Loading...
HomeMy WebLinkAbout91-1894 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813.788-6611 ~it ~~~ Property Owners N:me~ AVy::z; <l~ Job Address: ..5? /~ ~ _~__'--- Legal Description: SUb.DiV.%p' ~~ 0 7dt&4.l? Lot (.- (j Zoning CI: Description of work.::!:::!:.f'f7_ ~;7 ""~~~ ~J!tJ --h ~~. '" Energy Code Readout: PermitN~ 1894 B Date ./ /J -d/ ~ 9'/ ~AL Blk. ~ ~~~Z~fJ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ :J~(), cJ-u / All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # 7 () PLU SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Driveway Fee: 3 0 . UU SIGN-ATURE R~ f!~ . COMPANY ADDRESS TELEPHONE # Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.OO) 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 PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Y'\,ose I \ 0... !)f/ ~ pS-Z'j ADDRESS 513 1 q b ((")G\d vV)OO{~ )T(~Q OWNER ~f).5.~ \ I G\. Ve-rv/ r se->j. JOB LOCATION S~ 1 g D ('"'0 n.JrY)C)ore ~ VI'\ lOt i~ ' n/2. PHoN~-=--:l <s C) - Co 0') :\ LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~~ WORK PROPOSED:____New Construction ____Addition ~lteration ____Repair ____Install ____Sign/Temp. __Sign _Hove ____Demolish PROPOSED USE: ~Single Family ~/F ____~~ of lIni ts ,.jCM/H ____Commercial ____Indust. ____Swim.. Poo 1 Other ____Restaurant & Health Department Approval BUILDING SIZE: 3-xd<j , Square Feet, 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 FORNS. ** **COPY OF CONTRACT REQUIRED. ~BUILDING PERMITS REOUESTED .~ ~5o . 0 0 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. ****************************************** Signature CONTRACTOR SECT~N , . Company _ C+l 0 n A l Ur'YJ; n V r<) State Cert. or Regist. # City License Registration j~ '1 C) ****************************************** mJILDER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** f,LECTRTCTAN Signature Company State Cert. or Regist. # City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAT. OTHER Signature Company State Cert. or Regist. 0 City License Registration # APPLICATION APPROVED BY .~::::.~~~..*~*******'***** PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The .undersigned understands that this pertit lay be subject to "deed restrictions' which may be more restr.ictive than City regulations. The undersigned assumes responsibility~for, co.pliance with any applicable deed restrictions. , . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay be required 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 ftay be cited for a tisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Depart.ent, (BI3) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the 'Contractor Sections' of this application for which they Hill 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 Hishes 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 provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide' prepared by the Florida Departtent of Agriculture and Consu.er Affairs. If the applicant is sOler.ne other than the 'oHner", 1 certify that I have obtained a copy of the above described doculent and pro~ise in good faith to deliver it to the 'owner" prior to cOllencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby aade to obtain a perait to. do work and install~tion as indicated. I certify that no work or installation has cottenced prior to issuance of a perlit and that all work Hill be performed to ~eet standards of all laws regulating construction, City