HomeMy WebLinkAbout91-1876
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
PermitN~
18768
Type of Permit
~~
I c.'
Date / tJ --~~. Y I
PL~ ME~L
Property Owners Name:
Job Address:
Legal Description:
Lot
9
Blk. dLb
Zoning CI: (5 J.~~?:, ~ Ci DO D 0
Description of Work~~
00
6y~-
YV
_1 .I!r ff -./- ~-L:t::S:.u~
. ""J 7 /1-]/ /'"'r-7 )
Estimated Cost: (3 t/ i./' v' v
I
If'--/~
Fee: 35 -:#2, ~~
SIGNt<TURE' '/-r1 r /
v .
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE # / ~ a..
COMPANY
ADDRESS
TELEPHONE #
aile at/~
C B,U1~D~
Pr~ SLB ,6 1
Lintel
FRM.
Insul.CL
WL
~G
SLB
Tub Set
Water
Sewer
Final
llicJ..R I CA L
-----
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
M~NICAL
~
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.
..
APPLICATION FOR PERMIT
CITY OFZEPHYRHILLS
BUILDING DEPARTMENT
/teE liLt//?} .
ADDRESS 3~.5f5' ?1ILP1 (;RJpL /)1<. 2-/I/~~..s r//i.
/Jlfr rf /?/HY /V1'f1C,J-Jr
JOB LOCATION,(d,r;Y' t/~S ZffPH~ AItJ6:,C/jfl. Z-I/ILtS" fJALOT' SIZE t S"~ 11)4' AREA sQ. FT.
..3 BLOCK ,2t, SUBDIVISION .2 I
APPLICANT
PHONE
7F:J.-;;~/6
OWNER
LEGAL DESCRIPTION: LOT(S)
PARCEL 1. D. ~t
~/3t) - t1'l>b/X::) - t:'&> ~O
WORK PROPOSED: P/New Const~uction '~ddition ----Alteration ____.Repair ____Install
____Sign/Temp.
PROPOSED USE: ~Single Family
_Sign
_Jlove
_Demolish
_M/P
_tt of Units
.____~l/ll
____Commercial
~Indust.
_Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING ~IZE: '-I- ~ X I.- )( l( ,
~7t.
JAAiJ n.',..,.. 9'
Square Fee t, /7r,.1t~K. r ".... _
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COm1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS. ,H:
**COPY OF CONTRACT REQUIRED.
,PERMITS REQUESTED
,,/ BUILDING
$
~ ? TDO . DO' Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_H.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
____PLUM B IN'G
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
JHJILDER
/lee /7i..UPl .
CONTRACTOR SECTION
Company /9~~
/J/J#A-- /J . State Cert. or Regist. iF
v-zr~ .~ City License Registration il
******************************************
/f'L VI"" .
c,e~ .r"'/b s>o
/ '- t:>
Signature
ELECTRTCTAN
Company
State Cert. or Rcgist. U
City License Registration 0
******************************************
Si!!nature
Company
State Cert. or Regist. i~
City License Registration 0
******************************************
PLUMBER
Signature
Company
State Cert. or Regist, 0
.City License Registration ~}
******************************************
MECHANICAL
Signature
Company
State Cert. or'Regist. 0
City License Registration 0
OTHER
Signature
APPLICATION APPROVED BY.
PERl-lIT OFFICER.
';<;.
. ~
bONDI~IONS OF PERMIT AFFIDAVIT
A.': NOTTCE OF DEED RESTRICTIONS ;', ..
Thl undlrsiQnod underst(nds that this plr.it .ay bl subJlct to "deod restrlcti~ns' which ~ay be more res~rictive than City
regulations. The undersigned USUle!l responS\bill\y for co.pHance lIith any applic..ble deed restrictions.
. "".:.,.:'\"~" ~.,~, . . ~~. " ',~
\ ~~~..1,
UNL I C~NSED CONTRACTORS A~JD,"CONTRACTOR RESPONS I B I LIT I ES
E.
