HomeMy WebLinkAbout91-1748
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~ 1748/
Date 1~ 4 - 9'1
Type of Permit
~. ~rcAL ~ ~.e
(J rfj..) ')
Property Owners Name: _~'Y"6, 844e!JL _.l-y'-Lt.1!t- ['ji"'4FL#.
Job Address: ~-1 ..,2, .. "i 1 (0q..//, ,~~.
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
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Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
JJI1-
OCCUPATIONAL LICENSE #
Fee)f_.{~ ~ -;>-J -J
SIGNATURE ':4 hot . r~~
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
NG
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
ME~.'
-~
PLUMBING
SLB 1-c; 4/ ~..UJl
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Linte!
FRM.
Insul.CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00)
dollars shall be made for each trip.
(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.
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CONOITIONS OF P~RM1T AFFIDAVIT
A.. t{QT I !;:~T~I?' Qi~}2...s.U.:t.B.Ut~.w!:
Tht und.tsivn~d undRTI\'nd.~hat this per.i' .~y be subject to "dlod rl.trlctjon,' which ~ay bo 80T' r,.trlctlv. th.n City
rP9u1atio"I. Thl UndOTJignud alsu~e. r,spDn.ibltl'r for c~.plia"ce with any applicable d~,d 'o~trlctlonl.
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B.
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~~ICe~~~D ~~~T~eCrOBS.AN~ C~taact9R~E~PONSIB~L~
If the owner hel hired. contractDr Dr CQntrac\~r. t~ undortako work, thay .~y b. roqulrod ~~ b. Ilc.nl~d In .ccord.nc~ ~It
,t,t. and local reQula\lon.. 11 thl contrlctor 11 n~t llc'n,~d II roqulrDd by la", both thl ownor and contractor Ity b.
clt.d for I .llde.~!nDr Ylolatlon under Itat. I;H. If th, ownor or lntondod contractor art ~nt.rtlln al \0 whit Ilc'"lln9
requlre,onts .ay apply for th. Intandtd work, they 'tD sdvlsed to contact the City of Z.~hyrhlllc 9ulldln9 D,partllnt, 191'
789*6'11.
Further.or'j 1f 'hi own;r hi' hlr.d a contractor Dr c~ntr.ctorl, ho Is advls.d to hay' th. contractor II) '19n portions 01 \
'Contractor Sectlon'~ 01 thlt eppllcatlon for which 'h~y will bt r'lp~n.lbl~. If you, II t~. o"n~r 119" '1 th~ con~r4ctor,
y~u Ir. lndlcltlng thlt you, rlther \hin thl contrlctor, ar. r.nponslbl~ for 'hi work. If !hl c~ntrlctor Wllhp'1 you to Ilr
8S contrl~tor that .ay b. .n indication that h. II not properly llct"uod and I, no~ .ntltl'd to porelttlnQ prtvll10ts In t,
City 01 Zephythllll.
C. re.ANSPOBTA!I~MPACT Fi~S ANp UTtLlj,Y CO~N~CTI~~.FE~
D. POt-l~TRU~iIQ~ LIEN LAl-J CCHAPTEA 713, FL.ORIDA S'fATlJTES, AS AMENOEO)
I certify that I, th~ appli(ant, hevl b~'n provided with. copy or 'Florida', tonltr~r.'lon Lltn LaN . K~"O"n.rll Protectl
Guidi' prlpared by th. Florida Deplrt.,nt ~1 Agrieulturt and Conl"..r Affaltt. If \hv arpllcant II IOIQ~n' o\h.t then the
'~"ner~, t clrtlfy that t havD obtllnad a CDPY Df the Ib~y. doscrlb.d dot\'~.n~ and promll~ In good '11th to d.llv.r It t~
'DHn,r. pr'or to cOlmente~e"t.
E. ~RACTOR'S~NER.S ~EFIDAVIT
1 cort1fy that all thi 'nforaation In th15 ~ppl'catl~n II accurat, and thlt all wDrk "111 h' doni In co~pllancl wllh all
Ippllcobll laHs r.gulatlng construction, zoning, and tand develDpMent. .
