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BUILDING
BUILDING PE^RMIT^ 8806
CITY OF ZEPHYRHILLS Permit
(813) 788-6611 D." '6/6 /77
ELEC~CAL
PL~ING
MECH~ICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address: 3'80 S-
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Description of Work Co. r L/o /' J- J l' y 1 T
, ".
1'0.-.-. uri,.le W~V
/ I
I 01
Radon Gas: b,
J Uf: 1"4y ~CJ I"-a
I
(
SC/ ~-e""
NO OCCUPANCY BEFORE C.O.
FINAL :i., 2...~-t?
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
City License Registration #
State Certified License#
~
. ~ 0"2
Permit Fee b" - ,
""-signature I ,it~
Company
Address
-Telephone#
Valuation or
Contract Price
L( ~ i b. 2::!!-
f{,r
~~.
BUILDING
ELEC RICAL
Ftr. a'9- 9q /21..';(
Pre SLB ~-q .,~ q f2Lf1
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
ME
Breakers
Ducts Insl.
Compress
Final
Driveway .a-- 9... rrq 1a.-fL
C 1-1- {:I:=. I 3 to -; r
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.00) 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.
APPLICATION FOR P
CITY OF ZEPHYRHI
BUILDING DEPAR
OWNER'S NAME
.5
LAw /IN/) If
LA-w I*- t/J>A
(pf-fgz,
J-o Of
1-coP
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION wA'fw/tfl{) WIND
mH{/
PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE)
llORK PROPOSED: v;;;;;: Coostruction ~UOll ----..Alteration --Jlepair _Inatall
_Sign
--1fove
_Deaolish
PROPOSED USE: ~ingle Faaily
_M/F
_' of Units
~H
_<=<-ercial
_Indust.
_Swim. Pool
Other A LcJlYl( /VuM.
- Pfk/....If'/~
_Restaurant & Health DeparUlent Approval
DESCRIPTION OF WORK: CttP--PDIL-T J l.I-fUJDM.. DnA 'liE. wlii
. ,
BUILDING SIZE: 17/ x 3t. .~square Feet, g 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.
~LDING
PERMITS REOUESTED
$ 1fS(P. 1,0
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
---1fECBANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CORSTRUCl'ION: _Block _Fraae _Steel
Other
FIRISBED FLOOR ELEVATIONS:
FT.
IS PROJECl' IN FLOOD ZONE AREA?
******************************************
YES NO
BUILDER
CONTRACTOR SECl'ION
COMPANY ~ (D/,,>r1luGr'lotJ ()
o /J /) IL/) State Cert. or Regist. t
/~ 1-/. ~ City License Registration'
******************************************
R.,.
Signature
RT.RCTRICIAN COMPANY
State Cert. or Regist. t
SiRnAture City License Registration .
******************************************
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration #
******************************************
MECHANICAL COMPANY
State Cert. or Regist. #
Signature City License Registration t
******************************************
OTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration #
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. 'NOTICE OF DEED 'RESTRICTIONS
The undersigned understands that this perlit 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 lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813)
188-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to 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 wisbes 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. CONSTRUC'l'ION LIEN LnW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOMDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleDne other than the
.owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"owner" prior to cOllencelent.
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.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
installation has cOllenced prior to issuance of a perlit and that all work will be perfoCJed to Jeet 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 goveIDlental agencies laY apply to tbe intended work, and that it is
IY responsibility to identify what actions I lust take Lo be in cOlpliance. Sucb agencies include but are not 11lited to:
I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands,
WaLer/Wastewater TreatJent
I Southwest Florida WaLer Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
I DepartJent of Health , Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater IreatJent, Septic lanks
I US BnviroDlental Protection Agency - Asbestos abatelent
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 .colpensating volDle- will be sublitted 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 is~u~nce of a perlit prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued shall beCOle invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the peClit is
"Suspended or abandoned for a period of six IOntha after the tile the work is cOllenced. One 90 day 81tension of tile, Jilr be
allowed for the per.it 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 tbe project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMHENCRMBNT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVBIIIIt'S 10 YOUR
PROPERTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN ATTORIBY BEFORE RECORDING YOUR NOTICE OF
COHMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A -NOTICE OF COHKBNCBHBNT".
