HomeMy WebLinkAbout91-1737
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit :N~
1737 B
~G~E~
Property Owners Name: V ~.~- <1
Job Address: j(p- r ~ _ --
SUb.DiV.V~ # If? Lot
Zoning CI: 1/ ,/-r:;){;. ;1./- 00 00 - f)t)~O t!J - 0 t9 0 0 ..
Description of Work ~A./;A'1_ ~ ~~/.;-'./"'.A.- / ~~ .I'.J~
~T-~
Date---1f - :l ?-- 7 /
P~
ME~L
Legal Description:
Blk.
~1~/7P-9/
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
:~:~~TU~A~
COMPANY
ADDRESS
TELEPHONE #
Estimated Cost: ~ LJ?:rt) . d'iJ
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE #7/' ~Cm:t,.
_~~ I/A~
C BUILDING ~--::> PL~
Ftr. SLB
Pre SLB Tub Set
Lintel Water
FRM. Sewer
Insul.CL Final
WL
-......
EL~ICAL
-------
ME~ICAL
"
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of J )
dollars shall be made for each_./r~ d e_ ( /<..5: tJ;?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 further permits wilI be issued to the person owning same.
APPLICATION FuR PERI'IIT
CITY OF ZEPHYRIIILLS
BUILDING DEPARTMENT
APPLICANT ____~'^;?--,::? '\ ~. ~,-SLN'N\
__ ~""\.c-, -., co S\. """' .......
,\DOHE55 ..:.l .J -J -'------0 - - ~-:::.
'- ~- A-~
Jell LOCATIml>l.J ' !~-:.., --:) - ~
\-\\.J..R
,?4- , PIIONE{';1;'?, ::J."3 D15
l,l;) l~~o>(l~ ffi.~.? =J
LOT SIZE~XLRD AREA SQ.FT.
(lh'N EE ~ DL::- ~ C3l~_h\ (j~ t-~ \ c.~
"7"; \
J.LC:\L DESCiUPTIOH: 1.0['(5)
BLOCK
SUBDIVISION
1',\j<CLL I.ll.1f
\,()!ZK l'ROPCiSEiJ:
"I"; (:unst.I.'uct"ton ~Addition _Alte.r<.ltion _Repail.- __Install
_:: LI'.:l!TcllIp.
_Sign
~lov(>
_Demolish
I'RClPUSED 11::1:: __,', llll,~.l(~ family
_M/F
_ii of Uni ts
._N/H
<, :"1111111' 1" c ial
_Indust.
_Swim. !'<)O 1
Other
___i-:(".I-i,Hn'ant & Health Department Approval
l'.UILDING :iIZE: _______.\_,
Square Fec t. ,
Height
1'.1::,; liENTl AL:
,~UMMERCIAL :
ATTACII (2) PLOT PLANS & (2) SETS OF BUILDlN(~ 1'L:\rt; [. (1) SET ENERGY r\m~ts.**
AT \'A(:II (J) SETS OF BUILDING Pl.ANS & (l) SET 1.:NERGY FOiUIS. 1'-/,
HUll'',' Dr CONTRACT REQUIRED.
PERM1TS REOUESTED
---..J
lIUT LV LNG
.'-
_.1 (;;('\0 ~
Valuation of Total
(:, )1l~:i LUH: t ion
LEC:T!ZICAL
_______MtP Service
Florida Power Corp.
_____\-1 .R. E.C.
~tEC1 L\N1C:\ L
Valuation of Mecltauil'al [l1::itallati"n
I'll :ll\ 1 !i(;
G1\5
ROOFING
__--:;l'ECIALTY
TiPl: 01' CO~:;TlZUL!l(i:<:
Block
_Frame _Steel
_-------Other
llI;L~~lll::!J FU10E I.I! \',\ll(J'I~,:__FT.
: I 1.1,',ii.:1 t \It ~;'.
.cONTRACTOR ~;ECTION
" Company ~::)..}...~ ~~E,.
c;;&~=:S' . State Cect. or "eeist. i!_
~~:__--;:::=;;. ",' __._ .. . m""City License Rpr'.i~;tr;Jtinn 11_
"_ //'- ~e * * -{Ie -{Ie * * 'it * -It * * * * * * * it * * * -A' '/r 1, * -Ie '" -I< * * i, ,'r i, ':, ,',:, ,', i.- ':. 1, ,', .:,
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i.il:lli.1.lJlI.'.:--- __d__ -
CompallY _--------
State Cert.. or Regls t-.. 11-_,
City License Hegio;triltion.ji,
*********",**********************1,*********
. .l:..U::..GIKEl1'~L-- ,_on
;~i
l'LUlillllL___,_-------d--- Company
State Cert. or lZ(~gi~jt. I,'
:.l~'.nat\1rc _,___,-_________ City License l{(T.ist1'iltLOl1 II
******************k***********************
:; :.gnattl!"c ___'
Company ------
State Cert. or Regist. 0
_____---- City License Rv;', ist.rat:ion 11
***.********************.*******~~*~******
LlL.!.JlAlJ IC:\ T .
