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Home My WebLink About91-1613 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 E Ct=S:LB.t9A L '~NG Date 161aL3 I! - d 6 - 9'1 Permit N~ MEC~CAL Property Owners Name: {; ~J..J. (/).-1 &-'!-v< \~ 1'~.~/'1 -<"~ Job Address: --.s'- 7 c2 $I' - / y;7J( -JI- Legal Description: Sub.Div. Lot Blk. ZoningCI: II - db. . d-./ - 001 D '- () Y aOD - 0/ ;; 0 fI /J 11 ~ _ k..~ IJ,;.1 o..A , Description of Work (. ~~ .2-7, 44;Z;:?!.. t1 '" '1" t -V A -I" A.!fJ _ <Af-<_~ _-<U~ _ -Lt,j _ A-Y<-<A--<I/ ~ 1/-. ~'--<' ' ~" Energy Code Readout: ~J;,. 9-/1-1/ 6J Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: "/lJO 01 tTV All work shaH be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # Fee: d. CJ~. (./V SIGNATURi'~v?/J ('1J).A) fJ. Oft! i ~A /#lIt ~ COMPANY ADDRESS TELEPHONE # Q~P& BLJILDIN~) Ftr. Pre SLB lintel FRM. Insul.CL WL PL~G ------- SLB Tub Set Water Sewer Final Driveway ELE~ ~. Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final M~ICAL ~ Breakers Ducts Insl. Compressor Final Relnspect/ons: When extra inspection trips are necessary due to anyone of the following reasons, a charge oft.. r'III.~) dollars shall be made for each ..../')-d.-d..e. (/<-'5': 1lJ..J) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~ft-~L" j);UcwE "-lljJ//lJ~c>rr; -TR- 5"9 :J'f' /'1rfi'- 5r . 2$PIIJ/,-tf//LL:s I' ,/ JOB LOCATION PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. '\' \.l (:)0 ~ ) I" 199 j=r' , t- ...L..d (r- ~-~- ~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ,~ <:J ~ FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1J.f1W ~r 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60 '- 10' P E R X 0 I 10' P S 10' 0 T 1 0' S I E N D G 20' FRONT PROPERTY LINE 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT APPLICANT If} R -S ADDRESS 59 ~ tf OWNER (} R I<. L fl /IJ ci (!/f,RL . D. LJli?/'A)~(JTT.:r;e. , ) If r II s-r PHONE 7-R'P - / t) d ) R I!. LEN C' . L" of) f) j AJ L() rT I .:J/z.. . . , I . " Jon LOCATION 59 (l if/If III- .$/ . LOT SIZE'&-X Il//J AREA SQ. FT. LEG~L DESCRIPTION: LOT(S~/&/~-I'I-/F'{l~ #0 SUBDIVISION Cl"7 ()~ 2 '/-/1 L L..s PARCEL I.D.t~ 1/ - ale - a) --do /0 -OJ.}006 b17l) WORK PROPOSED:____New Construction____Addition ____Alteration ____Repair ~Install ____Sign/Temp. PROPOSED USE: ~Single Family ____Sign __l'love _Demolish _Commercial ~Indust. _Swim. Pool __l'l/H Sr!~;p) /(A6t1'Other ____M/F _t~ of Units ____Restaurant & Health Department Approval BUILDING SIZE: J/)' Ie. X J J I ~ q J . . LJ Square Fee t, . I.- J ~ rl> ? i Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMl'IERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'IS.** **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED ---- ____BUILDING ~D $ '-tOt>- _ELECTRICAL '=:::'-MECHANICAL ::=::"-PLUMBIN"G AMP Service Valuation of Total Construction ~ Florida pO\oJcr Corp. .li:-H.R.E.C. $ 1Y Valuation of Mechanical Installation -IJ-' GAS ", -lJ-- ROOFING ~ SPECIALTY 'Sc,eEC)) R~~t{2r TYPE OF CONSTRUCTION: -==-Block ~Frame ~Steel FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Rcgist. H City License Registration ~ ****************************************** fiUTLDER Signature Si!mature Company State Cert. or Regist. n City License Registration 0 ****************************************** ELECTRTCTAN Signature Company State Cert. or.Regist. ~ City License Registration 0 ****************************************** PT.UMRER Signature Company State Cert. or Regist. 0 ,City License Registration ~~ ****************************************** NECHANICAL Signature Company State Cert. or Regist. 0 City License Registration 0 OTHER ****************************************** PERHIT OFFICER. APPLICATION APPROVED BY. ........ CONDITIONS OF PERMIT AFFIDAVIT A.': NOT I Ce: OF De:e:O Re:STR I CT IONS ;'. . The undersigned understinds that this perlit lay be subject to "deed restrictiDns' which. ~ay b~ 5Dr~ res~rictiva than City regulations. The undersigned assules responsibil1'~,fo~ cOlpliance with any applicabl~ deed restrictions. ':' ,;.\'." .".