HomeMy WebLinkAbout96-6274
BUIL~l~~Hy~!RM!! N'62741
(813) 788-6611 Date //'-~-~y
:36
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E~
P~
M~ewer Conn
Water Conn:
Zoning: dnergy Code:
Description of Work ~A..u.A'f A 00 n..
~ ~~.icuJ'"'S
Water Meter:
Property Owner:
Job Address:
Parcel J.D. #
T.I.F.'s:
Oz...- <.{p -Ll_I- l..f'S--e> --.l- d/V z.J
Radon Gas: .
~~f~ .,u..J! ./V-/r-
NO OCCUPANCY BEFORE C.O.
FINAL J.
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
V I. f o~
a uatlon or _ a. r/ /7'0' -
Contract Price _~ ?L LJ_
City License Registration # :2 t 9
State Certified License# {!.J3 eo ~ 100 77
Q~ (2h/A7n~~--
~LD~G) ~.
Permit Fee
Signature
Company
Address
Telephone#
Inspector
PLU~
-
MeCIIAI~ICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr,
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
Yflr4 /Jb~
OWNER'S ADDRESS 8J~ 'Hci.lo~w Rv fEv---L l
ko1--rrcXl W~ -;:{rI!- '
PHONE
7'8 ;; - ? 79'1
OWNER'S NAME
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. t
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_~ Construction ~ddition _Alteration
_Repair _Install
PROPOSED USE:
_Sign
~le
_Kove
_Deaolish
Faaily
_KIF
_' of Units
_K/H
_eo..ercial
_Indust.
_Swu.. Pool ___Other
_Restaurant & Health Department Approval
DPSCRIPTION OP WORK: jC,l-ft'-l1 ~fl1 Ll;a IJ~ - rill"",! J iUl,JOtP.5
BUILDING SIZE: ,3D X g , CJif (;,) 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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
v('UILDING
cU
$ ?J1> 70'-
PERMITS REOUESTED
Valuation of Total Construction
_ELECfRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Kechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF COBSTRUCTION: _Block _Fraae _Steel
Other
FDIISHED FLOOR ELEVATIONS:
F'f .
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
BUILDER
CONTRACTOR SECTION
COHPANY 'tAh tS A-IlJlY\: IW ~
State Cert. or Regist. t e.gco "(,077
City License Registration t :J':5~
******************************************
Signature
ELECTRICIAN
COMPANY
State Cert. or Regist. #
City License Registration f
******************************************
SignAture
PLUMBER
COMPANY
State Cert. or Regist. f
City License Registration #
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. #
City License Registration ,
************~*************************.***
Signature
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration #
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peIlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility 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 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 lay be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
reguiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
aContractor 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 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 Law - HOIeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOEone other than the
"owner", I certify that I have obtained a copy of the above described docutent and prolise in good faith to deliver it to the
"owner a prior to couencetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOIIenced prior to issuance of a perlit and that all work will be perfoIJed to teet 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 governtental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not litited to:
* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treattent
* Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
* US EnviroDlental Protection Agency - Asbestos abatetent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. a, it is understood that a drainage plan
addressing a uCOlpensating volUleu will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit_ issuance.
A peIlit 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 perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIJit issued shall becOle invalid
unless the work authorized by such perlit is COlleDced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of six IOntha after the tile the work is cOllenced. One 90 day extension of tite, laY be
allowed for the peIlit 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 IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMEH'l' MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHm'S TO YOUR
PROPERTY. IF YOU IH'l'END TO OBTAIN FINANCING, CONSULT WITH YOUR LINDIR OR AN AfTORREY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~t/i.pt-
SIGNA. I: R 0 AG .
M~
SIGN ORE: NTRACTOR
STATE OF FLORIDA
COUNTY OF :p1J set'
The foregoing instrument was acknowledged
before me this tIN. /1 , 191L. by
~tl~i~ rY/()'/hFltUtN __
who is ~ sonally kno~ to me or who has
produced
as identification and who did/did not
~~t;~~-
(Si ature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLO~
coum OF CAJ
The foregoing instrument was acknowledged
before me this ,1\101/ L.9 ~ 19~ by
(Y11t(L~ M o~ IJIhUL .-__
who is ~s nally known to me or who has
produced
as identification and who did/did not
t~t?~.
