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Home My WebLink About91-1648 . STATE OF FLORIDA City of Zephyrhills ;/;2-- :L~ 01 Permit PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 164&/ 7-~7/ Date (_~~~!:_I?~,~g./ Sh~;l\[ PL~- ~._... Property Owners Name: qi:.ii~-Njt,/,,IlfA- Job Address: ,-$9/1 -, . . Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application o.Aen &/1)9,2_'6 Estimated Cost: Fee: All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATlONALU.CENSE # - " \ ADDRESS TELEPHONE # ~- .,~"'t C::::__. ,,~JILDI~. Ftr.V1-/~ --'it lJAD Pre SLB Lintel FRM. Insul.CL WL ELEg:meA"L ----- Tp.Serv. Rough In Meter Can $ Const. Pole . J1-i I f./i1J Pool Pre-Meter Final ~[ PLU~NG SLB~'i...l~-'f/ 8:;/J Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final D~veway -,s, .- ~ f:,/ IlI1.5 tJl(. 1r"l '- -71 ..u-r Relnspections: When extra inspection trips are necessary due to anyone of the folIowing reasons, a charge of t iF If II 00) dolIars shalI be made for each__ -r~.d..d.e (/6 ':O?)) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection calIed 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. ,. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER ~.ov P8' /l :z-~~ /7 5_Al~ )cJ~ O,cPHoNE9'tJ9"'-J?7-711?'L ~ a'7 p'F ..1$"r~4(1.$ '7~AIP j)c-~CJ'"'I LOT SIZE_^---- I\REA SQ.FT. APPLICANT ADDRESS JOB LOCATION LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.tF WORK PROPOSED:_New Construction --XAddition _Alteration _Repair _Install _Sign/Temp. _Sign ~love _Demolish PROPOSED USE: _Single Family _M/F _tF of Uni ts ._~l/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Pee t, Height RESIDENTIAL: COWIERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY POmIS.** **COPY OF CONTRACT REQUIRED. PF.RMITS REQUESTED _BUILDING ~ELECTRICAL ~MECHANICAL fh PLUMBIN'G $ Valuation of Total Construction AMP Service Florida Power Corp. _H.R.E.C. $ Valuation of Mechanical Installation SPECIALTY GAS ROOFING -fc-Frame _Steel Other TYPE OF CONSTRUCTION: _Block FINISHED FLOOR ELEVATIONS: FT, ****************************************** CONTRACTOR SECT~ ~:v ~ Z Company V ~ ~ State Cert. or Regist. 1F c:"fiZ- O/O~:d...J City License Registration iF l?' ********~********************************* Si!mature Company _ State Cert. or Regis t. 1F $Z) City License Registration # ****************************************** PLUMBER Company ~ State Cert. or Regis t. (! c:2 City License Registration fl ****************************************** Signature MECHANICAL Company State Cert. or Regist. 0 ,City License Registration {~ ****************************************** Signature OTHER Signature " 1r APPLICATION APPROVED BY PERl-lIT OFFICER. .........,':. CONDITIONS OF PERMIT AFFIDAVIT A.': NOT I CE OF DEED RESTR I CT IONS:. . The under5ign~d understinds that this perlit lay be sub~ect to "deed restrictions" which ~ay b~ m~r~ res,rlctlve than City regulations, The unde~slgned assules responsibili\J.f!~ co.pliance'~ith any applicable deed r~strlctions, . :. ':.~ " . '. . . E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor Dr contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not 1icens~d as requir~d by lilW, be,th the ollner and contracte,r nay be cited for a aisdemeanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requireaents aay apply for the intended work, theY are advised to contact the City of Zephyrhil1s Building Departeent, (8131 78tH!'ll. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. 1f 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 lay be an indication that he is not properly licensed and is not entitled to per~itting privileges In the City of Zephyrhil1s. 