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HomeMy WebLinkAbout91-1721 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1721$ (~) ~~1~9 ELECTRrc1tt- ~_ Properly owners,No~m~:~t)J: ~ Job Address: <:\ '7 ...)~~ _) -2-4?~__~--<? ~ Legal Description: Sub.Div. rY c" 0 Date (J -- / // - r I MEC~L Lot Zoning CI: Description of Work - y Application ~Cl~(7'~ Estimated Cost: j {; rf":.5- --; c"TL:> Fee: ;2 ,.5-, CT(j SIGNATURE Ift-~ if COMPANY f . .?i:: .{2,& ;i d-~ - ~,-/ All work shal! be performed in accordance with the above and all City Codes and Ordinances, ADDRESS TELEPHONE II OCCUPATIONAL LICENSE #~ b (it,), t.1'~ ~~_{li (~1 , "..-- -,_..~ ;~ BUILDING' ~--- Ftr. Pre SLB lintel FRM. Insul.CL WL ELEC~ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final M~AL P LUMBl-bI.!L SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of I .1 J I In dollars shall be made for each ___ 7Y- a- de 06- CJ 0 1 (a) Wrong Address l./' ) (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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~lLf!- _, /l L-tt J1 / / nJ Li 1'/ J. ~ S.Qfl ADDRESS tic> b ~ tJ tf (/ /V. fa \"' tJ ~ h. I"\:) Y' , 'Z A/(I s , U) ~/)1.P 6~JY1 i , . JOB LOCATION6c; 2 36 ~~ (2v L d IT /IJ '7 '9 <. '-I 59'/ PHONE ~, o LOT ~~ SIZE~X I / D AREA e/~J SUBDIVISION I ~ I SQ.FT. / :2 '-I~ OWNER LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL I.D.4~ 1::z.~2.?- ~I bOllo OOGOO WORK PROPOSED: ~ New Construction ____Addition C) () t;; () ____~lteration _Repair _Install _Sign/Temp. ____Sign _Move _Demolish PROPOSED USE: ____Single Family ~/F _t~ of Units ,._M/H ____Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department APproval BUILDING SIZE: 22 X I '1r , ~d Square Feet, 2, 't t, -IF 8" Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR}lS.;:* **COPY OF CONTRACT REQUIRED. ~ERMITS REOUESTED _BUILDING $ / , <g $"IJ 0 1) 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. ****************************************** \ J4 [> L / CONTRACTOR SECTION\ A 0 ./)) , ../ rJ nun ,D ER ,.-J to? be', je.., c) d If- n) . Company ..J ^- ti L-- U dll I U u F 4 /J /l.i _ State Cert. or Regist. !~ j( :'1-.. 00 ? f5' Of 2.5 Signature i If ~, City License Registration il iJ ~ ****************************************** ELECTRTCTAN Company State Cert. or Regist. ff Sionature City License Registration ff ****************************************** = Signature Company State Cert. or Regist. # City License Registration ff ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration ff ****************************************** MECHAN1CAL Signature Company State Cert. or Regist. ff City License Registration n PTHER APPLICATION APPROVED BY ~~*************************************** ':0'-"1 >.t/ ~V&Or . PERMIT OFFICER. ,'''-.->"'''''''''T-''~r'''',,'''''~''"'''''''''-'''. ."....._, "'~~-q.r~...~' .... CONDITIONS OF,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tht,undtrsigned understands that this per.it .ay bl subject to "deed restrictions" which .ay be lore restr.ictive than City regulations. The undersigned a55UI~S relpDnsibl1it~!Dr"co.pllance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIEILITI~S If the owner has hired a contractor or contractors t~ undertake work, 'they lay be required to be Jicensed in accordance with state and local regulations. If the contractor is not licensed as required by Jaw, both the owner and contractor ftay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of ZephyrhilJs Building Depart.ent, (813) 788-6611. Furthersore, if the owner has hired a contracior 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 say be an indication that he is not properly licensed and is not entitJed to per&itting 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 - HOleowne~'s Protection Guide' prepared by the FJorida Depart.ent 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 document and promise in good faith to deJiver it to the 'owner' prior to co.mencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work wiJJ be done in coapliance Kith aJJ appJicabJe laws regulating construction, zoning, and land developaent. ' Application is hereby lade to obtain a pertit to'do Mork and install~tion as indicated. I certify that no work or installation has co..enced prior to issuance of a per.it