HomeMy WebLinkAbout91-2008
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
2008A
Type of Permit
~~~ ~ ME~AL
Properly Owners Name711:~ y J(~r
Job Address: 6!!':' / " ~ _ -0>- ~-
Lot J;:;-r
Legal Description: Sub.Div. () t!.-
Date I/) -cJ...3 -? I
Blk.
Zoning CI:
Description of Work }/.--:. ~" J
~
tL. IVLl_ J
Energy Code Readout:
~ I-?,-'!-Z-- 4~
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
Lj '1 If. l)-()
Fee:
d./) ~
i;:-?i?)
OCCUPATIONAL LICENSE # J
SIGNATURE
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
}/. O-\k ~
c:=----/- ~lJl~~ING
"Ffr.-----_o
Pre SLB
Lintel
FRM.
Insul.CL
WL
SLB
Tub Set
Water
Sewer
Final
-----
----~~
E~fUQ~L
~,
Tp.Serv.''''~
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
MECH~AL
"
Pl:bMaING
~
Breakers
Ducts Insl.
Compressor
Final
Driveway
Reinspections: 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.
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APPLICATioN FOR PE'RNIT
CITY OF ZEPHYIUIILLS
BUILDING DEPARTMENT
APPLICANT tQ {J' SAL e/<( 4'
ADDRESS ~ ~ I & U I I Ie.. e. ItJ}'
. .' : :! ..!:. ,
l.v t1/.:,p' a A 1'( (~
,
,,'
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PHONE
7 F? >f- ,- .3 Cj q S ~,
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OWNER
. '17
JOB LOCATION SL~ e~'1 Hal/ow I
, ,
LOT SIZE
x
AREA SQ.FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D .1J
WORK PROPOSED: ~ew Construction
"
_Addition
~Alterotion
_Repair
I./"
____Install
_Sign/Temp.
---,,:Sign
_~Iove
____Demolish
PROPOSED USE: ~Single Family
~/F
_1F of Units
.,_l'I/H
_Commercial
--.:-Indust.
_Swim. Pool
Other
_Restaurant & IIealthDepartment Approval
x
, ;
Square Feet,
Height
rWILDING SIZE:
RESIDENTIAL: ATT.ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS << (1) SET ENERGY FOIU-IS.**
COM1'IERCIAL: ATTACIl (3) SETS, Of' nUILDING PLANS & (1) SET ENERGY FomlS. H
**COPY OF CONTRACT REQUIRED.
PERMITS REQUESTED
_BUILDING
$
, Valuation of Total Construction
_ELECTRICAL
AHP 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. '
******************************************
% ' ' CONTRACTOR SECTION I
nllJl.nER U J e "-'~ ~ ~ . Company ;..; .el(r<. r /'if B-1-(; f.;-:J- S~ "'-VI L f'
State Cert. or Regist. It __ 0..... _X;:,/4
Signatur ~ j . City License Registration 1/ 41-?
***u******************n~*n*n****~***~*~*~~
ELECTRICTAN
Company
State Cert. or I~cgist. 1/
City License Registration i~
*****~************************************
Si!?nature
Company ,
,State Cert. or Regist. ~
City License Registration n
******************************************
,PLUMBER
Signature
Company
State Cert. or Regist. il
City License Registration U
******************************************
l-lECHANICAL
Signature
Company
State Cert. or ReGist. 0
City License Registr.ation n
OTHER
Signature
APPLICATION APPROVED DY
~****************************************~
11~1.~',(A~ . "
PERNIT OFFICER.
CO~DITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Thll,unduslgnl!d undus~a;ds tha~ this penH uy bl lubject to "deed res~rlcti(.ns' Hhich ~ay be: oCor~ rl!str,idive Ihan Ci ty
regulations. The undersignl!d asSUllleS rl!spon51bl1itf.:for"co~pliancl! with any appJic~ble: dced rc.lridiQns.
. ..I
"
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIRILITI~S
If the own~r has hired a c~n~ractor ,qr con~ractors to undertake work, 'they lay be required t~ be licensed in accordance with
'!ate and loc~l regula~ions. ' If the,contractor 11 not licensl!d as requirl!d by I"H, b~th the (,uner and contractor nay be
Cited for a mlsdellleanor violation under state laH., If the owner or intended contractor are uncertain as to what licensing
requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
7BB-66 II.
