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Home My WebLink About91-1686 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 permitN! 168615' -:r Q Date A' -- :;;L - / / E~~ ~-- M~AL Legal Description: Lot Blk. d-9C) Zoning CI: 11-,/-91 ~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE # / Y,J ~+.?JA' i Fee: ,-:J 0 ,,' crU SIGNATURE~J\lJY'1 .u ):~~ COMPANY ADDRESS TELEPHONE # Estimated Cost: 6"" 32 crv All work shal! be performed in accordance with the above and all City Codes and Ordinances. '~ "..~/ /_~.:::~~~, (p" ~ BlJILDING~/i Ftr. --.-.---- ' Pre SLB Lintel FRM. Insul.CL WL p~G - ---~ ELE~L ------- MEC~CAL '--, Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Ins\. Compressor Final Driveway Relnspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of t... IS 1000) dollars shall be made for each ~ Tra.de. (/0':01) ) (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. .., , )?:It!1f 1.1 tV d Q ,J ? ~ )t- J ,4 S If G,.;I9,v d.\ ~ ( CH/I,,,J l- ( ;V Ie. F $-""; CA:C Z C~l.r> l I $ SS3. C> 0 I e__-- . - - .., €ttl"""c; F&tJcc 1311 e, #C- Y /fIl- !J #.:J cJS ~ . J. f"'tJi ~ r1 .. APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT ADDRESS ~z,J/V hAlIl/~~ I't. vA . . d r. jJfl~C \) F E~(!' E:/ C'. v' APPLICANT I<fJrl/ PHONE 7tf>crJJ/(Y z. OWNER kA~e.;J tJ /' (,/0 ,.../ JOB LOCATION 72<;1-3 /18#(;,.4.-..1 ~ BLOCK LOT SIZE_X AREA SQ. FT. SUBDIVIS ION /I c..j'J/I.,q (/ , //0. ? e LEGAL DESCRIPTION: LOT(S) PARCEL I.D.j~ ss--~~-:lj - oC;;~-O.... 00000 -Oc:L90 WORK PROPOSED:_New Construction _Addition -^lteration _Repair X-Install _Sign/Temp. _Sign _~love _Demolish PROPOSED USE: _Single Family _M/F _j~ of Units __I'I!H _Commercial ~Indust. _Swim. Pool FE:~c..c Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COM!'1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORHS. ,~* **COPY OF CONTRACT REQUIRED. Ef,RMITS REOUESTED ABUILDING $ .$'..33.00 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLtJMBIN'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUTLDER - J. -, ;j Signaturp.~ ~ CONTRACTOR SECTION Company fJ A JC 0 FerJ e 6! c.. 0 State Cert. or Regist. if City License ReGistration Ii 191- .'{,o~/"(!- ****************************************** Si!!nature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** F.l .F.CTRT C1 AN Signature Company State Cert. or Regist. # City License Registration 0 ****************************************** PLUMBER Signa~e Company State Cert. or Regist. r ,City License Registration 0 ****************************************** MECHAN1CAl. OTHER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** PEllinT OFFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A:: NOTICE OF DEED RESTRICTIONS:. . The undersign~d understands that this per.it .ay be subject to "d~ed restrictie,ns' whicn ~ay b~ sore restrictive than City regulations. The und~~signed assuaes responsibili".fo~ compliance with any appllcabl~ deed restriction~. ,., ':0\ ." . '.. " . , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to und~rtake work, they may b& r~quired to be licensed in accordance with state and local regulations. If the contractor il not licensed as required by law, both the OHner and contractor ~ay be cited for a misdemeanor violation under state law. . If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Z~phyrhills 8uilding Departeent, (813) 788-66 11.;"' Further.ore, If the owner has hired a contractor Dr 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. ]f the contractor wishes you to sign as contractor that aay 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 Construction Lien Law - Homeowner's Protection Guide' prepared by the Florida Departlllent of Agriculture and Consulll~r Affairs. If the appl icant is se,.eee,ne other than the "owner", I certify that I have obtained a copy of the above described document and promi5~ in good falth 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 Mill be done in co~pliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby ~ade to obtain a ~erlit to do work and installation as indicated. I certify that no work or installation has co&~~nced prior to issuance of a perlit and that all work Hill be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governffiental agencies may apply to the intended Mort, and that it is ay responsibility to identify what actions I must take to be in cc,mpliance. Such agerlcies include bllt ill ~ 1"1[,1 li'lited to: I Department of Environmental ReQulation - CY~i~~~ 9ayheads; Hetland Areas and Environmentally Sensi tive L~nds, Water/Wastewater Treatment f Southwest Florida \later ManaQelent District - Wells, Cypress Dayheads, Hetland Areas, Altering Watercourses I Ar~y Corps of Enoine~rs - Seawalls, Docks, Navigable Haterways f Depart.ent of Health L Rehabilitative Services. Environmental Health Unit'" We1ls: Wastewater Treat~En~. Septic Tanks I US Environoental Protection AQency - Asbestos abatement I also certify that, if fillllaterial is to be used in Fle,od Zone "A" or 'A,etc.', it is underste,[,d t!.~l a drainage plan addressing a 'co.pensating volume" will be submitted which is prepared by a prof~ssional engineer regist~red in the State of Florida prior to perllit iss~ance. A per~it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel aller, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a correction clf errrors in plans, cc,nstructie.n, or violations of any cod~. Every perili t iSSlled :;hal I bece,.t' invalid unlt'ss the work authorized by such permit is COJftenced within six ~onlhs of issuanc~, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the time the Hork is co~menced. One 90 day e~tE~5iDII of tile, ~ay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An approved inspection ~ust be logged 'during each six month period, or the project "ill be considered ~bdlidoned. 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 L~NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE~__lh2~------- . CONTRACTOR SIGNATURE_~N~;~------- MY COMMISSION EXPIRES ~otary Publlr, 'tete of Florida My CommissIon rxpi;'~s (,"'t. 9, 1993 80nded Thru Troy Foi,j I. !....ce Inc. :::::~-::-~~~~--:=:?f-C-~--------- CONTRACTOR___~<?l..:_l- " ~- / MY COMMISSION EXPIRES_____~____________ Notary p ,,, 1M C . U~,.c.. Stat!! of fl..; y ommi,:r:^f! r " 0, .da .", )(p.-.... < Ilona_a rh I~, .i"pt. 9 7993 ru Troy l'oin -/nsu I rance Inc. DATE__________~~~L-:LL-----~~------------- NOTARY AS TO ), If () I OWNER OR AGENT_ __~~----~