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Home My WebLink About91-1619 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit t1 N~ 1619~J' Date-2:L d - 5/ / ELtGTRICAL ~-- ME~CAL Property Owners Na:e: j -<!..Jl.-M: 1:t ~.~ Job Address: S.s / _~_ ~~ -" Legal Description: Sub.Div. Lot Blk. Zoning CI: / L' - d 6 -J..-/ - tJ = Description of Work 7-,,--, ~. . - LJoOZJ0 .L--t'-~ l!/'-J ,7~O .~ Energy Code Readout: ~ //-4-1f1 Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 1/ /.; t!ZJ ~ UZJ Fee: All work shal! be performed in accordance .-/ with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # 7} lJJJ C~ ..,Ed~~~ CBGI~) Ftr. Pre SLB Lintel FRM. Insul.CL VVL PLU~ SLB Tub Set VVater Sewer Final ELEC~ - ME~AL , Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of l",. (1.0 88) dollars shall be made for each ~7y-a.. d. e... (/-:;,-, CD) (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. ~ '5 J _ct / \ ~ -""1 -..-' ,-< -. ~ ,$ Q) ;a ~ :r ~ '-~ ~ ) /4 \~ G t " \.. -t );( '-l \.0 ~ L .cq /"---: Q u 0- ,-c c .~'" .J ~ ~ lL, \J. \J ......; d ~ 1..5 U:~li- I-j ~' /if"- I I . '/ I I . /,~! '-==-- - - . - ~ \ '" ~~ 2 ..J \- -5 Jl~ -- 'J.. \!J Vl ,... '- , t- lJ1 J l Jl .. -:J(/) \.1 '^ \1d. "'~ U ..... ' . 1-- _J 0 ~ ( (1~ ~- ~ IJ1 -- ") {~ ..) \' ~ .,.J \~ C~I <l -- "- tL ~ (, 'r - - \d Q t:.- -< I -0 I ,,/ ::2 j '- .".- .... ).. ~ " .""1 a ~ -::) {J\ l.L H . ' \; \1"" \ J [ cL " \ \ ( S \ " \J ~ \ \L \ ~ \ s; -.J \..., \ ..... -::J J - d ~ J J <: -:.~. '" J- .::J o .~. ~.J ~ ,) , , l"........ 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"/~~ (j C:' ,I L-j {'i ~',/,,',~ '~-;::'~':.~;;;~~:':~2.:.:U~~~~0L^ ;; Idl"'J - , I ( II \ I, ,', . T 1-,- ~ -". -' f#' . --1::::.- " alA. " kA I,^~ ,-I ;~ '+";"{~--:-:.l..-'~ _' ~ (Z...l \I, ,\--- "" lI\ (J'! ... 1- f-'f'>h~ . dO . ," Yk~() - : :, () (i Cf - 6~:<f? ''^C .~. i' '\\1, <,_ t;';'~:k~L___-.l}-b[ U0 \ \~_. (=. "-- J - ~ \ \ \f-' ",,:\ 'It". J ~(':.~ s:=-C\ n \: I . '--_......... ( \ -1, I. -L..., (" .. I L' \00 Ll,~~~ Cov' fw-t ~ \2~vf f G' c:>\ t \ l\ 0 ~'\ ' ~'- I s~ ~ co () ~--- Z~ . Str- (A L -fzv~ Zc .....- "? ----- , "3c?' .. ,L;D1 ----- R 0 L0 6S-1~ qiT, 'S { , S"lTt:-- PLJt(U ~ONDITIONSOF PERMIT AFFIDAVIT A". ,. NOTICE OF DEED RESTRICTIONS:, , Tht undtrsigned undtrstinds that this perlit lay bl sub3ect to "deed restricti~ns' which ~ay b~ ftor~ res~rictive than City rl!gulations. The UndQTsigned,nsulu respons1bHi\Y,,f~,r; cOllpHance lI\th any applicilbl~ deed restrictions, .:. ,:."... '.. ." '. . ~ E. UNLICENSED CONTRACTORS AND tONTRACT8R RESPONSIBILITIES , '..".~ If the Olfn~r has hired a contractor Dr contractors to undertake lIork, they ~ilY b&'r~quired to be licensed in accordance lfith statt and local regulations, If the contractor Is not ilcensed as requirQd by law, both the ollner and contract~r ~ay be cited for a .isdunnor violation under state lall.', If the towner tor intended ce,r,traclc,r ar~ unce-rtain as to what licensing requiruents uy apply fc.r the intended work, theY are advised teo ce,ntact the City e,f Z~phyr-hills ~uilding tlepisrteH,t, (813) 788-bbll.'" Furtheraore, If the Ollner has hired a contractor ~~ contractors, he ~ advised to hav~ the contrilctor!s) sign portions of the 'Contractor Sedions' of this application for lIhlch they lIill be responsible. If ?c,u, as the C'\'tnC'T sign ;as the contractor, you are indicating that you, rather than the contractor, are resptonsibie for the work. If the contractor wishes you to sign as c~ntractor thilt aay be an indication that he is not properly licensed and is not entitled to