HomeMy WebLinkAbout91-1952
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit )J~
19S2A
it
Date
/1 -,;26 - 9 /
~ ME~AL
~~~ hi
Properly Owners Name:;Y, . t:~'
Job Address: __.{ ~/ 3__ __ A..I_ .
Legal Description: Sub.Div. Lot
Blk.
Zoning CI: /' L? '- d-b - d.--I -
Description of Work ~.-i~
~t2A( _~~7)'vn.
ot?/D.... ()yy()(J 6600 30
'---r ~ ';J ~1 /!
........4"~~........ (j Jl~ ?l.-41. ,I v1'..J~ ~
~
~ /~-/o-9/
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: 1- ':. --:.c cJ. o-v
OCCUPATIONAL LICENSE #
Fee: .2 ~-< (;'/J < _
SIGNATURE ,~14-Vi)-~~E})
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
PLU
LB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Ins!.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of ten (SIO.OO)
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.
CITY OF ZEPHYRHILLS nUILDING DEPARTMENT
i~ le/III!P/J f). c-/l/P/r
JOB LOCATION 5'1). /3 5iJA [))I/1 [S', IA.
I P {;.:.... ;; 5 ;IT1 C'j
OWNER
PARCEL I.D. #
Z. 12 jJl-I '(If }-f /L h.5
)
Cf9L
;=- L ~ )J 5"'7/
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
/1~)(/'-//oIJ X~JH-
S c f:. !;.. E N ~~ Co d lv\
'l# b S / ~ ~ S Ai
.......",'l!;.~,_,_ .-..-.....~"""'._~~ J:} ! \:i
E Y /S 1/ IV t;... cAR
Po 1< r! VJ! rH' .rc.P,F:frv
D .0 0 "R "
f , I
~ )"l-IlO
/\ ~':::':--if-'"
~ t I
Q~ ( OfJOR.!
~ I .N"'V .. --I
-=-1 < - I~,,; ::; f\
(.'.. -n.... I
" (",')
~
~ ~')~
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
I "I '
'>
,-
C!.
(..":1
- \1\
,.~
r"n ~
1:
<;>
:>
~.....
',1
~_-.:
r
I S- OI.:J . 0\)
/
FRONT PROPERTY LINE
? ;L~-
STREET S"~ J J [lHI{ lJy /fE5'T Alt.
(NOTE EXAMPLES 1 & 2)
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
P E
R X
0 I
la' P S la'
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 O'
FRONT PROPERTY LINE
-
.;.
""----
-nf '75&7 c2'Z{P.1
ET AL EClt. INC.
'~
Est 1Q57
weatherwa\\ Division
7635 West Second Court/Hialeah, floriclo 33014-4305 U.S.A.
Phone: (305) 823-2323/1011 Free: (BOO) 432-5180
FP,k (305) 823-7785/1e\ex: 803693 ME1AL1ECH
EXPORT WORLD WIDE
Il()'. /.<ffl'l-f r;- t'ir nrf('f t ::c loS'
<:J.iY lfo'i. 'ii" f Jb +-W I G.lfl ~
It"
'--
1)-" lxv
?h I ;2fY
ijJ' K,Jlfrl~
$tiem SfrLI(
booR.
~eR;I<it';;' e
2;cte@f/S
3(;.00
?5,5J
'/3.7--'0
/lilt1
55'.00
fa .00
/tJ~o~
.~'t~
,f,. .l.,~
,..,..
~.
./
.~
___'-0
~0
mJ'
(rf --t
e;1lf\
i77
D
~ /1'
~,~
-G
\.r-.
7' "j.f2I-.
-- (
I 1'" (
+ )~~.. ; V'.
~--_ 0.
I __--u~
~ "l~" C)..lI1.
^ ;b \~~~~~
VT . -
- \\ (It' .~
~4h~- iX'O/I
JL ~ ~L JifpJJz
--...-. t f. ':~f of. .
~ (fl n
~
"-
'-0
--~ -..\\
" '-Cl
~
'\
"f
-0
lX
ib
-/--- 01 I
al tej tf.aCC.... ~ o-tr.:-i./7:a;J-v'
(;.
,
/ >
~")
.,
.......
-.-'<.'
I
I
I
}
I
!
i
-:--\
.') i
. - ,. -'
/'~?,--.. e;, /"11..{?