ApplicatIon 15 hereby .ade to obtain I per.it to do Mork Ind Installation II indicated. J c.rtify that no work Dr
In'tlll.tl~n hiS C~~M~ncod prior to Issulnc, of . por.lt and thet all ~ork w\ll bQ pfrfor~~d to ~~ot ,t.n~ar~' of .11 I'"'
tequlatlng construction, City codes, 20nln9 rI9ullti~ns, and land d.ve]op~ent reQuletlon, In the luriSdlctlon. 1 .110
certify that 1 understand that thu regulatlon; 01 other goyernmentel age~cl~1 ~~y apply to the Int&nd~d ~tlrk, and that It
flY responslbHlty to tdenHfy "hat actions IIlIUB\ hkll to Ill! In c6l1plhnco. Such IgrHrcles Il'\clud, but ~ln lIo11lttit,d ttl
I De~o\t.t.llPnt o1"...Envl,onll!!1l<eaLJ.t!l!!..1lu .. CypreSll Bayh~adi, ~~t1lnd Al'hs and !nv,lronunhlly Sef\,j t-l ve Lj~.dlfl,
Uat!r/Wastewatlr Treat~'nt
, S~utbw~5t~lorida Water_H~Q!9tlrnt D),tric~ . ~el1J, Cypr~is &ayhtods, W,tlend Areas, Alttrinq Uatttcour5rl
. aJ:!Y. CorDI of Entl'n~;r!l . hit/ails, DflCks, Navigable Waterways
t DI1P~r.tr.ent of...IlnHb L Ihh~.!tiJttatl,YR Sl!rvSetW~vlronml1nt~l fieAill..YtJ.U. .. Wv:lh, W~!ltl\l1ahr lrl!lh'!!\t I hpt\c. Tanh
I ~~nvlronp~ptll Pro~!ct~ - A~bl!,to' abatemont
I allo c.rtlfy that, If fill lattrial \5 to bt used in Flood 201\& .~. Dr "A,ltC.., It II Yndtrlt~tld lll.t . draln~ql plan
addr055in9 I 'colptnsatlng volumal "\11 bt lub.lttod which Is pr~par.d by a profOIII~"al .n91~~.r t&~I'~O(od In thl 9ta~'
Florida prior to pl1rltU luu,ance.' .
A per~lt 155U~d Ihall b! co~&~ruod to be ~ llcQn5e to prDc.ed Hlth th~ H~r\ and n~t SJ ~uth~fily to ytol~to, canrol .l~~"
,ot esldo any prov151~ns Df \bn tethnical COdIS, nor shalJ i05UBnc. ~f 0 PQr~l~ pr~v~nt thv ~ulldln9 Of(lcl.1 fro~ Ihere
r,quirlng a torT,cllon 01 arrors in pl.ns, cbn5trU(t'~n, or violation, D1 any cod~. Ev~ry p'fnlt iSlllUd I~all bpco" In
unlo55 thll Nork i1uthorin6 by such per.it Is cor"~encpd w1thin Illl month! 01 1&9Ilenc., or If H(.,k .ulhc.'lzf:d by th. p,rtl
&uspt'nded or abandoned 1Dr I plrlod of six IDnth!l after tho till th~ lmk If cDftlIll~nctd. On~ qO day ~~t'MI~1I or \lIP, J
al1~wed for the ptr~it with fee charge of $1'.00. The IxtDns50n shall be reqUp.5te~ In writing 10 tho BUlldln; Offlelal.
Ipprc1ved Inspl1ctlon Illult be It,gg.d during nth six GlDnth plried, ",. the proJoct .,,111 bl! r:or,sldl?rtd IIblllldoMd.