Furthermore, if the owner has hired a contractor Dr contractors, he is advised tD 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 ~nd is not entitled to per~itting privileges in the
City of 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 provi~ed with a copy of "Florida's Construction Lien LaM - Ho~eowner's Protection
Guide. prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the opplicant is sote6ne other than the
'owner", I certify that I have obtained ~ c~py of the above described document and pro~ise in good faith to deliver it to the
.owner' prior to cOI~ence~ent.
; I, .~' ~~:. ". I ; : .
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor~ation in this application is accurate and that all "ork Hill be done in coapliance with all
applicable laHs regulating construction, zoning, and land development.
. '
Application is hereby ftade tD obtain a permit to'do work and install~tion as indicated. I certify that no work or
installation has co~~enced prior to issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws
regulating constructiDn, City codes, zoning regulatiDns, anrl land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended wDrk, and that it is
ay responsibility tc, identify what actions I must take to be in compliance. Such age:,eies include bill :<\C Ii(,t liaited to:
. '
I Department Df Environmental ReQ~lation - Cypress Bayheads, Hetland Areas and Environmentally SEns! liv! Lands,
Water/Waste~ater Treatment
I Southwest Florida Hater" ManaQeftent District - Hells; Cypress Bayheads, Wetland ~reas, Altering HatercQurses
I Arty CorpsDf Enqineers - SeaHalls, Docks, Navigable Waterways
I DepartaeTit e.f Health L Rehabilitative Services, EnviroMlentall!ealth Unit - \le,lls, 1j"steHater Trei,t,~€r\~. Septic Tanks
I US Environ~ental Protection Aqency - Asbestos abatement
also certify that, if fill mate-rial is to be used in FlC,od Zone "A" e.r 'A,etc.', it is under::te,e,d lIdl a drainage plan
addressing a 'coapensating vDlu~e" Hill be sublitted which is prepared by a professional engineer regisl~red in the State of
Florida prior tD permit issuance.
A perfJit issued shall be construed to be a license to proclled 11lth thll wc,d: "nd m,t as authc,rit)' tc' vic.J,'\e, cancel aller, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Duilding Officii! fro~ thereafter
requiring a c(,rrection (,f errors in plans; cc,nstructic,n, c,r vic,lalions of any e(,de:_ [very pl'r~il issu,!j ~haJI bH('H inv~lid
unl!:ss the Heork auth(.riz!:d by such permit is cC'lIIl1enced within six lIlonths [,f issuance, c,r if l1C' 1\; a\,tl,c", ],ed bi the peoit is
suspended or abandoned f[ol" a periCld e.f six lonths after the ti.1e the \lurk is r.c'~lmrnr.ed. D'le 9(; day e";t~"siol1 of tile, aay be
allc,wed for the perl1lit ~Iith fee charge of $15.00. The extensie,n shall be requested in lirilinQ tc, the 8t1ilding Official. An
approved inspecli(.n /'Just be I[,gged during each six month period, (.r the pre,jeet liill be e['nsider~d iJbdlldc'i,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 LEI'IDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOT I CE OF Cm1 - 'JEt-IT" .