.-:---.--;- . ~ ~
V\
~
. ~/
..~
~rf: ~~er
fPPT,TCATION FOR PERMIT
~C" 1)9Pr:-f ~CITY OF ZEPHYRHILLS
f -. BUILDING DEPARTMENT
APPLICANT fll/'~~ 0 C:a2-j .
-IJ..' 'f / , ,a) 11/
ADDRESS ? J- / l~C i#t :wtrLlf.,1, 9-/ ~3 PHONE
OWNER
JOB LOCATION ).:1/:} ~~C.ot: -Ul . LOT SIZE_X
LEGAL DESCRIPTION: LOT(S) ;7(; I' BLOCK SUBDIVISION
PARCEL 1. D. ~F / F (j :-. S I Jf ;J c T '1 ~ L /6 - ,J b
7>5 f?- ~/5'(;')
AREA SQ. FT.
~ie~k~v~~
- d/ ~ () ~6/ () - () r '10 () - u 0 00
WORK PROPOSED:~New Construction _Addition -4Alteration _Repair _Install
_Sign/Temp. _Sign - Move _Demolish
PROPOSED USE: ~single Family _M/F _# of Units ._M/H
_Commercial _Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE:
X_,
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.H
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
, I
--LBUILDING
$
Valuation of Total Construction
._ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
TYPE OF CONSTRUCTION: _Block
ROOFING SPECIALTY
_Frame _Steel ..jj..;l~k"ll/~~r1'fther
_PLL~BING GAS
FINISHED FLOOR ELEVATIONS: FT.
******************************************
BUILDER
(jJ'--({ /v\...~)
CONTRACTOR SECTION
Company
State Cert. or Regist, #
6,) ~) City License Registration #
,
******************************************
Signature
/~ ' J!.' )
? ;'-J1rtAX; It
ELECTRICIAN
Company
State Cert. or Regist. #
City License Registration #
******************************************
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLL~BER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY
****************~************************
fi OA'Lt',~ _'X; ~
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be more restrictive than City
regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay 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 lay be
cited for a lisdemeanor violation under state law. 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 Department, (813l
788-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the owner 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 lay be an indication that he is not properly licensed and is not entitled to permitting 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 provided with a copy of "Florida's Construction Lien LaM - HOleowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is someone other than the
"owner", I certify that I have obtained a copy of the above d~scribed docu.ent and promise in good faith to deliver it to the
"owner" prior to co.mencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby .ade to obtain a perlit to do Mork and installation as indicated. I certify that no work or
installation has cOI.enced 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 goverl;~ental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlllpliance. Such agencies include bllt ~ie Bot lillited to:
I Depart.ent of Environ.ental .ReQulation - Cypress Bayheads, Wrtland Areas and Environmentally Sensitive Lands,
Water/Wastewater Tr~atlent
I Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health ~ Rehabilitative Services. Environllleotd! Health Unit - Wells, Wastewater Treatment, Septic Tanks
I US Environ.ental Protection AQency - Asbestos abatement
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.', it is understood th~t a drainage plan
addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to vioj~te, cancel alter, or
set aside any provisions ~f the technical codes, nor shall issuance of a permit prevent the Building uffici~l froi thereafter
requiring a correction of errors in plans, construction, ~r violati~ns of any code. Ev~ry permit isslIvd ;hall becole invalid
unless the w~rk authorized by such perlit is c~..enced within six .~nths of issuance, or if work authol lzed by the per.it is
suspended or abandoned for a peri~d of six lonths after the time the wDrk is cOlmenced. One 90 day e~tEnsioil of tile, may be
allowed for the permit with fee charge of ~15.00. The extension shall be requested in writing to.th~ Building Official. An
approved inspection must be logged during each six lonth period, or the project will be considered dbaildoned.
'/
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 A1TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE'OF COMMENCEMENT".
L-'
SIGNATUR.----CC-O~~R~tN~~-----
SIGNATUREt:__Ad.. 1l(-T-~dJ-
80NTR~<t'~e (" ~
DATE_____________,LL_~~~~_~~_____________
NOTARY AS T~ /J U
OWNER OR AGEN __ _____U:..._~---
MY COMMISSI' PIRES___~=j~~~?_~~______
DATE_________~{~~_~~~~~____________
NOTARY AS TO ~ ~
CONTRACTOR t(. ~
;7-------------------------
MY COMMIS N ExPIRES____~~1~_:9_s:___