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Home My WebLink About91-1717 STATE OF FLORIDA City of ZephyrhiIIs PASCO COUNTY Permit N~ 17176 ~.J. (J" ()() Type of Permit ~'\, ......- (BU~ ~ ~. Properly Owners Name: 9Ji ~ Job Address: 6 (/ / ];..J - -e~. ....,., , Legal Description: SUb.Dr;-~h ~"-:./\.Q..4-1 BUILDING DEPARTMENT 1-813-788-6611 Date J:~ - / b -- 7' / ME~L Lot Blk. Zoning CI: Description of Work iJ- /U...-z^-f':...-w 'fTL(j Energy Code Readout: I .2~ Complete Plans, Specifications and Fee Must Estimated Cost: 917 - <:>'7') Fee: ,J.G - cr-U ~' c2 O. c)---u -t/;~ ./ 1.-." ,-' ' .' ,,' t SIGNATURE 'l /(ll/{~ -~ C-.'--?", "L \. - 'c/ / All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # 9 .-ttf'1 COMPANY ADDRESS TELEPHONE # jl~ 1) tU~<:", r C B~__// ~ Ftr. SLB Pre SLB Tub Set Lintel VVater FRM. Sewer Insul.CL Final WL ----- ( ~ICAL ----- Tp.Serv. -. Rough In Meter Can Const. Pole Pool Pre-Meter Final M~CAL ~, Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ) dollars shall be made for each .:Trci-de (/0>~ t7?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. CONTRACT ALe 1\'1INUM, Since 1973 602 South Aveuue Zeph)'rhills, Florida 34248 (813) 788-3044 ~S... t? 2'C ,- ,,/.9\ ,~ .-- (--:..--;7 , <0"" . ~.__ """_ . 6 0 7 L/-rr ..,,~ ~/ Str....t. (:::;;;. (; , ' ~ '. EstiOll'lted rllttallation Dat8_._a-:______, l\t.~~~ __ ZiP.,__u Park_______ count'l-L~_ Lot_.,_ Illocll._._____.. UI'H Sect :'0"______ Township___ Range__.._____._ N~ H. W. 812- ~ 7 lp v 0..>4 '? ------------------ ..__.._,._._.~ .~-_.--..._. .-..-.-...--------..---- ..--..' ~.'..__....~--..-._---,..._.--... PliO Ixtruaiona [:]Bronze Of.nodized D- hlte Color ----..-.- Klckphte lO" 16" White Ivory llranze Sc ....ntOolD.,_ ____,__._ Raia.!LDaclt Insulated Double Roof.,,_____,._.... ____ Pan SY8t6lll wuparr)und rj-r;;::::; Tull.r Setup ,,--- .-, ?aUo ROOf__~,A_ ;;-:z" -, ,.~~, ',~,:,--", "--,. - ~..'" _ ~ ~~ ~,'" Con,,"<O M~., 11 Q. ___ ~~ - -, -;.;';_ . .. ""'1 ,,,,1_.__ _."~_ _. __ I st".ld.__ L,,_~~.(.f'/6<4n' Cle" tnteiL "C'" Skirt " Color , " ",. !JttruSions Ollronze l ",.1 DWhi te alock Shrt__ '-"-.~ Color::-~==~_ ,___..= '" Track S1.Zf\.!ii .____....,__,______,__._\II10do... Awn_,_____.._ ' ...t.,.Jm Gla1isr"oolll .__.x.._____.._x_._ _ '. II WI' Hor~ S. H __,_________.._".._,' ~r.ed ...._..,_...._ '.._ ..____ ",__',_,_,__..., __ ,__".__, ..,..______.___,______..._,_ woodwork Ellicttle loIorl< PlUlllbina \lurk Doors Gutter ~~L,_,_____.___..___ ".,...__..._,..__,..._. St.pa_,,_ .___.__,___...,__.._,___.., liandra!l_._._ 01...-l,-(J rl...~ /" /J_ L_~x:::...e~~~.. \" .--r-- -.....l-.R........A.I-"'-t - i -<.-4bt......... "~~ n-.x $___:u.~V"c.'~1 ~VIL~.{ .' 7-'. r~~':' ,.:r-"""t3-:S: ar~, ~o.-6'QC: _" Du~ on ~PletlOn,."" ,,$ d, ..~.r;.~, "-7c,1-..~' 900, {~_..--' " ;~' tee \&,~,~ ls,JI t. . .." . f'a{'~'l t ToU; hie. ~/ .'" . l ,~, "ppro...d By _ "'__ Deposit.. . . lIutho,rll'.ad Slane' 0# ,.;/ /1' / < / 'f!f:-~"""'- , I .~.. .._:;;.~ ,,~~.,./ Paid Deposit. __.1__1._____, Ch No ,~ im.,rOvement c,>ng.ac~ in blank, You are entitled to a c,;'py (,f ~t." (,I.Hine,.' a! ',tie .~ ,sa1 may b. withdrawn by us if not eccllpted wi thin thirty (-lOI days, ..e hereby pt""p"~8 '....ceral.. ' complete in accordance w1th the abov.. sp..clfication. for tn. ',urn of '__.____.,_ to be made a8 follows "OTICE I Do 0: t l.roe you eli" to furnish .., dollars. ..~' ....n~. If paid wHIll' _._ day.. aftel" completion, there will be no lnter.st charge, otherwille a charge or J t% per ",,:,, c' (annual lnt.r.st rate of 18%) vill be added. All material is JUArante.d to be a. specified. 411 work to be completed in a workmanltk. mann~t accordlna to standard practlc... Any alt.ration or deviation from the above specifications. or price changn. involving .xtra coat, will be .xeglltotd only uporI written orders, and w111 becOlM an extra charge ov.r and above the ..stimate. All asr..-.nta continaent upoa atrik.a, accidents or delays beyond our control and accept.ance by heme office. Owner to carry fira, tornado, and other n.c.sllary insuranc.. Our vork.rs ar. fully cover.d by Workman's Compenllation inauranee. PAYMIIn' 1'0 BI! MADB UPON COHPLBTION VNLBSS OTBRRIoiISB SPECIFIED. IN TRB !VENT TlL\T AHOUNT HBRIIN SHOWN IS NOT PAID WHIM 001, ALL COSTS IMCIllUlED IM COLLECTION SllALL iiI! PAID BY THE CUSTaUR INCLUDING UASONABLI ArI'OkNBY'S FE!. Llc~e4, Bonded and I~rad, State Certificat., IX 0049667, 'inane. Licens., HR 0044182 . ._-- - .-.- "----~. ,,-..-.... n'H~"'1\A Rt1t.ha..<>wrh CowttVI 7704. Harel.. CountYI 74 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~ I~\ \ r--"r II ((I ,~ ,:)/ ~ .......----.-' .