HomeMy WebLinkAbout91-1725
STATE OF FLORIDA
City of ZephyrhiIIs
PASCO COUNTY
BUILDING DEPARTMENT
1'813-788-6611
Permit N~
17253
Type of Permit
.------ - ----:-,~
(BUILDING EL~
,,---,. '"------'~--
Properly owners~~me~ )ja/Ld- f;l .
Job Address: ~ ,f-...5 -0 - / y_"]i;(
Date
? -, ,9- / - 9 /
p~
~!CAL
~
Legal Description:
Sub.Div.
Lot /5;:/( - /7
Blk. .y 7
/ :J' Jl
Zoning CI: / - ( t7 - c:I--,/
Description of Work / C7 Y / 6
d7
~-- ' ^,c:R..
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
J,~ 0 0, en)
./
Fee: ,::)S -.- en)
SIGNATUR~~ 7/1, ;!~
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
OCCUPATIONAL LICENSE #
COMPANY
ADDRESS
TELEPHONE #
L.Y~~-__
, ~ '"
~lJILDING . __./
------
Ftr. --_.-
Pre SLB
Lintel
FRM.
Insul.CL
WL
PL~_
SLB
Tub Set
Water
Sewer
Final
E~ICAL
-------
M~NICAL
~-
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspec!!sm triPds are necessary due to anyone of the following reasons, a charge of . _,
dollars shall be made for each .... / ra e.. //..~_ t1?J )'
(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 furlher permits will be issued to the person owning same.
NW, CQ/iN:R BLOCK 47
4"CM(FP)
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C.~LOT /7
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32.6'
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HOUSE NO 1108
8.6'
1-1'
c-ZOT /6 ~
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BLOCK fO'
C:WT
-S;;'--____.. ~71!
fl4DS
20'
'2'
, 1",
'.II ~
30'
l\j
rrj
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140.0' (p) /39.94' (F)
....,
~OT 14 ~
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"00.0' (P8F)
SE. ~RBl~
4"CM(FF)
SW, CORNER BLOCK 41
,3/4" P (FIP)
NOTES:
1. No apparf'nt surfiJc(' encrodchmf'nts found.
2. Df'~;cription ~ihown hcrpon tLlkcn from (Juit Claim
Dc'pd recorc]f'd in Official Record Book 552, Page
207, Public lZccords of Pasco County, Florida.
3. Lot lin0fi '[ihnwn running North and South not
dimensioned on l"l'cord plat. Individual laL:;
appear to lw 30.0 [('et in Iddth basec1 on field
derived measurements.
BOUNDARY & IMPROVEMENT SURVEY OF:
Lot s 1 'J, 1 6 , 1 '/, i n B I 0 c ]( 4 7, C I 'I' Y
(form('rly Tmm of 7,ephyrhills) as
recorclL'd in Plol t Book 1, pagr. 54,
Pasco C~ounty, Florida.
OF ZEPflYRIlILU;
per plat thereof
Pub.1 i c [,~ ("> cor d s 0 f
CER'I'IFfED 'I'O: CHICAGO TITLE INSURANCE
,';rrN F3^NI{ OF PASCO COUNTY
1:'\IWLD ~L &. ,J^C(lLlELYN !\ErCl!
PREPARED FOR: HAROLD III 8 JACOUELYN KEITH
IEGnlO
IP,IR.- InON rlrF..lnON noo
eM - CONcnETEMONUMI:NT
IFI ~ FlHODEnIVF.OMEASUAEMEtlT
(P) - MEM;unEMENT PEA PlAT
IF.'-P,) ~ FOUND IN PlACE
t It ~ pnOPfATY LINE. CEr-fTER LINE
A,W~ n1GIHOFWAV
(D) ~ MEASUREMEmPERDEED
p,o, BOX 773
SAN ANTONIO. FU?RJD^ 3J576
(904) 588-4141
sunVEvons CEnTlFICME
This certifies thaI A survey 01 Ihe herf!Of1 des-
nihed properly was made under my surervision
And m!''lls the Minimum Tndmical Sl8ndards set
forlh by Ihe F1o,i<.!a Board of Land Surveyors, pur-
suanllo Snclion "72,0;;7, norida Stalull'9,
~ -Z1.)~ A~: /}{}
....L./L.................,.~
BEALL 8 COMPANY
LAND SURVEYING
r IOfll!)^ I1FGtS TrnF.O lAND SURVEYOn No,42QI
JOB NO, 8875
DnAWN nv MWB
DATE /0/04/88
SCALE /"::: 30'
If liS SIIAVFY ~'o T V^1.ID I.JNIES~ I'.1rflINT ED
WI !II AN EMl10SSFD SUIWEYOflS SC M.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
!fA RtJL./J 11
sr-so / 'i'T If; 5 7
,I-/AIft)L./J f( J(p: /TI/
;([-; TH
2/1/LLS
F L 3 ?W~ONE ' 7g'f' '- 97 2.. '7
ADDRESS
OWNER
JOB LOCATION
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S) 1~-/6 ~/7 BLOCK Jf'7 SUBDIVISION
PARCEL I.D.4F / /- d f.:: C) /
WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install
_Sign/Temp.
_Sign
_Move
_Demolish
PROPOSED USE: _Single Family
~M/F
_4F of Uni ts
__M/H
_Commercial
_Indust.
_Swim. Pool
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 FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
V~UILDING $ I~ 00. C7-7J
/
_ELECTRICAL AMP Service
_MECHANICAL $
_PLUMBING GAS
Valuation of Total Construction
Florida Power Corp.
_W.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
ELECTRICIAN
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration'~
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
OTHERf/AJ<OLD M, ;( t I Tt1
Signature )~/ M /~
/
Company
State Cert. or Regist. #
City License Registration #
APPLICATION APPROVED BY
***************************
1---
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance 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 law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furthersore, if the owner has hired a contractor 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 th~ work. If the contractor wishes you 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 Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the
"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforMed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include bill ~le not lillited to:
I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
Water/Wastewater Treatlent
I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environlental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan
addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer regist€red in the State of
Florida prior to perlit issuance.
A pertit 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 provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued ;hall becole invalid
unless the work authorized by such per.it is cOllenced within six sonths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e~t€nSiOB 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 must be logged during each six lonth period, or the project will be considered abalidoned.
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".
SIGNATUR~~~-_------- SIGNATURE~ ~~-
OWNER OR AGENT CONTRACT~ffL-
DATE___________~~!!!-------------------- DATE__________~:~[-~~----------------
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