HomeMy WebLinkAbout92-2103
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
Permit
:N<!
210313
DatE~ ;;.. -3 - ;; ;;L
~ EL~ PLU~ M~AL
Pmperty owne' J~ ~
Job Add'"", ~/ J h _~ - --~L4r ~.......o_
Parcell.D. # / (] -:J...b - _ --=----:::- _'1-
Zoning: Energy C~ d' Radon Gas: r- ;/
De"""pt'on of Wo,k (::., r-~ ~/JJ.-v-e_~ - ~<:L
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C,O,
FINAL
C,O,
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or 1/.
Contract Price /6t tJ7J . d"7)
Signature
Company
Address
Permit Fee ~ I. o--D /~
~/~/4!!7~
/' ./
City License Registration # 7 a tJM, (fit~
State Certified License#
Telephone#
)L.}V tlIv~ .
~'LD'V
Ftr. l-4 1I./'1t..- (f: J I
Pre SLB z~/p42-iJ; II
Lintel
FRM.
Insul. CL
WL
ELEC~
......
PLbMelNG
...........
ME~ICAL
~
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g, Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICANT
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
;J ()) f} ~ ..J C{~O -
3 fY.]6 S'0-4~~ r4 ~ ~'
OWNER !- L D ij' d ;+1 rL I -'
JOB LOCATION T / :?, S IJ~ ~ '
PHONE
78Y-36YV
ADDRESS
. . 11:'/
LOT SIZ~~X
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
95"" ~REA SQ.FT. DO Y
s/.l~~ /
____Sign/Temp,
____Sign ____Move
____Demolish
PROPOSED USE: ____Single Family
--lI/F ____~~ of Uni ts
~/H
____Commercial
~Indust. . ____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING ~IZE:
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.**
**COPY OF CONTRACT REQUIRED. ~.
PRRMITS RRQUESTED
~BUILDING
$ ~ ~~ ;!1-6 . trrJ
Valuation of Total Construction
~ELECTRICAL
AMP Service
Florida Power Corp.
_W,R.E.C.
_MECHANICAL
_PLUMBIN'G
$
Valuation of Mechanical Installation
....
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block _Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
Signature
******************************************
CONTRACTOR SECTION.
Company
State Cert. or Regist. ff
City License Registration
****************************************
ET,ECTRTCIAN
Company
State Cert, or Regist. ff
City License Registration #
******************************************
SiQnature
Company
State Cert. or Regist, #
City License Registration #
******************************************
PLUMBER
Signature
.
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAT,
Signature
Company
State Cert. or Regist. ff
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY
**************~*************************
)] ~ MAnAr ,
PERt-lIT OFFICER,
...
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS,
The undersigned understands that this per.it .ay be subject to "deed restrictions" which' lay be lore res~rictive than 'City
reguhtions. The undersigned nlUII. rtlfNlnsibility. for co.pliance with any applicable deed restrictions.
. ~ '" ~.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ollner 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 il not licensed as required by law, both the owner and contractor .ay be
cited for a .isde.eanor violation under state lall. If the ollner or intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended lIork, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
788-6611. .
Further.ore, if the ollner has hired a contractor Dr contractors, he is advised to have the contractor!s) sign portions of the
"Contractor Sections" of this application for IIhich they lIill 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 lIishes you to sign
as contractor that lay be an indication that he is not p~op~rly licensed and is not entitled to perlitting 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 lIith a copy of "Florida"s Construction Lien Law - Ho.eowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is SO'Eone other than the
"ollner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
"ollner' prior to co..ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work lIill be done in coapliance lIith all
applicable lalls regulating construction, zoning, and land develop.ent.
Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no 1I0rk or
installation has co..enced prior to issuance of a per.it and that all work lIill.be performed to leet standards of all lalls
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies lay apply to the intended 1I0rk, and that it is
IY responsibility to identify IIhat actions I .ust take to be in co_pliance. Such agencies include but ille not li_Hed to:
I Depart_tnt of Envitonlental Reaulation - Cypress Bayheads, Wetl~nd Areas and Environ.entally Sensitive lands,
Water/Wastellater Treataent .
I SDuthwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Ar.y Corps of Enaineers - Seallalls, Docks, Navigable Waterways
I Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - W~lls, Wastewater TreatMent. Septic Tanks
I US Environ_ental Protection Aaency - Asbestos abate.ent
I also certify that, if fill laterial is to be used in Flood Zone "A' or "A,etc.', it is understood that a drainage plan
addressing a 'co.pensating volu.e" lIill be sub.itted IIhich is prepared by a professional engineer registered in the State of
Florida prior to penH issu,ance.
A perlit issued shall be construed to be a license to proceed lIith 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 frol thereafter
requiring a correction of errors in plans, construction, or violations of any code, Every per.it iss\l~d ~haJI beco.e invalid
unless the 1I0rk authorized by such penH is co.aenced lIithin six .onths of issuance, or if litork authc'llZed by the pertH is
suspended or abandoned for a period of six .onths after the ti.e the lIork is cOlmenced, One 90 day e~tensioll of tile, .ay be
allolled for the perlit lIith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered dbaudoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT-S TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOGR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J08S UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMME EMENT".
SIGNATURE_~o~~-~-----
_~~~1_9L'1_~---------
M
I~f;b,.S\;:lle-€>1- ~efffie-H- brrcrp"'--
My Commission Expires Janu3ry 17 ~1994
~~_9~~
MY COMMISSION EXPI~ES____"....:_"':":':'__:":"__":l.:,-"---
L, ",,:
'.'<l/o
, .
~
SITE PLAN
(RESIDENTIAL USE ONLY)
PARCEL I.D,
SEe
TWP
RNG
SUBO
BLOCK
LOT
PROPEHTY MEASUREMENT
~o I"K C?S-"
@J <';~ ~,*"S f-
drawn to scale 'or all parcels or
efL-
S~
IwrE
/
CUlmENT OWNEHS
All drawings sball be
()
OE
II
<6 I
( S~'81 p~-':~ <l I
'J l 1V~ -
I}) - 9.5~~
~lc,
u 0 L(}. yJ~- t
~\/ CC\r1'.~f-
........-------
_'1
O~~ ;;S'
SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS, ALSO, INDICATE
ANY BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY, INDICATE
THE SIZE, YEAR, ~~D N~~E OF MOBILE; SUCH AS 12' x 60'. 1981. FLEETwOOD,
All "EASEMENTS", "RIGHT-OF-WAY" and "JURISDICTIONAL LINES" must be shown on all site plans.
DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE
HOUSE CONSTRUCTION
.tA~[: '-..0'
PROPOSED ADDITION
"ALC: ,.. .0'
MOBILE HOME SETUP
l'ALl: ,-. 10'
rtar(60ll.l
w
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It:
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/0'
20' . 10'
'2.!l'
!l0'
40'
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add.
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20'
20'
00'
P/L
ROAD NAME
ROAD NAME
ROAD NAME
sitepl;JIl:C'f'
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CONTRACT
f-I A. w.
486
ALUMINUM,
Since 1973
602 South Avenue
Zephyrhills, Florida 34248
(813) 788-3044
/ J /
Sold .t:,..L c! y (/ /
.-...... / ""?' /
Street J. "- '" ;::,
J!'lL
) '/
\.. . '/\ /1,/ j. (' ~'Y
/ " '
Phone
7?'!i - Cj 7"(, L
).- 10 - '1'2
Date.,L.- ... __
Estimated Installation
Park ~...rl.j,{J-l / / f.!t>~ ...v'
/
Date
City
Zip
County
Lot
Block
Unit_______ Section
Township
Rang,a
Extrusions I~ronze [:]Anodized
Screenroom
Pan
[]white Color
Kickplate 20" 16" White Ivory Bronze
Raised Deck
Insulated Double Roof
Pan System
Wraparound
Trailer Setup
,-
Carport .. ,/ d ~
. / E. I...~'
"_.rx t.... ,'~A..Aj'~}
Bug Shie~ L/F
;
/ I
/ /- . - I ./ ",,~,->,"..-
L.~<'}'~ ( ..~.'
