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Home My WebLink About91-1716 STATE OF FLORIDA City of ZephyrhiIIs PASCO COUNTY PermitN~ 1716/71; Date ~- /~J --7 / ./ /JD Type of Permit cr- BUILDING DEPARTMENT 1.813-788-6611 g,~-- .....,... -"\ " tlAECHANI.GM '-l~'_~'_'_"""'" E.LJJMmNG'-" , ~NG G:.i::.~~~!.~~J/ Property Owners Name: ~ ~ ",~:;;: ..j;~4.~ Job Address: ,-~ R L) 0 _5" I ~ 6C) 0 7 - /1):J.'lt {'/~ Legal Description: Sub.Div. I Lot Blk. Zoning CI: Description of Work /!~!;:;J;r ,I 'ih[;t; (.j ?~d~ ifr //~ . / Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: I ~J t /J /J tI ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # 7/ 11 / f! _ I (]iii-W/-t-/l f- (......MECHANICAY /gU&1? ~ ~eU:CTR~/.~9 Tp,Serv. Rough In Breakers Meter Can Ducts Insl. Const. Pole Compressor Pool Final Pre-Meter !:'., ,_ F~I , rlJ oK "'J~OD5 ') ..../0,-11 (j) oK 6~OO 5 'I-/() -'1/ ,. Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of L__ ,1. 1.10) dollars shall be made for each"'. T,... do- cLe_ (// - /H) \ (a) Wrong Address C\. t/v ) (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. B lJ ..!J,.l}tN~ ".- P L.!J.MBlNG /' SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Driveway I~ '-- / .' .'.'t.-"'-1'..'};,~~...~ ...1.~"....'.,.'.i..' ,,',~.~."" +, Kinsey Central . Heat & Air-Conditioning .. 7722 Fort King Highway · P.O. Box 2209 Zephyrhills, Florida 33539-2209 (813) 782-2300 CITY S B 00 7 I () <-("/Iv p NAME hocY 4 DATE PROMISED ADDRESS APARTMENT MAKE MODEL SERIAL NO, !) r l I I. ~ [ ~., r f [ I ~', C t ~ r r- \ r Irq r:. [, [. o ESTIMATE o CASH o CHARGE NATURE OF ~ SERVICE LV REQUEST QUAN, PART NO. DESCRIPTION PRICE AMOUNT t-Ur vf .5 1< t;v j 3000 0-0 ~ ~EE.K. 4.. O() ~& tv c>r f f.o ~ ~A o.(){;..I SERVICE PERFORMED TOTAL MATERIAL TECHNICAL SERVICE TIME TAX DATE COMPLETED CAS H ON COMPLETION -'" OF WORK -" 7~~1 TOTAL 36tJtJ ctz1 TECHNICIAN CUSTOMER'S SIGNATURE r I' , ,'- j J 1 ,1 i I 1 I j 1 I 1 ] 1 i j i l I ~ 1 1 I ! .~ i 1 1 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT XI ~ 5Y rA-' Ir~ /r/~I V--/~ ADDRESS PHONE JOB LOCATION !? a-d/ j2, /z 0 cP r1 xSOO:) 'I- 59067 /0 "t-"f-OQ LOT SIZE_X " OWNER AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. t~ WORK PROPOSED:____New Construction _Addition _Alteration ____Repair _Ins tall ____sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ____Single Family ~/F _t~ of Uni ts ,._H/H ____Commercial _Indust. ____Swim. . Pool Other _Restaurant & Health Department Approval BUILDING SIZE: RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORt-IS. ,H **COPY OF CONTRACT REQUIRED. x Square Feet, Height PERMTTS REOUESTED _BUILDING $ Valuation of Total Construction ____MECHANICAL ~' AMP Service ~b 00. &0 Florida Power Corp. _W.R.E.C. _ELECTRICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~ONTRACTOR SECTION Company State Cert. or Regist. 11_ City License Registration # ****************************************** nllTLDER Company {:/.$'; C' /HSff. ~ State Cert. or Regist. i~ if' -.S 7/ City License RegistrMion" 5 ***************************** Signature. Company State Cert. or Regist. il City License Registration # ****************************************** Company ;{;"" 5~ C a.-v~~/fvl -r!J!C State Cert. or Re ist. i~ ,f<A8-0~~70 City License Registration i! 71 **************************************** PLUMBER Signature Company , i/ NJ? J State Cert. or Regist. i! /:.- f \. /'CLt'~teity ~icense Registration i~ *, -lrli";,;;;4 * t! tf * * * ~*,* * -A1.** * * t*J'k. ;'j ,',0{, * 1-,', ~ of" ** * * * f";rl:?~L \~~,'-1h~'kA:~-" PERMIT OFFICER. APPLICATION APPROVED BY A \)\\\4..