and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regu1ati~ns, and land development regulations in the jurisdiction. I als~ certify that I understand that the regulations of other g~verntental agencies fiay apply'to the intended work, and that it is IY responsibil: ty to identify what adions I :Aust take to be in compliance. Such agencies include bill ~l e JiC,t Jili ted to: #- . J. I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treataent I Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells, Wastewater Treat~en~, Septic Tanks I US Environaental Protection AQenct - Asbestos abatement 1 also certify that, if fiJl .aterial is to be used in Flood Zone "A' Dr "A,etc,', it is understood \1.31 a drainage plan addressing a 'colpensating volu.e' will be sub.itted which is prepared by a professional engineer re~isl~ied in the State of Florida prior to per.it issuance. A per.it issued shaJl be construed to be a license to proceed with the work and not as authority to violate, 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 permit issll~d ~ha)l becole invalid unless the work authorized by such permit is cOI.enced within six sonths of issuance, or if wOI'k authol Ized by the per.it is suspended or abandoned fH a period ,(.f six .onths after the tile the llork is [(.mmenced'. One 90 day edfi,sioll of tile, aay be allowed f~r 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 month period, or the project will be considered abdlldoned. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ? SIGNATU ER OR AGENT DATE ____~____________~:.i-q--:. '-1--.--,------- NOTARY AS TO ~Jj-;' / n ./1. ^A OwNER OR AGEN~~Jf~~~--~-"- MY COMMISSION ~'~U~~A~~~----- MY COMMISitON EXPIRiil NOV. 20, l~Ot, .ONI)8D THRU NOTARY PUBL..IC lIIKO.RwfU.,...RI'I SIGNATURELJI~~_jl---!.?-~J----- }1 CONTRACTOR DATE____~~_~~~~\-------------------- NOTARY AS TO '\".. . '\. ,~\ ~ \ CONTRACTOR__~~-.~- MY COMMISSION EXPIR~-"JJ5Uc...JUATE OF FLORIDA,!. I~;' C"'Mll1ISSl0N EXpm1::S":?m:;:-ZZ;1"99 Sa "OMDID TH"U NOTARY PUSL.IC UNDltRWRIT&R J '\ Proposal/Contract FROM: JAR ALUMINUM CO. 40030 East 54 A Zephyrh ills , FL 33540 (813) 782-4594 Submitted to W A'jNE sHe AU5i?-r . NAME '39,J.. ~D Hc/16f-s AtJ~ ADDRESS 2 f3;(l ^I/~~/ /r . v / CITY PHONE 71';)-110 z- STATE DATE g~Y/9/ ZIP We hereby propose to furnish all the materials and perform all the necessary for the completion of: with payments to be made as follows: the above work to be performed in accordance with the drawings completed in a substantial workmanlike manner for the sum of Dollars ($ I t;, ~ ~~l J' All material is guaranteed to be as specified, and and specifications submitted for above work ,a Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by Respectfully submitted Per Note - This proposal may be withdrawn by us if not accepted within days ACCEPTANCE OF PROPOSAUCONTRACT The above price~, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Accepted Signature DatF' ~--/Y- crt Signature CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL 1. D. # SHOW ALL EXISTING & PROPOSED STRUCTURES-GIVING DIMENSIONS & SETBACKS. 7D \ [;II ~i1 l! \. " ~".~-". / " ~ ~ ~ I I -N ~ I .II I -~-+-.:'V - ~-- '~ i \) -N,\ ........, ,,-, UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ...... ~' '\ ,/\ "'i I ! Cf' 1: , - ~---~ -<~ ['\I /' - - C\]O I r Ii,' - J.. - \cz~ (NOTE EXAMPLES 1 & 2) STREET FRONT PROPF.RTY LINE 1 Dr ' flJu-~ ~ (i(J -.Q J 1. SETBACKS FOR R1, 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 FOR CARPORTS OR LIKE STRUCTURES PLEASE COMPLETE THE FOLLOWING: (1) DESCRIBE WHAT TYPE: FREE STANDING OR ATTACHED (CIRCLE ONE). (2) IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE? (3) DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN WHAT MANNER?) (4) GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT: (5) GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: (6) COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT PLAN. tb '" \ - - ~ P- - - - ... -- ~ , - - - - - - - - ~ - i - - - -, - '- - - - - - - ~ - - ~ - -' I - - ~ - - - ~ - I - , , , ~ '" I I ~t.... =- I -- .;;;-.:: - =-= -- ~- .... - -"-L I - - - -= r- - "-- -- - - - - I- -- -- "- - - - ! - i I ~ i \y i , 7 7. ~~. ,. 2- L! l_ "3 I' J{ I :;.J( \- J r T! /} .5 or-- If\, J{j 'I H 0 LA ~--p 1: v-r9 t\ L L{ t PI 7-- P I, ~I (\ \ \ u Z)'J It J/ \./ · t, "9 . " ,.