-- r ....
A l
.-r!..,~( _
Patio Roof
Concrete / "1,X P (;
" -
i I'..( ,~4 L' :!J.-
- .
Alum
Siding Vynl
Clean TintesL,
Extrusions DBronze DAnodized UWhite
"c" Skirt
Block Skirt
Color
Color
_4-Track _______Glass _______Sizes
Window Awn
, _Custom Glassroom
Awn, Horz, S. H.
n
x x
i
f I- I
/;;'- ~-'
/ _/ (/1-..'
j/
l ' "
/ [1.) I 1- ,1
.
J/ .(.~ C I;'"
Electric Work
Plumbing Work
;;'~
Sri'
(....' J.,
Doors
St.ps /- FrIJ C'J' '
...Gutter Color
,.(...<.,{'t l, ..:> 10, p .
,
, i
/?f'\.( ....\
Handrail
( Ll_+"\
(.'/....'r"t.f....i
Ii -12. .. "f'"
/ J.--'-'-<<';'.l ..I
;'
"7 /-1 r.. ( /'
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$_ 4/-2 C c o-c~
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7...-}?(
crt."
H"
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'~iJ- -L-
dz>L/1:: .
,
,
Factory Price.,...",
Sales Tax ____%,'.'"
Permi t , . . , . . , , , . , , , , .
Total Price.,..".,.,
Deposit,."",. .,.",
-
!
i
Due on Completion,.,.
Approved By .J(......
..--.
Paid Deposit ./-1_21)2.2 Ch. No,....5.J- ./
Authorized Signature
NOTICE: Do not sign this home improvement contract in blank. You are entitled to a copy of the contract at the
time you sign. This proposal may be withdrawn by us if not accepted within thirty (30) days, We hereby propose
to furnish labor and materials - complete in accordance with the above specification, for the sum of $
dollars, with payment to be made as follows:
If paid within ______ days after completion, there will be no interest charge, otherwise a charge of 11% per month
(annual interest rate of 18%) will be added.
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to
standard practices. Any alteration or deviation from the above specifications, or price changes involving extra
cost, will be ex.cuted only upon written orders, and will become an extra charge over and above the estimate. All
agr....nt. contingent upon strike., accidents or delays beyond our control and acceptance by home office, Owner
to carry fir., tornado, and other n.cessary insurance. Our workers are fully covered by Workman's Compensation
insurance.
PAYHBNT TO BE HADE UPON COMPLITION UNLESS OTHERWISE SPECIFIED, IN TBI EVENT THAT AMOUNT HEREIN SHOWN IS NOT PAID
WHEN DUB, ALL COSTS INCURRED IN COLLECTION SHALL BE PAID BY TBI CUSTOHIR INCLUDING REASONABLE ATrORNEY'S FEE.
Licens.d, Bonded and Insured, State Certificate: IX 0049667,'rinanc. Licens.: HR 0044182
Pasco County: 1269 & 1270, Hernando County: 0247604, Billsborough County: 7704, Ba~dee countYI}i~~)f'Jp
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BREAKF'ORM OR EXTRUDED HEADER. THICKNESS
EOUAL TO OR GREATER THAN PANEL THICKNESS,
#8 )( ~- SHEET METAL SCREWS AT EACH RISER.
ROOF' PANELS PITCH
..
.4:'31,.
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"10 SCREWS PER 12- WIDTH. 1- MIN. LENGTH,
TO SUIT SUPPORT STRUCTURE TYPE
ROOF PANEL WITH BOXED END
E Lt\J, A
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12- )( 1,25- THRU 3- ROOF' PANELS
3-#8 SHEET METAL
SCREWS W/ ~4- WASHERS
(PER 12- PAN) OR 4. O.C, MAX..
A T EACH SUPPORT
..8 )( \.Ill- SHEET METAL ·
SCREWS @ 48- O/C MAX.
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