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Home My WebLink About91-1704 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1704 g ? - 8-1 / Type of Permit Date ICAL P~ M~AL Property Owners Name: a~.L,--4 V ~ JobAddres5' ~ ~ 1/ - / CJ -R'~ Legal Description: Sub.Div, Lot Blk. Zoning CI: Description of Work ~~/ h?1~ -:/ 1? - Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE HI 9,;)., +... , ~~~ . .LJ "~Wi:D~ _ Ftr. Pre SLB Lintel FRM. Insul.CL WL Fee: d,-S: ro SIGNATURE~r\J--^,"' LA )J~-:l- COMPANY ADDRESS TELEPHONE # Estimated Cost: 1 b ;? 7" c7V All work shal! be performed in accordance with the above and all City Codes and Ordinances. 4 PL~ ---- ~CAL ~ ME~ICAL "'" 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 1_.. !SIQ.M) dollars shall be made for each -. T r d- d.. e. ( /..5--'" tTD ) (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. jd" APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT APPLICANT //1 s C 0 F&"JCf:? 4/L,J/C/ /L.(,)~ J 1- PHONE ? P't>- .J~ y~ ADDRESS OWNER ~~ ~ ~ / ~dl S/ 0 ~..J B Jon LOCATION (',.?5I/ /07'# s7., c!J./ .4;;' (.., r.t""' r .4?",C:.f 7Q~ LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.t~/J -~6:., "~/,.,tJolo- o2~od" OOJC/ WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ~Install ____Sign/Temp. ____Sign ____Hove ____Demolish PROPOSED USE: ____Single Family ____M/F ____t~ of Uni ts .____~l/ H ____Commercial ____Indust. ____Swim. Pool -':.= ~ r/ e.r Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COMl'tERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-lS.H **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED ____BUILDING $ /677 ro Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLlJMB I N'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTI~ Company ASc. 0 FE-";Ce ~ O. State Cert. or Regist. 0 City License ReGis tra tion!! /9? el"t:. ('. ****************************************** BUILDER ELECTRTCIAN Company State Cert. or Regist. 0 City License Registration 1 ****************************************** Si!mature Company State Cert. or Regist. 0 City License Registration a ****************************************** PLUMBER Signature Company S~ate Cert. or Regist. 0 City License Registration 0 ********************************~****~*~~* MECHANICAL Signature Company State Cert. or Regist, # City License Registration 0 OTHER Signature APPLICATION APPROVED BY ~~ **** ****~* ***** ~ J. * J,* J.J, J. J. .'. J. J. J. ~ .'. .'. J. J. J. .'. . d</'(J 0./1 ~9- ' .' . PERl-lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A". NOT I CE OF DEED RESTR I CT IONS:, . The under5ign~d understinds that this per.it lay be subject to "deed restrictions. which ~ay be ~or~ restrictive than City regulations. The unde~signed assumes responsibili'r,f!t compliance with any applicabl~ deed restriction~, E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the OHner and contractor nay be cited for a .isdeaeanor 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 Departeent, lBI31 7BB-6611. Furtherlore, 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 will be responsible, If you, as the OHner 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 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 provid~d ~ith a copy of "Florida's Construction Lien Law - Homeowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If th~ applicant is SO!EOne 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 co.~encement, E. CONTRACTOR'S/O~NER'S AFFIDAVIT I certify that all the information in this applicatiDn is accurate and that all l10rk Mill be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a perait to do work and installation as indicaled. 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 regulatiDns of other governmental agencies may apply to the intended Mork, and that it is /tY responsibility to identify I1hat actions I must take to be in compliance. Such agencies include bllt ~1 e 11['\ li.lited to: I Department of Envi,on~eptal ReQulatioll - Cypress Bayheads, Hetland nreas and Environmentally Sensitive L3nds, winEI iridsi~tiatel Tii?a \jUent f Southwest Florida Hater HanaQelent District - Wells, Cypress Bayheads, Wetland nreas, Altering WatercDursEs f Army CorDS of EnDineers - Seawalls, Docks, Navigable HaterHays f Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls, WasteHater TreatEEn~. Septic Tanks f US Environoental Protection nqency - Asbestos abatement I also certify that, if fill latl?Tial is to be used in Flc'od ZClne "n" Dr 'n,etc.', it is underste,c,d th,l a drainage plan addressing a 'colpensating volu~e" will be sublitted which is prepared by a professional engineer regisli?ied in the State of Florida prior tD permit iS5u~ncE. A per~it issued shall be construed to be a license to proceed with the work and not as authDrity to violate, cancel alter, or set aside any provisions of the technical [odes, nor shall issuance of a permit prev~nt the Building Official fro~ thereafter requiring a correction c-f ernrs in plans, [(,nstructie,n, or violations of any cc,de. Every per<<lit isslll!d =.hall bece,le invalid unless the work authorized by such permit is com~enced within six months of issuance, Dr if \lork authorIzed by the perlit is suspended or abandoned for a period of six .onths after the time the Hork is commenced. One 90 day 0:IE~5ioll of tile, ~ay be allowed for the per~it with fee charge of SI5.00. The extension shall be requested in "riling to the Building Official. An approved inspedie,n r..ust be logged during each six Mnth period, or the prc.jed lIill be cc,nsidered dbaiiGOiled. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~..;, If SIGNATURE~~~i~~o~-~~~~!_~ij~__--- DATE__~~__4?/,~9JZ~------------------ NOTARY AS TO 1/..-1 I;) OWNER OR AGENU1zL~~,-i1&---ilh.J..;?Ae...W~ ) ; j~ ' \. SIGNATUREX_~ "> ! _\,.;.,.:.,-_u..-!I..~.,:...t2.....~------ . '- CONTRACTOR DATE__~~~-~7-/_9Jf~------------ ,:;/ NOTARY A5 TO / / J-/ . )/ (), CONTRACTOR_NL~L.J27-i:;v'~l",- MY COMM I 55 ION EXP I RES fJotc:ry Publidfate ofF!wid. MY COMM I 5S I ON EXP I RE~ ~.1t'::v_~~~;r:..~~!:~~ii~~Q . --My-(lJtftlfllrsioiHipires-Sept-:-i6,199:l "'T~,,,,,..m:m r~pij(;$ Sept. 26, "i993 Bond.d nn" T.oy Fa;" In""o"," '"' Bondod Th." Teoy fo;n . In,".onc. Ineo