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Home My WebLink About91-1641 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 ~p~ ~UILDING~ EL~ ~ .--;; ?I i Property Owners Name:J)~ r1 A--../ .' ~ ~ d"'YL Job Address: ~- 7 () ,f- -?JZ ,--d-- , Legal Description: Sub.Div. Zoning CI: / J - d-6 dj O~/{) C' /l ~rL-r- /.)" Y I ~ )- Description of Work Permit N~ 16418 Date 7-- I;} -9/ M~ Lot Blk, LU--:t $ 0 c ~-;L3 t.) L+-~2 .~ ~~~I / k.{f-t.-'~_ //\.o()-:<t.. ,/ (j- .-"lfd ~/~V1 At4 cS)/ta Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application 1 \ ...-, I ~ // /rT Estimated Cost: ~) 6-0 ~ cu All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #;:j:i? ~ (jJ~ tn.i. (J, /6 Jf?<i' Fee: J, .-------; =--~- COMPANY ADDRES( TELEPHONE # lJf/)h 11t~n, ~~ Ftr. Pre SLB Lintel FRM. Insul.CL WL P~ --------- SLB Tub Set Water Sewer Final Driveway EIsE0RICAL Tp,Serv. ----------- Rough In Meter Can Const. Pole Pool Pre-Meter Final M~CAL Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of tett (IH).80) dollars shall be made for each wip.. Tra. de. (is cro) (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. ~-~- ...-..~--.-~-~-.~-.-_..r1'iOi r ...-:-~'--~"---'.- tit ,,' .. h.. 'r~\ E::, l~: f( -: l'fIUBIL ni\I)~' <lj:(l.~~ (" I ~: I ~ l E:, FO,f j""i \{ n.: ., . ~':}, r~ 1.... () j'- ( .~' -~) ~:'t II "l:~Jr~', (e.: .,J ~.':' ~Ii ~<,,'_ "..c ," nGREE\'iiFI\lr 1,,-J'i:1: i:. ...., ..: . '_ ~3THEFr:~ ..22t?r.~~.... Gl-rY' ?1",-2..=~--- ~.~\; r~:it~l ~i. ~:~j \ ~: z (:':'1 L~ C" .of 1,,; ( r~ c'. -~... F:" j~. :/1 .If ~"'" "Cf' (1'P'1~./ ../:. " / . cr' r""' f . .., ._.....~.... ........ .._.,.. .-' ......... ~............. ~.~... ~ -' H" . i=. z. .?~: THIS n(;REEI'IUn WlOE TH ",i.-D'lY OF .. 17___/2 --'.---1 ,/lLBETWEEN HERB'S MDB 1 LE HOME AND m..'-I''' NUl" SO. RV J CO. "ND _______.-----~ ________-ASSLlRES THAI THE ABDVE NAMED COMPANY IS RESPONSIBLE TO ASSEMBLE AND INSTALL COMPLETE THE FOLLOWING If EMS: .._..~.._~.". ".,_ .._" ......__ ...,__...._...._u'. ) .. 7o~~O rCLEP1"IONF ; ~..'...'~..':.:...: '_'~'d'Z..? ......,JDP ... L.ellAn I ell\! ~ ~U - .....3:... ..........52....':..... ............... .._..-.-~-~-/d)'/Lc?~~:::: U 3X'3.. ~P/~ rK Z- V;~ wfr/~ th/ ! I \ _.... .." ~,'_"_"""_'~~' .... .~.~ ...".. .. "._~.n. ".' ....._........,.,,''',M..-......... ...,.,...".,...,~..-"..""'" ..,--.......,- . .~_.....,.....- .... ......-......--""'-... /) <4 .';J . I ."--- ...---"l-' I ! .+~": I' i AI' MPT~RlnLS REMAIN THE PROPERTY OF THE CONTRACTOR UNlIL PAID FOR IN FULL nLl JOB'S MINiMUM OF S0~ DOWN UNLESS nRRANGED WITH CONTRACTOR BEFORE SIGNING All MnT~RlntS REMOVED FROM J08 BECOMES PROPERTY OF CONTRACTOR. }il L .: l)i:J~1 '::, cr.: eli HF.F< cnU~;ECH Bl::YlJi\!D H 1. E r~FnSCil\.!?ml.i~ cmrrl={OL.. r i.. I: S SH~K.i C:(lN~;;T T!..rr L:THI: FJ'fT I RE CCINT RnCT. (,:)1'1\' \..)UFW, CrTHf'YT j'\{:lN Ejf::'FC iF :r nI'D\10: ';}H{'d.! !:;F 1'/ nH~~ nE{Uv'F THE CDI\lTF~AC;'T PRiCE.. ~'.IE r....RC1Por;F HEREBY TD F'\.JRNIf3H tiJATERHH. AND L(.11'.lDR (.,) 1'11,11 HE~ nIjOV[~ E;pr::c I F I errr J ONf),) FOR THE ~3ut'i CJF COMPLETE IN ACCORDANCE f~H (,~.U~:.~.,.~.") . -......' . ....'... ..,,--_.,. ..'''''"'' ,......-." .-_...".._...."'.....~ ...., .~.... c(\\(\'i\FNT fC) F!oE Mn DF f.:":j~3 FDLi..m.j!3.~ ..-" .......-...... ,,--......"-_.._..,"......~... ...... . .... ,-,...~''',.,._,...._..~". -. . -. ".- .,-, ...... .., V.l ITH F:lfHJ1NCF. Tn BE pril D UP Dl'-.i CCJI~1r)L..E-'T 1 0\\1 DE WOfHZ.. . ".,......,_....,.... ..'. .,_., ,_ _.^"........_.~'...'''n_.'..._ .. ....,'.., .<,.. ..._. ..,....