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Home My WebLink About91-1582 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Permit N~ 1582 f1 d-O . {)O Type of Permit BUILDING ~~~ Property Owners Name: ~ ~./Yh--1~ Job Address: S (f L/' </ 0 -~ I -3 d r2rz- BUILDING DEPARTMENT 1-813-788-6611 :O.l~. JV ... P~ GCHA.~ Date 6 -)3 -y/ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work --J- / c.._ {J//~M..,tf J? - ~/ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ( ~ j ?"' Uu Fee: .y~~. c/D SIGNATUR~- ~-tL. COMPANY All work shaH be performed in accordance with the above and all City Codes and Ordinances. ADDRESS OCCUPATIONAL LICENSE #..2 )/J.;J,#-t:~, TELEPHONE # Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final <:::::::0.. BUILull<ilG --- ~'-- PL G SLB Tub Set Water Sewer Final Ftr. Pre SLB lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of tT IT 1.11.08) dollars shall be made for each .... '/r- d.- cL e. (/..s: tJ1) ) (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. . If! t... Jropollul Page No. of Pages' ~"~'~J'n~ 'e;." .~# J ~ i ''ft ~ V f '. ""VSCOf~'~T ,.pp"."'....',..E.S '''1'''';/ //" W'> "",,..,.... ,-...\h,.,; ,'I~"U~J. '.' -..., /..~'-" '..,,:,.L,r;, 3399 South Highway 301 /1" ,. i/ ).~ . ,~.... ?" . DADE CITY, FLORIDA 33525 ''/c_.{/t, v J (904) 567-6224 .~ '/ / /t ~'~~JtC4~~(;f';"- ,.../ / / / l,,- ......,.. '1,-.1 -' .I / STREET PHONE ~__ /.-::-.(.. - ';/ ri r::.;:r- ~/ ~ (.' t-"" l. () JOB NAME DATE ARCHITECT DATE OF PLANS U[) ./ // 2. - // / t:~-~ - /' / J "'; -:T.t-- /~,tr-e..: PRO CITY, STAT / ./d ,'-I , /.,/1'~/ ~~. We hereby submit specifications and estimates for' /' / / --:/ /.. ,/ ._~ _ /'" ;J -1- /,/ ( // ~~_ /<~ /, V ~./ ,;:;e,{;U~ -or.t~~':b. ~-.v-~&r<_j ,-:;#l~-p- //,/#5L-' , / ,/ ) / J / / <?'/ ('j A c I ~- "- /' ' j{/If~{}/{) ) ") -/-/;1/; /2/7- (J,).\~.,\ / // YfiLY~;4 ....' I '/;j n I~.'/.".\,. ,...'.... ?>s/)I()/~;; /- - . ,j , /w.jJ ~ / - Jll;J-; C ~~Yii:~) :; . ..-.'" II _7 -",' _-c.l7/?ju-l/ ." llllIr Jroponr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: dollars ($ ). Payment to be made as follows: +".;, 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 above specifica- tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Authorized Signature Note: This proposal may be withdrawn by us if not accepted within days, Signature Attrptantr of 'ropoaal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature Date of Acceptance: PRODUC1118-3 ~BS7ftlnc, Groton, Mass. 01471. To Order PHONE TOLL FREE 1+800.225-6380 1 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER X AREA SQ. FT. LEGAL DE5~PTION: LOT(S) BLOCK SUBDIVISI:ON PARCEL I.D.4t A-/G ~J:) WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair -1l-Install ____Sign/Temp. ____Sign ____Move. ____Demolish PROPOSED USE: ____Single Family ~/F ____# of Units .____M/H ____commercial _Indust, _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t , Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUJRED. ~. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL A-MECHANICAL AMP Service Florida Power Corp. _W.R.E.C, $ 1:2-/7. 0 I Valuation of Mechanical Installation _PLUMBIt{G _r GAS ROOFING SPECIAL TY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR ~ECTION Company State Cert, or Regist. # City License Registration # ****************************************** BUILDER ::::::: ~.. J11k4j fA ~~~~::~~:~~eo~e:'s~~~~i:/~R-"~t\/' 2<'1 ****************************************** Signature Company I State Cert, or Regist. # City 'License Registration # ****************************************** , MECHANICAL n Company ~ State Cert. or Re st. # Signature ^. . f/1~ e!j. City License Registration 4t - . ...... ................................... PLUMBER Signature Company State Cert. or Regist. # City License Registration # . OTHER **********************************~******* PERMIT OFFICER. APPLICATION APPROVED BY .j CONDITIONS OF PERMIT. AFFIDAVIT I A. NOTICE OF DEED RESTRICT IONS :';', The undersigned