< B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may hi r~quir~d t~ be licensed in accordance with stlte Ind local regulations. If the contractor is not licensed as required by law, bDth the ouner and contractDr ~ay be cited for a lisdeleanor violation under state law... If the owner ~r intended c~ntractDr ar~ uncertain as to what licensing requirelents lay apply f~r the intended work, theY are advised to cDntact the City of Zephyrhills ~uilding Departeent, (BI3) ?as-bbll. ',',: Furthermore, If the owner has hired a contractor Dr contractors, he is advised to have the c~ntractor(s) sign portiDns of the "Contrlctor Sections' of this application for which they will be responsible. If y~u, as the Dwner sign as the CDntractor, y~u are indicating that you, rather than the contractor, are resp~nsible for the w~rk. If the c~ntract~r Mish~s YDU to sign as c~ntractor that aay be an indicatiDn that he is not properly licensed and is not entitled teo p~r&itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~ D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provid~d with a c~~y of "FI~rida's Construction Lien Law - H~aeown~r's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is s~le~ne other than the "owner', I certify that I have [obtained a CDPY of-the abDve described dc,curr,c,nt and pre,~,i~D in ge,od faith to delivH it to the 'owner' prior to cOi~ence~ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 certify that all the information in this application is accurate and that all u~rk Mill be done in co~pliance with all applicable laws regulating construction, 2Dning, and land developDent. Application is hereby .ade tD obtain a permit to'do work and installatiDn as indicat~d. I c~rtify that n~ work Dr installati~n has c~&!enced prior to issuance of a perlit and that all H~rk Hill be p~rformed to ~eet standards of all laMS regulating c~nstruction, City cDdes, 2Dning regulations, and land develDprnent regulations in th~ jurisdiction. I also certify that I understand that the regulations of other governa~ntal agenci~s may apply to the intended work, and that it is IV responsibility to identify what actions laust'take to be in cDmpliance. Such ag~nci~s ii,clude b\lt ~le li"t li'lited to: I Department of Environ~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive l~nds, Hater/Wastewater Treatment I Southwest Florida ~Iater ManaQe~ent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercourses I ArDY CorDS of Enoineers - Seawails, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services, Environ~ental Health Unit - We1ls, Wastewater Treat~~n~. Septic Tanks I US Environ~ental Protection AQency - Asbestos abate~ent I also certify that, if fill laterial is to'be used in Flc.Dd Zc,ne "A" or 'A,etc.', it is underste.e,d tt.~t a drainage plan addressing a 'colpensating volUMe" will be sublitted which is prepared hy a pr~fc,ssional engineer reqisl~iC,d in the State of Florida prior to permit iss~ance. A perlit issued shall be construed to be a license to proceed with the work and not as auth~rity to viol~te, cancel alter, Dr set aside any prDvisions of the technical codes, nor shall issuance of a permit prevent the Building Official fr~~ thereafter requiring a correction of errors in plans, construction, Dr violations ~f any code. Every per~it issued ihall bec~le invalid unless the work authorized by such permit is cOJ~enced within six months of issuance, Dr if \lolk authorlicd by the periit is suspended Dr aband~ned f~r a period of six lonths after the tile the Mork is c~~menced. One 90 day e:tE~5jDII of tile, aay be allowed for the per~it with fee charge of ~15.00. The extensi~n shall be request~d in Mriting to the Building Official. An approved inspedie,n /!oust be le,gged 'during each six JIlonth period, c,r the project \lill be (('nsid~red db';\iGc,r,cd. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUI~ PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE,$..JLL&12,- /1 ()f)~-~' , OWNER OR A~ -if" DATE________OjQ:-~-~-~~-l------------------ ~~~~~VO~SA~~NT_l6.)-~~'~~-- NOTARY PUBLIC, STATE OF FLORIDA MY COMMISSION EXPIRMicommission expires Oct 24, 1992 Bond'E!d tfirul'"a1'tefson:-ae~nr ~C'/ SIGNATUflE ------------------------------ CONTRACTOR DATE ----------------------------------- NOTARY AS TO CONTflACTOR_____________________________ MY C6MMISSION EXPIRES__________________ ....~