HomeMy WebLinkAbout92-2235
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<!
22358
JjIJ ~ .TV ."-3'~-' (J?J . 35'-: ov
~ILDI~~ GLECTRIC0 c:i:LUMBIN9 ~HA~ s'w" Conn ,,/1J7l, Q,)
- () . Water Conn: ;)..tJ il' {JD
Pcoperty Owne' Y/~ ~. ~ ~ c;~J Wote, M,,., /G-s. oV
Job Address: ...3g-()_~~~ T,I,F"'s: 9L/dr tJU
Parcel I. D. # I If - ~ {, - ().I- ()./ 60- Q 0 D 00 0 o? 0 \
LJ~.57~ MSEfKT P/l1O
_ -2.. ~-9.:L .
d2JJ - OU
DatE! J - ~-- r :l-.
Zoning: ~ COde:. . Radon Gas:
Description of Work )1( ~{l _ ~7 - r
:~:2aol?J <UJ?t;4Ju--~I~~~f (-:19-'1:1-
CCUPANCY BEFORE C.O. tJ
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
Inspector
pe'mltFe~,;~
Signature V.
Company
Address
Telephone#
jO~/'L
~4~/ A
City License Registration # 7 7
State Certified License#
PLUMBING
~~-Z/
'-/'-(
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
<; \1- 'fuf
L./- 'lIE
/5' CA..L
Driveway
<: _ /1 <5G:---T U Y.) " ~ 2/- <S i-"\ .~ ~,
\.){t.-- -r- up 7-2/-C;ktA- f {-if '1- 2/- ~ l pit L-0
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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.
. ?-3 c) f> -r- .0
. C~TY OF ZE~HY~:ILLS B.UIL~ING DEPARTMENT ;W'~1~ r.J:Y'~
OWNER D~ ~ ~p-1 ~'W d ~""'J ,p
JOB LOCATION 3~t)5() ~~ ;d?~}~
PARCEL I.D. # /1/- - ~t- :7-/ ,- 01",0 - ~t:? ~ ~ 90
SHOW ALL EX:IST:ING & PROPOSBD STRUCTURES GIVING DIMENSIONS << SETBACKS.
SI
UTILITY BUILDINGS
MUST SHOW SIZE <<
FOUNDATION INFOR-
MATION.
1
:;v
'" y
~ fd!t
j-'
(f;X!:J) ,
1'6
!.)
f~ ~.~
s~ ~
iJc t~
,1 1!
J: ,.
I FRONT PROPER1 rI LINE
In
j
.'
S/
STREET ~,'1"O l_An/A-t/O/l .J.pp,o
(NOTE EXAMPLES 1 & 2)
1. SETBACKS FOR R1, R2 ZONING
60'
2.
SETBACKS FOR R3 ZONING
60'
10'
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'
II 0
PROPOSED
20'SGL FAM 30 'DUPLEX
- -
FRONT PROPERTY LINE
FRONT PROPERTY LINE
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER OntA- e. ~ p-1 j.l&m",,", 51. t:;';~~ J
JOB LOCATION 3E?tJ5>-O ~4 Id?~l~
PARCEL 1.0. #/4- :).,l- :J../ ,- o/~o -~c? ~ rl?90
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
Sf
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
t
JV
'-J. 'I .
~ f!j
" , )11
....
()~ I
;3b
b~ ~.~
s c......c.-'" ~
c t~
,1-
); . 'O!
t FRONT PROPER'l 'l LINE
jtttl
~
.'
..sf
STREET -1fiJ"i // J-ArV'A.vO/l ,fpPr'
(NOTE EXAMPLES 1 & 2)
1. SETBACKS FOR Rl, R2 ZONING
60'
2.