(gnatu )
( Typ:d~. Printed or Stamped)
NOTARY PUBLIC
JAMES A. STONE
Notary Public, State of Florida
My comm. expires May 16, 1999
CC 446560
JAMES A. STONE .
Notary Public, State of Flonda
My comm. expires May 16, 1999
CC 446560
C~~~~dHYRHILLS BUII..DING DEPARTMENT
5 \eef y ~u) FW tW L 1;: - [,01-<11;2 J
T
JWNER
flIl It Y'
JOB LOCATION
PARCEL I.D. #
SHOW .ALL EXISTING &
.5'1.;~..4"v "';'VJ""F AN'c.J<J~
,t;t.P1'" Jo"..I~eP -J>'r- kr.;;:./
~p 7f9.~K' I . .)?e.;ttir~r
C' /-K 7~.-r2-i1)'~.h;-C4
~<u~'/"'~).7 Q.~-e.
~? ff;..L
PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
+--ql
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
Cs~~
(NOTE EXAMPLES 1 & 2)
1. SETBACKS FOR R1, R2 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
FRONT PROPERTY LINE
"
~
I,~~J
~~~
M \(r\f;,{{J
\) vtP
~ ~
, ~
I
. I
I
(
l
/<- tf' >
~ fJ~--
f
J ~ I
FRONT PR ERTY
..
LINE
30
t
2. SETBACKS FOR R3 ZONING
60'
1 A'
10'
~.
10' EXISTING 10'
,
PROPOSED
20'SGL FAM 30'DUPLEX
FRONT PROPERTY LINE
&0'
1 0'
11111111111111111111111111111111111111111111111111
96122092
Rcpt: 114502 Rec: 6.00
DS: 0.00 IT: 0.00
11/20/96 Dpt, Clerk
JED PITTlIAI, PASCO COURTY CLERK
11/20/96 11:03a. 1 of 1
OR BK 3660 PG 942
NOTICE OF COMMENCEMENT
State of -Bov-,lrlq
County of
?ClS~a
THE ImnERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
3.
Description of Pro erty: Parcel No.
OW R-U 'QV k :J:-
the property and street address
General Description of Improvement !Jc_reelY") l<.oOt'Y'l
IV I V I "'V I I.L) I vvloW5
M~~ t14\"V'oL
City Ze fhy rh,'J.l:s
1f ava1lable)
~Lb - OV\~
1.
2.
Owner Information: Name
l~ddre s s
~Di-4t J \
State ~O
Interest in Pr.operty:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
"f.1"':.........~:r..
M,;..j";
'J .~
,
.
I
Contractor: Name-&.hV-3 ~ '~~'UrY)
Address :~?j;)7 ~/qnJ tJ!lJdcity 2~f,Yrn/)b
Surety: Name
5.
State 7' .
(5.3 r I
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons wi thin the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a){7), Florida Statutes:
Name
Address
City
State
.8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. I!.xp.lrat.lon dnte ot Notlce ol Commencement. (the expiration date is 1 year
fr?m the date of recording unless a different date is specified.)
Signature of Owner:)(7 VtA.d.~ <:2_ I \~~~ ~* 907 ;).7/j 5'10
Sworn to and SUbsc'ibed before me this /9rl1 day of ~i/e-,~f'f1'C......
(VetA) YoRL
,
191 ~
t/~
.
Notary Public: ~
My Commission Ex . es:
JAMES A. STONE
Notary Public. State of Flnrirfa
My comm. expires May 16, 1999
CC 446560
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I L (NQNEER - O(VELOPUlHT CONSULJANT
P.O. BOx 4386
PORT QR.a.HCE. FlORIOA ]2119
TELEPHONE: (904) 767-4714
fAX (904) 16'/-6~56
SCREEN ENCLOSURES
SCREEN I VINYL WALLS
SOLID COVER
THE DESIGNS AND SPANS SI1Qv.N ON THESE
ORA'MNGS ARE BASED ON THE lOAD REQUIREt.4[NTS
Of !HE rlll.LOIW<G coors,
I. STANDARD 8UIlDJNG COOE 19!H EO. CUAPT[R 16
IUClUOINC APPLICABLE \\tHO lOADS AND PROVlSlOf~S
Of SOCCI ssm '0-9J
2. BOCA NATIONAL BUllDmC coot 1993
J. TExAS OEPAH1MENT Of INSURANce WINOS IOHM
RESISTANCE GUtOr 6-BY
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