~,~ . , - .....--~...' .,.~. ......_.~~-,-...._...'~.,~-_...._.~"~,._..,.. .-...,......,.- ..... '. .. ... , ACCEPTANCE Clr CONTRACT-THE ABOVE PRICES. SPECIFlcnrlON AND CONDITIONS (H~E ~3ATISFAC'Tmw nND Am:'~ HEREBY nCCEPTED. YOU ARE nUTHCH'~1 'lE.n TD THE WDFH<. nH SPECIFIED. PAYMENT WIt L BE 'ADE AS OUTLINED 0BDVE. '::; J r;:;N(.:tT U HE ; .'".,. .....",_....." "~-'~'" _.- .......,~_. ......... ................... .' , F '., nn'rc elF c. 'J' (..N~.l..r'lIRr. k ~. ..', ..,. >.. '!.' ."" ......' .. ... . ~... .. _, . _ . t,_. . _.n-.~'~_... ,,<-. ..,-....' ---,. -' .....,..~. ,.., '\" / let- ----~ -'-- ._------- 2-Jf 2 ~~~.......-----~.;~~.......oIo-o.J:.....v~~"""').L."!I..~iJ' . -,- "'__..iot.......I.o::>t""'""'...~"..~, (./d+-~ ..~:~l'L ,- ^ a)t to. ;;;... \)t '1,. ,.,., \)... fV) (oj. 1\ ,----.--.------. I \ I / \ \ i , I I i , -0- It' y~ \j \ I/I~ 3Y3 ~r ~ I' ?#N~ . O.2..~ tldlYt-,- ('~~ ,""/ ~'Itt~ 3f/ lZ~ 112 APPLICATION FOR PERMIT CITY OFZEPI1Y lUULLS BUILDING DEPARTMENT APpLICANT it/? dS' 4~~ ' ADDRESS~Z;;/)- _ L:.h (',/'(' k OWNER ___~ ~M e.,c 5-70 K 9-4 S:r- PHONE 7xZ - ,5~2-tt] Ii LOT SIZE/~ x ~ AREA SQ. FT. BLOCK Z-t:. SUBDIVISION Z/ Jon LOCATION LEGAL DESCRIPTION: LOT(S) PARCEL 1. D. t~ WORK PROPOSED:____New Construction -^ddition _Alteration __Repair _Install ____sign/Temp. _Sign __Hove ____Demolish PROPOSED USE: ____Single Family _M/F _t~ of Units ._~l/ll ____Commercial ~Indust. _Swim. Pool Other COIf) o (-J{.OO .~ () Z-~O _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: CO/'U'tERCIAL : 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. EERMTTS REQUESTED _BUILDING $ (/'6 co ~ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL $ Va~uation of Mechanical Installation _PLmmIN'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel _Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~ONTRACTOR SECTION Company State Cert. or Regist. ~ Ci ty License Regis tra !'.inn Ii ;)... ****************************************** Si!!nnture Company State Cert. or Regist. 0_ City License Registration 0 ****************************************** Signat.ure Company State Cert. or Regis t. !,!, City License Registration 0 ****************************************** PT.HMRER ,S igna ture. Company State Cert. or Regist. 0 ,City Licen~e Registration 0 ****************************************** tjECHANICAL OTHER Signature Company State Cert. or'Regist. r City License Registration r APPLICATION APPROVED BY, **********************************f******* . '-/1 ~ ~" ~ ~CJ 4 dd":';- PERl-11T OFFICER. bONDITIONS OF PERMIT AFFIDAVIT A.': NOTICe: OF DEED RESTRICTIONS ;.... . lhl und.rsigned undlrs~inds that this plr.lt .IY bl lubJICt t~ "deed restrictie.ns' whic~' may be Dore r.s~rictive than City regulations. The undllrsignl!d nsullls responslbSH\.y..fo.~ cOlplhncl! with any applicablll deed restrictions. . .:. ,:.l' '", ~ '.. " " ~~ -h ' B. UNLICENSED CONTRACTORS AND, CONTRACTOR RESPONSIBILITIES If the OHner has hired a c~ntractor or contractors to undllrtakll work, they aay b~ required to be licensed in accordance with state and ]ocal regu]atlons. ]f the contrl~tor II not licensed as rllqulrlld by law, both thll OHnllr and contractor nay be cited for a lisdlllanor violation under state law.'