HomeMy WebLinkAbout91-1975
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
PermitN~ 1975
Date /2 -6 -9 (
FI ~rTRIA_1 -= --- Ii'LuMBlNG
Job Address:
i'
~cL
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
/ r ,
r1/h?ed ~.Jtfra9
I
1f;
rYff:{:tP
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
550. ~
~--
Fee:
SIGNATU
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with Ihe above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE ~ ~
.Ifp J: /! /-; tv)
~ t-I ECTRICAL
Tp.Serv.
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
.--
-<Ivll!\.,:~j IC:\l -
BUILDING
~ PlblMBltJC
SLB
Tub Set
Water
Sewer
Final
Ftr,
Pre SLB
Lintel
FRM,
Insul.CL
WL
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.
APPLICATION FOR PERl'lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTHENT
-
"-7
APmCANT . ~~~ (:' ~Jhk)L-
ADDRESS ~- ____ ,c~~:>r;,-y/k#p;~ /
OWNER
JOB LOCATION';:;;'kA'/21:-:k/~ #=-,/
LEGAL DESCRIPTION: LOT(S) BLOCK
PIlONE~ ;.ci;~
LOT SIZE X
AREA SQ. FT.
SUBDIVISION
PARCEL 1, D, i~
~.
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install
_Sign/Temp,
____Sign
_~love
_Demolish
____Commercial
_Indust.
_Swim.. Pool
.._M/H
,// Other
PROPOSED USE: ~Single Family
____M/F
_i~ of Uni ts
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PL,\NS & (1) SET ENERGY FORl'IS,H
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORHS.**
**COPY OF CONTRACT REQUIRED.
PERMTTS REOUESTED
_BUILDING
$
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,
~ONTRACTOR SECTION , ~
DUnnER ~r>;;-:!::Z:- .. ~~~~:n~ert.~~~:t iik-::ft;.f/</
Signature' ~.. . . City License Rc"isLration" ':1 ,
******************************************
******************************************
=
Sin-nature
Company
State Cert, or Regist. 0
City License Registration 0
******************************************
ELECTRICIAN
Signature
Company
State Cert, or Regist. 0
City License Registration #
******************************************
, PLUMBER
Signature
Company
State Cert, or Regist. 0
City License Registration j'
******************************************
MECHANICAl.
Signature
Company
State Cert. or Regist. a
City License Registcation
DTHER
"
~r __
***********************************~******
PERHIT OFFICER,
APPLICATION APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
~. NOTICE OF DEED RESTRICTIONS
The ,undersigned understands that this per.it aay be sub3ect to "deed restricti~ns' which ~ay be oore restrictive than City
regulations, The undersigned assumes responslbilltf;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 aay be required to be licensed in accordance with
state and local regulations. If the contractor Is not licensed as required by law, b~th the owner and contractor ~ay be
cited for a misdemeanor violation under state law., If the owner Dr 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 Depart.ent, (813)
788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
'Contractor Sections' of this application for which they Hill be resp~nsible, If you, as the ~Hner sign as the cDntractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractDr that aay be an indication that he is not prDperly licensed ~nd is not entitled t~ per~itting privileges in the
City 01 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 C~nstructi~n Lien Law - H~~eowner's Protection
Guide' prepared by the Fl~rida Depart.ent of Agriculture and Consumer Affairs, If the applicant is SOleone other than the
"oHner", I certify that I have [obtained a, copy of the above described dc,cument and prc,mise in g~od faith to deliver it to the
'owner' prior to cOI~ence~ent,
:1,":.:: "
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all w~r~ will be done in c~~pliance with all
applicable laws regulating c~nstruction, zoning, and land development,
Application is hereby Jade to obtain a permit t~'do work and install~tion as indicated. I certify that no work or
installation has commenced prior to issuance of a perlit and that all work will be performed t~ roeet standards of all laws
regulating construction, City codes, zoning regulati&ns, and land development regulati~ns in the jurisdiction, I also
certify that I understand that the regulations of other governmental agencies may apply'to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in compliance, Such agencies include bill ~le IiC,t li~ited to:
...
I Departle~t of Envir~nmental ReQul:tion - Cypr~ss Bayheads, Hetland ~reas and Environmentally Sensi ti\'~ l~nds,
Water/Wastewater Treatment
I Southwest Florida Water HanaQeJent District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
I ArtY C~rps ~f EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Yells, Uastewater Treat~en~. Septic Tanks
I US Envir~naental Protection AQency - Asbestos abatement
I also certify that, if fill material is to be used in Hc,od Ze,ne 'A" cor 'A,etc.', it is underste,c,d \I.~t a drainage plan
addressing a 'compensating volute" will be sublitted which is prepared by a professional engineer registered in the State of
Florida pri~r to per~it issuance,
A perait issued shall be construed to be a license to proceed with the work and not as authority to yi~late, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~ilding Officii! fro~ thereafter
requiring a ccorrection eof errors in plans; ce,nstructieon, cor violations of any cc,de. EYery perlliit iSSII,!j ohall becc'le invalid
unless the wcork authe.rized by such permit is c['lIlllenced within six ~onths ~f issuance, c,r if 11('1 f; aull,co[ ],ed by the per.it is
suspended or abandoned f~r a period of six lonths after the tiJe the work is commenced. One 90 day e=te~5ioll of tile, lIlay be
all~wed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An
approved inspectic,n oust be logged during each six month period, c,r the pre.ject liiII be cc,nsid!?rr:d abolroe.ned,
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. JOGS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE_~~~~_~--------~--
OWNER OR AGENT
-/ I
S.IGNATURE_~~--D.~- \ -
CONTRACTOR
DATE__L~/~f:!.---_._._----'-----_._------
NOTARY AS TO ~' ~~'!
OWNER OR AGENT " / ,(J . _ -' ---
w' 1'0 c. 0 oCf8 .
MY COMMISSION EXPIRE~~~_~_~-~~--
DATE__IZL_6.-/-~L___c__-------'----
NOTARY AS T~/ ' u~
CONTRACTOR i ~, --
- - - NOtiiY-~C. State of Florida
MY C;MMISSIDN EXPIREs-'!~~~~~~~j~~~:.~::~992
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, ..> CITY OF ZEP~LS BUILDING
OWNER V~~~ __ ~;;r-
JOB LO~N ~~ 4d'~ ~/
PARCEL I. D. #
DEPARTMENT
~/0S-
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60 '-
la'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE