The URL can be used to link to this page

Home My WebLink About91-1673 STATE OF FLORIDA City of Zephyrhills PASCO-COUNTY > PermitN~ 1673 - B Date 7.... ;J 6 - 9/ BUILDING DEPARTMENT 1-813-788-6611 BUILDING ELEC"'CAL PLUMrG MEC71CAL property;;WnerSName dk k;4 Job Address: ..Y&4fJ/i rJ4 ~~ Legal Description: Sub.Div. Lot Blk, ZoningCI: Og'J-~O~~~-'-'O~ ~ Description ofwork4O- fa -. - _ _ d - _ _ ~ _ _ _ / Fee $~~ ~ SIG~ATURE ;c' ~ ;r- COMPANY ADDRESS TELEPHONE # Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: p S~L) All work shal! be performed in accordance with the above and all City Codes and Ordinan".. lth ~ OCCUPATIONAL L1CEN~ leAL SLB Tub S t Water Sewer Final Tp,Serv Rough n Meter Can Const. Pole Pool Pre-Meter Final Break s Duct Insl. Co pressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the foHowing reasons, a charge of tl.. (110.00) dollars shall be made for each ...../Y'd.- cl e.. (/~; tTV) (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, WORSLEY WORSLEY COMPANIES, INC. 10 Cardinal Dr, · p, 0, Box 3227 · Wilmington, N,C. 28406 . (919) 395.5300 . Fax (919) 395.6691 COMPANIES July 22, 1991 To Whom It May Concern: Gary Bartholomew may act in my behalf to obtain any permits required in the City ~PhYrh~S~~. LOU1S H~ag~n~ . '7/72 !7'/ Date Jf,~Jt-,-~;U j Notary Public State of NC My Commission Expires: 06/20/95 w. C, Worsley, Jr, President . W. Cecil Worsley, III Vice President . William Ambrose Executive Vice President 1 ~ ~ .... r">G I /"" I II ~ p~ waff- ~ 9 ~ ~ }- 9 I ij /1 < } 5' I ~.3Q7 l' ~o t .__._------~_.~--------- -- ----~-----_._----~_._- ,-_._---~----------------- ~ // ~ -3Q- / ~uJa.fia /{ Oil. /j Y~__uJ~ ~- .__m_ ...__ _ ____ m_ _ ... ..... .--------~------------- ---__~_n.. _____. _________ -------------------- ----~~-_.._-- -------.---- ._----. ---- ----_.- -,---- ( g' 'I 4- ~ I \ if y.. ItrJ ) \ P arli'~:~ I.J oJ..L , ~ , Cn (':) ...~ ~, 0-- _ ,~ ~ - ~I : -F- ':)<. ~ ~. r CNI --0 ~ ~ 0.:: ~ ~ n , li ",. t :::r- ei. ...... . ')0(. ~ ... .0. ~ -- - <C . . -~ -- -- -- \ lL n q I II L ~ / 5 'I r APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT (1/!J 72!-66// APPLICANT WOfLS C~l 1~~qq )q , C() M fJft1J1 f5- ~ z'$f'flY HJt{)' fit.}; r r~- .. "} 1 f"c..r() V I C TO /L Sm J rll .-S /! mf PHONE 7 J/ 3- /9%,3 ADDRESS OWNER JOB LOCATION LOT SIZE_X AREA SQ,FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .l~ () ;) r ;"0 r- ;q -- 0& I rJ -- () ~ O(){) -- tJtJ 10 WORK PROPOSED:____New Construction _Addition ~lteration ____Repair _Install ____Sign/Temp. _Sign _t-1ove ____Demolish PROPOSED USE: ____Single Family _M/F ____# of Units ._M/H ~commercial _Indust. _Swim, Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, 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 FORI-IS.**' **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED LBUILDING $ 5fJ{)'{}() Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp, _W,R,E.C, _MECHANICAL $ Valuation of Mechanical Installation _PLUMBIN'G Gl\S ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUILDER {)J()fl5 t-E Y Signature Joy r7' t~,1 5 CONTRACTOR SECTION cO f11 ~{1JV / f ~ Company ~~~ ~i~~\~~~~~e o~e~~;~~;;' i~n il." I q /i1ft., ~************************************** -/' ELECTRICIAN Company State Cert. or Regist, # City License Registration # ****************************************** Si!!nature Company State Cert. or Regist, # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist, # City License Registration # OTHER . Signature APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A: NOTICE OF DEED RESTRICTIONS. The undersign~d understands that this perlit say be subject to "deed restrictic'ns' which ~ay b~ more restrictiv~ than City regulations. The undersigned assumes responsibilitY,for COMpliance with any applicable d~~d restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake Hor~, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as re~uired by law, both the owner and contractor may be cited for a lisdeaeanor violation under state law. , If the owner or intended contractor are uncertain as to Hhat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhi]ls Bui]ding Departeent, lB13) 7B8-6611. ' 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. