Loading...
HomeMy WebLinkAbout91-1868 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 EL~ PL~ BUILDING Property Owners Name: 4"~'-("'1AJ2 ~ JL ~~'!z,- rf /' / / Job Address: '.. "5 C ~, c> ~ Legal Description: SUb.DlvA/(! U:" Zoning CI: Description of wor;-- ;t:v Avc...-C~'" Permit N~ 186Sh Date I'D 'dd. -9/ MEC~" 2/r~~ '72,,1, J1:: Lot c?7 , Blk. c~ ' 1.../Y"L-r - ", (( Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application ~I J~'b Estimated Cost: c: (;.5 -- or) All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # r.J2 (Jh~~:-, C11t-: :JJz~ (2tL~n , C BlJlL~) ------- Ftr. Pre SLB Lintel FRM. Insul.CL WL PL~ ------- SLB Tub Set Water Sewer Final Driveway Fee: COMPANY ADDRESS TELEPHONE # EL~~ ............. Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ME~A~lICAL "" Breakers Ducts Insl. Compressor Final 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. OWNER APPLICATION FOR PEIDlIT CITY OF ZEPHYRHILLS BUILDING DEP Tt-tENT APPLICANT ~ 6..?~ 2~- i4~ PHONE S7~ - ~?/2- sV27' ADDRESS ~ ';(( / jl,~ f<:. Ii- V LOT SIZE_X AREA SQ,FT. BLOCK SUBDIVISION PARCEL 1. D .1F ;) - ;( b - ::L/ / -~O -- :;; WORK PROPOSED: ~ew Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign - ~Iove _Demolish PROPOSED USE: ~Single Family ....:...-M/F _iF of Units ,._M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t , Height RESIDENTIAL: COill1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** **COPY OF CONTRACT REQUIRED. J'ERM1TS REQUESTED "::"--BUILDING $ 0CS:~ valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E,C, _MECHANICAL $ Valuation of Mechanical Installation -- _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. **** {,* {,*{:*'************* * * {,*{,'~ * {, * ~r ,',~,;,;, ,',;,;, *~, CONTRACTOR SECTION Company State Cert. or Regist. U City License Registration 0 ****************************************** Si!!nature Company State Cert. or Regist, 0 City License Registration 0 ****************************************** Signature Company State Cert. or Regist, 0 City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist, 0 City License Registration 11 ****************************************** MECHANICAL QIH.fJ\ Signature Company State Cert. or Regist, 0 City License Registration iF - APPLICATION APPROVED BY 77 ';;:':~F~r;.:; ;~;**.w""".""".;" ,,' PERt-lIT OFFICER. CONDITIONS. OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - The.undersigned understands that this permit lay be subject to "deed restrictions' which ~ay b~ oore restr.ictive than City regulations. The undersigned assules responslbl1ltf;for. compliance with any applicable deed restrictions. ", ' '. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the own~r has hired a contractor .or contractors to undertake wor~, .they lay be r~quired 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 nay be cited for a misdemeanor 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 Zephyrhills Building Departlent, (813) 788-6611. Furthermore, 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 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 entitled to permitting 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 - Ho~eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is soee6ne other than the "owner", I certify that 1 have e.btained a. cDPy of the above described document and proIT,ise in ge,od faith to deliver it to the "owner" prior to co.aenceDent. ;,..,": , . