HomeMy WebLinkAbout91-1917
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N'~
1917g
Type of Permit
~I~D~ EL~_ PLU~ECH~
Property Owners Name~.~~~7 J)
Job Address: ::3;;r-- 0.3 f, ~ L!
Legal Description: Sub.Div. Lot
Date /l- 7 -r /
, .
Blk.
Zoning CI:
Description of Work d 0 _X ;;L /
4~~
Energy Code Readout:
~~)
If ~
Fee: ,2 -.5 '-: Ui! 72
SIGNATUR~~ /~
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: ~ 7 <1/, 00
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
COMPANY
ADDRESS
TELEPHONE #
OCCUPATIONAL LICENSE #, ~?f:27 &44At
~~J~
. BUILDI~G - -' PL~
. SLB ~
Pre SLB Tub Set
Lintel Water
FRM. Sewer
Insul.CL Final
WL
~ICAL
~
ME~NICAL
~
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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.
LANGSTON'S UTILITY BUILDINGS
"The Quality Built Building"
Phone: (813) 659-0141
S
OS~
L
D -3 G' ".3 (0 /Htik2/4€7'
6 2~/r;o~~/~
Ph:
~/Y7 ~
. L
.s:,/./o1H~ ~/vrD
~ 33SYo B
y
Date
DISPLAY: 13313 U.S. Hwy. 92 East
(1 mile east of Mcintosh & Hwy. 92)
MAILING: 12115 Mcintosh Rd.
Thonotosassa, Florida 33592
PHONE: (813) 659-0141
:IV ; ~ J::.",,' tJf-
Special Order
Mfr. Code and Ser #.
Building Description:
~
~
,q. - S"A
Sketch Special Orders (Use additional sheets if necessary)
/18"~ j!.. ~~, Ya"'? ~tVG "..;,L" / ~~s A / ;XL'IiI4t.c, ~ $-.sr~a. (
Total Quoted Price
Sales Tax
Total
Deposit (25%)
Balance COD
Receipt for deposit acknowledged
No refunds on special orders. No refunds on stock items unless cancelled within three (3) days and
prior to commencement of delivery process. Deposits will be forfeited on all merchandise not accepted
within thirty (30) days following notification of availability for delivery.
Customers approval and acceptance of the above
Delivery directions:
Loading Instructions: JJ 1/1
QUAL.ITY IS THE MOST ECONOMICAL. BUY
, ."-.'
APPLICATION FOR PERl-lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
! .:.'
,.
APPLICANT
'.' ..
PHONE
ADDRESS
OWNER
JOB LOCATION .7
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D .l~
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
____Hove
____Demolish
PROPOSED USE: ~Single Family
~/F
____l~ of llni ts
, .____M / H
____Commercial
____Indust.
____Swim., Poo 1
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS Of BUILDING PLANS & (1) SET ENERGY fORNS.**'
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
VBUILDING
$ ! 79/, 'f-D
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.
.~.~.~.~~..~~~~++++.+~+*~**************~***
------------------S3UldX3 NOISSIWWOJ AW
----------------------S38IdX3 NOISSIWWOJ AW
..
-~---------------------------lN38~ 80 83NMO
01 S~ A8~10N
_____________________________U01J~81NOJ
01 51.;) A8~10N
-------------------------------31~a
___ ____.__'_____:-_________ - ---.--- - ---,---- 31 ~a
ClOl:JldClUmJ
, 1N38~ 80 83NMO
__________________________________38nl~N815
CONDITIONS OF PERMIT AFF!D~V!T
A. NOTICE OF DEED RESTRICTIONS
Th, ,und,rslgned understan-dS that this penH uy bl lubhct io "dlted rntrlctie,ns" which may bo Dt.rE- res\r,idive than City
rugulatlons. Thlt undersi9ned assumes responslblllty~for.,colpllance with any applicable deed restrictions.