SETBACKS FOR R3 ZONING
60'
10'
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
APPLICATION FOR PE~lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT ~ E ~tL &--1 ;t/~ #, ~
/' +, .' r - /' rPbtJn;
ADDRESS f 7J'~ IftJ g/JX ~fL r A:t-{ t~ a:::. PHONE
~3-,6;L3-6t ?/
OWNER
JOB LOCATION3?'i'~-O ~ ~
LEGAL DESCRIPTION: LOT(S) ~
LOT SIZE $/ X/ t!J'V AREA SQ. FT ..s1t.9-0
S UBDIVIS ION 1z./,4 )4v' ;1,(0' tv'/# 0
,
PARCEL I.D.~F / If- - ;2.b - ;;. /- ()/60.- ~ IJ/!J9C?
WORK PROPOSED :bw Construction _Addition _Alteration _Repair _Install
BLOCK
_Sign/Temp.
PROPOSED USE: ~Single Family
_Sign
_Move
_Demolish
_M/F
_# of Units
__M/H
_Commercial
_Indust.
_Swim. Pool
Other
,
_Restaurant & Health Department Approval
BUILDING SIZE:
X_I
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR..'1S. ";0',
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~BUILDING
$ 41} m~ t/'tJ
15-j) AMP Service
Valuation of Total Construction
-X.....ELECTRICAL
l/ .,ffi
~MECHANICAL
)C.....PLUMBING
~ Florida Power Corp.
_H.R.E.C.
$ /3~.cv
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTIJ! ~r:: LJ C. ~ " 11
Company V I I 1/1\ r; f/1-.I/
State Cert. or Regist. #
City License Registration #
******************************************
/J;~/;I /3
717
::::::::~ Company ~1I~{w :s~~s.
. State Cert. or Regist. IF '/.91
. 0 - ~ *~~;*:X..*~~~~*~~:;;~~;.~;~;~~:~~~~~ " . / "" /
PLUMBER Company ~t/I~~M~~L
- ~ ~ ?tfj. State Cert. or RegiSt. '.' - .- - - D~? /7/
Signature . . . . _ City License Registration iF 9'b
*********** **********ft*******************
Signature,
Company GuLl I ~OAJ MFLlIt'r L..
State Cert. or Regist. ;.' 0.40 ~~9~C'(~
City License Registration ;F ~'/
************************
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY
~***********~~************************
ct.~Pd- ~ -"/)A..o~
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peraitaay be subject to 'deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assuaes responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractrrs to undertake work, they lay 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 aay be
cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6bl1.
Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} 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 perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
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 Law - HOleowner's Protection
Guide" prepared by the Florida Departaent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docueent and promise in good faith to'deliver it to the
'owner" prior to co.eenceaent.
! E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
J a~plicable laws regulating construction, zoning, and land developaent.
Application is hereby aade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cO'lenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
.y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Departtent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQenty - Asbestos abatetent
I also certify that, if fill taterial is to be used in Flood Zone 'A" or "A,etc.", it is understood that a drainage plan
addressing a "co.pensating volule" will be subtitted 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 violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a ~erlit prevent the Building Official froD thereafter
requiring a correction of errors in plans, construction, or violations of any code., Every perlit issued shall becole invalid
unless the work authorized by suth perlit is COlteneed within six tonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six .onths after the tiae the work is cOltenced. One 90 day extension of tile, ~ay be
allowed for the pertit with 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 aonth period, or the project will be considered abandoned.
WARNING TO OIlNER: YOUR FAILURE TO RECORD A NOTICE OF CO"HENCEHENT KAY RESULT IN YOUR PAYING TWICE FOR lHPROVEHENTS TO 'lOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
[~~;:;;zaNOT ~ED TO ~[ORO 'N;;:~'
~IGNR :. OWNER OR 'GENT SIGNATURE: [oNTRA OR
-.J?'R..e VIl.',JJjtJH/E<'; S~'
who is persc'na~J\"'l!~(~~11 to me ~ who
) ,~,\ , ^ '-f,;., .
produced '.. - .. r. ' .
as ident' f##1'clJ'") and<~1 did/did not
t I ~h<'; . . '-',',
at(e. .~a 0 ~.f -!<:/J \' /j:}~. 7--.