cod~s, zoning regulati~ns, and land d~velopment r~gulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is ay responsibility to identify what actions I lust take to be in complianc~. Such agencies include bllt ~Ie not liBited to: .... I Departle~t of Envir~ntental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Ce,rps ,of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environ~ental Health Unit - Wells, Wastewater Treat~en~, Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flbod Zone "A" or "A,etc.', it is understood tlla! a drainage plan addressing a 'compensating volute" will be sublitted 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 work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issll~d ;hall becole invalid unless the work authorized by such permit is co.aenced within six months of issuance, or if wOl.k authOI lzed by the perlit is suspended Dr abandoned for a period of six lonths after the ti2e the work is commenced. One 90 day e~\~~sioll of tile, aay be allowed for the permit with fee charge of ~15.00. The extension shall be request~d in writing to the Building Official. An approved inspectie.n !!lust be logged during each six month period, e,r the pre.jed wi 11 be cH,sidered tlbdlide.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". (\1 . of) ~.. . SIGNATUR~_~~ - : ---- OWNER OR AGENT DATE __(Pdji--T--.J._f.~f~_------,------- k NOTARY AS TO. . OWNER OR AGENT / . --- M~t."i~---"- MY COMMISSION EXPI~ornmi55ion bllires Apirl2, 1992 ~iid.<l1hriilro7 rarn :"lM'UI"dl!'" IIWO - - - -- SIGNATUREfJ~J;LfL~----- CONTRACTOR DATE____~~~--~!-7-~~~-~-------- ~~~~~~C~~R~~--~--~~----- " thtcrV rc!:!k, Stut.. !It n3rittt. MY COMMISSION ~~Q~~~~!~~~Y2kL~J!!~t--- !londed Thru Troy fo;"' Inlurur".ln.. ~ q ~--- / , ~ " I GJ )<2..'1 e^ lS-1,"""" I Sc-r~ ro<,~ o,dd VI'() ~ I l.u1'()~O~ 1\ "/ /" It>. " ld-.xL(O V) ob)'k ~ OM e.. / l' lLJ ,..... f '3io 6 /" 7- A I .J () " i i \ J; ~.~ PHONE 783-1344 516E FT. KING RD. ZEPHYRHILLS, FLORIDA 34248 ACTION ALUMINUM JOB NO. SOLD TO DATE ADDRESS PHONE SHIP TO .#. J . PANS _ FT. LONG PATIO CABANA ROOF CEILING GUTTER PANS_ FT. LONG CARPORT ROOF CEILING GUTTER PANS _ FT LONG OVERHANG CEILING GUTTER "T" BARS CARPORT PATIO ROOF --- ',. , FT. AWNING RAIL (STD. OR GUTTER TYPE) , - FLASH FRONT GABLE AND BEAM WORK ON FLUSH FRONT . FT. GUTTER ON SIDE OF COACH 2 X 2 FASCIA BACKUP BAR X _X __SCREEN ENCLOSURE (DOORS INCLUDE CLOSER, THRESHOLD Be KEY LOCK) SPLASH PLATE BUGSHI ELD SCREEN X__ MESH CANTED WALL __ DOOR(S) BELL GRI LL(S) X_UTILITY RooM_ WINDOW --_SHELVES (TO RooFBeSTD) X _X -- CABANA WALLS (2" EXTRUDED OR 3" WOOD WITH TRAILER SKIN INTERIOR PANELING_ OUTLETS OUTSIDE LIGHT BELL AWNING WINDOWS SINGLE HUNG WINDOWS . DOOR(S) PANEL TRAILER WALL -_BUILD 4TH WALL CUT ARCHWA Y X__ RAISED WOOD FLOOR (2X6JOIST.PLYWooD FLOOR. METAL FLASHING LIN. FT. (ALUMINUM OR BLOCK) FILL FROM GROUND TO FLOOR HEAT DUCTS OR ELECTRIC BASEBOARD HEATERS RAISE ROOF ABOVE TRAILER X _INSULATED CEILING (SPECIFY) WINDOW AWNINGS: SIZES HURRICANE TIE DOWN ANCHORS LINEAL FT. SKIRT BLOCKING -----COL.oR LINEAL FT. PLANTER (;OL.OR SET STEPS (_ TREADS) (-TREADS) X_ PLATFORM FOR STEPS X_ UTILITY SLAB / A.C. SLAB X_ PATIO SLAB X_ DRIVEWAY (WITH / WITHOUT FLAIRS) X_ SIDEWALK X_ RAISED SLAB (SPLITS - REGULAR BLOCK ~ PERMIT PRICE. TAX TOTAL PRICE DEPOSIT BALANCE C.O.D. The undersigned agrees to pay INSTALLERS IN FULL ON COMPLETION REP. ACTION ALUMINUM CUSTOMER SIGNATURE "