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HomeMy WebLinkAbout91-1899 STATE OF FLORIDA City of ZephyrhiIIs Type of Permit G~LDI;> PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 ELE~ PLU~ ME~ Permit N~ 1899ff Date (D -~ JI-11 Job Address: 5~z. Cf LJII:lrtL~~ UovJ~ Zr./ft... ~f- Property Owners Name: Legal Description: Sub.Div. Lot Blk. ZoningCI: /~-,;2.h ,- ,;il--Dc) /7{) - 0 /)lJOO -_ Description of Work $~N~ f"'\. ~OrL-f Energy Code Readout: ~,p."A 1-/7-,~ ~ Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE # Fee.J:Ut 00 "3,b/J ~\)~ ,1 SIG~ATUAE{J4tt; (;t~ COMPANY ADDRESS TELEPHONE # Estimated Cost: ~O() ()~ All work shal! be performed in accordance with the above and all City Codes and Ordinances, DW~ IL Ftr.~ Pre,S.LB~ Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Ca Const. P e Pool Pre-Meter Final L BUILDING Breakers Ducts In Compr sor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($IO'<X>) 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. '.~---r.rn-"~'~'.----~'-'~-';"-----'~' . APPLICATION FOR PERN'IT CITY OF ZEPHYRHILLS BUILDING DEPART!'1ENT JOB LOCATION -c JIlt Rf5 C RCrWE/.-?- ,(';- 27 :;L~-'t .. C jJt1Rrf:S -) p,00/ E ~ i- S- f') :; PHONE 7. ~CZ ():;. (, J./ I ~ APPLICANT ADDRESS OWNER LEGAL DESCRIPTION: LOT(S) 7 BLOCK / LOT SIZE~'\ J j!)() AREA SQ. FT. 9' Of) () SUBDIVISION all z ,t:: t. rI E /13 N 73" , I'~\ :.... t" }-4' "'- ",' PARCEL I. D. i~ WORK PROPOSED:_New Construction _Addition _Alteration ____Repair _Install _Sign/Temp. _Sign _l'love _Demolish _Commercial _Indust. _i~ of LTni ts ,._I'1/H _Swim., Pool C!/lRP r)~ther PROPOSED USE: ~Single Family ...:-M/F _Restaurant & Health Department Approval BUILDING SIZE: I? , ,- x'?!\, Square Feet, 360 /' . Jf" . r....t) 1- Height RESIDENTIAL: COMMERCIAL : A TT ACH (2) PLOT PLANS & (2) SETS OF J3UILDING PLANS & (1) SET ENERGY FORtIS. ** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** **COPY OF CONTRACT REQUIRED. ~ERMITS REOUESTED /BUILDING $ /t'ol/ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _\-I.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation > _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel A J U/1'1I11.'.I.'-1 Other FINISHED FLOOR ELEVATIONS: FT. *********~******************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Re~istrntion n ****************************************** nU1T.DER Si!!nature Company State Cert. or Regist. n City License Registration 0 *********~~****~***~***~*********~****~*** ET.ECTRTCT AN Signature Company State Cert. or Regist. 0 City License Registration n ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** MECHANICAl. Signature Company State Cert. or Regist. 0 City License Registration ~ OTHER APPLICATION APPROVED BY ***tlJ;~****~?/5/~"':idd:1d"':i'H1' PEFJ-IIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ,und,rsigned understands that this per.it lay be 5ub3ect to 'deed restrictions' which may b~ o~re restrictive than City regulations. The undersigned assumes responsibllity~for, cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, 'they lay 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 nay be cited for a misdemeanor violation under state lall. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813) 7BB-bbll. Furtherlore, if the ollner has hired a contractor or contractors, he is advised to have the contractorts) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the ~wner 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 aay be an indication that he is not properly licensed ~nd is not entitled to 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 provi'ded with a copy of 'Florida's Construction Lien Law - Ho~eowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is so~eone other than the 'owner., I certify that I have obtained l c~py nf the ~bove