HomeMy WebLinkAbout91-1827
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1827x8
Date-l!/ tJ -3- '7/
~
~
ME~AL
Property Owners Name~ o-?A r ~ J~d
Job Address: c..l 9 / / I - .::; /I J O.A/'e .
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
~~~IVI
~ Lrf>"'1
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
R- J>"-5--. 0-0
Fee:
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE # /0 md-
COMPANY
ADDRESS
TELEPHONE #
ING
Ftr. "6. '
Pre SLB 10--7 -PJI ~
Lintel
FRM.
Insul.CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp.Serv.
Rough In
Meter Can
Canst. Pole
POOl
Pre-Meter
Final
Breakers
Ducts Ins!.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the folIowing reasons, a charge of ten (SJO.OO)
dolIars 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.
Thc paymcnt of reinspection fccs shall bc madc beforc any further permits will be issued to the pcrson owning same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
. / . '
APPLICANT /t~.1 ~ C;/Y <2 Ii' e fe
ADDRESS !L_ yc! .w-
~1t({ifiP) (/J;'rTlI - ~ .
JOB LOCATION -"39// / 73./Vc/?Pf:
PHONE
'.
LOT SIZE 71; X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S) /)"-/6 -I 7 BLOCK
PARCEL 1. D. ~~ I;)", - (;) c., - d- /
SUBDIVISION
WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install
____Sign/Temp.
_Sign
_Move
____Demolish
_Commercial
_Indust.
____Swim.. Pool
. --;;4u
/2f{1 JIIfr 1.(/7
PROPOSED USE: ~Single Family
_M/F
____t~ of Uni ts
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t ,
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 FOro-IS..1d:
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
_BUILDING
$
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.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. n
City License Registration n
******************************************
JmI LD ER
Signature
SiQnature
Company
State Cert. or Regist. n
C{ty License Registration n .
******************************************
ELECTRICIAN
Company
State Cert. or Regist. #
City License Registration n
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. n
City License Registration n
******************************************
MECHANICAL
Signature
OTHER
Company
State Cert. or Regist. n
City License Registration n
Signature
APPLICATION APPROVED BY
******************************************
'11 fl"".(! ~ AI ...&'" 4U ~
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions' which ~ay be more restr.ictive than City
regulation,. The undersigned aS5Ules responsibility~for,.co.pliance with any applicable deed restrictions.
. '" ,I ' ,
. .
8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a con~ractor.or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor i5 not licensed as required by law, both the owner and contractor lay be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
789-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractortsl 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 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 provi.ded with a copy of "Florida's Const~uction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departtent 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 docUlent and promise in good faith to deliver it to the
"owner" prior to co.aence.ent.
:,\:,'::
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 compliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby aade to obtain a perlit to.do work and installction 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 meet standards of all laws
regulating construction, City cod~s, zoning regulations, and land d~velopment r~gulations in the jurisdiction. I also
certify that I understand that the regulations of other govern~ental agencies ~ay apply'to the intended work, and that it is
IY responsibili ty tel identify what actions I lust take to be in compliance. Such agencies include bllt ~l e liC.t li~iled to:
. J
I Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
Water/Wastewater Treatment
. Southwest Florida Water. ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses
I IIrty Cc,rps ,of EnQineers - Sea)lalls, Docks, Navigable Waterways
I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Waste)1ater Treat~e~~, Septic Tanks
I US Environmental Protection AQenc~ - Asbestos abatement
I also certify that, if fill material is to be used in Hood Zone "II" or "A,etc.", it is understc,c,d th~t a drainage plan
addressing a 'compensating volute' will be subtitted which is prepared by a professional engineer fegist~ied in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the )lork 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 frolll thereafter
requiring a correction of errors in plans; construction, or violations of any code. Every permit issued ;hall becote Invalid
unless the work authorized by such permit is cOMmenced within six months of issuance, Dr if work authol lIed by the perlit is
suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e:tE~sioll 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 aust 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 REC ING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT D 0 RECORD ANZT A "NOTICE OF COMMENCEMENT".