- APPLICANT t\ - \.P . f\ \ l) \{Y"'> \ f\ 0 f'V' ADDRESS :3<1, (/30 S. rQ (/~ ~ OWNER ~De.. S ~ e 30-\ JOB LOCATION (s; 0 / () hi () ('(' d' t.. f -c S e 01'\ C/te t-e.- ' 2.- N " /Is -------~ PHONE :jcgrg. -30C-JY LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4~ WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install c _Sign/Temp. _Sign ____Move _Demolish PROPOSED USE: _Single Family ----M/F _# of Units ~/H _Commercial ~Indust. . _Swim. Pool Other _Restaurant & Health Department Approval BUILDING ~IZE: 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 REQUESTED - _BUILDING $ 9oo.o() Valuation of Total Construction --':"'ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL _PLUMBIffG $ Valuation of Mechanical Installation .... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame _Steel', Other FINISHED FLOOR ELEVATIONS: FT. Signature ****************************************** CONTRACTOR SECTION Company 14-\.-L). -A h'Jvn,'VlLU'Y" d tOn0..-rei:.J:.. State Cert. or Regist. 4~ RX(y::)49(g~ 7 City License Registration # r ****************************************** BUILDER ELECTRTCTAN Company Il/ 0)1 ..e.- State Cert. or Regist. # City License Registration # ****************************************** Sillnature Company f1/ c!J h --t-- State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature . Company () () h ...e _ State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signa t_ure Company (\ 0 11\ ~ State Cert. or Regist. # City License Registration # _ ~ Signature APPLICATION APPROVED BY ****************************************** J1 <t...,v (7 .>$I L";.."Cb l , PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay bl subject to "deed restrict'ions" whiCh aay be lore res~rictive than City reguhtions. The undersigned asSUII. rtlponsibili,~.,for cOlpliance with any applicable deed restrictions. B. 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 accDrdance with state and local regulations. If the contractor i. not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr 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, (813) 788-6611. ' Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the "Contractor Sections" of this application for which they will 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 pro;erly licensed and is not entitled to perlitting p~ivileges 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 Depart.ent of Agriculture and Consuler 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 cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cottenced prior to issuance of a pertit and that all work will be performed to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also certify that I unders~and that the regulations of other govern.ental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in COlplianc,: Such agencies include but ~le not lilited to: I Departltnt of Envitontental ReQulation - Cypress Bayheads, Wetl~nd Areas and Environlentally Sensitive lands, Water IWastewater Treatlent . I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environlental Health Unit - W~lls, Wastewater Treatment. Septic Tanks f US Environlental Protection AQency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood th~t a drainage plan addressing a "colpensating volule" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to per.it issu~nce. A perlit issued shall be construed to be a license to proceed with the work and not as authority to vio)3te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issu~d ~hall becole invalid unless the work authorized by such penit is cO.lenced Mithin six .onths of issuance, [.r if Ilurk auth{OIJ~ed by the perlit is suspended or abandoned for a period of six lonths after the tile the Hork is commenced. One 90 day e~t~"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 lust be logged during each six .onth periDd, or the project Hill be ct.nsidered ilballdoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU lNTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE R,E"C ORDING YOU,R, NOTICE, OF COMMENCEMENT. JOB~S NDER $2,500 IN, V, ALUE DO NOT NEED TO RECORD AND -:OST; "NOTICE OF COMMEN ENT~ SIGNATURE( L., A!h J~__~~-""I" (_______ SIGNATURE \ J _~~~f1L:-::~ (' ~~WNER oR AGENT r ~ CONTRAC~-- . ) , /" ,r) / S) I ---,. DATE_______;--~=-~-~~-~::-~~------------- DATE____~___~~-~~~~~----t:----------- /" .. ----\ NOTARY AS TO \~'._ 'c. ~[, I 1\ '. , 'I' \ ,,' ('" 1', '-....- OWNER OR AGENT __~ _:j~~y.. $!:\i€-~~~-fl-eR-HlA MY COMMISSION EXP. FEB.21.1995 MY COMMISSION EXPIRES_~~~~l~~-~~~~J~~~~~~ I NOTARY AS TO \' \'r\\ " , CONTRACTOR__J~~Wj~~~~~n-'0tJ'""-" -=--- .. ' ,,;;,;,:,:j~:':ii',],;;nr.,,~~ r\"?J' MY COMMISSION EXPIRE",':';;;;'" ;;EU ';;\[;:;"~;;I r;;...:' 0';:,,,, --------------- .,..-,(,..'~.