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Home My WebLink About91-1702 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1702i? Type of Permit Date ir' .7 - ;:/ / /' " BUILDING E L EC"fR.tGAL PLUMB1J:.l.Q. ME-~lCAL ." /' Property Owners Name: if A 1/'/I_/~/<'''-7....(;:i~ (de; Job Address: _ \>(f.s . r: ,y'~~,,!~-;f/""-70"""L r'( C'2-,,>-.:J Legal Description: Sub.Div, Lot Blk. Zoning CI: Description of Work'-!(,:/ "AA;'~/ Energy Code Readout: //'/-'1JI' ~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~'6 V [/ r""? Fee: .~' A ')?t:I:t~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~ ) ,1' / If OCCUPATIONAL LICENSE #.!, ~'i _)Cy~;"" (. /l( Z( , ./ \1 SIGNATURE COMPANY ADDRESS TELEPHONE # --------------.-- ,- BUILDING '" ING Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Tp.Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of L.... (J16.00) dollars shall be made for each ~ -rra. de (/c5~ trV J (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. ~?:. ;',.' '~'t.. f;;.~~j!'(lr'.l. ',.;;:~':,i~:;,rA.f';\,).jt'; .~.~;.~~T:':.~ ,::f' .~:C-,"'~j_.. .-If''.>j7~~;'~';;;.1'f::~;;:. 'i -:,.,'."r:;~f!~~~~~',....;~; :(~~~:::i:;:';"'::.'i~.-},;4'::'._: ;'i~;'-: ,;:'~ ,. ..c' ...tK;:;'~~:.:--T;,',.,_,;, Please Send Remittance to: . ~ " 1\. 1J mlttt iRnnfittg ~f Q!entra11JTlnri~n. 1m. c/o (Richard Bartlett 38408 3rd. Ave. ZEPHYRHILLS, FLORIDA 33541 , i.' , J One Of The Largest, Old~s} MO$?Qe'penda..ple 'OFFICE Roofing Companies in (;entlal Florida ' PH 0 N E Specializing in Mobile Home UniroyaiW/JileB'ydber Roof~",,' (813) 782-5585 RESIDENTIAL * COMMERCIAL * ~ MOBILE ''HO~& L LICENSED-INSURED & BONDED../" ( "', , * MEMBER OF CHAMBER OF COMMERCE *' " Serving Zephyrhllls, Dade City, Ridge Manor, Quail Hollow, Land O' Lakes. and Surrounding Areas Date Name i [ l..' " J-/-~/,-"1 /- {1:/f.Ad~ I Address Phone , : ,\, (. ;' { I \/ DESCRIPTION AMOUNT "\'--.~ i,_l.._ I l i. 1..." ../ /"~,~ // ~;/ THANK YOU Your Business is Appreciated Payment upon completion unless previous arrangement made, Warranties pertain to original owner All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance, Our workers are fully covered by Workmen's Compensation Insurance. l T6tal OWNER APPLICATION FOR PERtlIT CITY OF ZEPHYRHILLS ILDING DEPARTMENT APPLICANT PHONE ADDRESS " JOB LOCATION ~ SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. t~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign _Hove ____Demolish PROPOSED USE: ____Single Family _M/F _t~ 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 FOID-IS.** **COPY OF CONTRACT REQUIRED. _ELECTRICAL f- (0 '{~p pERMTTS REOUESTED ---- Valuation of Total Construction _BUILDING 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. ~ONTRACTOR SECTION Company State Cert. or Regist. ff City License Registration ff ****************************************** Signature SiO"nature Company State Cert. or Regist. ff City License Registration # ****************************************** ELECTRICTAN Signature Company State Cert. or Regist. 6 City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert, or Regist. # City License Registration # OTHER APPLICATION APPROVED BY ****************************************** '--14 ~l " /( ~'\._{\ ';..,., ,/ J.'1..---//1/. j- .-,\ ' \i PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The undersigned understands that this perlit lay be subject to "deed restrictions" which ~ay be more restr.ictive than City regulations. The undersigned assules responsibility:for cOlpliance with any applicable deed restrictions, . , 8. 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 misdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended HorK, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the "Contractor Sections. of this application for which they Hill 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 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 LaH - HOleowner's Protection Guide. prepared by the Florida Departlent of Agriculture and ConsuDer Affairs. If the applicant is sOlec.ne other than the .owner", 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 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 compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby aade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has cottenced 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 governaental agencies ~ay apply'tv the intended work, and that it is IY responsibility trl identify what actions I aust take to be in compliance. Such agencies include bill ~l e m,t I illi led 10: . .I.#' I Department of Environmental ReQulation - Cypr~ss Bayheads, Wetland Areas and Envirvnmentally Sensitive Ldndsr Water/Wastewater Treatment * Southwest Florida Water ManaQellent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses t Arty Cvrps ~f EnQineers - Seawalls, Docks, Navigable Waterways t Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Waste~ater Treat~ent, Septic Tanks t US Environaental Protection AQenct - Asbestos abatement I also certify that, if filllat!?rial is to be used in HMd Zone "A" or "A,ele.., it is understr.r.d th.t a drainage plan addressing a 'colpensating volule" will be sublitted which is prepared by a prvfessivnal engineer regist~ied in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the wvrk and nvt as authority tv 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 cvde. Every permit issued shall beeole invalid unless the work authorized by such pertit is coamenced within six months of issuance, or if Hvl'k authol lIed by the perlit is suspended or abandoned for a period of six tonths after the tiJe the work is eo~menced, One 90 day e:lensiol\ of tile, lay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Bu\lding Official. An approved inspectic,n i!lust be lr,gged during each six month peril.ld, or the prc.ject will be cc.nsidered dbillldc.ned. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU ATTORNEY '? ,5 IN MY COMMISSION EXPIRE~OTARY PUBLIC, STATE OF FLORIDA ~mmmrnmn~~rn~j~~~E~~5 Bonded thru Patterson - Becht Agency COMMENCEMENT. JOBS U ER "NOTICE OF COMMEN E NT". SIGNATURE ______ :----~ C TRAC R NOTARY AS TO//"", / ~ ~/ CONT~ACTOR~Y~-"< '"'-- -'-::: MY COMMISSION EXPIRFS~~~~~ ~. NCJT"",-r-UDLlv, ",/"'\TE" VI' I'LllRIDA My commission expires Jan. 28. ] 995 Bonded thru PClttiCrson' [1",_:,t -";'"n,"