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Home My WebLink About91-1688 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY PermitN~ 1688 ,ill Date ,? ~ S-- <) I Type of Permit )0 , \ C~L --- BUILDING DEPARTMENT 1-813-788-6611 ~O ~, r'G Properly Owners Name: ;J}:rf __ '9j n Job Address: ' , ' ~G Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work Energy Code Readout: ~~./9f Complete Plans, Specifications and Fee Must Accompany Application 8-C> Estimated Cost: .;:(. ,Q ",'5"0'- ,~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. Fee: SIGNATURE/::' COMPANY SLB Tub Set Water Sewer Final 7/ /1/~-- . / P~ G~ifE~~~~~~ Tp.Serv. ~ Rough In Meter Can - d ~~~t. po~\ VI . pre-~ Final ADDRESS , "'./' 1/ OCCUPATIONAL LICENSE # TELEPHONE # BUIL~ --- Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of If if 111 06) dollars shall be made for each ~. /rd.-de (1,:;;-; cTlJ ) (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. ..~,.,..,..~~.: :.:'"'~.. ":~"'~~1~o;;~~'~~?~l')......-7.:;-' ~~._~'_l.~~.) ".~~.I:...~ , , Kinsey Central Heat & Air-Conditioning 7722 Fort King Highway. P.O. Box 2209 Zephyrhills, Rorida 33539-2209 (813) 782-2300 DATE PROMISED APARTMENT MAKE MODEL SERIAL NO. STI MATE NATURE OF ~ o CASH SERVICE REQUEST o CHARGE QUAN. PART NO. OESCRIPTION PRICE AMOUNT I I :<;?~O 1t:hJ I I C I I I I I I I I I SERVICE PERFORMED TOTAL I MATERIAL TECHNICAL SERVICE TIME TAX . 7Ud ~I DATI: COMPLffiD CASH g~ ;~~~ETI0N ~ I TOTAL ;lilSol &f) /' TECHNICIAN CUSTOMER'S SIGNATURE ,to. -- ..--------~--_._..- "'~-liIfn.._"~~' -""..........'...JL ~'~~"~~~p-- ~'~.~ _., _L... ~___.....,_._,...._._.__..._ _._no APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Xl "Iv' ~7" ~ r/r~ ADDRESS "7 7.;>..,;>.. N ~ A/;) :\ &~e~ ~ ~ ~ ~'-\.. tlY h 11 5;- (2- ...... \ \ \:-~ ~ LEGAL DESCRIPTION: LOT (S) , \ -\-- \ 2 PARCEL 1. D. ~F / 1- ,) t -- ~ / /1,J2.Pf'r~ C PHONE '7 Jj ;;;<. -- ~3' CJ-D OWNER t~ ~'-t ~r-.) \ BLOCK \ \1 LOT SIZE_____X AREA SQ. FT. SUBDIVISION (,+-~ ~r 2- h\.n~ JOB LOCATION WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ___sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ~/F ____tF of Uni ts _____M / H _Commercial ____Indust, ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _____W.R.E.C. ;< ~ ~t?, ~ Valuation of Mechanical Installation _MECHANICAL $ _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature v'::::~::~' ~~L Company ~. c-.- ._. '-:J. * ************~~~~:~~;:;~~:;~;;.;~~;~~;~ ~ Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature v Company ;<> N~<4 C-~~ State Cp.rt. or Ra€ist. # Ad'05;.-V?O City License Registration # 7/ *************************************** Company State Cert. or Regist. # City License Registration # *::*~;JJJ!J!~** Signature APPLICATION APPROVED BY PERMIT OFFICER. ,. ,--.....Jlli ............ .4.~1 CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions. which aay be lore restr.ictive than City regulations. The undersigned assules re5ponsibility~:for co.pliance with any applicable deed restrictions. . , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay 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 may be cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to "hat licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBI3l 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s} sign portioos of the 'Contractor Sections' of this application for which they will be responsible. If you, as the owner si~n 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 .ay 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. CON~TRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Constr.uction Lien Law - HOleowner'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 doculent and promise in good faith to deliver it to the 'owner' prior to COllencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I tertify that all the information in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a per.it to do work and install~tion as indicated. I certify that no work or installation has COllenced 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 development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies may apply' to the intended work, and that it is 'Y respon~i!li1ity tel identify what actions I lust take to be in compliance. Such agencies include bllt ~le not li.ited to: .... I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a 'colpensating volule" will be sublitted which is prepared by a professional engineer fegist~'ed in the state of Florida prior to perlit issuance. A perlit. 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 per~it prevent the Building Offici.1 fro~ thereafter requiring i correction of errors in plans; construction, or violations of any code, Every permit issued ;hall becole invalid unless the work authorized by such perlit is cOllenced within six months of issuance, or if work authoi ILed by the perlit is suspended or abandoned for a period of ~ix lonths after the tiJe the work is commenced. One 90 day e~ttnSioB of tile, aay be allowed for the permit with fee charge of $15.00. 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 dballdoned. WARNING TO OWNER: YOUR FAILURE TO RECDRD 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 "NOTICE OF COMMENCEMENT". SIGNATURE____~~~-------- DATE ___________~~L~1L---------------.------- ~~~~:yD~5A~~NT_~-~C~~- MY COMMISSION EXPIRES______________________ IIIO"FARY PUBLIC. STATE OF FLORIDA; MY COMMISSION EXPIRES: APRIL 19. 1992~ E:ln"J'"'r-n THRU N0"'ARV PuBLtC lJNnr-RwRIT.E.RSt. -- " _i__5-r-_l9.~L---- . - ~ A" - ~. - -'9 995 My commission expires Jan. 2 , EXFU5iP_:~~~~~~~~:!~:~-"!~ncy MY COMMISSION