HomeMy WebLinkAbout91-1677
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
PermitN~
167u5
Type of Permit
~~~
Date 7.27- <7/
E~~[
P!..LJMB'11'JG' '
M€el1ANiCAi
Property Owners NameG) d_ "J '""'7J? 0J/~
$ ~S.::2~ - ,:;2 y~ r.J/J-f,_
Job Address:
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
C;?-<- - 6j -r
Energy Code Readout:
~ /I-F}- '1/
Complete Plans, Specifications and Fee Must Accompany Application
t ~
Estimated Cost: ;; IJ 0 O. -
Fee:
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
.
COMPANY
ADDRESS
TELEPHONE #
OCCUPATIONAL LICENSE #
PLUM!llNG .
---
SLB
Tub Set
Water
Sewer
Final
ELECT~
.--
M E9;iAHiCAL
--
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 of L.. (II o,eo)
dollars shall be made for each ~.T r d.-d. e.. (/3'-; tTD )
(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,
I
i
I
I
I
J f
J
I
I
I
I
r
r
J
I
I
J
J
I
I
J
I
r
I
r
)
I
I
I
I
I
I
!
i
,
!I
i , ,
!
, i , I
'i
~ !
'I
!i \".1 : .~.;'
j:
i;
;,
:1
:;
"
I
!!
Ii
I:" f
d
ft',,:,," {:"b W,"/ L
, I \ I I.,
~) .J
[,A:..\U'L
..---')'.
/~~-~-'~ -
>~
;':::C_",,",:';:':::;,.;';;:'
~:;:;;; c"':' ~".J\ ~'::~\ ft~::" E~ IF:.:
c:-: C)hl ~3 "'1" r:. 'i b I;'} Ii. I: :t ,i',,"
7 (~) /. "":<). -7 I I / '/" _ /, ...----''
r::t! '11: I" I '::':. : !5 t~. ~ J ~.~ I - c...... )
, iJ~ / i ;1,: ,,"
.JC)F r.j;"'"il-.'!L.' I~ \,.-, or-a
-3 C::;.~)-3 ',i ")" \A ~ . ,/1 uC '
0"_ 1/; '-; /' f' 1 ~-
Z ,.. I' h - - I f,.J, I..J
i
: :::" <, r j"'Fl\iT;r ('.i!. 1..~i.I!"I'li
;, :'::',",;.', "i:> .',::~,.i bu.; J d J I',,::.', '.':.'''>1.' .':
,':', I,,;,!. c" t :;~' ) ': <[if!: 1'; 0 of 1.', ",:.1 Ci I '\ !.', ,"" (", c."
'( \--i .....11 ('.:! h \..,1 ,-;.~ Y' \',} ~J >; '1 "), i.1 "'.:.' ':-. J '!
F'h,:::t/-1F' *i:
)3on c..i "'~C!
. "'".~ -, " '''',' .
(. '..;:, \,....., ) ....1(:, "
::'~ n cJ J 1'"1 '::;:. i. ! ! ", ,;.:-.,' '. "I
'I' C,Ii/;;'I! 'TE;:'O
Tel:
It1;';e~"/""-'"
!
I
. ~ .h.
i
~j::,,::':'I(. '( ;'~.':';~ t J Clef:::: .~:\I"llj ..'.,:!:;.: i' .!. j'l:
It :j,
,',:,', :, ,:; i'!f::'~' SIJ16 /e-,~, /
11' t /) rf'} ./';F'''''~;';_ /./~";,, c '
, -' f." to." ~\; L. () ".7.. 1. ( C/.' -' '-~'I(
.' . #' I,. __ ,_' .
. i! I)~;~ /!, I~~/\ 1);1 :,,1 " ,;
I '" '''-~, --- I. i "':1;." ,:
:f)A
I!..
1Uf1
"l
-2
'" ::>
-'
:' Te,!
F' j.','i()"
: Y" '!i:'j
, ,
I'"
hi I TI1 t"JP\~l~-f:!" i~~""7'
IV T 6-/,'
!:)(JI,J..(\i"" ,:',: (.11, i,;
;..;
: i. '.. 'j'
L'!'
.'!-' i: 1'..1 c::. "Fr.~ [I [) F' T' J. !~: T j..! '.:'
i':':~ ,i ~ j:;~:. 1.11..1 i.. . ~_~:_ J'
I: i":'T '-,'
,... ;" I .~- . \'
ClPT ,:, T i!'"' [.
1. 'j..1
" rC.iF
(i ,,, I,! "~I i" ii"~ 1!"
': f,r,:,i.
, ., ill' C (J 1'1 t'l [il C!: I'i!: ,\1 .
