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Home My WebLink About91-1690 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 - PermitN'~ 1690 5-9/ it Job Address: Legal Description: Zoning CI: Description of Work Energy Code Readout: ~cIo", ('&J. c:2.7CJ Complete Plans, Specifications and Fee Must Accompany Application / 70 Fee: JI' ~2, ----- / SIGNATURE' (;? fi<t{!/ ~(/ COMPANY ADDRESS TELEPHONE # Estimated Cost: ~,-- All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ?--e72 PLUMBING SLB Tub Set Water Sewer Final ~t:- # ~ ~i- yJ(C - . ELECTRICAL MECHANICAL 1JI~AJ' BUILDING Ftr. ~-1-1( (S/J Pre SLB Lintel ~ FRM.~- 7f1--q[ Insul.CL WL Tp.Serv. Rough In ~ - 2yjJr! Meter Can Const. Pole Pool Pre-Meter Final Breakers , Ducts Insl.~-2?--?1 ~ Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of tal ([ I 0.0<') dollars shall be made for each ~ 7""'r ~ d. e (! ~-, tlD ) (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. f1f ")1) ,,oJ -,' ,LLor f")1...,,,., \.. r:;rS: 1(. ~ '''-'(i\ ~\L.\jf.~t Ot\~ ~12.., ~. L /.- / l~ ~~O{)J... 5 (I(ttt' "-;111, { ~....35 X I bo Set' f r, ~ } I I II v '17~"" SCt ,t " , t-H -. A- - - r t~ i' I: L L I ~ ~'OO" \ f) \JV\ '7i r)\j i V ~\,Hl UllJ(;. ~. C/O.oO w- 'i i'j t ! C, i f /' '1(?/I.\.1 t 20tD 0 j_._.....'+_ 'i. ; <.., I.", ~.. I , t 1 t^~. ~ r ) \....... ,I,~ ,," l ,~ ,,, il-J. [~f 'ri. , rl,- Co 20\00 l.tl,I,' I ; I i HI , I ilL , I I i.,.' ,"': r> ,-~ ,\i . v'\. .' l \; "! ,~. . 11 ";,; r y ;~J-~t 7. .' ,..../' ., - 70 J1 r . Z '7 ') ... c I i2. 7 D I 'II -11 1 I , I i i I , II I i Ii II Ii ._---_._---_.._,--~~.- II .._,--"'..~ "t ! , I .1 , I I't , i t n+ i 11 .Ii : It i I + 4- I! '11,[," I I :1 ,I" I! :,1 i. 'I. , , ,I: , , " 'II !! 'I I , , , ! , ' , il~ I! I' [I ,[ ~ i 1 ,II 'i; APPLICATICIN FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT APPLICANT .IVI ~ a~~ I j . (?oN"+- a ~( ADDRESS t. '.# 1 ~..~ c~,L . _ tJ~. ;l~7 ti/.~~lONE q. 7'3 - 19 77 OWNER -JAck J. JjJcht t\1<e~J(~,~j , L ~ . G. 'lit till.;~" 0"""" ':J ~ SilO d JOB LOCATION $-;}C, ~ l ~ ' ,0. T LOT SIZE ~::) x (20 AREA SQ. FT. ..L? '.. LEGAL DESCRIPTION: LOT(S) 101 BLOCK PARCEL I.D.l~ 3 - 2<:. -zl -1"/ - 0 - L07 WORK PROPOSED:____New Construction -1C-Addition ----Alteration ____Repair ____Install SUBDIVISION ____Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: _Single f'amily _M./F _if of Uni ts ~_M/!-I _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, 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 FOR1'lS, ,~* **COPY OF CONTRACT REQUIRED, PRRMITS REQUESTED /" _BUILDING V ELECTRICAL V/~ECHANICAL $ cp n77J . Ci77 Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation ____PLUMBI!{G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. Signature CONTRACTOR IL C 6,.(...1~ ~ ompany Y1_y ~I State Cert. or Regist. iF ",r~ City License Registration ****************************************** ****************************************** Co ftc ./ BUILDER ::::::::lmj~J l({~ Company III Q. t ~Ct '1 i) t=='~ e (' 111 L ~ State Cert. or Regist. iF ()(~I;)':~ ,l '~;I'{\Q"'--- City License Registration iF, leI'S ******~********************************** Signature Company State Cert. or Regist. a City License Registration # ****************************************** PLUMBER MECHANICAl, Signature~ Company Q... \t.~ ~\."<'" ~,,~'- ~":n:", '<"C\,. r)/J " /\.,_._ ,<. n StateCert. or Regist. 1.!('_r1 U)5~iL/9 ~~ ~jtv License Registration # ***********************~****************** OTHER Signature Company State Cert. or Regist, # City License Registration # A2PLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A; NOTICE OF DEED RESTRICTIONS. The undersigned understands that this per.it lay be subject to "deed restrictie,ns" which' ~ay be more restrictive than City regulations. The undersigned assumes responsibility.for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACiORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they may be required to be licensed in accordance with state and 10Cil regulations. If the contractor is not licensed as required by.law, be,th the oltner and contractor flaY be cited for a lisdemeanor 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, (813l 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the "Contractor Sections' of this application for which they will be responsible. If you, as the (,wner 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 tel 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 - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the 'owner', I certify that I have obtained a copy of the above described doculent and pro~ise in good faith to deliver it to the 'owner' prior to cOllencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify 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 development. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has commenced prior tD 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 governmental agencies may apply to the intended worK, and that it is .y responsibility to identify what acticlns I lust take to be in compliance. Such agencies include bllt ~I e liol liilited to: . Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment . Southwest Florida Water HanaQement nistri~t - Wells\ Cyprp5s Bayheads, Wetland Areas, Altering Watercourses . ArllY CorDS of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls~ Wastewater Treat~ent. Septic Tanks . US Environmental Protection AQency - Asbestos abatement I also certify that, if fill .aterial is to be used in Flc,od Zone "A" or "A,etc.' fit is underst(I(ld th,t a drainage plan addressing a 'colpensating volume" will be submitted which is prepared by a professional engineer registc,ed in the State of Florida prior to permit 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 alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frofi thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall becole invalid unless the work authori2ed by such permit is cOllmenced within six 1I0nths of issuance, or if Hork authollzed by the perlit is suspended or abandoned for a period of six lonths after the tile the worK is commenced. One 90 day e=t~~siOll 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 must be logged during each six iIlonth period, or the project Hill be considered ~bal~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 II NOT I.. E OF COMMENCEMENT;'. ~ ,', G:1 /r:I/~') /,.",,///' .,~/ '7 / h~j!f~( /~> ,/ L ,,/1/ SIGNATURE _ _____"'-___ ______~ SIGNATUR~~_r",:c..'..:.~--=-'::':'/",,:- _:__::.-___'-1k:d::. OWNER OR AGENT CONTR~CTOR . 71' /c; I . ,-:1.._--:;a -- OJ ::::~~ AS ~1"1______---------------------- ::::_~c::=~~___cc____________?"~~ OWNER OR AGfT .:<"L~L_ _caz(._-{'~ CONT~~~~-'-_:O:: !:.~~~ Notary Pu IC, State of Florida , MY COMMISSION EXPIRES~~a~_~ID~i9E~!~~! MY COMMISSION EXPIRES__________________ aon~od lb" TroY F"in . I""he ",.. Notary Pubr.c, State of FIorilII . Mv Commiuion EJ:pir-t5 Od. 9', 1994 Qonciod ThiJ li"OY Fsin ~ 1""Jf9r:ce be..