!J illElL___H_---
Company -----
State Cert. or RegisL. 0
City License Registration n
Ii gna t\l re _.-
/d' l'LJ C:\'I'I ON ,\ l' 1'1: (J V 1:.11 l\ Y
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. {.lA<4<q4 R'1~ -:----'---
PERHIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. tioL} Cl:: OF DEED F~ESTR I CT IONS
T~e undersignfd understands that this perlit lay be suble~t to "deed restri~tions' ~hich may be ~ori restri~tive than City
requlations. The underliigned aUUlllr. rupon5JbH~.tY"Jl)r cOlpliance with any applic;,ble deed restrictions.
, . '-~:' ;:-'~~:--'i~;,?jli,;:>/'.'" '_ _ _",--;:>y;~:",~:,:~,:,';l:;~(~--'::>;!<';':-::;' .
O. UNI_ICENSE:n CUNTr~ACTORS AND CONTRACTOR RESP[)f'I~JI8It:ITtES')hr"')""
jf the owntr has hired a c0ntractor or contra~torl to undertake work, they lay be required to be licensed in ac~ordance with
state and 10c;,1 regulatIons. If the ~ontractor is not licensed as required by law, both the OHner and contractor nay be
cited for a ~isde~eanDr viDlatiDn under state law. If the OHner Dr intended contractor are uncertain as to what licen;inq
requlreaents lay apply tor the intended HDrk, they are advised to contact the City of Zephyrhills Building Departlent, tBl3l
. 788-6611.
Furthermore, if the 0Hnrr has hlr~d a contractor or contractors, he is advised tD ha~e tbe contr~cro[(s) sign portions of th!
'Contractor Secti~n5' ~f thi5 application for which they will be re~ponsible. Jf y~u, as the ~Hner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Hi~hes you to sign
a5 contractor that ~ay Le an Indication that he is not properly licensed ~nd is not entitled to pertitting privileges in the
cIty of Zephyrhills.
c. TR...B.NSPOr~.DYLU1N I MPACT FEES AND UT I L I TY CC1NNECT ION FEES
D.
~(}~STRUC:L1Q!'.j L I EN LAW
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
I certify that I, tt,e applicant, have been provided with a copy of "Florida's Construction Lien LaN - HOleowner'~ Protection
Guide" prepared by the FlorIda Departlent of A9riculture and Consuler Affairs. If the applicant is sDle6ne other than th!
'owner", I certify that 1 have obtained a copy of the above described d~cu.e"t and pro~ise in g~od faith to deliver it to th!
'oHner' prior to co.~ence~ent.
L . ~~ONTF~QCIl)lt'_~i.!::QWNER I S AFF IDAV I T
I certify that all the 1I,f~riJatie'n in this applicaticln is accurate and that allli(,rk Hill be de,ne in cc,apliance with all
ilpplicable laws regulatll"] [e'n5tructieln, zoning, and land developlenL
Application is hereby ~ade tD obtain a perlit to do work and install~tion as indicated. I certify that no work or
installation has co~~enc[d prior to issuance of a perlit and that all work will be performed to meet standards of all laMS
regulating c[,nstructj['[I, City c[,des, zoning regulatic.ns, aOl! land development regulatie,ns in the jurisdictieon. I also
certify t~at I understand that the regulations of other governaental agencies ~ay apply to the intended work, and that it is
~y resp[)r,sitility te, 11\[Otl1y whilt actions I lust take to be in co.pliar,ce. SUCtl ager,clcs ir,clude b\ll ~\r. mot li~iti.'d to:
. .'
I Depart&H,t [,f Ei~I!..u;l.'!l'I'\dl ReQulatieon - Cypress Bayheads, lI~tland Areas and Envir(.nHntally Sensitj,'e lands,
lIater/llastewater Treatl~nt
. S(Iult~est FlOLi_da_.~a...t.i:rJ\anaQelent District - lIells,' Cypress Bayheads, Wetland Areas, filtering HatercDurSeS
. Aay [(,rps c,f l_l\ll!'l'lL" - Seawalls, ODds, Navigable Waterways
t Depart.er,t ('U~~J~tl__!,_J-;.r:.h.~tJllltative Services. EnvironilJental He.lth U!-,-il- Wells, \Joste'Hater Treo\;.(:1:. SeptIc Tanks
t \!.~.-1_!'~~irl':laen.hlLPi['_~lLt!..f:!!..~ - Asbestos abatement
alsfJ [,,!tlfy that, If ill I latNial is t" be used in Flc,od ZClne "n" (If 'A,dc.', it is
addresslng a 'CfJ~prn"at)ng v0Iu.e" will be sublitted which is prepared by a ~,ofcssional
f10rina r,ril,r t[, pel ~l t 15~Udn[e.