WARNING TO OWNSR, VOU~ FAILURE TO ~iCO~O A NOTICE OF COMMENCEMENT MAY
R~gULT IN YOUR PAVING TWICE FO~ IMFROV~MENTS TO VOU~ PROP;ATV. IF YOU
INTEND TO OBTAIN FINANCINm, CONSULT WlTH.VOUR ~~NO~P O~ AN ATTO~NEV
BEFORE RECOROING YOUR NOTICE OF COMMENCEMENT. JOSS UNOE~ '2,'00 IN VA'
CO NOT N TO RECORD AND POST A '.1 NOT I Cr:: OF COMMENC:e:MEN'r II ·
ER ~~~ SIGNA'fURE~ TOR J_~
.~. _" _... ~ CONTRACTOR __' ______ ~__ ___________
MY COMMISSION EXF'lR~S..._,..._.._.._...:...-.....---.._--- MY COMMI N E:(PIRES__..~;lf:..:?_S::__.
.tOT /to.P.V tu!l":' "Jr!.n r.;; ~~~A
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AU;!;-2E.-91
,..10 N
12:16
PHOTO LAB EXPRESS
P . 0 1
APPLl.CATI.ON FOR l'ERNIT
CITY OF ZEPHYRHILLS
BUILDING DEP~TMENT
AP~LICANT ()-P- f) ~ 11) ~ ALEC 1 eLl J'1 'L-t: )'
:::::S~~;~:~~('Ae:f k~1J
JOB LOCATION '}.):S 3 Lj hALL IS 4- II [) --" LOT SIZE
l?JlONE_, L K).,k:<. 7 r:: ~
X AREA SQ. FT.
LtCAL DESCRIPTION: LU~\~J
..... ...
rTllH",."T C;T,nN
r...nOCL 1:. [). ~}
WOR~ PROPOSED:____New Construction ----Addition -2L-Alteration ____Repair ____Install
401' (N, /11 .
_Sign/Temp.
_Sign
___Move
_Demolish
PROPOSED USE: ____Single Family
-.-M/F
_~) of Units
.---H/M
_Commercial
_:tndust.
_Sw:l.m. Pool
Other
____Restaurant & Htalth Department Approval
RUILt)!NG SIZE:
x
Square Feet,
Hei.ght
RESIDENTIAL: ATTACH (2) PLOT PLANS << (2) SETS OF BUILDING PI.ANS << (1) SeT ENERGY FORMS...
COMMtRC!AL \ ATTACH (3) SETS OF DUILDING PLANS & (1) SET ENeRGY FOP.JoIS."
.*COpy OF CONTRACT REQUIRED.
}?JRMTTL'R.EQtlr:Sjt::Q
_BUILDING
$
Valuation of Toul Cans tl~\,lc::Uon
_Et!CTaICAL
AMP Service
Florid~ rQwat Cotp.
\~.1t.E,C.
_MECHANICAL
..lPLln1B I N'G'...
$
valuation of Mechanical Instollation
... .
. OAS
__ __.:ROOFING
_,~SPr.:CIALT~
4'"
Tn'E OF CONSTRUCTION: _Block _Frame '_Steel
__Other
FINISHED FLOOR ELEVATIONS: FT.
********************'***~**********~**.**.~
~ONTEACTOn ~F,QT~Q~
company
State Cert. or RQSist. o.
City Lieenu ~or.'i~l;l'r.ll'.i.C'm i~
..*..**.**...****.**..**.***.***~*R**~~*.~
J3.UIt.Q.~'R
.Y
!i lsnnturc
~.-
s,i",mn tu'!'~
Company
State Cert. or R~;ist. ~
, City License Rt~i.erntion #
*.**.**.*****..*.******.******.*"******~ft*
tt.~r.Tn l":U.N
rulM~~B (]~~ -:s.'t:!. Company eM IS tAli/.. f/;!ml' tV b
State Cel't. or ~er;ist. iI I<F ~
Signaturo ., 1 .' City Lie~ns(! Registrntic,n 1~ . c;7. ---
oft. '* *'*** 'to'" ....**** .*~.."'**'If'''.*** .,,~,\., *~I ~. ~I"'~' ~I
Colftpany
State cert. or Resi~t. Q
City Lic~nse Re~i~tration #
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tm~ll^N1.C^L
~ignaturc
O!H.FJl.
Company
State Cert. or R8gist. D
City License Reeistration U
)
Signature
APPLICATION A~PROVED DY
peRMIT OFFICER,
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