'I,j"i. !::(:[ "'I.()!.'
(\
.. i ) IXu
V
':::; .t ;~;.Il'i :'J t,: U.!
\::.' J c. It. I .~ '\ :., 1_, I. I I.~'.>
...~."..,". ......,....".... _... .".
...__'........"..._n....._............ ........
- -- - _.- -- - -- - - -"- - -~- - - -- - - ".._~-
~. : c:) ..,
"/" "...,-
C,.. ..' 'H"~
~.~~-.~... j I
,D ~, ' / / ~.---
; f ..
I
1/000
cJ6
"'--
,"jl
.. /1'11'[ I T i CI~"
-.....
,
.~L.._._
:,
! ,}
j;l
~~/'''---..i
\
\,
\
(
/-~)
, I
I ..
\/
.-_--'l-.P
\
-',-
.~
:1
:i
q!
:1
:1
il
i!
,
"
,
o I
.r/i~i/\ki'.-"" ,'; {~CL!+ i
I I I I -t-
-c--1-r1 -"'"".--
--"--~~ "'1\ -" ~ '
i f\ .' '- \
, / I" \
\\ ." ",/../ '\
!; ;:':':11'
-.L
-._-
j'i_-:..... -L,'
r.. '"-.....;..
ii
;
,I
,;
it
'!
,I
!:
i'
Ii
I:
!'
!,
i
'}
I}
"
"
,i
----.- -.- --..' '--.-- --.-_ __w __.._ '__"""_ __..... ....~~..... '-"-"_'~_'_ .
--.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANTU<--tl" ~l~
::::S~~ck<i'\~JI1b ~~~C~-
JOB LOCATION.Ji)P -3 9J S- '3 vJ 211\ ~ .4.v~
PHONE
S{;, '";) [) r-8o
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.#
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
_Sign/Temp.
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
_M/F
_tt of Uni ts
__M/H
_Commercial
_Indust.
_Swim. Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
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 REOUESTED
_BUILDING
$
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.
******************************************
+ CONTRACTOR SECTION S' ~' ~- rl-lCo.
Company G ~to '
State Cert. or Regist, 4 ,. SI 7 10 ~
Signature City License Registration # '1 7___
******************************************
ET.F.CTRICIAN Company
State Cert. or Regist, #
Signature City License Registration #
******************************************
PLUMBER Company
State Cert. or Regist, #
Signature City License Registration #
******************************************
MECHANICAL Company
State Cert, or Regist, #
Signature City License Registration #
******************************************
OTHER Company
State Cert. or Regist. #
Signature City License Registration # _
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions. which lay be lore restr,ictive than City
regulations. The undersigned assules responsibilitt"for cOlpliance 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 il not licensed as required by law, both the owner and contractor IIY be
cited for a aisdeleanor 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, (913)
788-6611.
Furtherlore, if the owner has hired a contractor or 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 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 lay be an indication that he is not properly licensed and is not entitled to 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 Const~uction lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOlec.ne other than the
.owner" , I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
.owner" prior to cOllencelent.
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 cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet 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 governlental agencies lay apply'to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include bllt ~l e 110t lilited to:
....
I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.', it is understood th~t a drainage plan
addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registi?..ed in the State of
Florida prior to permit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued ~hall becole invalid
unless the work authorized by such permit is cOllenced within six lonths of issuance, or if work authorIzed by the perlit is
suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e~ttnsioll 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 inspection lust be logged during each six lonth period, or the project will be considered dbdlldonl!d.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO Y
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LE
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
DO NOT NEED TO RECORD AND POST A "NOTICE OF COM
SIGNATUR~ _~~---- ---
::~R AGENT
NOTARY AS TO ~ j "j /1'/
OWNER OR AGEr9d'fJjiL:fI.~ _ .:: '.alL~tf(4~-
MY COMMISSION EXP,Hi'~s/" , ',' -.'.. ,.' f':';ic;tl
r,,; G:,."';",':",:-:C7""';"::-~''!:'~,'''r~1;4c;.%-----
~or;::~J .;':,';.; 1r'Yi fo(n ~ ln~ur(1I1P~ In~..
NCEMENT MAY
TY. I F YOU
ATTORNEY
E $2,500 IN VALUE
NT' .
---------------
AC R
DATE___OJ 1 j~.c:2-qf-~/Lfi- -----
NOTAR~~ " b
CDNTRACT~1{d4;---~- jg/Llff-A
" "
MY COMMISSION EXPIREt:L:.:::...:.:_r~:..::..:~~,,".....:';::'_;,,-''o:t-
r- -~
L