ur,dHst[,[,d ti;;.l il dl air'2ge plan
engine~r fOQlSt2f0J in the State Df
~"lIh
!\ per.it Issued sh,dl tH' [[Ol,,:trued t[o be a license t" proceed with the HeorK and nClt as auHMity t[. ,'iedate, cancel altt(, or
5et aSide dny prh'l',)C'J,5 [,f tf'l' technical [(Ides, nor shall issuance of a perll\it prr-vent the lluilding Offici,,] fll'l thereafter
requilll'Cj a [('lrl,ctl(oI; [,j prr[d5 In plans, ([Instructi"n, cor viDlatieons of any ((,de. EYel)' pl'r~it 15511d ~hdll becc,le invilid
unless the we,rK dUIl'l'[ IH.d DI stich pHlIlit is CColllenced within six lIIonths (,f issuance, e.r If lito! ~ authe" l.ed by the per.it is
suspended c.r dbdl,dl'l\ltl ill a pHie,d e,f six Illnths after the ti:ae the HCirt. is [('Ml'ne[.d. [lril' 9(1 dot (.;lO;,SlOI' 0f tile, lay be
alle,\jl'd fe,r It,p [)[11o\1I iillt, tel' [harl]p uf $15.00. The extensic.n shall be reqll~,:ted in liritlng te, the Building Official. An
appro/ed lr,Spedll'll I!lll"t loe 11''JIJPd OllrirrC] each six lonth period, [,r the prcljt-d liill be cc,nsidercd dboi,dcollpd.
WARN I NG TU \1I,-Jf\l[::n: YOUR FA I LURE TO RECORD A f\lUT I CE OF COMl'lEI'ICEMENT MAY
RESU\_T IN YUUf~ P?W H.JG TWICE FOR IMPROVEMENTS TU YOUH F'ROPErHV. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY
BEFORE RECQk~l).f.():lg:(Q SOI"IMENCEMENT. JOBS UNDEf~ $~, 500 I N VALUE
DO NOT NEED,,.rf'f(E.c. .;;r~l~((~~;~~,'
- --.~-_.-~-_.._._,_._---,------_._-
~_~c.-: :'~()NTRACTOR-------- - -----
DATE _______1'/ ~!fL----- ---------
~g~~~~c~gll :~~_ _ _t:;f;--{J~~-----
E N~. Pu. blic PI. sco CO. FL
MY COMM I SS I DN -vre6iimISStOlrftplrtS"May13:-rwS
SIGNr\TUI
NOTAflV AS 10
OWNEr< on AClENr
(ll.jNl,H un AGENT
<d/~/lL_____ ---------
~~8.
-------~-----------
DAn-:
MY COMM I S~; I m~ l x F' I r<N6\3.n..~j)!i~1>>!~Q>>._~- i1U---
My Commission Ex,ua MIY \3. l.,.,J
/ /;y,~;
?,2G, 7/
Jrupusul
Page No.
of
Pages
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SUN ~"T','''1!'"E ;Jf!.! ~}~"~"q;"1l, '''"II''''
37528 Hwy. 54 West
?EP~Y':n"fH L:~ c;_OP~;~;:'\ l":;~ 1
(813) 788.7308
PROPOSAL SUBMITTED TO
, ~ ~\ b C\... ~. \ ()C._ t,~ \ c.-r
STREET
L+..0,.q-~,-- ~0 b $\'
CITY, STATE AND ZIP CODE __
--:2-.-- ~ \ '__-_s.. "\ L. ~~.L\
ARCHITECT I DATE OF PLANS
We hereby submit specifications and estimates for:
PHONE " ~'(.J
I y)~ '.,0 \-::>0
JOB NAME
\j,:" \ r:S-:-(~ ~~
JOB LOCATION
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mr 'roponr hereby to furnish material
,~ ' --::."~:---' '.. '.
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Payment to be made as follows:
and labor - complete in accordance with
----"'-.h___'_,_ _~_,
.-- '-to,
..-'- .---" ~
above specifications. for the sum of:
CJW
dollars ($ I \::::l..):) ......;~..) ).
All material is guaranteed to be as specified. All work to be completed in a wor~l;n'ike
manner according to standard practices. Any alteration or deviation from above specifica-
tions 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.
Our workers are fully covered by Workmen's Compensation Insurance.
-~
~
~
Attrptantr nf 'rnpn1ial- The above prices, 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.
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_.-
Authorized _,e- ._ ,_ -:,,-~~~~'~~c_,__~~::~:'-"'~57
Signature ..' /'/~-~~" _~ .
:~'~:~I-maYbe
withdrawn by us if not accepted within
,-,' -~
.J'
~
days.
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,
Signature
\. Date of Acceptance:
Signature
PRODUCT 1]8.3 !NEiiS!eJnc., Groton, Mass. 014lL To Order PHONE TOll FREE 1 +800-225-6380
~
..
iEGAL /)ESCRIPTlUrj:
--.-..---.---.----- ....
~;ECTION
SIT E
PLAN
PERMIT #
( RES IDE N TI A L USE 0 N L Y )
----
---- '--.--- ._-~--,- .--
TOWNSHIP RANGE
----_.__.,._~.__._- -----.------------------ -'---- _._-------~--_.._--.. ..~
~UBDIVISION OR UTHI:.R LOCATION DESCRIPTION:
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Snow aj) exist",,! dfld ''''oposed structures giving dimensions and setbacks. Also, indicate
any adjacent bod i es of wa ter dnd roadways adjacent to the property. Indi cate size of
mobile homes such as: 12' x 60', 24' X 36'.
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EXAMPLES
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