desrribed document and promise in good faith to deliver it to the 'Ollner' prior to cOlmencement, ;1'..:: 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 co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a permit to'do work and install~tion as indicated. I certify that no work or installation has commenced prior to issuance of a permit 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 governmental agencies ~ay apply'to the intended work, and that it is .Y responsibility tel identify what actions I Illust take to be in cOlllpliance. Such agencies include bllt "Ie m.t li~ited to: . J ~ ~.. I Departlent of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi live L~nds, Water/Wastewater Treatment . Southwest Florida Hater' ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses . ArlY Corps ,of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~En~. Septic Tanks I US Environcental Protection AQency - Asbestos abatelllent 1 also certify that, if fill latc-rial is to be used in Fltood ZClne '1\' [lr "A,etc,', it is underste,e,d \lo,t a drainage plan addressing a 'compensating volule' will be sublitted Hhich is prepared by a pr~fessional engineer regist~,ed in the state of Florida prior to permit issuance. 1\ per.it issued shall be construed to be a license to proceed with the work and nDt as authority to vioJ~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fr~~ thereafter requiring a cCorrection elf errors in plans; cClnstrudicln, e'r violations of any ce,de. Every per~it issul~j "hall bece'le invalid unless the w{tTk authe.rized by such permit is cCllUlenced within six lIIonths e.f issuance, e,r if lie,] \; alltl,cOl ],ed by the perait is suspended or abandoned for a period of six lonths after the tiJe the Hork is [o~menced. One 90 day e=le~5ioll of tiae, say be allowed for the per0i\ with fee charge of 515.00. The extension shall be requested in writing to the Building Official. An approved inspectie,n C1ust be logged during rdch "ix Jlonth period, Cor the projl:cl lii11 be cc'nsidrr~d dbol,dCoi,ed. 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 $2,500 IN VALUE DO NOT NEED TO ECORD AND POST A "N TICE OF COMMENCEMENT". SIGNATURE SIGNATURE______________________________ CONTRACTOR DATE ____,___LO-::-BJ----:11----------,--,------- DATE___________________________________ NOTARY AS TO ' ~ i OWNER OR AGEN~@-s..J::\.d ~(7. MY COMMIS~y~~~~~~~~~~~~r-------- "~"~ ~,Jlt'gr~ t,QTARY PUSL..IC UNDERWRITEI'lIb NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------ ) CITY OF ZEPHY~ILLS BUILDING DEPARTMENT OWNER (j-f 11 F{ L f:S L /~ C) WE J-L JOB LOCATIO: I 5 Sit? 1..- r :; 'T PARCEL 1. D. # toT 7 /fA Z f l- jf [ i ~ 1fT S fL liT j]@6K.$ f)c/. r 7-/ SHOW ALL EXISTING & PROPOSED STRU~URES-GIVING DIMENSIONS & SETBACKS. ;I /10 O. ()~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ~ ~ :J' -0 o .;:;::) I( ~ '0 - Z. .(/tL --- ')-~ 0-..., " ~ " ... V I -- Jt- l' I ~ o . ~ <- ,..}, 1__> 1 1\ ~ ~ +" ~, FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, 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 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE ( 1 ) ( 2 ) CARPORTS OR LIKE STRUCTURES PLEASE COMPLETE THE FOLLOWING: DESCRIBE WHAT TYPE: FREE STANDING OR~TAC~(CIRCLE ONE~l IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE? !~ ~~!6~ FOR ( 3 ) DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN . WHAT MANN&Bl) ;;:) .,.1 I' .. /' J ' "7 ? '/J /. r f...../ i ':,., \ ; / ') i ,~ , " - I _", /'~/""'.#'./ i' '"""i - ..__.._,i .f? 0" , ( I ~' GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT: L,3D--/, W /1- J:f / GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT: ;I ( 4 ) ( 5 ) ( 6 ) COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT PLAN. 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