A -J3~
SIGNATURE~ OR AGENT
+1 ^ 13 ~
SIGNATURE: ~CTOR
. I
STATK OF FLORIDA
COUNTY OF PASco
The foregoing instrument
before me this Ilu(; 3
was acknowledged
, 19-1i- by
STATE OF FLORIDA P
COUNTY OF -.fi S CO
The foregoing instrument was acknowledged
before me this /Ilk; l , 19!1i- by
PWO#.+wV fr:Jl/IW,J
who is personally known to me or who bas
produced
as identification and wbo did/did not
takp) an oath.
~ ,4.~
(Sw.nature)
-NWu~ /+ ~ Itsl5/;t.,-
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
Pc ru. Ot\lll- W'( f( /tIO""; ,.;
who is personally known to me or who has
produced
as identification and who did/did not
~~~oaA~a~
~ignature)
f50AlC,€ f+. M~L,
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
BI\IC8 A Astlel
~'>.My commission CC74llG77
*_.1 ExPi* June 22. 2002
'\1;...
J ~ BI'UC8 A AIbII
re;*My CommIUlOll tlC7~ar" r
~./ ExplMI J\WlI 21, It\~llie
h ,: i j,-1/
;:
. ,', ~,';" .... .. or. ,-.' ," . ~.. . ...' .
'1,"11.: Of fl,ORlO,A.
'S r. .., \~',... " ,
COUNTY OF i.;j. ~\,~~~~,_ _'.,' "N1r,c'JiNG IS "
,Po;S IS 10 C[;n;'r': \~;l . ""i'\<1I:n'T ON fiLE
WE ~t;f) GCf'r:\i i'r;-".~\:, '.. '-n";";t fIVESS ;,W
OR Qf PUE:\..\C :" :' ',).~~: ' "ce:.- DI\'! OF
-<, -," ;,[" ,. .,t:)C'
H~NO' Oi-' II "'. '.;i l.t-
. C-\i-~CU\1 COURT
"11111 11111111" 11'1111111 111111111I 1111111111111
99099808
D.C.
H~pt: 348430 Rec: 6
08io6/990.00 IT: 0:88
-- Dptv CIer"
JED PI TTMAN PASC .
08/06/99 02!S6 0 COUNTY CLERK
OR BK 4203P. 1 of 1
PG 383
B't'
. ,
..
State l)f Ft-t9fU DIl
HOTICB O~ COkHENSEKCNT
County of PASco
TUB llNOeRSICNCD hereby give. notice that improvement will be m/lde to c:lrt.:lin
re.:ll property, and in accordance with Chapter 713, Florid/l Stotute!l, the
followinCJ inforrnation i. provided in thi. Hotice of CommcncnlnCIlt.:
(PI - h2-
&, -6'1-
1.
2.
Ceneral D~striptlon of Improvement
A. Lc./M , IVJM,
,
e)
f A- C/-:'A CPi:.
) .
O\~nor Infornlation: Hamo :::T,~1UVt II.M/J411';'S Sll,
r.dcJress38'c955 LAwAHlll udCity 2,rPl-ll(fLlftt.{.f
Stat e 1=( . ?? ~-<.f'O
Interest in Pr.operty:
Name of Fee Simple Tithholder:
(If other thtn owner)
City
St<ltc
Address
It. ,., Con t rac tor: H.Jme 13( I../-
^lJdressIIWt( Sf;OA,e ~T..
('/)fl/Sf/2.vC r I ot-I fJt=
City &2tc{::vI L,f...(:
r~~NT7UJL l=t f
State R . -S'/6/V
5. Suroty: N:llRe
City
St4t~
Addros.
I\I\I0unt of Bond: S
6. Ll!nder: Hame
City
5tc3tC
AdlJross
7. Persons within the State of Florida designated by Owner upon wr.c:r.
notices or other documents may bo served as provided by Sec~ion
713.13(1)(a)(7), Florida Statutes:
N.1me
City
S t.:l L'~
I\ddcelB
B. In additi~,n to himself, Owner d'cuigoAtes
of to receive a copy of t~e
Lienor'. Notlce as prov1ded 1n Sect10n 713.1J(11(bl, Florido Statll~cs.
!I. ~llp.i.Tnl..lr.Jn dnt.. ot Not.J.ce ot Co",moncement.',(t.h. ."plcotten d~tu ls.jcJfeor
tr?m the &J4to of rucordinq unless t date is specifled. I
(
~
It,,::. 'S .
ine this (~ day of tJtJ&,v 5.,-
~..JL..Mt2
. " 6 ... ~_--'-'-" CC748lf17
+1iiI......J \AlC1.'-'
~".J' ExplreI June lU, ~ .,
, ~..'"
