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Home My WebLink About91-1722 STATE OF FLORIDA City of ZephyrhiIIs PASCO COUNTY Permit :N~ 1722 B ~-( s: (?.;I ;).0 cf7. ._--.....,c:\ BUILDING DEPARTMENT 1-813-788-6611 (..,,2 0, c.J{) Date y-oo - 7'/ Type of Permit /~~---:,~'\-"\ C BUI~~~// L fi o. yi ". /1 >' 'II / ~:/ , Property Owners Name: }J? a ?L'-'V\.J?~;1/n-u~>.'f1.. ,'. '- ~ '~ 4 n Job Address: Lj 9 d 9' - ? Z ,U .---_. .~ ~, ( PLUMBING' .......- / / ELECTRICAy "---... .../ Legal Description: Sub.Div. Zoning CI: Description of Work~.v /?1 /~~..4. ME~~_, Lot Blk. r:~ .Ad 1f5k? /1 ;7:0 ~"^-<L ? / Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: '/, / ~"" :5-0. / [>-7.) All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE #f:~- t:7 Lff~. Fee: 9 -S ~ u';"l.--) SIGNATUR~~~ t/ ~?I~ ~ COMPANY ADDRESS TELEPHONE # ~~J . ,,' ::'::.",!-h 0; _ '0--. \. ., BUlL.DIN0 ---- .~ /)f~;.- - ( ~"'^'7 i:;:;Z ,s ___'- V c- PLUMBING) ---- ------------ Ftr. Pre SLB lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway /.i1 {~A&., ,1 ~I ~~o ( ELECTRICAL-) ,:5 / ------------- Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final ~~NICAL ~- Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ) dollars shall be made for each.....T rd.-de. (AS- ~ )' (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. APPLICATION FOR PERtlIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANTR'I 1---1 A "-1 Co J.-l STT2YCT1 ON 1 N C. . ADDRESS 313:J-S 5"1'. fL-r. S'4 W,' 7~PI4-'1g.#-JILL.s OWNER MADELJ:E./ N E 51 <:;.,...~ UNO JOB LOCATION Ljq?-q (;,1# 57". 2EPHYTLJ-+/LLS LOT SIZE PHONE ?~:i -O~;;.S" ~, x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~t WORK PROPOSED:_New Construct.ion _Addition _Alteration ......6-Repair _Install _Sign/Temp. PROPOSED USE: ~Single Family _Sign _Hove _Demolish _M/F _it of llni ts __M/H _Commercial _Indust. _Swim.. Poo 1 Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.~* **COPY OF CONTRACT REQUIRED. pF.RMTTS REOUESTED >< BUILDING ~ELECTRICAL $ 7. 'J-':>~O / Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL -X-PLUMBING $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~ONTRACTOR SF.CTION Company State Cert. or Regist. !F_ City License Registration IF _ (y-.s- ************************************ :' ~r CLILSS EC-fY'-TI2-K) ^'''Company .~ . A;.f. s ~a te Cert. or R:giS t. . It ?e 0 '" ~ S/'7 <:T "C1ty L1cense Reg1strat10n IF /~ . ~~*****.*********.*.*****.*.......*.....**** 1-/ ) PLlJMRf,R ~ fOR. Pc-v M 61 ..., Co Company &1'€# V . 1, State Cert. or Regist. # Signature ~~ City License Registration . . ****************************************** /' Signature Company State Cert. or Regist. # City License Registration # ****************************************** MF.CHANICAl. Signature Company State Cert. or Regist. # City License Registration # OTHF.R APPLICATION APPROVED BY ~**********~**************************** LP A1...-C--<-" xl ..z~/)A'v 1 ,\ . J PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ,undersigned understands that this per.it .ay be subject to "deed restricti~ns' which ~ay be more restr.ictive than City regulations. The undersigned assules responsibllity~for co'pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the ~"ner and contractor lay be cited for a misdeteanor violation under state law. If the owner ~r intended contract~r are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills Building Depart.ent, (813) 789-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contract~r(s) sign portions of the 'Contractor Sections' of this application for which they will be resp~nsible. If y~u, as the ~wner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the w~rk. If the contractor wishes you to sign as contractor that .ay be an indication that he is not pr~perly 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 with a copy of "Florida's Constructi~n lien law - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consumer 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 cot.encelent. 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 co.pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby .ade to obtain a perlit to'do Mork and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all w~rk will be performed to leet 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'to the intended work, and that it is .y responsibili ty to identify what actions I lust take to be in compliance. Such agencies include bill ~\ e Iwt 1 illi ted to: . ".r I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive landsr Water/Wastewater Treatsent I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.v Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tan~s I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill aaterial is to be used in FlCood Zone "A" or "A,etc.', it is underste,e,d that a drainage plan addressing a "colpensating volume" will be submitted which is prepared by a professional engineer feqist~ied in the state of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, 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 e.f errors in plans; construction, Dr violations of any ((ode. Every perlllit iss\l~il "hall ben'le invalid unless the work authorized by such permit is comsenced within six months of issuance, Dr if work authDflled by the perlit is suspended or abandoned for a period of six lonths after the ti,e the work is co~menced. One 90 day e:tE~5iol\ of tile, aay be allowed for the per~it with fee charge of ~15.00. The extension shall be requested in writing to the Building Official. An approved inspectie,n must be le,gged during e~ch si~ lIonth period, or the pre.jl:ct \jill be nnsiilered ilballde,ned. 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". ~- SIGNATURE~~~ ---- CONTRACTO~~~ DATE_________~~~j1~7~----------------- NOTARY AS ,TO/;; V? - \ CONT~ACTOR:,.~j:.C{)J~,-A-~~-- MY COMM1SSION EXPIRE.liJi.~-ii!:,,-.........:_;.;;.....,...~-;--:::-, n, SIGNATURE~ .~~~~,--- OWNER ~..._------ DATE _________ijj-'l!3-~--------------------- NOTARY AS TO ~' \ r;), f OWNER OR AGEN ______'!/!!:-~IJ-J-~'l-W&i:::-L- .. I I "-" ", .'. .,' ," No! y PdJ!l:, ~'[~,L O! r1c.rid'.i at liilge MY COMMISSION EXPIRE~Y CommiSSion ExpireS Jec. 6 195" -----------------~--~- Housing Rehabilitation ProJect Community Development Block Grant Program City of Zephyrhills, Florida Unit: 4929 6th Street Zephyrhills, FL 33541 Project Number: ZH-5.48-l Owner: Madeleine Sigmund Proposed Improvements: 1. Install central heat and air unit (provide alternate bid with heat pump) 2. Paint house exterior, replace decayed wood and caulk 3. Replace gutters/downspouts 4. Check, replace if necessary, wood flooring on front porch 5. Level house (jack & block) 6. Replace two jalousie windows (one in bathroom, one in kitchen) 7. Repair/replace kitchen screen door 8. Replace outlet in front bedroom 9. Replace bathroom commode and tank 10. Remove and close in space heater area in bathroom 11. Install bathroom vanity w/mirror 12. Remove shower, replace decayed wood) install fiberglass stall and new hardware Cost $ 13. Replace floor wood in bath and install new linoleum Cost $ 14. Install overhead kitchen light, and 2 new GFI recepticals at counter areas Cost $ 15. Blow-in insulation over bedrooms, bathroom (R-19) Cost $ 16. Install new sewer line Cost $ 17. Re-screen front porch Cost $ TOTAL BID: $