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Home My WebLink About91-1656 .~ STATE OF FLORIDA City of Zephyrhills ../Q. :/7 /J tp:J ' ,~ r D' Type of Permit :p- c:aUIL~-~~ ~E~;RI~_~~ P~- M~ ~:~:::r~s:~ers N:':3:99~~~/ft. Legal Description: Sub.Div'/..2-::lt ~,;2/# Df;l~O- t)ODtJe) - 0.:2.::2u PASCO COUNTY Permit:N~ 1656 ~ 7-/7-71 BUILDING DEPARTMENT 1-813-788-6611 Date Blk. Zoning CI: Description of Work $ D I )'-. ~ D' (] t3 L2/ IliibnJ All work shal! be performed in accordance with the above and all City Codes and Ordinances. iRe'n~eudeHeadout: l?~dJtJ-'" 7t!015fY. -19. fW- ~ Complete Plans, Specifications and Fee Must Accompany Application .!~ 'J-.tr'J.!;; "'.;( ~ ~l.) Fee: r t~ ~ ,:;;;..-- _ SIGNATURV .~ ~L4.dA2-<'~ COMPANY Estimated Cost: $. ~ !; ~ DO' @.. OCCUPATIONAL LICENSE # ,'3D-'/ ~. ADDRESS TELEPHONE # BUILDING Ftr. q - I~ 41 Y2..:......fl Pre~ LinteltJ;jfL-; i $j' FRM.~ 1--,.- Insul.CL WL c. Tp.Serv. Rough In rz. # ~'2.... q I Meter Can Const. 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 tift ({' ^ 86) dollars shall be made for each ...I""'~.J e (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. III I' I,: r- _______ LV LINcc'l,,,\ . , ;" : Jt 35 f. ~i q oc II! .1 It-- I' (i / L.. , ':::)(!, r -t. ! . v,, I ,. '.. t. \ L t.j \ i i (;1 \l ~ :5 i ,-- ,', ., J .) U ,) t \3u; , ) , 2- i) '" . ,. b I ) ~ I . ZOo I ,. , I( i -"" . . -1:. '1 4- .1\~ , J~ L .- . i I / Jt1. \ 1 ( i ;, . . , I- . , II, W At) OCr f .- J ~ If " .-. / ;f' (J(, ! \.J 'I -" "j ~~1~ , I< j' * BUI ~ ~Lf.)'\Jt R\ , J. Cfi/" . 77 <' ~ I \) i G. '.. i ! \.\! ( ,,"~ :jn .... I t .. "-,, ~ ~ , j.t.~ z,~. .5 ~ ii ,'j U e r<" fAL. .-'_. ~--'-'-'-'~'--'-+,,<.----"- r r i ~~~J1 Att' ~!f:j::~Q ~~ ~-...~- ! ~ I I I / 11 ('//1 . -~-;/- , 7 '(L -: ------------.-. ---'--- f i i I 'I I' i, II Ii . J I i -- i I I ----- -~~"---~---_..__."._-------------- - ---._-----~,--_.~.--_.- - I: I .f I. II !" 1H i'l : ,i I ill -~ I I i I I II I I I i 1\\ APPLICATION FOR PERMIT CITY OF ZEPHYFHILLS BUILDING DEPARTMENT APPLICANT CHURCH OF GOD PASTOR HERMINIa ORTIZ ADDRESS 39440 Lincoln Ave. Zephyrhills FL. PHONE (A 1 i) 7 R l 76 e 4 OWNER Same as applicant JOB LOCATION Lincoln Strep.t LOT SIZE~X (Q 0 AREA SQ .FT. <-/_9JJ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION. PARCEL I.D.~f 12-2h-?1 n?Rn OOOQQ 0220 WORK PROPOSED:____New Construction ~Addition ----Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4F of Units _____M/ H ____Commercial ____Indust. ____Swim. Pool class rooms Other ____Restaurant & Health Department Approval BUILDING SIZE: 10' X in', QQQ liIq ft_ Square Fee t, 10' Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED, PERMITS REOUESTED -1LBUILDING $ 6,500.00 Valuation of Total Construction -LELECTRICAL 1c:;n AMP Service x Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation -X-PLUMBIN'G 0"" GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: * FT. * Same as existing floor* ****************************************** CONTRACTOR SECTION Company Delaf ield ConF;r rllr-r inn State Cert. or Regist. 1F 104/n01990 City License Registration lFC'nllnty #G 1 Q *************************************** Ei I? ~-- /)- ~ '--5 C I Company . <, L l v . . _) F . State Cert. or Regis t. iF E /2. CJ 0 t/ ~-/ 7 City License Registration iF /..5 ';1 ***************************************! ' PLUMBER Richard Delaf ield Company f)~l&l f i91d ConotructioIJ State Cert. or Regist. 1,! 