"
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIRII ITIES
If the owner has hired a contract~r ,~r contractors to undertake work, 'they lay be required l~ be licensed in accordance with
stat, and local regulatielns. ' If the contractor 15 not licensed as required by la~I, be,th the e.\lner and contractor nay be
cited for a lIisdeneanor violation uri~er state law., If the ~Hner or intended contractor are uncertain as t~ what licensing
requirelents ~ay apply for the intended work, they are advised to contact the City of Zephyrhi 115 Bui Iding Department, (8131
7BB-b611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the
'Contractor Sections' of this application f~r which they will be resp~nsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are resp~nsible for the work. If the contractor wishes y~u t~ sign
as c~ntract(lr that aay be an indicaticln that he is not prclperly licensed ~nd is not entitled te, per~itting privileges in tt,e
City ~f Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORID~ ST~TUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien La" - Ho~eowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is soteone other than the
'owner', I certify that I have ~btained ~ c~py of the above described document and pro.ise in good faith to deliver it to the
'owner' prior to cOllencellent.
.. : 1, .~. ~~;. ". j ; . .
E. CONTRACTOR'SIOWNER'S AFFIDAVIT
I certify that all the infor~ation in this applicati~n is accurate and that all wor~ Hill be done in coapliance with all
applicable laws regulating construction, zoning, and land development.
. . ,
Application is hereby lade to obtain a permit to-~o ~ork and install~tion as indicated. I certify that no work or
installation has cOI~enced prior to issuance of a perlit and that all work will be perfor~ed to roect standards of all laws
regulating construction, City codes, zoning regulations, and land development regulati~ns in the jurisdiction. I also
certify that I understand that the regulations of other govern~ental agencies ~ay apply'to the intended H~rk, and that it is
my responsibili ty to identify Hhat actions I /\lust take to be in compliance. Such agencies include bill ~l e He,t I iDi ted to:
I Departse~,t ~f Envir~nllental Reoul;tion - cypr~ss Bayheads, I/l!Uand Areas and EnvireonITteT,tally Sensi ti\'~ l~nd5,
Hater/Waste~ater Treatm~nt
. Southwest Florida Hater' "anaqe~ent District - Wells; Cypress Bayheads, H~tland nreasl Altering Watercourses
I ArlY Corps ~f Enqineers - Seawalls, Docks, Navigable ~aterways
I Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treal~en:, Septic Tanks
I US Environaental Protection AQency - Asbestos abatement
also certify that, if filllat!?rial is to be used in FJc,od ZClne 'A' (lr "A,etc.', it is undNste,e,d tl,jl a drainage plan
addrcssing a 'c~~pensating volume' will be submitted which is prepared by a professional engineer regist~red in the state of
Florida prior to permit issuance.
A permit issued shall be construed to be a license to proceed with the work and not as authority to yiDI~te, cancel alter, or
set aside any pr~visions of the technical c~des, nor shall issuance of a permit prevent the Building Official fr~~ thereafter
requiring a cc.rrecti~n e,f errors in plans; C(lnstructieln, e.r violations of any ce,de. Eyery pl'r~il iS5l1l.j ot.all becc,le inv~lid
unless the work authe,rized by such permit is cCllUlenced within six lIlonths e.f iSSllance, e,r if lied k a\!t1,Cq )..:d by the perait is
suspended Dr abandoned for a period of six lonths after the ti,e the \lDrk is c~~ml'nced. One 90 day e:li~5ioll of time, ~ay be
allowed for the per~it with fee charge of $15.00. The extension shall be requested in uriting \0 the Building Official. An
approved inspectieln Dust be le'gged during each six month period, [lr the pre,j\!ct ui I J be ce.nsidcr(?d dhcil,G{oj'fd.
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 Al'TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOT I CE OF C0f'1MENCEt'1Ef\IT".
!;lGNATURE
--- - - ----
LLOYD LANGSTON
GENERAL CONTRACTOR
LICENSE 'COCO 16396
12115 MCINTOSH ROAD
THONOTOSASSA, FLORIDA 33592
PHONE (813) 659-0141
To Whom It May Concern:
I, Lloyd Langston, authorize Tommy Perkins to act in
my behalf in all necessary matters to obtain a Building
Permit for one (1) twenty (20) X twenty-one (21) Porta-Shed.
The Porta-shed is to be installed at 38036 Market Square
Drive, Zephyrhills, Florida 33540.
Thank you,
LL/sp
~/~~
Lloyd Langston
CGC-016396
N(}Jl.~btV' ?( Iqt:t ,
M1 () t! AIr Commission Expires
vII idHj.; r t* . ClalllIor 29,l99.2