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Home My WebLink About91-1647 STATE OF FLORIDA City of Zephyrhills /' /' ~2 Typ~of Permit (~1~ PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 ~mICAL p~.. permitN~ 164~ Date 7- ~1/ MECllANIGAl ~::P:;:r~:~ers Name~ ~7?d-(?~/!1:; _' Legal Description: Sub.Div. lJ-2b-1..l-00I-J510D -C" i 0 Lot Zoning CI: Description of Work Blk. Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated cost4 ~ /f 5/, ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~' ~'I ~ - .:~~~ Ftr. - Pre SLB Lintel FRM. Insul.CL WL .BJJMSfNG . I SLB Tub Set Water Sewer Final Driveway /I &v Fee:?f> ~~. -- SIGNATUR~A_-O I'~ COMPANY ADDRESS TELEPHONE # ~iCAL Tp.Serv. Rough In Meter Can Const. Pole POOl Pre-Meter Final M ECH A ~I 1GAt:.-- -- Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of l- (t I ~ 00) dollars shall be made for each """.71-.;)... J.e... (/-.5"7,f7) ) (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. S~AR~' .~... _.. .... U~ANo . /. . I' '. "THEFOlLOWINGPOINlSHAVE r--, .. r...... .-,., BEEN COVERED WITH CUSTOMER: L--J _j.}'." '" ~ ; , ASSOCIATE INITIALS ....:,.........- (SEE REVERSE SIDE OF THIS ESTIMATE -. .-'..;."';-,.., ". ". . . AND PROPOSAL FOR VISUAL DESCRIP. . TJON) FENCE TO: , ,1:\ , . I. 'Ai~'~J tAL.. i._l..t A.) FOLLOW SLOPE OF GROUND B.) FOLLOW CONTOUR OF GBOUND. C.) BE LEVEL WITH HIGHEST .GRADE 0 D.) BE LEVEL WITH LOWESl( 13RADE 0 E) BE LEVEL AND SPUT THE: GRADE 0 UNES CLEAR OF OBSTRUCT;IONS 0 UNES STAKED WITH/BY CUSlOMER 0 GATE LOCATION/SWING D1RE~;nON 0 PERMIT RESPONSIBILITY. ._; '_u 0 CONTACT UTIUTY COMPANY' 0 ADDRESS SPECIAL INSTRUCTIO~S: ~.f;;L;. ~.~ qtJv r~ ~ ., "".' Ii V ~ECIAL WORK TO BE ~~Rd \III... -/~.~ ....;,..~ ---.-.' ..- CAWv~ ~. ....'.--- -. """ ..." '."" ~.,"".- ~ '. ;l~ . ITEM # /DIAMETER : t'.. DIRECTIONS OR ADDITIONAL INSTRUCTIONS . . ~.- -- ~ ~~'FENclNG"': l(j(~[)IAGRAM : : ~t;f;"1' C ->~: . - ~'. t~ f. . , , ~. . : ;~t'\;l~-t'=t: !'J:'r' ,~:: '... i~ -', ,~ ~J .~ r.' t :C~:":;:":;:__:':_'~, ~1:':A1:' .. ... . .. . ~. .f .. ~~ .;; ~<3! *' _."~'--""-'-""~~ -~ .. . ~.. .. .. ~ . ".. . . . \.. .. .. .. . .. .. .. '" ",.:.. .. .. ",- ~...~. t.. ... .! ':.t::,'/ II ,.l~ ~.'Jl,.t\.'~r~'~ . ...".. " .. .. .. .. ....f! !.. ....,...... . .. .. II .. .. .. . .. i . BUILOINGS: ._" : ~WALK GATE'----~-O----J . DOUBLE GATE . cf'o ,3.7@ @~ ... I , I _-.l ., ,I I. I: ! .....~."'.--.'r..~.:.-.. ~__.-:..".-: :~-;~~:: ~ : ~~.~ ~ ' ~~' ~ . . -1- ... .. . .. !! i ... t. ... .. . ,--;!~it'~-ijt'Fi' .. r . .. ..1. ~.. .---1 ........ '.J.':~. .. ..;t f .. .. .. . 9'! .. .:'"' .. . " . " ':' i ... 'l, $> t_." ... ,.~_~~~~;..._-_t..,.~-~.,~. "1 .. ~ ,~ * . ~_. .' .. It- .- '" ' It .. .. t .. ~. ,. I~'. ( .. '\j .. f.,. -: ~ ~,. ~ .-.... .. .. '" '" ,V"lt.. ;J.\. '.. .. . . . ., ~~!' .............t- ,,~. ~~~..:r!...- ~ '.: ..tfi' ~';, ~. '.' :: :- ;-.. :'. :'::-1 :. '1 ~ +,r::--.. , . . . }' ... '" ..... .. ". . '~.;J ..W~ to " .. - ,. "'." .. .. . . I :. ill' ~ " ~ fI;;:~~~ "..--,t ., <t- .. ..' ~. " .......""{. -.;.~;....:r. r")~:"',C.=, : : t (' -:;~:.: ~ .. .. ~. . V" .t , . ~..-;.._' ':': . . I .. ~I "i '~l''-' '~L.' .:...::....~c " " . ....t._.._.~_.._....... . -.,. A ',;',i l~'. I ... I (G!'''''~'C!(:-~ h; , ~ i i ~ ;. - \ ~r 1 (-,' ~ '.:~:11;.T ! Ii~; . , :-;~::-.':-::::;z:.: . N-C:. " -" .