If the OlfnH has hired a c~ntractoror contractors to undertake lIor\:, they may hI', leq~ired to be I icensed in accordance Hi th
s\l\e and local nqulatlons. If. thf contra~tor \J not,lIcensed as re,Cluired by I.w, be,th the ~\lner ancr'con.trade,r ~ay be
cited for a lisdeaeanor violation under state !alt.'. If'the ['lineI' [Ir int~nded' cC'J.tradc'~ are unc,ertain as \~ IIhal licensing
reqpire,ents lay apply for the intended 1I0rk, they are advised to contact the Citj 01 Zephyrhills Buildfng Departsent, (913)
788-W I. ',',.
Furtherlore, If the ollner has hired a contractor. or contractors, hI! ii advised to. have. the contr.ctor!s) sign portions of the
"Contractor Sections" of this application for IIhich they lIill be responsible. If you, as the Olln~r sign as the c~ntractor,
you are indic..ting that you, rather than the contractor, are responsible for the Hor\:. If the contractor Hishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not enlitled 10 per&itting 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 providedltith a copy of "Florida's Construction Lien LaM - HoaeDMn~r's Protection
Guide" prepared .by the FI~rlda Department of Agriculture and Consumer. Affairs. If the applicant is SO~Eone other than the
"owner", I certify that I have obtained a copy of'the above described document and pro~'5e in gDo~ faith to deliver it 10 the
"o"n~r" prior to cOI~enceftent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforftation in this application is accurate and that all wDrk Mill be dDne in cD~pliance lIith all
applicable laMS regulating construction, 20ning~ and land developDent.
Application is hereby .ade tel obtain a perai( t'o'do Mork and installatie.n as indicated. I cHtify that no Ittork Dr
installation has CO&lenced prior tD issuance of a perait and that all worl: will be performed tD roeet standards of all lalls
regulating cDnstruction, City codes, 20ning regulations, and land development regulatiDns in the jurisdiction. 1 also
certify that 1 understand that the regulations of other governmental agencies ~ay apply to the intended work, and that it is
ay responsibility to identify lthat actions 1 lust-take to be in compliance. Such agencies include bllt ~le liCit li.lited tD:
I Depart.ent of Envi,onaental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive ldnds,
Water/Wasteltater Treatment
I Southwest Florida Water "anaQelent District - Wells, Cypress Dayheads, Wetland Areas, Altering Hatercocrses
I ArDY CorDS of EnQineers - Seawalls, Docks, Navigable Waterways
I ~epartlent of Health L Rehabilitative Services. Environ~ental Health Unit - W~lls, WastEwater TrEat~En~. Septic Tanks
I US Environoental Protection AQenct - Asbestos abatement.
,.
I alsO.EertHY that, if fill uterial is to'be used in F1(lOd Zone "1\" Dr "A,etc.', it is understc.c,d t!.~t · drainage plan
addressing a "co.p~nsating volu~e" will be sublitted which is prepared by a professional enqineer reqi5t~ied in the State of
Florida prior to permit issu.ance.
A perlit issued shall be construed to be a license to proceed Hith the Hor\: and not as aulhorily to yiol~leJ cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent lhe Building Offici.l froft thereafter
"",,'.g , ,..",t,.. .f ..r... ,. P"". ,...tr.,'t.., .r ".""... .f "I ,.." E..', p.,.11 ,..... ...11 ..,... ,~,1"
unless the work authorized by such permit is cOJftenced within six months of issuance, or if Hork auth~rlied by the perait is
suspended Dr abande,ned f(oT a peric1d of six aDnths after the tillle the Itor\: is cC'Menced. One 90 day e~t~;,;ioll (,r tile, !lay be
allolled for the per~it with fee charge of $15.00. The extension shall be requested in Mriting to the Building Official. An
approved insppction ~ust be logged .during each six ftonth period, Dr the projecl will be cDnsidered ~balid~ned,
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 $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE_~WNE~~---~~-----
DATE___~~~~~~-_L'-~Z'~~. ---
NOTARY AS TO~ . .
OWNER OR AGENT__~~ -~-----
MY COMMISSION EXPIRE~~~JldLal&HWL--
My Commissioa Expires April 21. 1992
.... Iondecl T.... Troy f.l. . ""u...o I...
