HomeMy WebLinkAbout91-1920
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1920{3
Date I / - I;) - 9 I
" . ,
c-ELECTRICAL
~
M~CAL
Property Owners Name~ <112:2! ,8 t:Oo
Job Address: --3 ~7 ____ _ __
\
Legal Description: SUb.DiV.U~ p J~ Lot
1
ZoningC/: ;)..-.).6 -~- / ~o
DescriPtionofwork",,---LZ _-1' J ~~L'vt~
~kZ4f ~~,
Blk.
<-<.A, ~';--<'(17_J
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: f;; 0 I --s --: 0-0
OCCUPATIONAL LICENSE # '7 tJ
Fee: 30.-~
SIGNATURE f,lAr;! ~
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
SLB
Tub Set
Water
Sewer
Final
BlJILDIN~
G
C
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Tp.Serv.
Rough In
Meter Can
Canst. 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.
.,.-'. .,
~~'f". ''''',
,~~c;.>..,.
'.,.,;;;:,.;
~"
,-~.,
PHONE 783-1344
516E FT. KING RD.
ZEPHYRHILLS, FLORIDA 34248
ACTION ALUMINUM
JOB NO.
SOLD TO
1'.-'
DATE
I
" I
'~/
ADDRESS
PHONE
SHIP TO
-.
..
PANS_ FT. LONG PATIO CABANA ROOF CEILING GUTTEF!
PANS _ FT. LONG CARPORT ROOF CEILING GUTTER
PANS _ FT LONG OVERHANG CEILING GUTTER
i /
"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 I NCLUDE CLOSER. THRESHOLD 8: KEY LO<:K)
SPLASH PLATE BUGSHIELD SCREEN__X__ MESH
CANTED WALL __ DOOR(S) BELL GRI LL(S)
X_UTILITY RooM_ WINDOW --_SHELVES (TO ROOF 8: STD)
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 ARCHWAY
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 aettaING (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_ UTI LITY SLAB / A.C. SLAB
X_ PATIO SLAB
X_ DRIVEWA Y (WITH / WITHOUT FLAIRS)
X_ SIDEWALK
X_ RAISED SLAB (SPLITS - REGULAR BLOCK
.,
1
.t- .
"'i/:-~~ ),
(~,(
PERMIT
PRICE
TAX
TOTAL PRICE
DEPOSIT
BALANCE C.O.[).
The undersigned agrees to pay
INSTALLERS IN FULL ON COMPLETION
-7>
REP.
ACTION ALUMINUM
CUSTOMER SIGNATURE
APPLICATION FOR PERI-lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTl'1ENT
APPLICANT 'hey (\ 0. r dbll' s' <S,',
ADDRESS ?J 'b 'I ~ 2> \{ L.A'/ Co. r\ e I' ( C IR..
OWNER ::E>eA nord. 1:)1 \' S .s
JOB LOCATION \/ t' \ ) 0 '3 ~ Gy ()V.{(,
LEGAL DESCRIPTION: LOT(S) Lo-t# L/ 'B BLOCK
Q - .d, Co- d. J i D - 0
PHONE I~ '?) - q 'dY ~
Lot-#~'b
LOT SIZE_X
SUBDIVISION
AREA SQ. FT.
'V"))(7rjf' (SfOY-f'
PARCEL I. D. ~~
>< Alteration
_Repair
_Install
WORK PROPOSED:_New Construction ____Addition
____Sign/Temp.
____Sign
_~love
_Demolish
"LM/H
PROPOSED USE: ~Single Family
~/F
____i~ of Units
____Commercial
____Indust.
_Swim.. Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE: ~ 0 xl.::L,
IWO
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.**
COMHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORHS.H
**COPY OF CONTRACT REQUIRED.
ABUILDING
PERMTTS REOUESTED
$ ;;) 0/5 I 00 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,
******fr*f:*.************* * * ft* 1,,~ * fr * ,',~, ,', 1, ,',~,~,~, *~,
. . CONTRACTOR SECTION
BUTT,DER ~heJ+ bLl::\n f'Y)J'Y)nnd. Company AC +,' ()Y) A \.~ ~ t\ U r:-'
o /) D II /1 ' State Cert. or Regis t, II 'I- _ 065 l <03
Signature ^~ It; N<:t/YY'\JYY'v....:.d City License Regi~tr:ltion i! "lO
******************************************
Si!?"nature
Company
State Cert. or Regist. 0
City License Registr:ltion i!
******************************************
El .ECTR1 C1 AN
Signature
Company
State Cert. or Regist. 0
City License Registration 0
******************************************
PLUMBER
Signature
Company
State Cert, or Regist. #
City License Registration j'
******************************************
MECHANICAl.
