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.
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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.
BE I [0
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