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in coapliance with all applicable laws regulating c~nstruction, zoning, and land development. Application is hereby made to obtain a perait to'do work and install~tion as indicated. I certify that no w~rk or installati~n has COlmenced prior to issuance of a perait and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies ~ay apply. to the intended work, and that it is IY responsibility tel identify Hhat actions I must take to be in compliance. Such agencies include bill ~\e 1\e.t li~ited to: ... I Depart&e~t of Envir~nlental ReQul;tion - Cypress Bayheads, Hetland Areas and Environmentally Sensi tive ldnds, Hater/Wastewater Treatment I Southwest Florida Hater' ManaQeDent District - Wells; Cypress Bayheads, Hetland ~reas, ~)tering Hatercourses I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I D~partlent of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells, IJastewater Treatr.en~. Septic Tanks . US Environ~~ntal Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Fle.od Z~ne "A" or 'A,etc.', it is underste,e.d t1.,t a drainage plan addressing a 'colpensating voluie' Hill be submitted which is prepared by a prDfessional engineer regist~red in the State of Florida prior to permit 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 C(.rrection e.f errors in plans; constructic.n, elr vi~lations of any [(,de. EYery perillit isslI,.j ohall bece.1e invalid unless the )i(.rk authelrized by such perlllit is (etl..enced within six lIIonths e.f issuance, e,r if He,d; authr" },ed b')' the perlit is suspended or abandoned for a period of six lonths after the ti,e the work is commenced, One 90 day e:IEnsiO\\ of tile, say be allDwed for the per~it with fee charge of $15.00. The extension shall be requested in Hriling to the Building Official. An approved inspectie.n l!Iust be le.gged during each six month period, or the pTC<jeclliill be Cl,nsider!;d obdl,de.jled. 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 ~o~ECoRD~~ POST ~. / "NOTICE OF COM -NC ~~ J'~~~' .( ~ SIGNATURE__~.~~~-~. ~~~~ SIGNATUR OWNER~ AGENT ,,/ DATE___$9'Y~2-LY~----.__._------ DATE NOTARY AS TO ~,/J /J E' OWNER OR AGENT - -~~--~- . 'PIJti1Ie, ~ "Of "FTorftfa" MY COMMISSION EXPiRES_~~~~~~_~~_~_~l NOTARY AS TOJ ~ II I ~J ~ CONTRACTOR_~ __ .z.c.-~--=-- l'IJ1)1Ie, ~ '" 'Ffm1BI MY CClMMISSION EXPIRE~~~3~~~i~~I!~~~~99Z , ,.- .'..", . .....,,' .~~ ~.-..., '" .-... ..,~.._..-...... "".......,,~ ,~-_. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER f/ / JOB LOCATION S;;;'erl/~~ r!l t!jT PARCEL LD. # ~S2 t1i~ '. . 29/ ~1"'9'.?o-~.{#gJ2; SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 0/ ~d~ ~~/ ~r~6~e~r l~o//'/e4; ____ . ~ /' ~7/1-/' /~c~ /:(et-71V'i.>ithifLC. ,Od1Y / '7 .f?~~T dx"Z- ~//-(' r / ;{}ttU'?> >/QU r 91,,{20 UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. .I fO FRONT PROPERTY LINE I ().-' (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE c;~ /, (A.M~ ~ 2. SETBACKS FOR R3 ZONING 60' 101 10' EXISTING 10' l' 0 PROPOSED 20'SGL FAM 30'DUPLEX FRONT PROPERTY LINE ~ .....;.. ".:.:",l:,!..... ..-._.,---;-._._-~._._--.~._.,~~ ~._---,- "-.--- -~.~--- ~ :i;'.:~F" ;~) jiJl1BTLE HDivlF f:iND AU.JlY!INUi~! ;3Ci(.JI 39215 LiZABETH CIRCLE ZEI::)llYr~HII._L~3, FL.Ur~IDA 33~)41j1 r.Fi..EPHDI'.JF~ (813)?BE~""58c:9 "-..J(;.7- ,-;;;32- ,. ,/ /",/ A //-17/ /-:/ ~. /p.. /' ',.{/ #',,' ~ Z (1(::; HE: F !v1 E f\!'T t.-.J J T 1.,1 ~ ,./...::":U~~.;;;z..<<:_..__o,,":::e:.U:. ....."-,,...., ,..---.-".. ..-.....,........."."........ .... ..... .,....... D ~l.T E :: l..;'l..