The URL can be used to link to this page

Home My WebLink About91-1706 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1706,111 Type of Permit BU~-'- E~AL ~ l,;.,.l).,. /J Property Owners Name: (_ Y/'}'-<<- i. ;;; ...L/JL.J dt; .k~ ~R6 tJ/f 07J);a<- (~-- Sub.Div. Lot ~NG ------ :Jf!, ~HANI~ Date 9- /i ('"> "i-j / , , Job Address: Legal Description: Blk. Zoning CI: Description of Work 0< '~ C---) ~ @p" (;:J,r/ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application , ~ Fee: -~~ SIGNA TURE ' ' .. &~~;:- COMPANY ADDRESS TELEPHONE II ~a~ Estimated Cost: ~ h a::(. ,. I , :) I All work shal! be performed in accordance with the above and all City Codes and Ordinances, t!-/7 /'J);$ S 19:!, OCCUPATIONAL LICENSE II 9~ I () 4 ~~;t;- ~ili/J(; ~~ (_MECHA CA). Tp,Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final BUILD~ - 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 t.... (ill 0.80) dollars shall be made for each ~.Jt' ~.J e. (/.5-: d7J ) (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. _CuI mOl SysIeI11S Southwest Inc. CORPORATE OFFICE 6280 ARC WAY, FORT MYERS. FL 33912 FL WATS: 1 (800) 432,5562 FORT MYERS 6280 ARC WAY FT. MYERS,.f'L 33912 CHARLOTTE: 639,6858 LEE: 275,8720 COLLIER: 597,1890 SERVICE INVOICE FORT LAUDERDALE 500 S.W, 21st TERR. B 103 FORT LAUDERDALE, FL 33312 DADE: 621,8412 BROWARD: 791-5605 BOCA RATON: 368.1799 WEST PALM BEACH 1387 N. KILLIAN LAKE PARK, FL 33403 PALM BCH.: 845.1407 MARTIN: 283,9459 ST. LUCIE: 461-0278 WORK TO BE DONE AI E.-IAJ T NSTJ4 LL A T/nurJ' j 14 --6"N 14.;( "'7"LMA;ZJ WOaZ Vh~ ~ /"/"'JLA jDMA .J-'lt: I jAl.'1'" 21. (Il. '1.!1 _ .......,. \J/) _ /Jb'" LJ' , .. . , III 6/"/ ( A ~",A -- U TEcHNICIAN~ j .Ift.. leJ.<..J1..L ,. CVall ~AI1~'L ...r-rt.,,t ~f) tlti;r rJ, /f":(" .. r, ~,~ . ~I.~, If; r. ~ '7 Aii:!r( '. N6- ~ 'bAi rP/R/l"~ ,/7;./ ., 11 IL 7rY\/id&'"d,ri c: 411 r/ ~ (,,) AI,ft, ,JQ,I~ .JrJ~ I'/;"'" ;..,{R/f.:. (. ~",A) u'JllP J1../IJE ':ins ~i.LL ~Z/~ 'V .,.;; ./ ~,.,J k A ~ a:111 ')/" .~ -- ~ M.. A" t. :7 D elJ ill/II'" r ;" ~ SOURCE COST OTY, ITEM PRICE ~~o l' -;.~ lJl , ......~ ".^ .'- IUV{j VJ' V{\ ~,~ J /'" rI\^ I1lL 1\ ~ .~ ~ {......-V I" Il"'~ ~ to" i.it ~ IF YOU ARE SATISFIED WITH TH~U ;e,CEIt.ED TODAY TELL A FRIEND, IF NOT ~ us.?; ::c., ~ ?~i ~. ~ ! TRAVel TIME: TIME ARRIVED TIME ARRIVED TO FROM ." TIME DEPARTED I:~~Rn=n ~ SERV~P --- "V .:: SERVIr?EP'B~ ,', CUSTOMER DISCOUNT TOTAL CHARGE DEPOSIT BALANCE DUE ,- .; -:.:.~ ~ - ~~ -- -.. ~"~ I.}! I~' \" f~ $11~.' 1/ j $ $ b;lJ9.,2. ~ I ,; ;;; ~ .' SP No. 51-541 I-.J~ ~i TAMPA ST, PETERSBURG 10820 - S 75t"h ST. N. LARGO, FL 34647 CLEARWATER: 541-7600 PASCO 845.1212 LAKELAND 687 -0395 TAMPA: 225-1379 Sf> /4 J DATE STATE CERTIFIED CACO 35496 f '~L.R ~. l11aAV ~'N'/ A /..l, 1ST f6oC/ ~{/J/.a! .4v~, 1701:7, - ()1.3J.; ~;T..,.c, STATE33"....,J ZIP , l.LO " c:I , ..> TO BILL TO - . NAME .. :, STREET I CITY I PHONE STATE ZIP ~ MAKE MODEL SERIAL NUMBER ~i(i.'~ JJh ],fIJN~lo~//J "J1I"IJ'Dj J D~SCRIPTION OF WORK PERFORMED 1k.:~ a ~ i.i,.Q. ~;;;; ({Jill ~M 4.A.'1iI & A1 f'I~. Z- ~ t.u JU /)Nf4.~t<t6:l/M :. 'J/J IV ~~ /YYJ r1IrIL l. I H~ 11.# J - 0 tA r I:dll\ d? ~f1J.s.ib ~ Il-n. ,Il ')/Af'hl'4(.L :hJ S"~ ('~/1t\ '~ho~l" O~ r I () ~ ,'" )nlA 7 ~A,t11 t;, A../Pl / J- 2: LAc> ~lA h:.A '/. ~PVl do.J,;L 1: I ' :/ ..------' Il ,/ ~~ .f. J~.~~Wv~ .~ ~ )<-v~':; A j/(/~,I / ,. DATE .. s ..... ..,.-. " <J> :::r e ,1, /11 ' f ,2 i r: ~PL~SE PAY FROM THIS INVOICE TERMS: NET DUE ON COMPLETION (J) Thi.Jnvoioe.. ~ to . Fi....... Charge of 1-1/Z'J., per MGnI:h. Annual Percentege Raw of 1ft which is -,:J "-""-', h i'~ __ ""....pottiw,hat..,.._ __ which ....-p........- - NOT Z =- =:=: .:.::.":.o~ ~.::.=...:: =':::n::t"': :~~::: 0 ...." _...., .............. _..... be ~ in.... _ of non............. _ -- - . lor ~nty "'1'inotructiona. I CJ1 '7/1 J-X:'7f~:'-----"_w- ~ TECHNt5IAN S~NA~RE.-- .( ~ A .+;::. './____ V ""=- 'j'_ /j /J/J ~ CUSTOMER'::; ? ~JRE ./, CIC cAffD I ,,- . NO. . EXP. DATE B3 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ,. :' ff 0 (3 eff P ;(~el( ADDRESS II:J/f /) f+.R <!- V A-j FT ~y t: 1i' ~ Pa fA.. 1r ~ /}J p n 1/ . JOB LOCATION 3 Jit."f. ~ Av LEGAL DESCRIPTION: LOT(S) APPLICANT f [, PHONE ,vi!I-? t 0 () OWNER LOT SIZE X AREA SQ. FT. ~,;~ elf!