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HomeMy WebLinkAbout91-1712 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 17128 /IY.P-e~it (~ BUI:DIN~':/ EL~. p~,. Legal Description: '7 .7 ' " ;! / j/ I.- \-<1, . ':J ~{.')_h---L-lC1'<;;L... ! /.~/ ,L~rl~.i2 r _,M. 1d?" t~ Sub Dlva/ ,7 / ('" . " 1_ J <~'~. ,';"'1'I---L ' c/ ""- Property Owners Name: Job Address: C, eJ. 0 / Date cr. /';1- ?/ "'-- MECHAmBAL Lot Blk. Zoning CI: .;J . Description of Work /() , , /' "7'./~-1 ,;) / - _<) -, 0 /, (' (/'--J Energy Code Readout: ~ d:~ '1...'r //+ -~(O Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ! k: ~S-O' ('V All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE #}SY /2~ ("JL ' Fee: /.,) I; I C~~/) SIGNA'TURE ?)7t~(,hp (1..) ,x~(&.~'i.,'H-a COMPANY ADDRESS TELEPHONE # \-. li' Jf ) ,. if," , i.(.' ') /,'~ t~,~j ,'-.- '=:---"--.. BUILDING ,'.........) <:. PLUMBItm-. Ft r~-'---- '-,----'--- Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway "- ELEC'mtfAL '. M~NICAL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of t_n II 1 ~) dollars shall be made for each SiIitl.ir--a.cLQ.. (/6- ell) ) (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. CXTY OF ZEPHYRHXLLS BUXLDXNG DEPARTMENT OWNER fJ1 RS, ~.'; 1-{.4( oS JOB LOCATION 6_ () _ . A,; IV N ; T ST. ("),41( S :de ~o..~ PARCEL I. D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. , t/-' fj:'/~' / ,-fl/" I ' i ~ ' .~ '" . "'-11 cS ~ ~".' -~~'1' ''i:: : '--',( - ~~ " \ K ,~-~ .\. .... "', ,. -----.~. - '\ (,t;'....(\,~ I " ',~ ~ ' ------=::;;~ " ,+ ~ ~ J .. ~, L-..----~-. ~ ~ 8 ' I/~r tJ~~~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' p E- R X 0 I \ 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10 · EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE APPLICATION FOR PERttIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS ), \(1) (l)C-T ~ OWNER m (?S" :z J /f J< F1 /..OS I ~!+rnG- APPLICANT ~ <~O I PHONE 7? J> ,-.3 I g g '. JOB LOCATION LOT SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# WORK PROPOSED:____New Construction f(-Addition ____Alteration ____Repair *Install ____Sign/Temp. _Sign _Nove _Demolish PROPOSED USE: ____Single Family _M/F _~~ of Units ' ,____M / H ____Commercial _Indust. ____Swim. Pool Other d C) 0 - (J.-/ - ~~. - 0 _Restaurant & Health Department Approval BUILDING SIZE: J.~ X / () , I I 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 F01U'lS. ** **COpy OF CONTRACT REQUIRED. PERMITS REOUESTED -X-BUILDING _ELECTRICAL $ /8.50 . Valuation of Total Construction 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. ****************************************** CONTR~~~~~n~E~ LV ;f~~ C~~ I State Cert, or Regist. U Ci ty License Regis tra t ion ~~ c:l~"" Lj ****************************************** BUTLDER Signature #~h.e W~A-<J Sionature Company State Cert. or Regist. ff City License Registration D ****************************************** ELECTRICIAN Signature Company State Cert. or Regist. ~ City License Registration ff ****************************************** PLUMBER Signature Company State Cert. or Regist. ff City License Registration # ****************************************** MECHANICAl. OTHER Signature Company State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY ****************************************** :11 dl'.A}1 .yi/-"/Ldl~T , PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay bi 5ub1ect to 'deed restricti~ns' which may be more restr1ctive than City regulations. The undersigned assules responslbllity:for..colpllance 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 is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state laM. If the owner Dr intended contract~r are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhllls Building Departlent, (813) 788-6611. Furtherlore, 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 Mill 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 c~ntractor Mishes y~u 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 Constructi~n Lien Law - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant Is s~le{one other than the 'owner', I certify that I have obtained a. CDPy Df the above described dc,cullent and prcorr,ise in g[,od 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 will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developeent. Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has cOI.enced prior to issuance of a perlit and that all work will be perf~rmed to meet standards of all laMS regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governsental agencies fiay apply'to the intended ~ork, and that it is IY responsibili ty to identify what actions I lust take to be in compliance. Such agencies include bill ~l e nc,l 1 illi ted lo: .... 1 also certify that, if fill laterial is to be used in Hood Ztlne 'A' or 'A,etc.', it is understc.c,d th~t a drainage plan addressing a 'colpensating volule' Hill be sublitted which is prepared by a professional engineer regisl~il?d in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license tD proceed with the work and not as authority t~ violjte, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici.l fro. thereafter requiring a correction tlf errors in plans; ctlnstruction, or vi~lations of any c~de. Every permit issu~d ~hall beeole invalid unless the work authorized by such permit is cOI.enced within six lonths of issuance, or if work authDI lied by the perlit is suspended or abandoned for a peri~d of six lonths after the ti~e the work is co~menced. One 90 day l?~tr~siOIi of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection aust be logged during each six tonth peri~d, or the project Hill be considered aba\Jdoned. 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". SlGNATURE_~r;:JuJ;,d---- DATE____~--~r-:1:i:[------------ ~~~~:YO~SA~~N ~7 ~~~_-~-~- MY COMM I SS I /EXP I RES ______-i'.::!.f:..:.?~----- SIGNATURE~~_~~~---- CONTRACTOR DATE___~-(-~-~~~~---------- ~g~~:~c~~-L~-- MY COMMISSION EXPIRES__~~~~~-~~---