130 JRPOOJ02:::;7 Signature City License Registration iF fOtluL -11-002350 ****************************************** y Company State Cert. or Regist. iF City License Registration # ****************************************** MECHANICAL Signature OTHER Signature if * APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restricti~ns" whicfi'lay be lore restrictive than City regulations, The undersigned assutes responsibility for cotpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they tay be required to be licensed in accordance with state and local regulations, If the contractor is not licensed as required by law, b~th the owner and contractor lay be cited for a lisdeleanor violation under state law, If the owner or intended contract~r are uncertain as to what licensing requirelents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the "Contractor Sections' of this application for which they will be responsible, If y~u, as the ~wner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the work. If the c~ntractor wishes you to sign as contractor that tay be an indication that he is not properly licensed and is not entitled to permitting 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 Law - Hoteowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'owner', I certify that I have obtained a copy of the above described document and pr~mise in good faith to deliver it to the 'owner' prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby aade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has co.tenced prior to issuance of a pertit and that all work will be perf~r~ed t~ 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 governlental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~l e not lilited to: I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treattent f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departtent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatme~t. Septic Tanks I US Environlental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a 'co.pensating volute" will be subtitted which is prepared by a professional engineer register~d in the State of Florida prior to permit iss~ance. A pertit issued shall be construed to be a license to proceed with the worK and not as authority to viol3te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit isstl~d ~hall becole invalid unless the work authorized by such per.it is co.tenced within six lonths of issuance, or if work authoflzed by the pertit is suspended or abandoned for a period of six tonths after the time the work is commenced. One 90 day e~t~nsioll of tile, lay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six tonth period, or the project will be considered abal~oned. 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 "NOT I CE OF COMMENCEMENT". II SIGNATUR<<~~~----- SIGNATUR-~iJ../ / ,1Z__ OWJER OR~~-- ~ CONTRACTO~-- DATE____~~~~~5.?~_-___---------------- DATE_~_:_t_~~__Sl_{-_-____-_------_-- ~~~~=YO~SA~~NT_~-~-~-~-~----- NOTARY AS TO f) _ CONTRACTOR_~_d_M~_~---- MY COMM I SS ION EXPIRES - AR Y PUBLlcsTAiE-oFFl0,-:------- C 01+11551 ON E XP ~I!NE i' , <''i; -,.~ YHRV GE,;t~:AL. i~S. MY COMMISSION EXPIRES oJGBLI c sfATE-OTr;i~};1I~,:------- ~S{;ION EXP J:'lf~F . ~f(H.'it 1 !.;F f,~~',J'A:. .: ;;,~ r.. . ""." c (-/ <.J J<C H&E_ GctJ-_ __~'.~!o or(Tz 1le701( _ . _. ____ _Ei I c. _ ...[\/.u-PAMIf_%_C{~_'I'l t _____f?J2iic;~'_ tJu Mh~t{ ~2 - f< _ / t S y.y,,2 j). - i;;} (p - j.'l! . 0 ').'15b - OOOO() ~ D?-:LO -, I I I. >0' .~-'"~._.,,_..!_-_.~.- -, I I <::'1 ",I ~~ "I ~ ~ ....... ~ -' ~ l' f ~ h " 'II \L D ...., 1 ~ BAC~ ISD. F,eT - I't-.. ....... .f{ ,"("'T S tcl~ J I ~b t I F~lr ~I ~\l ~r~~ 7 ~ ~ C':) ~..... ..... ~. + J ! 3\ I~ fo~ \- -_q_=~:-___ L .. NeO I tv 5, ---------------------- -------~ --, ..- - --..--.----.-.......-.------.-.--..- - ".- 1,- }J.~R_E:..zr ,-" ~ .:> P. o 5 l! ~ p. <... <::Jt- :)-, ti. "( ,= ~<: E ?C: I S '/ I f'-J r; , S e f- ..,.- I D t/iw/ i. ~ __J::_~~~-r l' C\ t~:: ... I~\.l rK~~T-'so F.c7~ , '1~ ~;rtJu} [;I~-!IW, 1- ~/IIJ w L:l~ I:J Urr,J >>0 I4Ic ;[0 ~ rJit-tL JA/t/ ~1.5~ ~ CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 5335 8th Street Zephyrhills, Florida 33540 1-813-788-6611 :~r:ss 11~t~;~~ legal Description '/ cP... :l. t:, - ':;'1- D.:2.. qo - 0 00 ex? -- O:l ::Zv Building Perm. /I /'105 fn 16 F!> ~ t,.:< .. ~-O Zone + 1 % ~fJj)D;<J Gff5 90050 f-Y: Misc. . ~p 6j);!J~. nit}.) 'K/:'we4/~ ttuj) - ~'~ .::2 /*} " .5" () - ~7.. 00 ~(Pl/u @ Total Memo: 1"-.J'~ ~ /&iLiA- ~-f}~ Si9nat re ,/,. WHITE: Bldg. Dept. YELLOW: Utilities Dept. PINK: Customer