... -+. ~:~
'rB'l~latLll-e % ~"'" .>.:...~ ,~'
19r ~ -? _.. .." ~ .":
~ .1'( ............ <:1-. .....~,'
//:,/ Or r \. ~ \,~....;::.
(Name Typed, Pl"i:llllkecl,.\\'t.r Stamped)
NOTARY PUBLIC
SHIRLEY D, DEuTSCH
My Comm. Exp, Feb, 26. 1996
Ccmm. No. CC le'.ll <?
STATE OF FLORIDA /~
COUNTY OF ~~ _
The foregc.ing' i nS~LW\I!.lW~'I/\iJIlr~... a~'nO\illedged
~~Y f)'~ L-
befc<\-e me th is ?;'~':'''' "'~:>~.."...'..{J ~~''-- by
~. ... ..,"l,J<(" ',:...
N#y/i/E l1f//~*~~P
who iSpe\-sonall~t;~.own"Jttc' iTI~+ef w 0 has
produced > ~ ~
as identif
take all
STATE OF FLOR%' . .
COUNTY OF ~~
The foregoing inS~mel1t
before me this J / s
.
was acknowledged
, 19~ by
"HIRLEY D, DEUTSCH
My Comm. Exp. Feb. 26. 1996
(Name Typed, Pr i nt€id'. m~ cgHi1hf)led)
NOTARY PUBLIC
-'.--_.- --- ~ ..-. - -- --- ---~ ~~.-~ ~ ~ O"'----.___...~-,_,.._____--""'___J,--__.~~ ---"--- --'--'-~..-----' --....~ -- -',"~_",-~ '---'''---"1
1-- I::: t!; F (~L F F H r1 I r
PASCO COUNTY, FLORIDA
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[{{-'l'r E,: (?:::; / ~2{~. / !;-~.
F'(4CiE,: 1 C{F t
,_:::N-;-r-:p.CTOF. +t~.
~IAME: THOMAS EASTHAM &DORIS CORPOLA
PdJDH" :~:::;:(!,5(! !.~lvIAI\iDi-) LOCF'
C / :~; T ~ i: ~:' H ILL i-;
I i::;:3UE: OF F ICE" [1
RECEJP"1 NUMBR= {:l01341?~38
OFFICE: DADF CITy
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DESCkIPTION/PERMT OAf A DRieR
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---....., I.. . ~
NoTICE
OF
RESOURCE RECOVERY ASSESSMENT FORM
PERMIT II .....
DATE
-~'_.....-
APPLICANT /OWNER. J".
'"
..,i
0..,
.'
COUNTY PARCEL II
LOCATION
"-,,-1
USE/CODE DESCRIPTION
RESIDENTIAL
NON-RES IDENTIAL
Ii UNITS
I
/
.
GROSS SQ. FT. (GSF)
RATE/ERU=$SO.OO X 0.96*/YEAR OR $0.131S/DAY ERU ASSIGN II
ASSESSMENT = (II UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS)
100
TOTAL FEE
$
TOTAL FEE = $
PREPARED BY
* DISCOUNTED FOR PREPAYMENT
--------------------------------------------------------------------.-----------------
The above assessment has been established pursuant to the Pasco County Ordinance
No. 89-07 and Resolution No. 89-197 as commended.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE C/O. NO CERTIFICATE
OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE ASSESSMENT HAS BEEN PAID.
APPLICANT HEREBY ACKNOWLEDGES RECEIPT OF THIS NOTICE AND THE REQUIREMENT OF ASSESSMENT
FEE PAYMENT PRIOR TO C/O OR FINft~ RELEASE.
DATE
RECEIVED BY
--------------------------------------------------------------------.------------------
FOR OFFICE USE ONLY
RECEIPT II
DATE
...'
BY
'Of;