SIGNATURE._~___~~-------
CONTRACTOR
DATE__u&I._-J:,)_~_L'fXJ~-----
NOTARY AS~
CONTRACTOR~~ ~~ ~--
MY COMt'l I 55 I ON
~ Pu"})fc~"$iite- of -R~rii. - - ---
It! Commissiol Expires April 21, 1992
.. 1l2JI~ti! Ib&y ]Joy fa"': I.,...... ,..
38545 Palm Orova Drive
Zephyrhlll., Florida 33540
ACE
ALUMINUM
Job No.
Phone: (813) 782-2818
SOLD TO f/J./( f/J/TE,e..srhrE /}//fJ)IlE .r~/.~S (#lfrrl-/'Jl9RY' ~/G.HT)
ADDRESS J.~r- '1 ~/PS; ZEJ'Ji y;e f(/.{)GE DIf.
SHIPTO 2Ej)flYR ~//)(;E fIJ/J; PI1/lK Z -fJ/~ ~ .,-C//J.
DATE /1) - e:J)- 9/
PHONE
6XP ~ [AJ/7LL s/I E'.J>
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PERMIT
PIlCE
TAX
The undenIaned agrees to pay TOTAl.. PRla _ .3?t'JO ,60
INSTAWJtS.. RJl1 ON COMPlfTION DEPOSIT
BAlANCE C.Q.D.
~~-~~
Rep.
~~~
Customen stana re
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SITE PLAN
(RESIDENTIAL USE ONLY)
*
LEGAL DESCRIPTION:
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SECTION :3 TOWNSHIP ~ b
S,UBDIVISION on OTHEn LOCATION DESCRIPTION:
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Appliclltion lor Permits. All opplicittions for permi\~ shall be itccompilnied hy plan~, drawn Iu ';Ci
shuwin\l the actuitl $hapo and J.munslons 01 till.! lot or p~Hccl to t.H! built un, the l!Il.,)CI slIe and hH',1I
01 {III t!Jo.iSlir,g IlI)d proposud buihJinU~.
All dritwings slwll be dritwn to scolc for nil pnrcIll:; or 10lS !.j aCrll5 or Ic~;...
Show all existing Clnd proposed structures uiving dimon!'Oions and s{ltbi\ck~. Also. indir.aw allY ,l\llac
h,Hlil!s of W"Ior nntJ lOU\.IWUY!l aJjllCIHll 'u "'~ "rupllrly. Ind,clIlt! \Ill.! ~;Il11 ul IlIuulll.! 1\(.1'"1':; :all:h
'2' x 60', 14' )( Jlj',
( EXAMPLES )
HOUSE CONSHlUC110N
~t:^Ll: ." , 00'
1'l\OI'OSI:O ADDITION
~>I:^L1. .", 1\0'
MOlllLl: HUMC ~;r I UI'
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LEGAL DESCRIPTION'
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SECTION :] TOWNSHIP ~ b.
S,UBDIVISION OR OTHER LOCATION DESCRIPTION:
() I..fJ:J, ot?t?otJ ~ Ot?9o i..() r 9 ~/ tJ S" Z 6" PH rIG
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Applic.ltion for Permits. All oppliciltions for pcrmit~ shall be nccolllpanied by plal\~, drawn lu ';Ci
shuwinu the uctuill $hapo and dl",on~,ons 01 till.! lot or p~ltCcl 10 be built 01\, thl! l!lC..lC\ Sill! "1ll1 h.H'iI\
or ..II (JlIistir,g IInd IHOl>osud buihJing~,
;)D'
1
All drnwings sh..1I be drllwn to scnle for nil {liHCt!ls or lols !j aCrt!S or Ic~;..,
Show all existing Clnd proposed structures giving dimon!>ions and sr.tbncks. Also, indir:nlt! illlY :ltll;lC
h0llit!!I of wnh" and rOlll.lwuys adJltCt1nl to tilt! pruperly. Indicate tile ~;Illl uf mollllt.! hOIlH'!; ~;lIch
12' It 60', 14' )( 3U',
( EXAMPLES )
HOUSI: CONSTnUCTION
~C"U: ... , 60'
1'1t01'051:0 ^DOITlON
'.CALI . M , fiO'
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