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Home My WebLink About91-1627 ST ATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1627 (] 7-f-9/ ~ ~.".. .._.,._,.,._-'---')" ~~- Date ~ MEC~ Property Owners Name: 1:, kJ~ - 7. 2/"""1 j)~ Job Address: 6/ () 6 .^i ~ ~ SUb.~~ I~ tJd ~I li.P Lot Legal Description: Blk. Zoning CI: Description of VVork ~ /I...v ClA-1 ...A~'Yt--I Energy Code Readout: ,,;~ ,-"'<'< /~Z-~J d/J-; -7 ~ t-flr1! fJ14 Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ":>"50 ou OCCUPATIONAL LICENSE # Fee: ~ {) - ;:J: SIGNAiURE f if /J?/11 (jyh.. COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~~-s Ftr. Pre SLB Lintel FRM. Insul.CL VVL EL~ ~ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final MEC~ICAL ~ ~G -- SLB Tub Set VVater Sewer 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 ,llll.OO) dollars shall be made for each-mp./rd. de.. (JS t'V) (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. {)k~, ~~. Ci1Yl/cn::~~ F>Tv' ~.<<-~ ?~~-' c~ /-,f--9/ ~"1 1ld- ,. Jr' , //-L. ,~ Ii. 301 ('x f' u jJ - - -- ... - - - - - - - - .. - - -- 1 P~MJ~~ : IF'/; ~ X It' 6. ;1 , 1- ~~~"<LQ..---:- ~ I " ,,- -- - - - - - t--- -__ " ~ ~ ~ ------?_4 ~ 1= -' /) --~'d!.-~LJ1~-LJ~ttJ- -- -~ -~- -- --- - --- C,_ 4~ ___ _ __ _,_~_~-=_-=~ ~(LJIa.tU.t!-itJJ/; ~~_Cti?~__)jltlM ., A~,j-- --- --- ~~_11;; _ . ~~=:':"-'-~'."-~.'.-- -- ~- ---. " APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT Jon LOCATION ~I~NE )J..J, (j, r:::t3 APPLICANT ADDRESS OWNER bJO/p LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D, t~ WORK PROPOSED:____New Construction '~ddition ~lteration ____~epair ____Install ____Sign/Temp, PROPOSED USE: ~Single Family _Sign ____Jlove ____Demolish _M/F _-,_j~ of llni ts .____H III ____Commercial ~Indust, _Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x ';.'. . Square Fee t, Height RESIDENTIAL: COilltERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACll (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS. ** **COPY OF CONTRACT REQUIRED, ,PERMITS REQUESTED /.U'./~ 1m l.) Valuation of Total Construction ~BUILDING $ 3SV _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. ____MECHANICAL $ Va~uation of Mechanical Installation _PLillmUfG GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ~Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION ~~~ Company State Cert. or Regist. 8 City License Registration # ********,********************************* BUILDER ELECTRTCTAN Company State Cert. or Regist. 0 C~ty License Registration 0 ****************************************** . ,. Si!'nature Company State Cert. or Regist. 0 City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 .City License Registration !~ ****************************************** MECHANICAL Signature Company State Cert. or'Regist. 0 City License Registration 0 OTHER Signature APPLICATION APPROVED * ... * * * * * * * *;;J.. * * * * * * * * * ... * * '" * * J. J. i' .'. i' J. .r. .L .'. .', J. J. J. .'. BY 11"4 ~' ,.': H__'" PERl-lIT OFFICER. tONDI~IONS, OF PERMIT AFFIDAVIT A.': NOTICE OF DEED RESTRICTIONS;'..' The undersignad understands thlt this perlit lay be subSect to 'deed rlstrictiDns' whic~ ~ay b~ m~rD r,s~rictive lhan City regulations. The undersigned ISIUles responsibility for cOlpliance with any applicable deed r~strictlons, ... ",.,~ " " ~:. .