per&itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUT[~S, AS AMENDED) I certify that I, the applicant, have been provid~d lith a c~py of "Florida's Construction Lien Lall - Hooeowner's Protection Guide' prepared by the Florida Departllent of Agriculture and ConsUler Affairs. If the appliCilnt is SOIEone olher than the 'ollner', I certify that I have obtained a copy of.the abov~ describ~d document and proli~~ in good filith to deliver it to the "ollner' prior to cOI~encement, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all Mork nill be done in cD~pliance with all applicable laws regulating construction, zoning, and land developDent. Application is hereby ~ade to obtain a ,erait to"do Mork and installation as indicated. I certify that no work or installation has co&~enced prior to issuance of a per.it and that all work Hill be perfDrmed to &eet stilndards Df all laws regulating ce,nstrudie,n, City ([.des, zoning re'gulatitlns, and land developl!\ent regulatie.ns in lhe jurisdictie,n. I also certify that I understand that th~ regulations of other governmental agencies lay apply to the intended work, and that it is /lY responsihility to identify IIhat actions IlDust'tal:e to be in Ctlmpliance. Such agencies include bllt ~le m,t li.lited to: I Department of Environoental ReQulatitln - Cypress Bayheads, Hetland ~reas and EnvirDnmentally Sensjljv~ L3nds, Hater/Wastewater Treatment I Southwest Florida ~ater ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses I ArDY CorDs of Enoineers - Seallalls, Docks, Navigable ~aterways I Departaent of Health L Rehabilitative Services, Environmental Health Unit - W~115, Wastewater Treat~en~. Septic Tanks I US Environ~entill Protection AQency - Asbestos abatement I also certify thilt, if fill /Iaterial is to'be used in Fle,od Ze,ne "A' or 'A,elc.', it is underste.c,d tl.,l il drainage plan addressing a 'coapensating volume" will be sublitted IIhich is prepared by a professiDnal enqineer reqisl~l~d in the State of Florida prieor to perlli t issu,ance, A permit issued shall be construed to be a license to proceed with the wor\: and not as authority to yioI~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ therfafter rfquiring a correction e.f ernrs in plans, ce.nstrudic,n, Of violations e.f any ceod~. Every perili t iSSIIl!d ~hall bece,1e in'lal id unlfss the work authorized by such permit is comnenced lIithin six months of issuance, or if "01.\: authoflied by lhe perlil is susperded or ilbandeoned fe'f a period of six lonths after the time the Ilor\: is ce'Menced. Ore 9(; day e~\i:i.sie"l e,f tile, Ilay be allowed for the per~it lIilh fee charge of $15,00, The extensioD snaIl be requested in Mriting to the Building Official. An ilpproved inspedie,n f1ust be le,ggedduring each six llIonth period, [or the prc,ject \1ill be ceoflsiderE-d dbaiiGe,j.ed. 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 AND POST A "NOT I CE OF COMMENCEi"'IE~lT". SIGNATURE ---------------~-------------- CONTRACTOR SIGNATURE ---------------------------------- OWNER OR AGENT DATE ----------------------------------- DATE --------------------------------------- NOTARY AS TO OWNER OR AGENT NOTARY AS TO CONTRACTOR ----------------------------- ----------------------------- MY COMMISSION EXPIRES MY C6MMISSION EXPIRES ------------------ ---------------------- ......, " , . APPLZCATION FOR PERMIT CITY OFZEPHYIDiILLS BUILDING DEPARTMENT APPLICANT c~~ . PHONE r5 (-? ) - cr & .p 0 r-. Y ..I1~M . ~VJ7.lr b..( Ir. bUA/V ADDRESS ~ J ~ ,cS, tllL/j 9R IJ. (' . OWNER jf/{1AAd' Cl1 W~ JOB LOCATION a5 r:5/ q t2 - I\. )'.lli1 ;1 LOT SIZE_X AREA SQ.FT. LECAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I,D,1~ jo ~~ .