~ , -r understand that this is only an estimated date and I will be contacted prior to this date to schedule the actual installation date. INSTALLATION ESTIMATED __ __- - .... .. ,- TO BEGIN WEEK OF INSTALLATIONCrERt g~ belZ Z -r;~ 'a:1:nstal~e~,::~~~~~~r)II' Contractor's Charge For Delivery Contractor's Charge Work Specified Above (Charge Ace!. 183-82) !'-;I' ;: :1 '"')-- .'.'t. NOTE TO CONTRACTOR: SEND BILL FOR THIS WORK TO: !" . SEARS, ROEBUCK AND CO. . (Permit No.) (Contractor) -.-.......1 (Address) (Address) (City) 14541-010 Rev_ 2/90 (State) (Zip Code) (Zi~ Code) . (City) (State) - --- '_m'___,_~__",__~,~_"""",_______~~__,._ ~__.._.__.__.~...... ~.,..,.~_-..JI."'- ~".."..,.._'_ r- APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT 50l.L --+ h e l,u ADDRESS b' (; ( G.e.) /?(}E .$ I, Q L 1ARloAJ OWNER DAN; f> I gCA.~6\eS 5 JOB LOCATION 3:55"Lj9 t:lf. ,ilt/E-- FEN C ;'10 6 APPLICANT , . rc-/1- 3 'I" ~I ~ ~'SP'/ZIIUy.5PHONE .9'3 C/- 9 S- 2.:Y / t/ LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~~ ~/ . ----WORK PROPOSED:____New Construction _Addition ----Alteration ____Repair \./ e,L. ,c6ucE -1...Install _Sign/Temp. _Sign ____t-Iove _Demolish PROPOSED USE: _Single Family _M/F _t~ of lTni ts ._~l/H _Commercial ~Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMl-1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORl-IS. ,~* **COPY OF CONTRACT REQUIRED, ..___J PERMITS REQUESTED L/'i3'UILDING $ !; 75/' ().sJ- Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBIN'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature b' ~ CONTRACTOR SECTION 1\ /' (/( --.) C Ii gJ 5 cAJ Company ~C:; 6 C( T H -e r Iv' ~ /J} () State Cert. or Regist. if lv~1:. rt'Vvv:>-<JV'- City License Regi~ tra tion . 'I, ** *** * 'I, ** * **** ** ** * ** -{, 1: 1, -{:,~ -{, -{,,, 1, ,',,,,,,,,,,,;: '.:"" * ~ \ f-E/lJ c1AJ6\ iF 5PlcIAL IV ::iI ~c; I / BUILDER ELECTRICTAN Company State Cert. or Regist. 0 City License Registration 0 ****************************************** Si!!nature Company State Cert. or Regist. # City License Registration # ********************************~~**~*~**~ PLUMBER Signature MECHANICAl. Company State Cert. or Regist. iF .City License Registration # ********************************~********* Signature Company State Cert. or Regist. 0 City License Registration 0 OTHER Signature APPLICATION APPROVED BY( *ff!;J!)!;;*r*:;j~::~h:;;Of~~*"d,*1'1"': ~- ~ PERl-lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.': NOT I Ce OF DeeD ReSTR I CT IONS'. . The undersign~d understands that this per.it .ay be subject to .d~cd restrictic'ns' which' ~ay bQ more res~rictive than City regulations. The und~~signed assu.CS responsibili~l,f!r cOMpliance with any applicablQ deed restrictions. , :..~.. ..... . , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a con~ractor or contractors to undertake Hork, ~hey may b~ rQquired to be licensed in accordance with state and local regulations. If the contractor is not licensed as re~uired by law, both th~ OHn~r and contractor ~ay be cited for a .isdemeanor violation under state law, . If the OHner or intended contractor are uncertain as to Hhat licensing require.ents lay apply for the intended work, theY are advised to contact the City of Zephyrhills Building Oeparteent, (613) 761Hbll. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the 'Contrac~or Sections' of this application for which they Hill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may 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 provided Kith a copy of 'Florida's Construction Lien LaH - Hoeeowner's Protection Guide' prepared by the Florida Departsent of Agriculture and Consumer Affairs. If the applicant is SOBEone other than the 'owner', 1 certify that I have obtained a copy of-the above described document and pro_i5e in good faith to deliver it to the 'owner' prior to cOimencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby !lade tCI C!btain a penH to do work and installaticln as indicated. ] certify that no wClrk or installation has co~~enced prior to issuance of a per.it and that all work will be performed to meet 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 agencies may apply to the intended work, and that it is /tY responsibility to identify what actions 1 must take to be in cClmpliance. Such agencies include bill ~l e I"IC,t li~ited to: I Department of Envi~oneental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensjtiv~ Lands, Water/Wastewater Treatment I Southwest Florida Hater ManaQement District - Yells, Cypress Bayheads, Hetland ~rea5, Altering WatercDurses I ArDY CorDs of EnQineers - Seawalls, Docks, Navigable Waterways I Depart_ent of Health L Rehabilitative Services, Environmental Health Unit - W~lls! Wastewater Treat~en~. Septic Tanks I US Environaental Protection ~Qency - Asbestos abatement I also certify that, if fill material is to be used in FIt,od Zc,ne "1\' or "I\,etc.', it is understc,od tli.t a drainage plan addressing a 'colpensating volu~e' will be sublitted which is prepared by a professional en~ineer reqisl~red in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the work.and not as authority to violate, cancel alter, Dr 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 errcors in plans, c[.nstrudic,n, or violations of any code. [very perili I iSSIIl!d ;hall becc,le in'lal id unless the work authorized by such permit is coltlenced within six months of issllance, Dr if work authorIzed by the per.it is suspl:nded or abandoned fc,r a peric,d of six .onths after the time the 1I0rk is [(,Meoced. [Jne 9(; day i:~ttj',sio\l of tile, lay be allowed for the permit with fee charge of $15.00, The extension shall be requested in Hriting to the Building Official. An appr~ved inspection ~ust be logged during each six month period, or the proj~ct Mill be cDnsidered abalidoned. 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. J08S UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE~(AL~~~~~ _____~_____ SIGNATURE_~ct OWNER ~~ CONTRACTOR DATE__------!7~L~L~l--------------------- DATE_____-:7-=-~-~:-~l--------------- NOTARY AS TO /:t"'bhl..l~ ,,} --v1_ ~'I . , OWNER OR AGEN~~~_~-~-~~ MY COMMISSION EXPI~2~~~~~~~omD~--- ~Y COMMISSION EXPIRES: AUG. 17, ;991'. . ONDEO THRU NOTARY PUBLIC UNDERWRITERs.. ~g~~~~c~~n~~-~-ii~ MY COM~1 155 I ON ~A,*~-ICy ~;.M-E-OF-A.effiB'\'-- MY COMMISSION EXPIRES: AUG. \7, \99\". BONDED THRU NOTARY PUB1..lC UNDERWRITERS.l. , '- (- , '- ~l ',-- , .. ..... I..., ',- ~-------_.__._._------ ---'-- - -. ---- ----...-- -- -_._~--_._-.- -1 .----.--~--1aJ -~------_.._- .-.----.---.."- . 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