understands that this perlit lay be subject to 'deed restrlctions" IIhicR'lay be lore res~rictive than City regulations. The undersigned a5SUII!5 t!5ponsibi1ltl::fo~ cOlplhnt! lIith any applicable d,~d,restrictions. , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake 1I0rk, they lay be required to be licensed in accordance lIith state and local regulations, If the contractor is not licensed as required by lall, both the ollner and contractor lay be cited for a lisdeleanor violation under state lall. If the ollner or intended contract~r are uncertain as to IIhat licensing requir~laltI'.ay apply for the intended 1I0rk, they are advised 'to contact the City of Zephyrhills Building Departlent, 1913) 799-6611. Further.ore, if the ollner has hired a contractor or contractors, he is advised to have the contractor 15) sign portions of the 'Contractor Sections" of this application for IIhich they lIill be responsible. If you, as the ollner sign as the contractor, you are indicating that you, rather than the contrattor, are responsible for the 1I0rk. 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 pertitting 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 Lall - HOleollner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs, If the applicant is sOleone other than the 'ollner", I certify that I have obtained a copy of the above described doculent and protise in good faith to deliver it to the "ollner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT . I certify that all the information in this application is accurate and that all lIork will be done in co.pliance with all applicable lalls regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do lIork and installation as indicated. I certify that no 1I0rk or installation has cottenced prior to issuance of a per.it and that all 1I0rk lIill be perforled to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. 1 also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended lIork, and that it is .y responsibility to identify IIhat actions I lust take to be in co.pliance. Such ~genci~s include bllt ~Ie not li.ited to: I Depart.ent of Envifon.ental ReQulation - Cypress Bayheads, Hetland Areas and Environlentally Sensitive lands, Hater/Wastellater Treat.ent f Southwest Florida Hater "anaQe.ent District - Hells, Cypress Bayheads, Hetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seallalls, Docks, Navigable Waterllays f Depart.ent of Health L Rehabilitative Services, Environ.ental Health Unit - W~lls, Wastellater Treat.ent. Septic Tanks I US Environ.ental Protection AQency - Asbestos abate.ent 1 also certify that, if fill .aterial is to be used in Flood Zone 'A" or "A,etc.", it is understood tJ.it a drainage plan addressing a 'co.pensating volu.e" lIill be subtitted IIhich is prepared by a professional engineer registered in the State of Florida prior to per.it iss~ance, A perlit issued shall be construed to be a license to proceed lIith the 1I0rk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code, Every pettit issued shall becole invalid unless the Nort authoriz~d by such per.it is co..enced within six months of issuance, or if 1I0rk authorized by the perlit is suspended Dr abandoned for a period of six .onths after the tile the 1I0rk is co..enced, One 90 day e~ten5ioll of ti.e, .ay be alloNed for the perlit "ith 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 .onth period, or the project Mill be cDnsidered ilballdoned, 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED. TO RECORD AN9 POST A "NOTICE OF COMME7/.MEN~~. SIGNATURE, ~. ___ _ _ SIGNATURE_~~:(~~~_ ~~ R OR AGENT CONTRACTOR DATE______~~~~~J--_--------------------- DATE______~~L~_L!_{______~____________ ~~~~:Y o~S A~~~:~~~ ~~~~,:~C~~R~~~~_~ (7 .."" IfotcIy hWtt, Stafe of "orider MY COMMISSION EXPIRE.S..-~~at@''tJf1tcJl'Mcr'':=- MY COMMISSION EXPIREi,.(~ hpiresifur.-sG;19U My ( ., [ . N 30 199. 1tIft... Th,. T,oy 'ain "n,u,an" 'nc:. omm!1Slon llplres ov. , .1 ~dad n"", fro, F~i",. 'n~uro.,(e,!nt;.