~ /.160(;,0 .-OOO,d-7 ~ 11 WORK PROPOSED:____New Construction~ddition ----Alteration ____Repair ____Install ____Sign/Temp. _Sign _f-Iove ____Demolish PROPOSED USE: ____Single Family ____M/F ____t~ of lIni ts ._f-l/Il ____Commercial ~Indust, ____Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Pee t, Height RESIDENTIAL: COf-frIERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PORl'IS.H **COPY OF CONTRACT REQUIRED, ,PERMTTS REQUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C, ____MECHANICAL $ Va~uation of Mechanical Installation _PUJMBHIG GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. ff City License Registration i~ ****************************************** BUILDER Signature ET.ECTRTCTAN Company State Cert. or Regist. U City License Registration 0 ******************************~*********** Si!mature Company State Cert. or.Regist. 0 City License Registration 0 ****************************************** pI.mmER Signature Company State Cert. or Regist. U City License Registration 0 ****************************************** HECHANTCAL Signature Company State Cert. or Regist. i~ City License Registratioh 0 OTHER Signature ****************************************** PERl'lIT OFFICER. APPLICATION APPROVED BY. ".... APPLICATION FOR PERMIT CITY OF .ZEPHYRHILLS BUILDING DEPARTMENT " APPLICANT ADDRESS PHONE OWNER JOB LOCATION LOT SIZE_X AREA SQ.FT, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D, 4t WORK PROPOSED:_New Construction ~ddition ~lteration _Repair ~Install _Sign/Temp, _Sign _~ove --:-Demolish PROPOSED USE: _Single Family ---11/ F _4t of Uni ts _M/H _Commercial _Indust, _Swim. Pool Other ----Restaurant & Health Depar.tment Approval BUILDING SIZE: x Square Feet, Height . RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,u ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** **COPY OF CONTRACT REQUIRED, PKRMITS REot~STED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W,R.E.C, -HECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS RU{,C:...NI.> SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel .Other FINISHED FLOOR ELEVATIONS: FT, CONTRACTORS Builder Company Signature City License Registration # ***************************************************************************************** Electrician Company Signature City License Registration 1F ***************************************************************************************** Plumber Comp.:ny Signature C:P.ty Li(:ense Registration 1F ***************************************************************************************** ~. Mechanical Company Signature I ::ity License Registration # ********************..~.*******.*~*~***.*********~**.*.*****************~**************** Other Company Signature City License Registration # - I Hereby true d comp giv re certify, that I have read and examined this application and know the same to be rrect, Ail provisions of law and o~dinances governing this type of work will be with w her specified herein or not, the granting of a permit does not presume to thor y t iolate ur CG.nce,;. the provisions of any other state or local law ting onst bon or p<<1orm"ace of constructi~JVvJ. _ /-' ~ k '----- CY~l (VJA ~ _._. S}&nhture of Owner ~/ou...1 Cl/ Date .. f _ --signed by the owner and notarized. Contl'actor Signa e .~ -?G "c,! Date ,~~l~^!;~,~'~~>r;~, fIf,rrc. ')~ rv:mmA:' . t1UJ'li!;.L:D -:-tj'J'('~)~,j"')T "P,IRE~, MA.Y;l 7~ : ?f!!~=-. Cf~ ~"0fKrIU NOTARY PUBUC. STATE OF J:'Lb~Il)l(, ,.. MY COMMISSION EXPIRES: MA'I'- 17. !'}!);" .- .ON~~~