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Home My WebLink About91-1578 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit :N'~ 1578 B Type of Permit ~ EL~. PL~ Property Owners ~ame:~. /J 'I; ~ Job Address: .--.$ Z.J / ( g - _'l../~ ~ Legal Description: Sub.Div. Zoning CI: Description of Work~ & ~1__~ 1/ Date (~ - /1 - ?' / "- M~L ~~ Lot Blk. Energy Code Readout: ~L- 7-5-9/ If:,} Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: I ;l ,s..?, t:/l) ./ All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ~.;L'-- if'u~!:", U' \j ~G~t' PLU~ ~ Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway Fee: TELEPH EL~ --........... M~ICAL ~ Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of h.. r. 111' .B8) dollars shall be made for each ~. l'r'" de (/0;: CtiJ) (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. :1 '\ 1 I , i I , I <j II 11 il !I .... . "L 1.11'111 ,IUI'I {IF 1i- i:'" LiE:i~ !I 'I - ^i)Jt?~ CU;"UoYIoO'"L"tWi-+;\,fcMJO -II t( (~\t\:\~I:1I\l 1\, ' '22. 501>c.Q,"\I~ pt::.Q M~ II II !I I! !l :1 II !I Ii II II iI II I' .6 "df ). iI/ i- ~ il c-"'" :~ '- <t.. 7/!1 . ;1 ,....- _.......................'! 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I, 11 !j :1 001"1 iJl.t:- l.-j ~ Sed L) Cj )",1,::;;1' __ 2- I: e d L f i2 HI ( l S. rL ~ ,..' ."...~..._..., . _......_.,.....__..".,,~..~."'~._..........,...,..~-_.,.~....-------.....,-...-.-.. .-.-...-..--..... , ~ I; ,I \ I'll."l ' (", j I L j j"I:1 j' :';, i: .. ,I "j' 1 (:' ~., t 1 ("1f'1 :.: ";"'.:1 :~ ,,: t 1 if..:, t (,' i. of (:,1" t REROOF OF RESIDENCE. ; l..l : ~ ~ .:. i 1... J i 1.;1..:,,1'..-1:: /2 J j'il.,'i'..'j ! 111." L+ 11 ~:UI.:;l[ , ril~u F'l: t l: ' l .. 1'1 J II'..J! I' ::" " i ! J~.i. II. I' LI.. r 1.' ! 1"1 11"1: l.. I .:1' lj~ I : i I J' '\ ,~ I d' I') ,! j I !". " i'ii: 'I",l 111.. , j I : " .:i l vv'HI TE.. I " i , : r-l I, i .It: t'; "1 I , : [.1.')1 I I ~:: F I ('i~.;1'111'.JI.:. ,.'.. -IL ' I.! I, -- fii::o'''''~'-''''''-''. I, "\i~. , . . .".... oi ~.......... \.- I 'I. 20,: I':. 'il.",1 I'J;:.'I: I::':, {.5U)(:. iV:,., CoR. f( .... ,'i,',lcF-,',ln] I: I F 1 F;FFC3u.\'>~ q'r-,'KoI F'; ! ::'1 U ,. :~.f:1rlSTBJV d{T~,. ~' !' II '. 1'1." '"" I; . ~ ' ~_..-' ~ C~_~_~....J ... ___'~{,( I ~r)' '( L'~'T ([f~';~~~ ~)~~b'I;~ ~ it "N (/ -.1,.:.,. 'bL I) (.,j" l NJ ,J IJ;' y -r w.( \ , . "I~ ('..~( uAJ fY\uNJA'I -'(..ir\DJI~.t)il}lli' L'.!. i: ,..'[ ! ,II ., I I' L '..' 1.'1. i..' # l'l5,~v2 ! I, ./ 'lj2J:t , .,1 ")I.lIII,I:.I'I'II::I,i.. / ~(L / ' ' -'I 1 >> ! / (/ l(~ ..'-----.. ~j ''''./1 ,I I r C:UI'II"LE:T 1 CII~. J.., .\.. I iI .j'. 1::. r\ '\' 1'1 . i );...--~'" .. I ,I I ;:iJ ( /,/ / lA l/ i I \. Ll {... j\-,..... ..; ./ .;,( . I j/';"-(.. / ;./-1 (Ll' I i ,':,', !. ! .' i ./ .' I ._. _,_n' ~.."... ,. \ j I j" 't! .. !I !I II H I , , , I I I I it II 1 , I I 1 I 1 I I I ADDRESS APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS J;;1l~ ~I{ \-\ BUILDING DEPARTMENT ~O (Om ST. Z+\\~ 'tb\PHONE OWNER ,,--10A-~ Us~ H JOB LOCATION 50\ 0 9 TH 9- 2.J,tls , 1 B'l --ffl ~2 APPLICANT LOT SIZE_X AREA SQ. FT. \ '2.~o LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4F WORK PROPOSED:____New Construction ----Addition ----Alteratio~OO~ Repair _Install _Sign/Temp. PROPOSED USE: ~Single Family _Sign _Move _Demolish ~/F _4F of Uni ts __M/H _Commercial _Indust. ____Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: 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.'H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ \ 1..53 OE Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _~v.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBIN'G .#- GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel _Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONT~~;~~n~ECT~AA~ E:Q.. Ce ~ s1i4Je:n ~i:J State Cert. or Regist. # City License Registration # ************************************ Company State Cert. or Regist. # City License Registration # ****************************************** Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Comp:my State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. IF___ City License Registration IF _ OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. '- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perait aay be subject to "deed restrictions" which may be lore res~rictive than City regulations. The undersigned assules responsibilit~ for co.pliance with any applic~ble deed restrictions. B. UNLICENSED CONTRACTORS AND CONT.RACTOR RESPONSIBILITIES If \he owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state ~nd local regulations. If the contractor is not licensed as required by law, both the owner and cDntractor lay be cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 1813} 788-6611. Furtherlore, 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 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 - HOleowner's Protection Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cO.lencement. 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 coapliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOltenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies fiay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but ~l p. not lillited to: I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treat.ent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatle~t, Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that; if fill laterial :is.to be used in Flood Zone "A" or "A,etc.', it is underst(,(,d tt.~t. a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to penit issu.ance. A pereit 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 permit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issll~d ~hall becole invalid unless the work authorized by such per.it is co..enced within six sonths of issuance, or if Mork authorl~ed by the per.it is suspended or abandoned for a period of six months after the tile the work is commenced. One 90 day e~t.fnsioli of tile, lay be allowed for the permit with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six lonth period, or the project Mill be considered ~ba\~oned. 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 LENDER OR A ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J BS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND P A "NOTICE OF COM M SIGNA-rU\'1E SIGNATURE ! . -- - --- -~~--------------- TRAC,\OR DATE__~~~t-j(-2'~~_--_--._-__-_-----_- DATE " , NOT ARY AS Tfi) . CONT:ACTOR-'t;,.~-fjfu!t.!i_A1&Lc.~ MY COMMISSION EXPIRES__________________ NOTARY PUBLIC. STATE OF FlORID~~ MY COMMISSION EXPIRES: MAY 17.1992.0 BONDED THRU NOTARY PUBLIC UNDERWRIT&R811 NOTARY AS TO ~ · OWNER OR AGENT . -LWh..u!:ie __&J.f.t:...~ ~ u--?J~ MY COMMISSION XPIRES______________________ NOTARY PUBLIC. STAT! OF 'f'["Ofttml:. MY COMMISSION EXPIRES: MAY 11.1992.. ..NDED THRU NOTARY PUBLIC UNDERWRITE....,