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Home My WebLink About91-1633 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1633/1 Date ;7-/0- 7'/ Type of Permit ~~') BU(LDING__________ ~ PL~ I MEC~L Property Owners Nam~o-c1-t' ../) Job Address: ,':>......j c2. 7 ~ / cD '" 7//CL~~L~-, 4~ Legal Description: Sub.Div. Lot Blk. Zoning CI: / / - ;;}6 ~ ~-2/ - Description of VVork A J /1-7")- /~.4' 00/ () _ ..;;L os() 0 - 00/ 0 /~~O Energy Code Readout: ~~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ;:) ()-:tJ , 0-0 Fee: /' All work shall be performed in accordance with the above and all City Codes and Ordinances. ( SIGNAT ADDRESS TELEPHONE # OCCUPATIONAL LICENSE # //'yJYV2../\ Ce;-UILDIN~' Ftr. Pre SLB Lintel FRM. Insul.CL VVL PLUM'~- SLB Tub Set VVater Sewer Final ~AL - M~NICAL ~ Tp.Serv. Rough In Meter Can Canst. 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 1-<. ~11 9.DO) dollars shall be made for each~/Yd.-de.. (/0-' 07)) (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. ~ CXTY OF ZEPHYRHXLLS ~UXLDXNC DEPARTMENT OWNER ~~ : ~7?:::1 JOB LOCATION ,~ 7' /. =. - P- .~Y41 PA-RCEL I,D, it ~ SHOW ALL EXiSTiNG & PROPOSED STRUCTURES GiVING DiMENSiONS & SETBACKS, 'J~ ~ '~ ~ t~t. ~'- '.~ ~QA , '" '"1 ~ J . '- r,~" J --i-~ l~@~ ~~ ~ .........-..~ l I UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION, /" b ..2;( FRONT PROPERTY LINE JtJlLL 5T (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2, SETBACKS FOR R3 ZONING 60'_ 10' ...P E- R X 0 I I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 O' FRONT PROPERTY LINE FRONT PROPERTY LINE APPLICATION FOR PERMIT CITY OFZEPHYID1ILLS BUILDING DEPARTMENT ~. \ .('Ie" APPLICANT I (..',' c::...~ C s' /LII? A/ G- fAr' ;- s /-Z /i/L( :) /G / A,' .I ADDRESS "ill tfi ') / C.,' OWNER ,~'~c/~Cc.o ,,~~/d^ / JOB LOCATION ~'/ r:5l/; PHONE '} .~-] ;/( I t./ 8-' . ~ c; .- <J ./ LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOTes) PARCEL 1. D ,~~...-- t-f? 9' tJ BLOCK SUBDIVISION ,f::,~C5~'-f7q6 .~~ // - rJ-(, - ;J/'~ oo/O-;J/J.)f70-00/0 WORK PROPOSED:____New Construction ~ddition -^lteration _Repair ____Install ____Sign/Temp, _Sign _./'Iove ____Demolish PROPOSED USE: ____Single Family _M/F -~~ of Units ._I'I/H -~ ____Commercial ~Indust. _Swim. Pool Q-:.eA~ Other _Restaurant & Health Department Approval BUILDING ~IZE: x Square Feet, Height RESIDENTIAL: COH.l'IERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORI'IS.** **COPY OF CONTRACT REQUIRED, ~BUILDING .rf.RMTTS REQUESTED , & L) e..Ic.p $ ~ $' fi)~ ~aluation of Total Construction , ____ELECTRICAL AMP Service Florida Power Corp. H.R.E.C. _MECHANICAL $ Va~uation of Mechanical Installation .... GAS ROOFING SPECIALTY _PLUMBIN'G TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. U City License Rcg"istratinn ~~ ****************************************** InJ1LDER Si!mature Company State Cert. or Regist. iF City License Registration iF ****************************************** ELECTRTCTAN Signature Company State Cert. or .Regist. ~ City License Registration 0 ****************************************** pun-mER Signature Company State Cert. or Regist. 0_ .City License Registration iF ****************************************** HECHANICAL Signature Company State Cert. Or Regist. O. City License Registration if OTHER APPLICATION APPROVED BY. ~;'::;1"A*;':;:;**"*":d""***''''**'' PERMIT OFFICER. --"II! . CONDITIONS. OF PERMIT AFFIDAVIT A.': NOTICE OF OEEO RESTRICTIONS:', ,.. The undersigned understinds that this per.lt .ay be subject to 'deed restricti~n5' which. ~ay b~ a~re restrictive than City regulations. The undorsigned a55Ules responslbill'J,f~~ co.pliante with any applicable deed restriction~. .:.,:.