SiCJ/'Iature of Owner:
Sworn to and subacr
19~.
Not,)ry Pllblic:
'M.,/ Com;n;!l 5 ion Expire.:
. . \. I
P("'IJ 10\ In.,
Q
Licensed. Bonded
Insured..
F,.ee EstlnHlto::S
lot #
8 & H CONSTRUCTION
Room Additions
Aluminum
Cdnc.:rete
Subdivision
800-224-1206
ptJ VI..-(~7 /-I{)N! ~$
Brick Skirti ng
Steps
:rr;nJl,"( hi r.A I S
up 1.0. GLASS ROOM WALLS:
P an Color . Awning or Single Hung WlIldows, Insulaled and Covered Inside
T 11m Color Walls -+-+-+-.
Beam Color Pasco Doors ..........................................................
All aluminum roots include: Pans. Trim. Gutter. Downspouts, 3 x 3 Posts, 'R' System Insulated Roof --.:..'x _. _ Sq.F1. 1 235
2 I 4 Beams, and ShIngle FlaSh, WIre 10 Electric Code (Minimum) ....................................................
tH Pans 13 FI.Long sq. It 2.50 2.85 7~O.OO Misc.
Pans FI.Long sq. ft 2.50 2.85
Pans FI.Long sq. It 2.50 2.85 Lap Skirting ..........................................................
Pans FI.Long sq. It 2.50 2.85 Flex Skirting
.........................................................
"alance Fronl Rear L/F 1 3.40 Hand Railing UFx14.oo
.........................................................
.Juner on Mome . ............. ......... ...,.. L1FI150 Slep Railing (Includes 2 poSIS)
/I ~, DO ........................... Ea, x 65,00
Gable Beam Work on From Load, ",....'...."..,..............,.........., 115.00 8 x 7 Garage Door
......................................................................
2 I & Beam. ,," ..'..'................................ L1FI4.25 16 x 7 Garage Door
Llot). 00 ...................................................................,
2 1 9 Beam.. . .............,...."....... -- lfFI6.25 Misc.
'R'SySl8m Insula led Rool _ x _ . __ sq. It 1 2.35 Aluminum Total I;; 9'5/1_. oc::
"cce 55 Door . . . . . . .. .... . ................................. Concrete and Block Work:
Mise
Patio Slab -.-- x . sQ.I1.x_
SCREEN ROOM WALLS: Patio Slab _x . sQ.I1,x_
Ka Plait. Built In Screwed On VS O/S Sidewalk
~x . sQ,I1.x_
1 &l<.IP Only - . - , - . - . L/F 1 2n00
Sidewalk ---.,;" x . sq,l1.x_
I..aDK/P - . - . - . - . L/F 1 22.00 Driveway CARAlP-r ~ x ~:z.. Vn!;Z, KO
. sq.l1.x_
Screen Ooorls) Ir.clu<les. ~x 35 '11 t/ . 00
Driveway . sQ,I1.x_
Key LX.. Closer, Thres/'\olcl ........ .....,......................... 160. 00 "2 '1 . 2.0
LIF 1 10.50 1f 5tJfJ ()O Driveway Flairs .......................................................................
Gaele Fill ... ,.."...... . . . . . . . ... . . . . . . . . . , . . . . . .
Air Condllioner Slab .................................."....,..,'..'" ."" .,.. ,." .',
Fan Beam (ncl v/IIeo) ....... ....... ......... .., - E1 1 45.00 ?..-~. 00
Mise Raised Utility Area _1112' _31/2'
Raised Patio _x . SQ,f1.x_
UTILITY ROOM: Raised Patio SQ,f1,x_
Pan SI\B<l UF x 25.00 _x .
