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Home My WebLink About91-1675 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1675-8 Date '7...;;; b- 1/ Job Address: Legal Description: Sub.Div, Lot Blk, Zoning CI: Description of Work ~~-I~ Energy Code Readout: ~/1-1J..9L Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~d. 4- ;;ld-... Fee. r.iI 30 ~ SIG~ATURE ~~euL~~-4 4~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~~Ag~ OCCUPATIONAL LICENSE # 6/ ~N0 Ftr, Pre SLB Lintel FRM, Insul.CL WL PLUM~G ( ELECT~AL , Tp,Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final MECfNICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Coo (Ii I 9.00) dollars shall be made for each Wip:r r..\.- de (/.,f;,-: Cl() ) (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, 'Ii' "',,', , ~'..~ .' .' ' , , .; ;1t1' ',' "",;~' HOMECARE INDUSTRIES, INC. July 17,1991 Zephyrhills Bldg. Dept. Dear Sir, This letter is to authorize Frank Hallmark to sign for and pickup building permits for John Rich dba HOME CARE Industries. jJJ-;~ ;4-/1r 1;19/ r'u;.~;~.., ~LJ- !,;w .~',.',,: ...lIe. STATE: 0 1JC"'I~~~"~;;';~~'rON E;;U'/~I:;/ cf:L.rORIDA. . · ".., ""r "'n" "ua";c I. , 1 0, 1994. UHO""w".rc"... 6290 147th Avenue North · Clearwater, Florida 34620 · (813) 539-0339. FAX (813) 538-8768 . Statewide (800) 771-3777 , , , , .-..... APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS /~:''11 e C/11fC-. c::.. c,:2. ~O /l/17;! OWNER Les7e~ d h'/ JelJ e (C:/..) 1 e (?J / . JOB LOCATION de BJ,"!;jJ 4tX II u LEGAL DESCRIP ION: LOT(S) / It.; t)U ~ l'-{ -e.j II..:J C A u <-- ~ /-e';J~A reA-- r<-PHONE , '^S-39-C!~r3'7 APPLICANT LOT SIZE_X AREA SQ,FT, BLOCK SUBDIVISION PARCEL I.D.~~ WORK PROPOSED:_New Construction ____Addition ____Alteration _Repair ____Install _Sign/Temp. PROPOSED USE: '~ingle Family ____Sign _Move ____Demolish _Commercial ____Indust. _Swim, Pool _____M / H ~e ~ ,~;:.. Other _M/F ____t~ of Uni ts ____Restaurant & Health Department Approval BUILDING SIZE: 1-'1 d, \ .., 4::J ('), Square Feet,____' ~ Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. $ :Lf~~ &y PERMITS REOUESTED _BUILDING Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION. /' /. .' ,= Company /"'7'/'1?i'U;t-/ b -c? State Cert. or Regist, 4F (-:'-ccY/,/3/<!. City License Registration # ****************************************** BUILDER Signature Company State Cert. or Regist. 4F City License Registration # ****************************************** ELECTRTCTAN Company State Cert. or Regist. ff 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. - it 1''f JJ : l; J L ~t::,J CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . Th~ undersign~d understands that this perlit lay b~ subj~ct to "deed r~strictions" which lay be lore restr.ictiv~ than City r~gulations. The undersigned assules responsibility"for cOlpliance with any applicable d~ed r~strictions. , , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBI3} 788-6611. 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 _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 perlitting 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 - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consueer Affairs. If the applicant is sOlec.ne other than the "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cOllence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accuiate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developeent. Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or installation has coe.enced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental ~gencie5 lay apply'to the intended work, and that it is ,y responsibility te, identify what actions I lust take to be in cOlpliance. Such agencies include bllt ~l e not lilited to: r I Departle~t of Envir~n.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArtY Corps of EnQineers - Seawans, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat;en~. Septic Tanks f US Environtental Protection AQencv - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood tl13t a drainage plan addressing a .colpensating voluee" will be sublitted which is prepared by a professional engineer regist2icd in the State of Florida prior to permit issuance. A pereit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall becole invalid unless the work authorized by such per.it is coa.enced within six aonths of issuance, or if work authoi Ized by the perlit is suspended or abandoned for a period of six tonths after the tile the work is commenced. One 90 day e~t€nsioll of tile, aay be allowed for the permit with fee charge of lI5.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered ~bdl~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 NEr1!.ifdlE4f.O ~ A "NOTICE OF COMME~~~:~~_-:::::::?, SIGNATURE)(-----OWNER-OR-AGENT------------- SIGNATU~/~C~----- DA TE_____Z~~L_:1:.L________________._______ DATE~_____Z~~~=~!!.--------------- ~~~~:V O~S A~~NT J.-!fZLtd~ ~g~~:~C~~R~~J2.~;!~~~: I NOTARY FUBLlC, STrITE OF FLOi'llDA," Y~OTl\RV PUBLIC, fTI>:rl::. CF I7LO".!D\. r'iY Cm11"iISSION EXPIRES MY CO;'1i111SSi'J!~ .X'lPi::i.I: OCL to, l~lM, COMI-HSSION EXPIRE%y CO(".'.1lS;;lot{ 1:'4",;0':';;::"0',",(.'. '."" _-aoH.~ftU-ft'.rr"JIrrrr-'P'OB"J;'I"<f"'c;.rn5:R W R I ~.:nSJ. 'BuNOZO 111 HJ""'rrQ"t~t':"'"tt~i)t:rc-m..;-; ~ :-~w itli ~r