\.... ", '. . . . ''"''',,~ B. UNLICENSED CONTRAcTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake Hork, they m~y hi required l~ be licensed in accordance with ,t.t, and local regulations, If the contractor 15 not licensed as required by law, b~th the ouner and contract~r nay be cited for a lisdeleanor violation under state law,', If the owner or intended contraclor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills ~uilding Departeent, (813) 788-6611, ',', Furtherlore, If the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the 'Contr.ctor Sections' of this application for which they will be responsible, If y~u, as the owner sign .5 the c~ntr.ctor, y~u are indicating that you, rather than the contractor, are responsible for the w~rk, If the c~ntract~r Mishes y~u to sign as contractor that lay be an indication that he is not properly licensed and is not entitled t~ pertlttlng 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 Construction Lien LaM - HooeoMner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If th~ arplicaot is s~ee~ne other than lhe 'owner", I certify that I have obtained a copy of ' the above described document and pr~li5e in good faith lo 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 work Hill be done in co~pliance with all applicable laMS regulating construction, zoning, and land development, Application is hereby aade to obtain a perait to'do work and installation as indicaled. I certify that no M~r~ or installation has c~&~~nced prior to issuance of a perlit and that all work Hill b~ performed to ~eel standards ~f all laMS regulating c~nslruction, City codes, zoning regulations, and land development requlations in the jurisdiction, 1 also certify lhat I understand lhat the regulations of other govern~ental agencies lay aooly to lhe intended work, and that it is /lY responsibility to identify what actions 1 must 'take to be in compliance. Such aqr:f1cies include bllt ~le Ii{,l li'liled to: I Department of Envi(oneental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive l~ndsf Water/Wastewater Treatment I Southwesl Florida ~Iater HanaQelent District - Wells, Cypress Dayheads, Hetland Areas, ~Itering Hatercourses I Army CorDs of Enoineers - Sealialls, Docks, Navigable Waterways I Depart.entof Health L Rehabilitative Services. Environlental Health Unit - H~lls, Hastcwater Treal~En:. Septic Tanks I US Environoental Protection Anency - Asbestos abatement I also certify that, if fill laterial is to be used in Flc,od Zc,ne "A" or 'A,etc,', it is undi?rstc,c.d tl,~t a drainage plan addressing a 'colpensating volulc' will be sublitted which is prepared by a professional enqine~r reqlstcicd In the Slate of Florida prior to permit iss~ance, A permit issued shall be construed to be a license to proceed with the work and not as authority to vio]~teJ cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a correction c.f ernrs in plans, c[,nstructic,n, or violations c,f any code. Every per~it issued :hall becc,.e in'/alid unless the work authorized by such permit is COlftenced within six months of issuance, or if lIork aulhorlicd bi the perait is suspended or abandc.ned fc.r a peric,d of six .onths after the time the Ilork is CC'f.\menced. One 9(; day c,~t.;j,sic'lI c,r tile, /Jay be allowed for the per~it with fee charge of $15,00, The extension shall be requested in writinq to the Building Official. An approved inspectic.n i!lust be lc,gged 'during each six Mnth period, c,r the pre,jed liill be cc,nsidered dDdiidc.ni?d. 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". ~-- L SIGNATur~E_2. ~__ Q,~--- ./ cmH(~fV DATE_~_!_~___~q_~J__________ NOTARY AS TO "---/ D cJ CONTR~CTOR_/~>!.--_~---"d4h1. MY CO~1~1I 55 ION EXP"IRES__________________ SIGNATUR~~~~ OWNER OR GE DATE_(~-~SC---~~f-{------------ -. \ . NOTARY AS TO. \ .'/ 0 ~.' OWNER OR AGE~;;;;;z.-~~-------~- ~ L,.... ..~.. MY COMMISSION EXPIRES______________________ ~"'''''''I: $~:&;~~ . LARRY D. WILSON :*: ,*= MY COMMISSION EXPIflES \~~.. .,~CJj September 3, 1993 "",;,,~:.:~';.~,$ BONOED THRU NOTARY PUBLIC UNDEflWAITeAS .'-":"'""'1; "'~l:'if,' ~!!l'"~ I~ .~i$ i:i ,:e MY COMMISSION EXPIRES \:~i.....:.;;.,~$ September 3, 1993 ."..~:..~"", BONDED THRU NOTARY PUBLIC UNOERWRITfRS LARRY D, WILSON .......,