W~k~----- SIGNATURE / ~- ------ - -----
OWNER OR AGENT ~ RA~Ta.~~"i>'I-",c/"'-93
DATE___P~kZ~---- OATE_~~-.3.,_-'-9.2L___--
NOTARY AS TO a ""_____ h NOTARY AS TO g.
OWNER OR AGENT_~__~r~- CONTRACTOR_1<<nA~Y~8I~:STATEOFFLORrn~---
~rRY PUBLIC. STATE OF FLORIDA MY CO"MMISSI~."~OsnDllJi~!jiqQ expires Jan. 28, 1995
MY COMM I SS I ON EXP I 1'Y<7~.9.!Tw1i~jgo.JUtpl!:es...oct....~-~ l.IIU geu'tflN:.PatwSElA--Bechtil.-glfriGy---
Bonded thru Patterson. Becht J\tency
SIGNAT
-- -.._- -_..---_. '."-.-. -- -.- -', -~---..
PROPOSAL
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(~) (j / '/' (J 'Y' .tJ / ..::
No.
;;-()G30
Date
Sheet No.
Proposal Submitted To:
...... / / .1".-1 -.4
Name /<'C~~/>z:; pe.,. U//A:./,
Street .33' / / . c:~-::." ./ f<~ z:::
City .2':;- /":">'.>'//./,--/7"- (':~' /-
State /'"": ~., ;::- ..:.::-;..s ',7" C
Phone /~;".;': -:-. ..?,Fr:. ;;z... / l./.f
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Work To Be Performed At:
r
State
We hereby propose to furnish the materials and perform the labor necessarViOFTI18cDrilPletion of
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All material is
specifications
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(".;;~v".'-" ,P.4/..:<'/"/ .0/\/ DI? /.-:;::. I
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guarflnc" to be as specified, and the above
submitted for above work and completed
A'7ft,7i.3.R / /rL ')"
;-?~j ~ -S' -e
with payments to be made as follows:
work to be performed in accordance with the drawings and
in a substantial workmanlike manner ~ the sum of
Dollars ~ S'- f':5-/..~9J
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. Work.
men'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.
D -:^
ate ..,~~
The above prices. specifications and conditions are satisfactory and are hereby accepted:'lfou are authorizecl to dO,the wDrk as specified.
Payment will be made as outlined above. . .."','/
/ . .<>/;:":.:!;:/ . ,.~'.7
Signature/:>. .~,~,> /,: '.. .. 'L.--'
/ <./,// .' ." /. .-...-;7"
Signature i:. ?r' :/~~,:.e-.-<~--- '..
.,i':'__:;""
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ACCEPTANCE OF PROPOSAL
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TOPS 9 FORM 3850
DUPLlCA TE
L1T~~ U.S.A
CITY OF ZEPHYRHILLS BUILDING DEPARTM;ENT '
OWNER
,-<; 9'/J / ~7~ s:f:
;'- - ~~ - ~ I -- () 0 [) 0 - ~ 3 .2 OD"'"' 00 /"0
JOB LOCATION
PARCEL ,1.D. #
SHOW ALL EXISTING << PROPOSED
SETBACKS.
Ro(5E rT
()} /' '(' T /-1-
fI /J tv'
CoN
-=-~
I
5""0
~
UTILITY BUILDINGS
MUST SHOW. SIZE &
FOUNDAtt6N INFOR-
MATION .'.:':1 .
t;r ;-IOOS--e
(NOTE EXAMPLES 1 & 2)
S'l'REET
FRONT PRO~ L~
.5 ...
, .
,.
1. SETBA.CKS FOR Rl, R2 ZONING
. 60'-
--
.,
10' T
P- E
R X 1,
0 I
101 P S 10'
0 T
S I
E N
D G
20'
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10 I.
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FOR CARPORTS OR LIKE ST~ijCrURES 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 POS'l' SPACING & FAS'rSNING (IF TO CONCRETE, IN WHAT MANNER?)
(4 )
( 5 )
( 6 )
GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT:
GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT:
COHPL y Wr~rH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT
PLAN.
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