. If the ownllr or intllnded contractor are uncertain as to whal licensing require.ents lay apply for the intended work, theY are advised lo contact the City of Zephyrhills Bui]ding Departlenl, (813) 788-6611. ',", Furtherlore, if th. owner hu hind it contractDr. Dr contractors, hll i& advised 10 have lhe ce.nlraclorls) sign portions of the 'Contractor Slctlons' of this application for which they will bl rllsponslblll. ,]f you, as lhe owner sign as th. contractor, you are indicating that you, rather than the cDntractDr, are Tllsponsible for the work. ]f the conlractor wishes you 10 sign as contractor that lay be an indication that he is not propllrly licensed and is not enlit]ed 10 per&illing 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 pro'videdwith a copy of "Flc,rida's Ce,nslruction Lien Law - He.leowner's Prc.tection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. ]f the applicant is SOBEone other than the "owner", I certify that I have obtained a copy of.the above described documenl and proli~e in gODd faith lD deliver it tD lhe 'owner' prior to cOlmencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work Hi]l be done in coftp]iance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby aade to obtain a ~er~it' t~'do Hork and installation as indicated. I certify that no work or installation has cOI!enced prior to issuance of a perlit and that all work Hi]1 b~ perfor~ed 10 ~eel standards of al] laws regulating cc,nstructie,n, City cc.des, zoning re'gulatir.\Os, and land develc,pment. requlatie,ns in the jurisdictie.n. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, .nd that it is .y responsibility to identify Ilhat actions llllust'take to be in cOlllpliance. Such aqr:rlcies include bllt ~le IiC,t li'lited to: I Department of Envir'onllen"tal ReQulation - Cypress Bayheads, Hetland Areas and Envirc,nmentally Sensi lil'e l~nds, \later/Wastewater Treatment f Southwest Florida ~later ManaQelent District - Wells, Cypress Bayheads, Het]and nreas, Altering Haterc~urses I Army CorDs of Enoineers - Seawalls, Docks, Navigable Waterways f Departaent of Health L Rehabilitative Services. Environ~ental Health Unit - W~]]S, Wastewater Treal~en~. Septic Tanks I US Environcental Protection AQency - Asbestos abatement. I also certify that, if fill material is to'be used in Flood Zone "A" or 'n,etc.', it is underste.e,d t:.~t a drainage plan addressing a 'colpensating volule" will be sub.itted which is prepared by a professional engineer rcgi51~ied in lhe Slate 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 authDrity to yiolate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froft lhereafter requiring a correction of errors in plans, construction, or violations of any code. Eyery per~il issued iha]] becole invalid unless the work authorized by such permit is co..enced within six ~onths of issuance! Dr if H01'k authorlzed by the perait is suspended or abande.ned fe.r a peric.d of six lonths after the tilDe the \I~rk is ce'r.\mcnced. One 90 day ;:~t.;i.si('tll e.f lile, aay be allowed for the per~it with fee charge of ~15.00. The extension shall be requested in writing to lhe Building Official. An approved inspection oust be lDgged 'during each six .onth period, OT the prDject lIi11 be cDnsidered ~b~lldoned. 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. JpBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COyWjENCE~.T".7 / . ? ~/~. . ~~ ..kll<-----7.~ - - ~; I Gr:A TUf1E-------OWNER-OR-AGENT------.:.------ S! GNATUf\_~ -:~~TO~------- ,-----.. ./ " / DATE____7'~_7'-_tZ~rL- - ---- ------ ---- ~~~~~~C~~f\~~~~~~-- DATE_______________________________________ NOTARY AS TO OWNER OR AGENT_____________________________ MY COMMISSION EXPIRES______________________ MY COM~l 155 I ON E XP I~BY.PY~bl,g....sItlT..E..QE.fI..ORIDA My commission expires Jan. 28. 1995 Bonded thru Patterson - Becht Agency