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wor~. ]f 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 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 Cc,nstruction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs, If the applicant is SOIEone other than the ;I "OHner" , I 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 COlmencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all ijory. will be done in coftpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a per.it to do work and installation as indicated, I tertify that no work or installation has commenced prior to issuance of a persit and that all work Hi]l be performed to ~eet 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 ijork, and that it is IY responsibility to identify what actir,ns I lIlust take to be in compliance. Such agencies include bllt ~1 e m,t ]jllited to: I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive LdIlU~1 Hater/Wastewater Treatlent I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArJV Coros of EnQineers - Seawalls, D~cks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - H~lls, HasteHater Treat~e~t. Septic Tan~s I US Environmental Protection AQency - Asbestos abatement I also certify that, if fillaaterial is to be used in Flclod Z~ne "A' or 'A,etc.', it is underst[lc,d that a drainage plan addressing a 'co.pensating volume" will be sub.itted which is prepared by a professicnal engineer reqist~ied in the State of Florida prior to permit issu,ance. A per~it issued shall be construed to be a license to proceed with the work and not as authority to violate, 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 issued ihall becole invalid unless the work authorized by such permit is commenced within six months of issuance, or if MOry. authcflzed by the perlit is suspended or abandoned fcr a period of six lonths after the time the work is commenced. One 90 day e~tE~5icll of tile, say be allowed for the permit with fee charge of $15.00. The extension shall be requested in "riting tc the Building Official. An approved inspection ~ust be logged during each six month period, or the project ijill be considered dbal~oned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWItE FOR Ir1PROVEMENTS 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 NEE,D TO RECORD AN!) POST A "NOTICE OF COMMENC:MENT; /' / J SIGNATURE___~~--~-' ~!. - SIGNATUR~___~~~------ OWNER OR AGENT ~ CONTRACTQA _(;iLe-r_l~_l___------- DATE___~~~~~~----------------~- OWNER OR <1GENT ~-' ~g~~:~C~~R~~~~~~ NOTARY PUBLIC, STATE OF FLORIDA ~ Or-llF')~ fa/ MY COMMISSION EXPIRE~~wum~~~~AL~2~_1995MY COMMISSION EXPIRES______LJ~~/~LL--- Bonded thru Pattetson - Becht Agenc,/ DATE ZEPHYRHILLS FIRE DEPARTMENT Zephyrhills, Florida 33540 38410 6th Avenue (813) 782-8184 FINAL BUILDING INSPECTION Fire Chief William T, Fenton Assistant Chief Robert Hartwig OCCUPANCY: 1i,JJ. S;, /I,SP,< l/7" DATE: c- I J' -/C :J / _ / _, , ,~ " ADDRESS: S r.t.i 97 ll't..(/ il ~ '9 6~ I BUSINESS PHONE: 7 iff - 95' /I~ OWN ER/MANAGER: I-,'h-, del,.., /. / This huildin~ has heen inspected by the Zephyrhills Fire Department under the codes and regulations of the NFPA ~inimum Standards and other local fire safety codes, ....-/~;PROVED NOT APPROVED -7 1./ r CO~I~tENTS: L.-,,r. let.- Co. ...-i }., /1': ;::;.~ .. C~/-.w/"h_ / LY j,."t!!t/,,(;( "'. ,.1'-;'/./ f / / .4 (/","1 "'If ;: ~ r, / ""!-o" C/h /l., ,T,/o ;.,,/ ~ I '-/~ ",'? ' j INSPECTOR: _ L/ ',~L (/2--Z"L/...~.,.., DATE: pll //!q, . .. , I TIME: / 0 O~A, /-) /~~.--: --- ( !, 'J / ~ SIGNED: '~>~-?~-7 /' "?'~,--:,.....1 .~~/ TITLE: 06/17/86 als "' ';"---'':'';'~~''~;''~:'''''''- ~~,~.,\. <.oiI~"'~~:;";;""'~'3"""'~:"'--...;.a";""...~.......":";'~ . \.. ~,~ 0' . ." .t~'; . '- "'-, . ZEPHYRHILLS FIRE DEPARTMENT Zephyrhills, Florida 33540 38410 6th A venue (813) 782-8184 Fl!\:AL BUILDING INSPECTION Fire Chief William T, Fenton Assistant Chief Robert Hartwig OCCUPANCY: Ii jJ s;:, If ,)e" uy Ii UJ if.., 4'.6~ I BUSINESS PHONE: 7f':f -ej.r'7& DATE: ~/) ~/ 9/ ADDRESS: s,f-4 CJ7 OWNER/MANAGER: ./ ,';..., /fan! , This huildin~ has heen inspected by the Zephyrhills Fire Department under the codes and regulations of the NFPA Minimum Standards and other local fire safety codes, ~PROVED NOT APPROVED CO~f~IENTS: O. j/, ;; ~ C 0, -A)tJ!"": ;::;'h EY/""ft;,',(l,,~ h-?L/,r/ ,/~ Oh /l'-f .T.f/c;J,~ cit J.'M.t'~ Ius,.,,.,. 5'1 , ~ J' INSPECTOR:, ~,/ tf1~/.L", DATE: s:-/,;. ~/9./ TIME: / 0 o~A'~ SIGNEI>~ TITLE: ~~ ~ , 06/1 i /86 als