOOD USE LAG SCREWS IN PREDRILLED HOLE HIN. ).. INTO
+-1..1./,'-+
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