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~d ~ith a copy of "Florida's Construction Lien LaK - Homeowner's Protection Guide' prepared by the Florida Departaent of Agriculture and Consumer Affairs. If the appllcilnt is soeeone other than the 'owner", 1 certify that I have obtained a copy of-the above described document and promise in good faith to deliver it to the 'owner' prior to co.~encement, E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 certify that all the information in this application is accurate and that all wor~ will be done in co~pllance with all applicable laws regulating construction, zoning, and land develop~ent. Application is hereby .ade to obtain a ,erait to do work and installation as indicated. ] certify that no work or installation has to&~enced prior to issuance of a perait and that all work will be performed to meet standards of all laws r'9,1.'i'9 """,,'i,', "'y """ ",i'9 r'9,1.li"', ." )." ""I,p.'" "9,1.'i," i, 'h' ",i,'i,'i." I .1" ",'ify 'h.' I ,,',',',,' 'h.' 'h, r'9,1.'i," ,l ,Ih,r 9"""",.1 '9",i" ,., ."ly " 'h, i."",,, "", .", 'h., i' i, .y mpoe"ibi I ity " "eoli fy ,h" .<li '" I .usl h" to b, i, mp Ii"", S"h .""d 0; i "d ,', b" l '" ,,,' \ i. it,' I" I Department of Environ~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive L3nds, Hater/Wastewater Treatment I Southwest Florida \later ManaQe~ent District - Yells, Cypress Bayheads, Wetland Areas, Altering Hatercourses I Ar~Y Corns of EnQineers - Seawalls, Docks, Havigable Waterways . ",.".", ,f H,.I'h , R,h.bili,.'i" S"""', '"i""",.1 H,.I'h U,i' - H'I\', H."".I,' '"al,"', S"li, "," I US Environoental Protection AQency - Asbestos abatement I also certify that, If fill latedal Is to be used in Flc.od Zone "A" or "A,.etc.' I it is underste.od tl"t il drainage plan """"'9 . .".p"""" "I",. ,'II h' "b."", ,bi,b " "",r,d by . ,eof,,'ioo.f ,",i,'" ,o,',f';" io Ih, 51." .f Florida prl~r to permit issuance. A "r.i' ,,",' ,h.II h, "",,," ,. h' . I""" I. pr,."d .i'h Ih, "~,I .,d ",I " ..lh.,I'y I' .1.1.", .",,1 .1"" " ", .,1" ,'y pr..""" ,f ,., ".h".,1 .,d,., '" ,b.11 ,.""" ,f . p."" p""" Ih, "i1'i'9 Off",.l fe.' Ih",.f'" ",.ir", . "r,,"'" of ",or. " P"'" .o,,'r.""', .r ",I.'i'" ,f '" ,.d,. E.,e, .,e.il i"",' ,h.11 b"'" i"."d ,,'," Ih, .". .,'h.ri." hy .,.h p"'" i, .,.",." ,ilh" ". ",Ih' ,f "''''''', " if ",' .,Ih.".od hI 'h, p".il " ,"p'"'" oe .b"d,." foe . poriod 'f ,i. ."lb' ,n" lb' "" th, "'" i. ",,,,,,, , '"' ", dl' "tor"i'" ,f "", "y b' .110"d f" ,., p"'" ,"h f,' ,h.r,' ,l 115.00, lh' ,.""io, ,h.'1 h' e,.,"'" i, .e"i" t. Ih' ','I'i'9 Off',i.1, Ao approved inspectie.n l!Iust be le.ggeddurlng each six 1lI0nth period, C<T the project \iill be cc.nsider!ed dboiide,ned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT SIGNATURE DATE NOTARY AS TO CONTRACTO~ MY COMMISSION EXP I RES ------------.--..-...--=---.",.---1 MY COMM 155 ION E XP I RE5 ------------------ . ,,1 _/I TEP.:;~S!\ fi... \"il::':/,s ....~~ \"'r"~ i .~ s.'~'e_!} <r:~'K'." ". ~ ..~ evmm.l;.:.<iJ. ..:<i1 '. ~:$)S .-J , \ -- ___~'..."'----~... ~_'". -~ "'il ..~....~'~. I r' " ,"-.'- ' i' ,~~~i :~ I',,,, . t -- F ! }"'1 ',,' .~ ~ '. ~ i ~.s l i ~_ ~...__ _~ __~",--:,,_I .:~.-J' -~-----------------------~~".- _.;5 rlkv..1.LI dB, I 'N L . .. E, /~~ /J~ '~ ~. -".---., -.-..------ ...---..-..----.....--..-- -~-----,,--~ -~--_._._---_._-- ---'"---~-- ---~----------------_._-----------_._--_._----------_.-----~---- , I ~LjfL__ -II .l6r~ - But L.u Ai Co: .. 11'1 ~f;.crcJ';. : I I , ! i '. -.- .~---- -. --~~-- -~--_.--_.._.._._----- --_._-~- . .--.,----- - '. - ----~.- - - - . ~ - ."" _h_ - _..