&:...::2..,....... .....L.:::,. /",," ' , ::,.:/ ./ ;a?::;:" r:- -7 (--/;:7,~//~/ .. ~/ w-, ( '.Y9 __' ~..; T !~F Ff .:.,::jd~:=~....,......:1~.L: .,....... . ::"";:;;::i:::t:.;e~:.::-::~i,..,...d?::.:t:!:~~ G._...,.:::".,I" E LEi:;:' H [) NE ~ ..,.-::~:/::..:[..:..2..._._,..~."... H. '.....,,- "~. / V ( .> ~' ~,/ // /--7' 2::;' (->~ ./' / y"" /;;/ ---:r-- -",<<,-,~~:;" 1 .7 ~/ __.f' f.-. .' //'" / :-"~'/'~.:J:.)j /- '.- .... ' ..~, . \ ~."-:..-:..-;?..... /::~1~'~7.P" // C J T" l. I P = .,..,,::::......,...~.;.'.,..L......w.t:.;:/.,L; ..~...:.....::;...L_.._:..._.1-'L...."........,JOB ~ LUI.J) I ION : ,_.......14::.,."-.'-,.~""..~=~..,..~:""",..........~__....'" .... ./ ",/1" ,- ",. ..' THI S (..10HEEMENT MCmE TH I S ,(.5{DnV ClF...._&~.i~~:.~...l '3.':2..43ETWEEN HERB'S IvtClB ILE HOIYlE (.:~ND ALUM I NUM BE"VI CE (~ND ?L~'~....n.:~'<~''''......_..._--...............(-1SSLJRES THAT THE ABOVE NAMED Cm1P(..)NY IS RESPOI'JS IBi....E "1 'SE~BLE AND I NfHALL COMPLETE THE FOLLDW I NO I TEMG: , //.i_~/n'~ '-'. " '/It' (~:, , / )p I. j,s 8-t.,-'. f :z~~-:;:~:;:~~;~~:~,;~=~=~~~"~:~~~"-~- / / . , If' .. ....g,i20 ..._~....'::::':L//;~.. ,~......(.::2~Z-2::i,~~,.:..,........"....._.. "'.....__................".... _M....'......_..., ,................._._... ..........__......_.......,_..........." ...,.... . / ""'...._~... .._, .......,....... ..-. ...-.....'........-..-...................... -......... .. ......-.. ..........,........,.......,............,.....,........................... .- ..... ,........... ....... .....-...........-. ............................... .."m........... .... ........_........ ............'.0. ......__... .... RJNmERIALS REMAIN THE PROPERTY OF THE CONTRf<CTOR UN"! IL PRID FOR IN FULL ALtI JOB'S l'tIINIMUM OF 51211- DOWN UNLESf3 t=lRRANGED WITH CONTHACTor~ BEFm~E~ bU3NING AL.~ tTHnERH~L..S REMOVED FROM JOB BECOMES PROPERTY OF CONTRACTOH. ACCIDENTS OR OTHER CAUSES BEYOND HIS REASONABLE CONTROL. THIS SHALL CONSTITUTE THE ENTIRE CONTRACT. ANY WORK OTHER THAN SPECIFIED ABOVE SHALL BE EXTRA ABOVE THE CONTRACT PRICE. WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR - COMPLETE IN ACCORDRNCE WITH THE ABOVE SPECIFICATIONS, FOR THE SUM OF . / .,,/ ," ......,.4--:7:'/// //~_. ,J' ../........).. / , " ' ,-/' / //,' /.-., ~. /' .,..,_.",.,'.../.04" ..../........... ///~. _, 7 .<"":;7'/'..--)"_./ /;~/c ~ ,/. (/;;; ,/ -' ..' . _, . ./,. <,/~-. c:..-v . .. -''- _. .i...-,;:L:=,/"",.,:;!.~:.,,_.:-..._../._....L."';;L...-f-" ......./.._-"_..........4':../.&::...._.."t......:."....:,,, ......<::4..o..2=cf.>1) L L (.1 R S " $..k:::: ..-"..L...V.._.....,,_,... ..... ............_ } ,-"'.., ,.,.:;:/' / / ../ /-tt"'~,._./~ /' / / / ./. PAVlvlENf 1"0 BE i'1(.:)DF fib FOL.I...(JI^,!3 ~6~:;::<'~~:)-~~"'._";;::~7~.c:.7:L.~:~7f.L... .,._ ....._....._._............. WITH BALANCE TO BE PAID UPON COMPLETION OF WORK ~ '_.-.........'_..~.-.......'-,.,~--.., .......'.. ,...,.._..,........~_.w.~...." 3cJ, d1..J ACCEPTANCE OF CONTRACT-THE ABOVE PRICES~ SPECIFICATION AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO THE WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED ABOVE. /-1 /(7) i /" ~/ . /. "') /7 D A T C:. OF' (~C CE p.r nNCF ;--- ,~~'eL.:__.~~::2/...;~L~.... ._.._.... ........ ........._.,._...__... ..._.__........__. .......... ,. ..._...................._............ I I .-, ~ ~:; I GNnTU f~F ~._~<...Ij'..L.:~{l)\!1..~._..~~=s:[GNnTU RE ; ... ................._...._......................._.__._..._........ i I