- . - . - . - . fo2- I {'I. 'l.n
W,ll' 2 1 2 Alum or 2 J 4 Wood Studs on 16' Centers. Footer (8 X 16 Reinforced) .................................... UFx_
Thermooar q~. Of) , Tread Slep, .................................................... Ea,x_
~aD Et1ellor _~. F_. J1L,~. 30 L/F 1 26.00 2 Tread Slep .................................................... Ea.x_
EItJil Door and! l'Ir>oow........ ...."..,..,..,....',......... --L-- 1 115.00 115.00 3 Tread Step :................................................... Ea,x_
Jouole 'EIiIII Door and 1 Window.....""..,......,............. 1325.00 Step PlATFORM .............................................. Ea.x_
Eltllr Door (~x1ra ) ............-.................................... 1 135.00 SpUt Block Air Stack Skirting
Sltoer WltldOw (eXlra)' ., ......................................... , 140.00 ~O. 00 Max High ............................................................. L/Fx_
3ug SnlelO ., .. ......,........................ - L1F 13.75 Split Block Skirting Solid ........................................ UFx_
MIS~ Slucco Skirting Wilh Vents ..................................... l.IFx_
VINYL ROOM WALLS: Planters (4' solid splits) .....................................,... UFx_
! KID Plale Buill In Screwed On Planters Back-up WaU l.IFx_
VS O/S .............."......... ..................
16 NP Only -- . - . - = l/f 1 52.00 FiU Dirt 3 Lo/+o{ 2no. 00
laD E~IIor TOD & Bonom ........... . ..,..,_L/F 17,00 Misc.
I InSvla!e & Covel I/S Top and Bonom ....,.. ,..,..,_L/F 1 7.00
Ooo,s Incluoe 2,2 TraCK UMs. ffT'DJ.lRL "* Concrete } RK'o. 2.a
"-ey LOC(. T/hold. & Closer .. .."...,. ,.. '..""....'_ 1 60.00 Aluminum 2..~ft:,. 00
Mise Permit /SO.oo
Tax I
~:I wo"mansr"D ano rnaleflals guaranleed lor one year, A FINANCE CHARGE of 1.5". per month will be accessed on all 4lfh. Z/) l
.npa,o aeeounlS In aue.11 ANNUhL PERCENTAGE RATe CF 18,., Plus allolney's lees if necessary 10 collect. Total
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KENNETH C. ZECHleL, PE :
CONSULTING ENGINEER '
8766 BARCIN CIRCLE
RIVERVIEW, FL 33569.4950
M~. WlI..IO = 110 ~p.H.
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Column CapacltJe. Supporting Conventional Construction
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FOR:
The.. Stand.rde.. Pw. t.leeta The 19;1
SlrdW Bu~ Code .. Sdon 180e
Max Ymd U 0 "'PI
KENNEnl C. ZECHIEL, P.E. 09931
. KENNETH" ZECHIEL. PA
EHOIHEEJl8." IIUlCHITECTI
KENNETH C. ZECHIEL, P.E. 09931
17" BARCIH CIRCLE
RIYERYIEW, Fl. 135..
TELEPHONE: (Ill) tn.7..2
FAX:(IU) In.7ll.
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Roorna, Hollow, Snap and Self-Mating extrualona
Aluminum Alloy 6013 T ..
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!3- x 2" x 0.070"" 11'.Q" 110'.11": 10'.2" 9'.7. g'.1"' 8'-8. 8'~. '1'.11., T-a"
[t x ~..-._~.~.- -._ _ ~:.:!"i~~"l~_~'~" _1 ~:~~2::!!:l'!p~9'.11"-~ g":.ri 9'.2"
.. Nota: Be,..n .pllnee on 3" alda . axtrualon tum.cl wi 3" .kSa parallel to .01, plate,
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l!:..x.~" ~~~:_-__._.--.J 16'-3" i 1~'-1~
SeIf-MaUng SectIon.
: 2"x .4" ~ ~.9~" ~ o:w--'
;..2:'& 8~ ~ 0-,054" x 0,12"
Not":
Glu. Room.; The addition of aluminum frame W1ndoWl Wlltt gl&66 panes It\at are designed to 110 M.P.H.
wind load r.quJrement.l to the above upright sizes incteaw. ltte strength so that additional framing is not
req u il'8d,
Ullng ICt'Hn panel width W' (See typical gla.. room drawing,), select upright required from the maximum
~ight atloMld for NCh axtnJalon.
Sh... :!.L at _
FOR:
':1
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T..... Sltlndalda' Plane .....18 The 1~T
SlandaId Building Code , SeclIon 1 eoe
Max vm:t '10 Mpl
KENNElli C. ZECHfEl, P.E. ()9g31
KENNETH ZECHIEL. PA
EHGIHEERI . AACHlTECTI
KENNETH C. ZECHIEI., P.E. 09931
17" BARClN CIRCLE
RIVERVIEW. FL UNI
TELEPHONE: (111) In.7I12
FAX:(IU) In.7111