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HomeMy WebLinkAbout91-1598 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Permit N! 1598 !3 BUILDING DEPARTMENT OJ- S ( uD 1-813-788-6611 Type of Permit d- 6. c::r-z, :lO. c}7:) ~ ~c;UMB~) Property Owners Name: - tf:;; / ~ -V fJ:?J JObAddress:~ .~~ ~ --~ ~~ Date (;: - aO ~71 MEC~ (~~J{ L / Legal Description: Sub.Div. Lot Blk. Zoning CI: _S -, d 0 - d/ - / d- - 0 Description of work",-.3 ~LL~ ___ _,....J"---d /Lt. " j}..-4-/ h-o. <LJ ...t- f c;~,J '; A~.J2' I' - ~+ 7-/-11 ~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Fee: t . <, -. c.JZ) SIGNATUR6< ~p c(' =-""Jt9 COMPANY ADDRESS TELEPHONE II Estimated Cost: .:1, /J7ItJ .' 0() " All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE ,]7? (" Be Ac ELECTRiCAl) 19-5- M~ICAL ~ SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Oucts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of (; f-' - 89) dollars shall be made for each .,./r a.cLe.., /0-' o-tJ ) (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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT McConnell Construction Co. Inc. ADDRESS 27423 SR 54 Wesley Chapel Fl. 33543 PHONE 81-3-973-4977 OWNER Silver Oaks Golf and Country Club, Inc. JOB LOCATION 36841 Clubhouse Dr. LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ -5 - ;) b - d-../ - /;).. - 0 WORK PROPOSED:____New Construction ~ddition ~lteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family ~/F _~~ of Uni ts _M/H _Commercial _Indust. _Swim. Pool !'keJJI AR 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.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING .- GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BUILDER Randall Mcconnw ~ Company McConnell Construction Co. Q ~/~ '(f State Cert. or Regist. j~ CBC037941 Signatur ~/ City License Registration # rJ. 7P" ****************************************** Inc. :::~. A Company AY~~ Lr-FfAiV~ . ~~ s~ate ?ert. or R~gist..# ~t'J//.z.5'2....,,/~ _ C1ty L1cense Reg1stratlOn ~~ /y~ ****************************************** Signature Company S;6./'" /< State Cert. or Regist. # City License Registration # .I (~ Y ******************************** Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature . Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit tay be subject to "deed restrictions" which lay be I~re restrictive than City regulations. The undersigned assules responsibility for cotpliance with any applicable deed restrictions. . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they tay 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 ~wner Dr intended contractor are uncertain as to what licensing requirelents tay apply f~r the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furthertore, if the owner has hired a contractor or contractors, he is advised t~ have the contractor Is) sign portions of the "Contractor Sections" of this application for which they will be resp~nsible. 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 tay be an indication that he is not properly licensed and is not entitled t~ 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 with a copy of "Florida's Constructl~n Lien Law - HOleowner's Protection Suide" prepared by the Florida Departtent of Agriculture and Con suter Affairs. If the applicant is soteone other than the "owner", I certify that I have obtained a copy of the ab~ve described doculent and pr~lise in good faith to deliver it to the "owner" prior to cOliencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infortation 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 pertit to do work and installation as indicated. I certify that n~ work or installation has COltenced prior to issuance of a pertit and that all work will be perforted to leet standards of all laws regulating construction, City codes, zoning regulations, and land developtent 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 ty responsibili ty to identify what actions I tust take to be in cOlpliance. Such agencies include but m! not litited t~: I Departl~t of Environten~11 ReQulati~n - Cypress Bayheads, Wetland Areas and Envir~nlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environtental Pr~teition AQency - Asbestos abatetent 1 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 volule" will be subtitted which is prepared by a professional engineer register~d in the State of Florida prior to pertit 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 issuance of a pertit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issu~d ~hall becote invalid unless the work authorized by such pertit is cottenced within six lonths of issuance, Dr if work authorIzed by the perlit is suspended or abandoned for a period of six tonths after the tite the work is co..enced. One 90 day ~xtEnsiou of tile, lay be allowed for the permit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six tonth period, Dr the project will be considered dballdoned. SIGNATURE_~~~~~_~~_ OWNER OR AGENT DATE_______~i~~1~2________________________ NOTARY AS li~/ <:::) . OWNER OR AG ~~...L- /" __ __ Notlll' . 1(, State of Roridll MY COMMISSION EXPIRES~~wWWWm~~~Q~~2-~( Bonded lhru Troy Fi;;in - Insurance Inc:. 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 "NOTICE OF COMMENCEMENT". SIGNATURE~~~~~ CONTRA~TOR. - DATE___~:iJr~~[_____________________ NOTARY A~ . n. ----, 'L/' CONTRACT _ ~_ _~_~~ Notary P c, State of Florida MY COMM I SS I ON EXP _6:w'J.iU;~Q!LgJ][~L~L9~_~ 001'1(;erJ ThrL Tr:JY F,,:n Insurance Inc.