<;' + 1'5~ I q9/ )\c'\ -\ e.. 0 -\! F- \ CJ'C\ ~ ~ \1",,::,(' 0 -Q)u'\i\+~ ~"i i~ ' .~. .. ~-', CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - The ,undersigned understands that this per.it .ay be subject to "deed restricti~ns' which may be ~~re restr,ictive than City regulations. The undersigned assules responsibility;for"colpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they lay be required t~ be licensed in accordance with state and local regulations. If the contractor 15 not licensed as required by law, b~th the ~"ner and c~ntractor lay be cited for a lisde.eanor violation under state law., If the owner or intended contractor are uncertain as t~ what licensing requirelents lay apply f~r the intended Hork, they are advised to c~ntact the City of Zephyrhills Building Departlent, (8131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions ~f the 'Contractor Sections' of this application for which they Hill be responsible. If you, as the owner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the wor~. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed'and is n~t entitled t~ periitting 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 C~nstructi~n Lien Law - H~leowner's Protection Guide" prepared by the Florida Departtent of Agriculture and Consumer Affairs. If the applicant is so.e~ne other than the "owner", I certify that I have obtained a, copy of the above described d~culent and promise in g~od faith to deliver it t~ the "owner" prior to cO.lencelent. -.: E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all H~r~ Hill be done in c~.pliance with all applicable laws regulating construction, zoning, and land developeent. Application is hereby lade to obtain a pertit to do work and install~tion as indicated. I certify that n~ work or installati~n has cot.enced prior to issuance of a pertit and that all w~rk Hill be performed t~ meet standards of all laws regulating construction, City c~des, zoning regulations, anrl land development regulatio~s in the iurisdiction. 1 also certify that I understand that the regulations of other governmental ~gencies fiay apply to the intended Hork, and that it is .y responsibility tel identify what actions I lust take to be in cOlllpliancl!. Such agencies include b"t ~\e J\CI~ lilited to: .'*' 1 also certify that, if fill .aterial is to be used in Flood Zc.ne "A" or "A,etc.", i~ is underste,(,d tli~t a drainage plan addressing a 'compensating volullle" will be subtitted which is prepared by a professional engineer regist2ied in the State of Florida prior to per.it issuance. A per.it issued shall be construed to be a license to proceed with the Hork and n~t as au~hority to viol~te, cancel al~er, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici.1 frolll thereafter requiring a correction of errors in plans; construction, or violations of any code. Every per~it issued :hall becole invalid unless the work authorized by such permit is co.menced within six months ~f issuance, or if work autliol lIed by the per.it is suspended or abandoned for a period of six tonths after the tiJe the work is commenced. One 90 day e~tt~sioll of tile, lay 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 month period, or the project will be considered abdlldoned. 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". ............. NT~ACT~~ SIGNATURE SIGNATURE ---------------------------------- OWNER OR AGENT DATE_______________________________________ NOTARY AS TO OWNER OR AGENT ------------------------------ MY COMMISSION EXPIRES ----------------------