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Home My WebLink About91-1723 STATE OF FLORIDA City of ZephyrhiIIs ~ -6 ()O Type of Permit OJ 0, (T?) .---------:.----- --~ --- --- (~/ (-=-ELECTRIC~') Property Owner~_Name~ J)t1n-:, Job Address: -.5 7--S ~- L_ , PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 ~~ _17~jj1 Permit N~ 1723 13 Date tP - ~7 {J - 9' I Legal Description: Sub.Div. Lot Blk. Zoning CI: ~ J' Description of Work , . o./Y?'--r1"v- ..,.A--L-<l .,..t.<:;1 6J-P' /J / d ^-<L .7 Estimated Cost: Ie 6 / C . 0"0 , ")-1 ~'e;J :~:~AT~~fJ ~t!~ COMPANY Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany App' ation All work shal! be performed in accordance with the above and all City Codes and Ordinances, ADDRESS TELEPHONE # OCCUPATIONAL LICENSE #tPS- CJ~1!t 1ft '~ . , "Lf~W .' .~ ( . BUILDING . A ;rye 7]7 'p.serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ------ 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 f dollars shall be made for each..... Tra de (a) Wrong Address (b) Condemned work resulting from faulty construction (e) 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. owing reasons, a charge of ~ _ _.__) (/6, dO ) , APPLICATION APPROVED B Company State Cert. or Regist. ,0 City License Registrat10n 0 Signature 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 may be D~re restr,ictive than City regulations. The undersigned assu.es respDnslbllity~for, co.pllante 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 ~ay be cited for a lisde.eanor violation under state laK. If the owner or intended contract~r are uncertain as t~ what licensing require.ents lay apply for the intended work, they are advised to contact the City ~f 2ephyrhills Building Depart.ent, (8131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the c~ntract~r(sl sign portions of the 'Contractor Sections' of this application for which they Kill be responsible. If y~u, as the ~wner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you t~ 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 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 s~le6ne 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.lencement. 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 developeent. Application is hereby .ade to obtain a perait to'do Mork and install~tion as indicated. I certify that no work or installation has COltenced prior to issuance of a per.it and that all work will 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 regulations of other governaental agencies ~ay apply"to the intended work, and that it is ay responsibility to identify what actions I lust take to be in cOlllplianc~. Such agencies include but ~I enol lillited to: #' I Departle~t of Envir~nlenial ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi tive lands, Water/Wastewater Treatment I Southwest Florida Water'ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering HatercOUTses I ArlY Corps Gf EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Ilaste~ater Treat~en~, Septic Tanks t US Environsental Protection AQency - Asbestos abatement I also certify that, if fill .aterial is to be used in Hood Ze,ne "A" or "A,etc.', it is underste,e.d t,,~t a drainage plan addressing a 'collpensating volullle' will be sublitted which is prepared by a professional engineer regist~ied in the State of Florida prior to perlit issuance. A per.it 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 [odes, nor shall issuance of a p~rmit prevent the Building Offici.l frOM thereafter requiring a correction ~f errors in plans; construction, or violations of any code. Every permit iS511~d !hall beCD.e invalid unless the work authorized by such perlit is cotllllenced within six months of issuance, or if ~ork authDI lzed by the per.it is suspended or abandoned for a period of six lonths after the ti,e the work is commenced. One 90 day e=te~sioli of tile, aay 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 lonth period, or the project will be considered abdlJdoned. 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". SIGN'~~~~--- CONTRACTOR DATE__________~;!l_q~qj_________________ ~g~*~~C*~R~~~!2[~~,~~~lla~. MY COMMISSION EXPIR~_~~~~~~~~~~~:~~~~~W2 . "",. SIGNATURE~~Jb~lJ~l~JtL~,---------- OWNER OR AGENT I' _________f!i-1.{:L~--------------.------- DATE NOTARY AS TO ~. 1{ ~ OWNER OR AGENT~~~___~~--~~~ MY COMM I SS ION EX P 1~S'--,.:.~.:.~.;:,c";;........_~~__.,....---- Housing Rehabilitation Project community Development Block Grant Program city of Zephyrhills, Florida Unit: 5754 16th Street Zephyrhills, FL 33540 Project Number: ZH-5.48-3 OWner: Dona Brinkley Proposed Improvements: 1. Install central heat and air unit (provide alternate bid with heat pump) Cost $ Cost $ 2. Repair broken windows ( 5) , reseal with weather stripping Cost $ 3. Replace glass in 3 jalousie doors Cost $ 4. Replace fuse panel with breaker panel Cost $ 5. Retile shower, replace foundation board Cost $ 6. Check insulation, install R-19 if needed Cost $ 7. Complete roof over back patio Cost $ TOTAL BID: $