HomeMy WebLinkAbout91-1699
STATE OF FLORIDA
City of Zephyrhills
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Type of Permit
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BUILDING
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit :N~
1699 A)
Date
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Property Owners Name: (~l. AA-, /) . //\.:./'}r..iL,' (
Job Address: (~ ..57 '5-/ rJ') y'L.c. h. ~ /21::1:7: )_1, l: /1-
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI: :::' ,-) b - ,') / - /:J - [) pO ;;<S
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Description of Work -<i;t;'~L~t<. .-1"( a ~J..."AA --C-: t -V'l
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Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
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Fee:,;) 0 . t,"}(.J
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SIGNATURE/ .' -~~/ r v L
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All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
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OCCUPATIONAL LICENSE #./" I.P /f~ '..(j,/~.:i(
COMPANY
ADDRESS
TELEPHONE #
('~ /'r"" ~/c;)Vi~
" BUILDING ' '~~_
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Ftr:--~ -:].--'11 8 iJ SLB
Pre SLB . Tub Set
Lintel ~ Water
FRM. 1-~"1'''''' , 'ut) Sewer
Insul.CL Final
WL
~I~AL
Tp.Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
ME~ICAL
'\
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of twR II J ;.IS)
dollars shall be made for each... /Y'd.-de. ~..:J-: d1) J
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection caned for
(d) Work not ready for inspection when caned.
The payment of reinspection fees shan be made before any further permits will be issued to the person owning same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
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ADDRESS ~/)j'-(7:)
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OWNER .-::JOF.\i t
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JOB LOCATION (~.~ 'i ()
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LEGAL DESCRIPTION: LOT (S) (/c;J-
A)..:',
BLOCK
LOT SIZE 70 X )..h, AREA SQ.FT. ~7():.~
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SUBDIVISION \). ()(/ ()r):S
PARCEL 1. D. ~~
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WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install
____Sign/Temp,
PROPOSED USE: ~Single Family
____Sign
_Move
____Demolish
____M/F
____~~ of Units
.____11 / H
____Commercial
_Indust.
____Swim. Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE: .::- X I ? ,
. \
Square Feet, (L
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 FORNS,**
**COPY OF CONTRACT REQUIRED.
PF.RMITS REQUESTED
V//BUILDING
$
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Valuation of Total Construction
____ELECTRICAL
AMP
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.....n..;~.l.. v ..L '- "-
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.
******************************************
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CONTRACTOR SEC~. ~
BUILDER Company!: (""il"C I (
Signature 9~,; /)y,~-(I ~~~~eL~~:~~eo~e~~~~~~~.i~n
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i! ...2~" <,Y
Si!mature
Company
State Cert. or Regist. 8
City License Registration #
******************************************
ET.ECTRTCT AN
Company
State Cert. or Regist. ~
City License Registration #
******************************************
PLUMBER
Signature
Gompany
State Cert. or Regist. #
,City License Registration 4~
********************************~*********
MECHANICAL
Signature
OTHER
Company
State Cert. or Regist. #
City License Registration #
Signatu~e
APPLICATION APPRQVED BY
***~t***********~~***********~***********
--;1;; " ~)L/ .. A ...
'(f/ll./' A I ',/ -<'/ iA;T) -)-
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PEllinT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A; NOTII;E OF DEED RESTRICTIONS.
Thr undrrsign~d undrrstands that this prrait lay be subject to "dred restricti~ns' which'may be lore r~strictive than City
rrgulations. The undersigned assules responsibility.for co.pliance with any applicable deed restriction~.
,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OHner has hired a contractor or contractors to undertake work, they may b~ required to be licensed in accordance with
statr and local regulations. If the contractor is not licensed as required by law, b~th the owner and contractor ~ay be
cited for a misdemeanor violation under state law. If the owner or intend~d contractor are uncertain as to what lic~n5ing
requirelents lay apply f~r the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the c~ntractor(s) sign portions of the
"Contractor Sections" of this application for which they will be resp~nsible. If you, as the owner sign as th~ c~ntractor,
you are indicating that you, rather than the contractor, are responsible for the work, If the c~ntract~r wishes you to sign
as contractor that lay be an indication that he is not pr~perly licensed and is not entitled to per&itting privileges in the
City ~f 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 "Fl~rida's C~nstruction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sOleone other than the
"owner", I certify that I have e.btained a copy of the above described de,culIJent and prc.mi:e in good fai th t,o deliver it to the
"owner" prior to cOlmencement.
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 per.it to do work and installation as indicated, I certify that no work or
installation has commenced prior to issuance of a perJit 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 governmental agencies IDay apply to the intended work, and that it is
IY responsibili ty to identify what actions I lIlust take to be in compliance. Such agencies include bllt. ~l e Iic.t I iili ted to:
I Departm~nt of Envi,on~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatlllent
I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercourses
I ArlllY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treat~ent, Septic Tanks
I US Environmental Protection AQency - Asbestos abate~ent
I also certify that, if fill material is to be used in Flood 20ne "A' or "A,etc.', it is understood tll~t a drainage plan
addressing a "cDlpensating volu~e" will be subJitted which is prepared by a professional engineer regi5t~ied in the State of
Florida prior to permit issuance.
A perlllit 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 prDvisions of the technical codes, nor shall issuance of a permit prevent the Building Official fre.. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every permit issued .hall becole invalid
unless the work authorized by such permit is cOIDenced within six months Df issuance, or if Hork authol12ed by the per.it is
suspended or abandoned for a period of six lonths after the time the Hork is commenced. One 90 day e:te~5ioll of tile, aay 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 ~ust be logged during each six month period, or the project Hill be considered ~balidoned.
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 $2J500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
5IGNATURE~~~----
. CO~~TDR
DATE____1f~~~-~J-_-_-----------------
SIGNATURE_~ ~d_!L_J2_- ~~::::=-------
V-"-OWNER OR ~7--
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DA TE___~__-_-___I/-___._-_._!..~----------
NOTARY AS TO "l/.r)9 g~
OWNER OR AGENT _L!-3-0:!:;flc:::J_:I;:L~__~----
---r;r Notary PublIc, Stat. of fhwida
MY COMMISSION EXPIRES~~~.~~!~~~~!~l~!!
loru:.iCKI Thru Troy Faln - 'nsuronce 'nc:.
NOTARY AS T~ ;? ~~ ~
CONTRACTOR_______~-~~~~~f~;~a
MY COMMISSION EXPIRES~.~~-~~~~9~~~1'"
landed Thru Trey Fain. Insuron:elnc.
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DESCRIPTION: As provided
A varcel of land being the South 70 feet of Lot 95 as shown on the plat of Silver Oaks Phase
one, as recorded in Plat Book 26, pages 46 through 49 inclusive, of the Public Records of
Pasco County, Florida. Subject to a utility easement over and across the F4sterly 5 feet
of the above described parcel of land.
FLOOD CERTIFICATION:
According to FIRM MAPS for Pasco County, Florida, effective date March 15, 1984, COMMUNITY
PANEL NUMBER 120230 0300 C, the property shown hereon appe~ to M~ '
fall within zone "C". /"'CA7 v.lt~~
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I-IUNnNGTON
GINTZ SURVEYING
LAND SURVEYING 8 PLANNING
RESIDENTIAL 8 COMMERCIAL
/50 STEEL OUST LANE
LUTZ, FL. 33549
PH. # (8/3) 948-2666 or 948-2999
SURVEYOR S CERTIFICATE
This certifies that a survey of the above described
property was 1NId. under III)' supervision and that the
sk..~c:h hereon is a true and ac:c:urat. reprC!Sen~atlon
~hereof, and conforms to Chapter 21-11 II -&, F.^.C.
and so'aion~72.0 -F rida s~ ut~.
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FREDERICK H. GINTZ FL. P.L.S. #400
THIS SURVEY NOT VALID UNLESS
Dtr/VE
CERTIFIED TO: ""H::~ \ r..1Z S"-"fNQS P,A.
PASC 0 Tin€=--
MCCOA../A.../ELL Co,.(jSrrrUCTION
DATE: JAN /~ /:)::;0 DRAWN:DF JOB#OJ:>O-X
SEC. TWP., RGE. CHECK: Ft, P. c. Be DWG.'
TYPE OF SURVEY L:"ClUNDAt=ry
REVISIONS
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IMPRINTED WITH AN EMBOSSED SURVEYOR'S SEAL