-< 1, BLOCK SUBDIVISION PARCEL 1. D. ~t 3"....- '1-r-:;../ - tJOJ....A -- () o~" () ,,09/6 WORK PROPOSED:____New Construction -^ddition -^lteration 1-Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family ~/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 FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service .2 "39~. j! Florida Power Corp. W.R.E.C. ~ECHANICAL $ Valuation of Mechanical Installation _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 SilZnature Company State Cert. or Regist. # City License Registration # ****************************************** ET.ECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** PLlJMRER Signature MECHANICAL fi I ~/fpae () tj ~~ I Company A Iff '--" IV 1R 6 L . State Cert. or Regist. # City License Registration # ****************************************** _S' / t.J c Ac- t? .~/J,t-'f L Signature Company State Cert. or Regist. i~ e..,fot: tJ ~'J ~~'/( City License Registration # OTHER Signature APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay b. subject to "d.ed r.strictions" which .ay be .ore r.s~rictive than City regulations. The undersigned ISlu.el responsibility,for co.pli.nc. with any applJcable deed restrictions. , . ,. ~: '. . , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake Nork, they .ay be required to be licensed in accordance Nith stat. and local regulations. If the contractor Is not licensed as required by IaN, both the owner and contractor ..y b. cited for a .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to Nhat licensing require.ents .ay apply for th, intended Nork, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611. Further.ore, if the ONner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the "Contractor Sections' of this application for Nhich they Nill be responsible. If you, as the ONner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Nork. If the contractor Nishes you to sign as contractor' that .ay 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 Nith a copy of "Florida's Construction Lien LaN - Ho.eONner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er -Affairs. If the applicant is so.eone other than the "oNner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "owner' prior to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do Nork and installation as indicated. I certify that no work Dr installation has co..enced prior to issuance of a per.it and that all work Nill be perforted to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is ,y responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but ille IIOt lilited tOI I Departlent of Environ.enl41 ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treat.ent I Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps of EnQineers - SeaNalls, Docks, Navigable Waterways I Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks I US Environlental Protection AQency - Asbestos abate.ent 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 "co.pensaling volute" Nill be sub.itled which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it issued shall be construed to be a license to proceed Nith the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every per.it issued shall beco.e invalid unless the Mort authorized by such per.it is cOI.enced Mithin six .onths of issuance, Dr if work authorized by the per.it is suspended or abandoned for a period of six .onths after the ti.e the work is cOllenced. One 90 day ext.ensioll of tile, .ay be alloNed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six .onth period, or the project Mill be considered abaudoned. 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 YOU ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT'. J:JS UNDER ~lJ'500 IN VALUE DD NOT NEED TO RECORD AND POST A "NOT! CE OF COMM C M]T". V SIGNATURE y/ ~~~_~ SIGNATURE r _________ _~~\_----- . -,f4 OWNER-ijl["AGENT CONTRACTOR -)' DATE____________ ________ ~~~Y~S~~------~- _------------ NDTARY AS ~~_____ _ __ ~;f-------- MY CDHHISSION EXPIRES_____~ ~~~_______ :~N::::::;;ON/~XPIRES______(f_~_~~~_