Signature
Company
State Cert. or Regist. a
City License Registration 0
OTHER
APPLICATION APPROVED BY ~~.~~:~.~....**********'.*
PERr-lIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
-
The .undersigned unders\ands \ha\ this per.it aay be subjec\ to "deed res\ricti~ns' ~hich ~ay be o~re rcs\r.ic\ivc than City
regulations, The undersigned aSSUleS responslblli\f;for. cOlpliance with any applicable deed rcstric\ions.
..' . .
'.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
If the owner has hired a c~n\rac\~r .or con\rac\ors \0 under\akn work, .they lay be required t~ be licensed in accordance with
state and local regulati~ns. . If \he con\rac\or Is not licensed as required by law, b~th the ~Hner and contractor nay be
cited for a misdeaeanor violation under statn law,. If the ~wner ~r intended contractor are uncertain as .to what licensing
requirelents lay apply for the intended work, they are advised to contact the Cily of Zephyrhills Building Departlent, (813)
788-bbll.
Furtheraore, if the owner has hired a contrac\or or contractors, he is advised t~ have the contr.clor(s) sign portions ~f the
"Con\rac\or Sections' of this application for which \hey will be resp~nsible. If you, as the owner sign is the c~ntractor,
you are indicating that y~u, rather than the contractor, are responsible for the Hork. If the contractor wishes you to sign
as contractor that lay be an indicati~n that he is not properly licensed ~nd is not entitled to per~ilting 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, \he applicant, have been provided Kith a copy of "Florida's Construction Lien Law - Ho.eowner's Protection
Guide' prepared by the Florida Depart.en\ of Agriculture and Consumer Affairs. If the applicant is soee6ne other than the
"owner", I certify that I have ~btained ~ c~py of the above described document and promise in good faith to deliver it to the
"owner" prior to cOllencemen\.
~ 1 '. .:: "
, .
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor~ation in this applicati~n is accurate and that all work will be done in coftpliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby made to obtain a permit t~. do work and install~tiDn as indicated. I certify that no work or
installati{.n has conenced prior to issuance of a per.it and that all w{lrk will be performed tel meet standards of all lalCs
regulating construction, City c~dcs, zoning regulations, anrl land development regulations 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 te, identify what actions I llIust take to be in compliance. Such agencies include bid ~H flCol liaited to:
#-
I Departle~t ~f Envir~nmental ReQul;tiDn - cypr~ss Bayheads, H~tland Areas and Environmentally Sensi ti,ie L~nds,
Water/Wastewater Treatment
I S~uthwest Florida Water ManaQement District - Wells; Cypress Bayheads, Hetland ~reas, Altering Hatercourses
I Army Corps ~f EnQineers - Seawalls, Docks, Navigable Haterways
f Department of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treal~ent. Septic Tanks
I US EnvirDn~ental Protection AQency - Asbestos abatement
I also certify that, if fill l!Iatcrial is to be used in He,od Ze,ne "A" (of 'A,etc.', it is undcrsle,e,d U"t a drainage plan
addressing a 'colpensating voluie' Hill be sublitted which is prepared by a professional engineer registered in the state of
Florida prior to permit issuance.
A per.it issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter
requiring a CCorrection elf errors in plans; cClnstructic,n, elr violations of any code. Every pNilIit issud "hall bece'll? invalid
unless the work authorized by such permit is cetlllllenced within six 1Il0nths of issuance, (Ir if li(,1 k autl,e" J,cd by the perait is
suspended or abandoned for a periDd Df six months after the tiJE the Hork is co~menced. One 90 day e:I~~sjDI\ of tiae, lIIay be
allowed for the permit with fee charge of $15.00. The extension shall be requested in "riling to the Building Official. An
approved inspectie,n oust be lClgged during each six month period, e,r the prclject liill be ((InsidN~d ab,;I,dcli,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 RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE_~~~~~~
~. ..,..
SIGNATURE~_ -~~~------
OWNER R AGE~~-----
DATE __________11=J-~--=9.1-----------.-------
CONTRACTOR
DATE_________L~l~~~J----------------
NOTARY AS TO ~~. _'
OWNER OR AGENT~~~-~---
MY COMM I SS ION EXWtRES"pLIC ~T~,TE 0F FLO~IDA cr .
.. '.... ~:~rtH+.t~f';-'l't~r't't,,4~Fr-----
BO':':,=",~:D T:'1~:';.~J G,~.,~,1'~.Ri\L ! NS~ UND..
NOTARY AS TO
CONTRACTOR____~~-~
MY COMMISSION EXPIRES__________________
~:.~~~.>!f;~;:~,[~, ~~~ ~.E ~,:~~ ~\~.; 0~~
v" ...u 1.1.\..: ~r.i\~h.tH... INS.. Ut.lO.