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
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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.
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~r~6~e~r
l~o//'/e4; ____ .
~
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'7 .f?~~T dx"Z-
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/ ;{}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:,!.....
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: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-
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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:
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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
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WITH BALANCE TO BE PAID UPON COMPLETION OF WORK
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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.
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