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Home My WebLink About91-1615 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN'~ 161Sl) Type 't Date__7 -- / - ? / BUILDING ~L ~ MEC~CAL Properly Owner~ N~me: ~A..-->Z;~ ~G~ Job Address: .3 f?-'/S I - ~t5 ---Zt( ()~ Legal Description: Sub.Div. Lot Blk. Zoning CI: J I - c2& ' ;;l./ - Oc> / 0 ' / 6 )7 0 a - c> 0/ 0 Description of Work a..Z, -J'JdAtZ:;... -/ A-..R AA7.A/.~/Yj AA-fA ~h-1 (/ Complete Plans, Specifications and Fee Must Accompany Application <EFlergy Code Rcadotlt. Estimated Cost: / cr-v-c - 6'() ./ Fee: ~.) ~ cl<...) SIGNATO;;;;? G ~~ COMPAN / ADDRESS OCCUPATIONAL LICENSE #-.5 s /,>1;;.-" 4.L<~:1Z'. TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. --L~AAJ~'-?~{l:!tf'UJt . C BOILDINS' ~ ~ .__ SLB Pre SLB Tub Set Lintel Water FRM. Sewer Insul.CL Final WL ELE~AL .............. MEC~CAL '"""--, 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 tl.. .1. I.X) dollars shall be made for each~. ..:;T1Y'd..J..'€- (AS--: Of}) (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. I~~l I :, i I i '. ~ , <" ., , ,. ~ I 00 l '<~, I '1~ . e- '~- lj "':"- "'" -::~ We 6)((9 I) .., "'.) ~. ,~ '. " \, "":' ,:;,' '0{; ,~ '.., '''. '<1 ~ I'I.j ( \ ,J ~ -"; :v f:, :K ~ 'v / l 'D L\ :~ ~ \in " ~ ~ ~ ~ ~' ~ 't ~ .~ ,\I) ~ ~ ~~~ ~ ~ \"' ~~ ~ ~ \~ ~ ~ -L o u ~r <.I - - 1 cel) iJJ .\ .j :) , (~- ~.!) '-'l f') 1 ; ,: J '0 .... .;: r'I. ~~ w'r- \.C ~ ~ , "( ~ "< ~ ~ '.u ~ ~ ~ ~ ~ \..: '" ~ U) APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANTxi.v--j-9 ;?6, - 'l~~ ADDRESS ~~~~"'~_ z.,~ ./;)~ ~ PHONE ~~7--'7.$C/CJ OWNER #~ r:'.~~- JOB ~T10N ~7'< ~A'~ LOT SIZE X AREA SQ.FT. LEGAL DES~ION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~F II - 9ft, -d-./- (;70/0- / b ?"l)otl'--oo/ CJ WORK PROPOSED:____New Construction ----Addition ~lteration _Repair ____Install ____sign/Temp. _Sign _I-love ____Demolish / / PROPOSED USE: ____Single F~ilY _M/F _~~ of Units / ~omm~ial _Indust. ____Swim. Pool ~aurant & Health Department Approval ,_~l/ II Other BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COMl'1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'IS. ** **COPY OF CONTRACT REQUIRED. /~ PERMITS REQUESTED ./ /BUILDING . ____ELECTRICAL ~ECHANICAL $ Valuation of Total Construction AMP Service Florida Power Corp, _H.R.E.C. $ ~ dt7tf) . U'O ./ Valuation of Mechanical Installation _PLtJMB IN"G GAS ~lock ROOFING SFECIA~GT~ TYPE OF CONSTRUCTION: _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. 0 City License Registration i~ ****************************************** IWILDER Si!!nature Company State Cert. or Regist. 0 City License Registration i~ ****************************************** ET.ECTRTCT AN Signature Company State Cert. or Regist. 0 City License Registration it ****************************************** PLUMBER MCCUANICAL Company >I..-~~;5:. Y;;.L- ~~~ d;~ St~tc Cert. or R ">st. i~ /8"7 Signature "r' ~ ../ " City License Registration it /" ~ * * * * J. J. * * J, * * * ~ * * * * ... ~ * * J. * * ,', ", J, J, ,', ,'. J. .'. ,C ~ ~ J. .C J. J. .'. J. '^ n...... ... ........ n .... . ,. l' .. .. .. .. " .. .. .. ., .. .. .. " OTHER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** PERHIT OFFICER. APPLICATION APPROVED BY. CONDITIONS OF PERMIT AFFIDAVIT A.'. NOT I CE OF DEED RESTR I CT I ONa:. . The undersign~d understands that this per.it lay be subject to "deed restricti~n5' which ~ay be more restrictive than City regulations. The und~r5igned assules re5ponsiblli~X.fo~ cOlpliance with any applicable d~ed restriction~. ... ...,' , 0". 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to und~rtake work, they may be required to be licensed in accordance with state and local regulations. If the contractor Is not licensed as required by law, both the OHner and contractor nay be cited for a aisdeaeanor violation under state laK. . If the ~wner or intended contract~r are uncertain as to what licensing requireaents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (913) 799-6611.'" Furtherlore, If the owner has hired a contractor or contractors, he is advised to have the c~ntractor(s) sign portions of the 'Contractor Sections" of this application for which they will be