SJCNATURE_~1{fAf=---
DATE__J-.,g,~~_2!J._.:_(2_fL~_,--,-------
DATE
~_~~~~_!J:9~--------
NOTARY AS TO jl}ll .d.A (y~ '
OWNER OR AGENT /~~-2.:..'- -- ---'--"--
r UUfry Ie, Sfal~ m ROnda
MY COMMISSION EXPIRES_~:~~~~~~~~~!~~-~~~~-
NOTARY AS T~ ~~
CONTRACTOR_ _ _ . --'A.-_ '" --
Notary Pu e; Sla1e m ROrrek
MY CO~'~lISSIDN EXPIRES~;L_~~~~~E<!~~~~_J.~iI.,
~._-.~-..~ ..__-...--._'-.~- .-~-~-~ .._-,---.~- ~-~- -~--~_. -- _._-_.~-~._-_.-_..--.~------._.~-,-....._.-.- --.- '-'_._~"--,--~-",,,--._---~--'~
HERB'S MOBILE HOME AND ALUMINUM SERVICE
3';~);::: J.~) L.. I Zf.::lBETH C: J RCLE
lEPHYRHILLS, FLORIDA 33540
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fj"Hb fKJFH::EttJEi\lT WmE THIS "".--~:DAY OF.,(.".i.:--:-u,;:~,'_"'''-19.L--BETWEEI\l HERB'f: i'tHlBILE HOIV1E
(.41\1D nLlJlT11 NUM SERV I CE AND ...--''-..''..----''.---.--''--.-----''--.-''.--...''--.---.'',,--nSSURES THAT THE ABOVE N(':~MED
COMPANY IS RESPONSIBLE TO ASSEMBLE AND INSTALL COMPLETE THE FOLLOWING ITEMS:
,.-..-......
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...,/It::::.r:.;~..<_!-Z~:.::;;.::,~;'';::~:t;::1.:dZ.-:.:_~.<,L,(,--",-.~Se:;;2.::?:-_.--".,.--,..-/:z:: _.(_~_" "'H"_('::1.~<;'~!..__.", H_L"~_''::'''''HjJ2&.z..;L:u.c.L!.
,- (~r{"" /L~.,t ',,~,_...,....--/ '/', '. j-')i,t.-/~;-~.~
Al..L MRTERIALS REMAIN THE PROPERTY OF THE CONTRACTOR UN1'IL PAID FOR IN FULL
Al.L JO~'S MINIMUM OF 50% DOWN UNLESS ARRANGED WITH CONTRACTOR BEFORE SIGNING
m L. 1V)~nERI ALS REMOVED FROM JOB BECOMES PROPFFHV OF CONTRnCTDH.
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nce I DEI\ITS DR OTHER CAlJ.SEE3 DEYOND HIS F{EASONABL.E C(]NTI~OL. TI.n ~~; SHnL.L.
CfJN!3T I TUTE THE < EN'rlF<E:$i:::ONTR?-1CT. (:lI\fy' Wor':':K OTHFF< THAN SPEC I F I ED nBDVE ~:)H(':~LL BE
F:XTRn ABOVE Tl-IE CONTR-ACT PRICE.
WE PROPOSE HEREBY TQ FURNISH MATERIAL AND LABOR
I,.,) I THTHE f1EiC)VE :3PEC t F' I C(~T I Oi'-jS ~ FUR THE ~:;Ulv) OF
COMPLETE IN ACCORDANCE
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P n Y Ivl Ie: NT TO BE 111 (-i D ERE,') F' 01.. L 01,..J [:; ~ ..:_.-!!.--.~~......, ...___S",.:-::.:(<-___..Lfc:L....._.._j'"::-_-::'"'_...~=:::::.___i!.,:.'.!fc>!:!::~;;,.___::?:Zd=._ -".,
i,.UT'H Bf.H._nl\lcr::: Tq BE PfHD HPBN COIY\I:::'LET I ON OF wur~K.
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ACCEPTANCE OF CONTRACT-T8E ABOVE PRICES, SPECIFlcnTION AND C()NDI1IONS
ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO THE WORK AS
SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED ABOVE.
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DATE OF ACCFPTANCE:--
H I F,NinIJnE~ :: .
,..-,,,.-.. --.------ . ...-.---,..-..--..-.... .--...-....-....f:) J GN~l' r U RE ~
// CITY OF ZEPHYRHIL~~ ~,_BUILDING DEPARTMENT
/)"~";'/c:c:.;'L:~-~//7' ..",/. ~~-d .'.......<.!~~
OWNER ,
JOB LOCATION 0&/0 ~/~~~ /0J z~.. /~/6'"
PARCEL 1. D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
I".&'~ 1"""/ Ib1,J-<
. 70 (-(';..~.,
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rlf R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'-
la'
P E-
R X
0 I
10' P S la'
0 T
S I
E N
D G
20'
1 0 I
10'
la' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE