HomeMy WebLinkAbout91-1708
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit :N~
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1708-f,'
Type of Permit
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Property Owners Name:
Job Address:
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Legal Description:
Sub.Div.
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Zoning CI:.J
Description of Work
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Date
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ME~4CAL
Lot
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Energy Code Readout:
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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 #
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Fee: c..: L." - (/ (j 2
SIGNATURE/Jr'; {,L~i-t~1 ( (~~
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COMPANY
ADDRESS
TELEPHONE #
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( BUILDING !-~
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Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
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SLB
Tub Set
Water
Sewer
Final
Driveway
ELEC~
Tp.Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
M~CAL
-
Breakers
Ducts Insl.
Compressor
Final
Relnspect/ons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of h.~ .1.0.QCi)
dollars shall be made for each.... T-r 4.- d e ( / <.5"-; 02) )
(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.
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Florida
Power
CORPORATION
NAME
ADDRESS
CITY
mAt. JOIV fUDdJ r
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~ The pool proposed for construction at the above address DOES NOT
conflict with any underground or overhead facilities of Florida
power corporation, provided that the pool is installed in the
location shown on the attached site plan provided to us by the
pool contractor.
The pool proposed for construction at the above address DOES
conflict with: OVERHEAD UNDERGROUND
facilities of Florida Power Corporation.
Arrangements have been made with us for relocation of the
facilities 80 as to clear the pool area shown on the attached
site plan.
FL~L ~~;;;;:~ION ~~?"
Cost for relocation of electric facilities will be paid by:
OWNER
POOL CONTRACTOR
PRIOR to relocation of facilities and construction of pool.
38231 HIGHWAY 54 . ZEPHYRHILLS, FLORIDA 34248
A Florida PrOf/"ss Company
OWNER
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JOB LOCATION
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(j 'Z.. - ~ - 2-1 - () / <;), (J -r1' CJtJ.~O-I'{ / , /J'
PARCEL I.D. tt
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2)
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FRONT PROPERTY LINE
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
P E_
R X
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I 10' P S 10'
0 T
S I
E N
D G
20'
FRONT PROPERTY LINE
1 0'
2. SETBACKS FOR R3 ZONING
60'
la'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 A.
FRONT PROPERTY LINE
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
M If ~/(JV1 'P-b1TfJ .J- J~ L ~A:( () r--e.-
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JOB LOCATION
W(J "7-1
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PHONE
7g-5 -. ?6qtt
ADDRESS
OWNER
LOT SIZE l r-,'{ 12.::>-;REA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.l~ 02-'1-rc-U-6/!":O _t)()(),tlO -d{I,L)
WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install
____Sign/Temp.
_Sign
_Hove
____Demolish
_Indust.
~Units
wim. Pool
.____M / H
PROPOSED USE: _Single Family
_M/F
____commercial
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 FORHS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
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____BUILDING $
_ELECTRICAL AMP
____MECHANICAL $
_PLUMBIN'G GAS
c~ Valuation ~otal Construction
Service ~ Florida Power Corp.
_H.R.E.C.
Valuation of Mechanical Installation
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT,
******************************************
Signature
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration ~
******************************************
BUILDER
Si!!nature
Company
State Cert. or Regist. fl
City License Registration ,1
******************************************
El.ECTRICTAN
Signature
Company
State Cert. or Regist. 0
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. Q
City Lic~nse Registration #
*************************************~****
MECHANICAL
Signature
Company
State Cert, or Regist. 0
City License Registration #
OTHER
APPLICATION APPROVED BY
~~***********~**************************
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PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A; NOTICE OF DEED RESTRICTIONS.
The undersigned understands that this perlit lay be subject to "deed restricti~ns" which ~ay be Dore res~rictive than City
regulations. The undersigned assules responsibility.fof co.pliance with any applicable deed restrictions,
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 regulations. If the contractor is not lfcensed as required by law, b~th the o>>ner and contractor ftay be
cited for a lisdeleanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent (8131
788-6611. r
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 Hill be responsible. If yc,u, as the ~wner sign as the c~ntractor,
you are indicating that you, rather than the contractor, are responsible for the work, If the cc,ntractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled tc, permitting 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 - H~.eowner's Protection
Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is s~le~ne other than the
'oHner', I certify that I have obtained a copy of the above described document and prc'mise 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 w~rk Hill be done in co!pliance with all
applicable laHs regulating construction, zoning, and land development.
Application is hereby aade to obtain a perait to do Hork and installation as indicated. I certify that no Hork or
installation has commenced prior to issuance of a perlit and that all work will be perf~rmed t~ meet standards of all laHS
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other governmental agencies may apply to the intended ~ork, and that it is
my responsibility to identify IIhat actic.ns I lust take to be in compliance. Such agencies include bllt. ~l e Jiol lillited to:
I Department of Environ~ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensjtiv~ Lands,
Water/Wastewater Treataent
I Southwest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses
I Arty Corps of EnQineers - SeaHalls, Docks, Navigable Waterways
I Depart_ent of Health L Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treat~ent. Septic Tanks
I US Environ~ental Protection AQency - Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc,', it is understDod t~al a drainage plan
addressing a 'colpensating volu~e" will be sublitted Hhich is prepared by a pr~fessional engineer regisl~red in the State of
Florida prior to per~it issuance.
A perlit issued shall be construed to be a license to proceed with the 1I0rk and not as authority to vi~l~te, cancel alter, or
set aside any provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Official fr~1 thereafter
requiring a correction of errors in plans, construction, or violations of any code, Every permit issued ~hall beCDle invalid
unless the work authorized by such perait is cOllenced within six lonths of issuance, Dr if work authorIzed by the perlit is
suspended or aband~ned f~r a period of six lonths after the time the uork is co~menced, One 90 day e:tE~5ioll of tile, lay be
allowed for the permit Hith fee charge of $15.00. The extension shall be requested in ~riting tD the Building Official, An
approved inspectic,n /'.iust be le.ggedduring each six lIIOnth period, e,r the prDject wi] I be cc.nsidered dbalidoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YBUR ~~I~~~~CEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT f\!~~ ~~/I":':.'- T:CE OF COMMENCEMENT".
SIGr.~()f-~4~l--k 5 I GNATURE ------OO"1'ROO1'OR--------------
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OWNER OR AGENT ~ __~~ CONTRACTOR_____________________________
----- Rl . , 1':1':15
. sibn eXPires Jan. 28,
MY COMMISSION EXPIR~~~~~~~~~~:O~~~~~~_~~~~ MY COMMISSION EXPIRES__________________