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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.