responsible. If y~u, as the ~wner sign as the contractor, you are indicating that you, rather than the contractor, are resp~nsible for the work. If the c~ntract~r wishes y~u to sign as contractor that aay be an indication that he is not pr~perly licensed and is not entitled to per&itting privileges in the City ~f Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that 1, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho~eowner's Protection Guide" prepared by the Florida Depart_ent of Agriculture and Consumer Affairs. If the applicant is some~ne other than the "owner', I certify that I have obtained a copy of the above described d~cument and promise in good faith to deliver it to the 'owner' prior to cOi~encement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installati~n has c~&~~nced prior to issuance of a perlit and that all w~rk will be pfrformfd t~ roeet standards ~f all laws regulating construction, City cod~s, zoning regulations, and land developrn~nt regulations in the jurisdiction. I also certify that 1 understand that the regulations of other governmental agencies IDay apply to the intended wor~, and that it is /lY responsibility to identify I1hat actions I lIIusttake to be in cCll1Ipliance. Such agencies include bllt ~le mil lillited. to: I Departlent of Envi,onrnental ReQulation - Cypress Bayheads, Hetland Areas and Envirunmentally Sensitive Lands, Water/Wastel1ater Treatlllent . Southwest Flurida Water ManaQe!ent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercourses I Army CorDS of Enqineers - Seawalls, Docks, Navigable Waterways . Depart.ent of Health L Rehabilitative S~rvices. EnvironIDental Health Unit - W~lls, Wastewater Treal~en:, Septic Tanks I US Environoental Protection AQency - Asbestos abatement 1 also certify that, if fill /lat~rial is to be used in FI~od Zone "A" or 'A,etc.', it is understo~d tllat a drainage plan addressing a 'culpensating volu~~" "ill be sublitted which is prepared by a profr.ssi~nal enqineer reqist~lr.d in the State of Florida prior to permit iss~ance. A permit issued shall be construed to be a license to proceed with the work and n~t as authority to yiuI~le, cancel alter, or set aside any provisi~ns of the technical c~des, 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 per~it issued ;hall bec~.e invalid unless the work authorized by such permit is cOIII~enced within six months of issuance, or if lIork author lied by the per.it is suspended or abandoned for a period of six lonths after the time the work is c~~menced. One 90 day r.:te~sioll of tile, say be allowed for the per~it with fee charge of ~15.00. The extension shall be requested in writing to the Building Official. An approved inspectieln ",ust be IClggedduring each six IIlDnth period, or the proj!:ct Iii II be cc,nsidered iibaiidoned. 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 RE~ORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". (\ n().. 5IGNATUU4=O~~~~----- DATE:~~~~~/_~~~~---------------- NOTARY AS TO OWNER OR AGE~__~~ MY COMMISSION EXPIRES_~~~~_~~~~~~---- ~_c~-------- DATE NOTARY AS TOl" J. A',_ ~A~ A /J/J CONTRACTOR__~~~~~~~ MY COMMISSION EXPIRES____~______~~_____ F" .....;~~TP'i.\ "'....+ ':!'}.l~'( 5lf\l'E or LV~"~,;.J.", M~J' ",R't' \l"t. " _ . rl: <}T 17 \ ~9j . '-... ""Ji'l r~);P ..):...1 ,', ~1i1\f\ ~\"'1 ..,_",_11 >r:-\,ICra;.L INS. Ul\i..'.. \ ;~t', l,~ 1.,;.. ,~l I ZEPHYRHILLS FIRE DEPARTMENT Zephyrhills, Florida 33540 38410 6th A venue (813) 782-8184 Assistant Chief Robert Hartwig FINAL BUILDING INSPECTION #e~&~~' ~~7' S~e:. OCCUPANCY:-;:;;;;ry~~ (~~e-;.Z~ATE: t1 0-0;2.. -9/ ADDRESS: .:?87" 9' f' S- ~ A?de- ' . BUSINESS PHONE: Y'<T.2 -9?~7owNi~\rt.GiiR:a;Q4L" ;? ;])/~ Fire Chief William T. Fenton This building has heen inspected by the Zephyrhills Fire Department under the codes and regulations of the NFPA Minimum Standards and other local fire safety codes. -4--- APPROVED u.)/~ #~ ~k NOT APPROVED ~Src:--~~ ~ ~Y/~-t~Lr~<Y~~ CO~1~1ENTS: #* .n'ec/ ~ ;~~ ~~ /"r dad6;7<~/f .4.)~c-cL' ~~ ~f2. ~<~~~~ '~~~" ~~d~ &e- - ~R" c'~cr:fr~ C <P:~~~t:>-L ~ abaJq. ~ Y/d7~ / . , ~~~<'~/ % 7~ - C~-s:,~/7-;r~.~ 7/rc ~~) INSPEcrOR.4~~- c:- DATE: d-c:2 --7/ TIME: c~ :J'c-j ~ SIGNE~~rlU~ TITLE: CJ7A ~--I 06/1i/86 als