~..,~. "~,, " ' ' . B. UNL I CENSED CONTRACTORS ANtFOONTRACTOR RESPONS I B I LIT I ES If the OKner has hired a contractor..or contractors to undartake work, they may hi required to be licensed in accordance Kith statt and local rI;ulat1ons, If the contrl~tor II not lIcensad II re.quirad by law, be.lh tho oltnor and cr.ntracteor uy be cited for I lisde.elnor violation under stlte 11M,", If the owner or intended cr.ntr~ctor arc uncertain as to what licansln; rrquirelents uy apply fe.r the intended work, they are advised to celn\ad thE! Ci ty elf Zephyrhi lis Bui Iding Departaent, (813) 7aa-~~I!. ; ,'r<" Furtherlore, If the owner hiS hired a cDntractor,or contractDrs, he i6 advised to haVE! the contractorts) sign portions of the 'Contractor Sections' of this application for which they will be responsible, If YDU, as the ownar sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work, If the CDntractor wishes yDu to sign as contractor that .ay 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 STATUTES, AS AMENDED) I certify that I, the applicant, have been provid!dMith a copy of 'Florida's Construction Lien Law - HODeowner's Protection Guide' prepared by the Florida Depar~lent of Agricul~ure and Consumer Affairs. If the applicant is someone other than the 'owner', 1 certify that I have obtained a copy of-the above described docum~nt and pr~~i~e in g~od faith to deliver it to the 'owner' prior to cOlmencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all ~ork ~ill be d~ne in co~pliance with all applicable laws regulating construction, 20ning~ and land development. Application is hereby aade tel obtain a p'eraif to' do work andinstallatieln as indicated. I certify that no we.rk or installa~ion has co&!enced prior to issuance of a perlit and that all work will be perfor~ed tD ~ect standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agenci~s ~ay apply to the intended work, and that it is ay responsibility tel identify what actions laust'hke ~o be in compliance. Such agencies include but ~le JiCot li~ited to: I Departlent of Environmental ReQula~ion - Cypress Bayheads, Hetland nreas and Environmentally Sensjtiv~ L3nds, Water/Wastewater Treatment I Southwest Florida Water ManaQe.ent District - Yells, Cypress Dayheads, Hetland Areas, Altering Watercourses I Army CorDs of EnQineers - Seawalls, Docks, Havigable Waterways I Depart.ent of Health L Rehabilitative Services. Environmental Health Unit - Wflls, Wastewater Treal~en:, Septic Tanks . US Environcental Protection AQency - Asbestos abatement. I I also cedify that, if fill Ilaterial is to be used in Flood Ze,ne "n' Dr 'A,etc.', it is underste,eld tld! a drainage plan addressing a 'co.pensating volume' will be subtitted which is prepared by a professional engineer reqist~ied in the State of Florida prior to perllit issu,ance, A permit issued shall be construed to be a license to proceed with the work and n~t as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a p~rmit prcvent thc Building Official fr~ft thereafter requiring a correction of errors in plans, c~nstruction, or vi~lation5 of any code. Every per~it issued ~hall beCDle invalid unless the work authorized by such perllit is coamenced within six aonlhs of issua~te, Dr if Hork authorIzed by the perlit is suspended or abande.ned f(lf a period of six lonths after the titlle the 1I0rk is cDl.lmcnced. One 9(; day ;:;:tti.~io\l c,f tile, aay be allowed for the per~it with fee charge of ~lS,OO, The extension shall be requested in IIriting to the ~uilding Official. An approved inspectie.n !:lust be lC1gged 'during each six Mnth period, [If the prc,jl!ct lilll be ce,nsidered cbdllde,ned. 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". ::::~~_:~-~:--j)-~=PSl~-11---~\--~~---- OWNER OR AGENT__~~~~~------- C(,t.RY PUBLIC. STATE OF FLORID" MY COMMISSION EXPI~~~~w~~~_~~~~~oct 24, 199~ Bonded thru Patterson :tJecm'1lgl!ner" SIGNATUnE------CONTRACTOR----~--- ,./' // DATE_________________~---------------- ,/' NOTARY AS TO // CoNTRACT~------------------------ MY COM~1ISSION EXPIRES__________________ SIGNATURE__~~--~~~J4~~----- m.INER OR AGENT r-----