HomeMy WebLinkAbout91-1712
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
17128
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(~ BUI:DIN~':/
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p~,.
Legal Description:
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Property Owners Name:
Job Address: C, eJ. 0 /
Date
cr. /';1- ?/
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MECHAmBAL
Lot
Blk.
Zoning CI: .;J .
Description of Work /()
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Energy Code Readout:
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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 #
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BUILDING ,'.........)
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PLUMBItm-.
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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.
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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
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APPLICANT
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PHONE 7? J> ,-.3 I g g
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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___~-(-~-~~~~----------
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MY COMMISSION EXPIRES__~~~~~-~~---