HomeMy WebLinkAbout91-1724
STATE OF FLORIDA
City of ZephyrhiIIs
PASCO COUNTY
Permit N~
1724 B
PJ,I/O
Type of Permit
G~~
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Property Owners Na~e: *~ /11-./ ~ .M.---< . g
Job Address: 3Yb3~ - ~-.d ~
BUILDING DEPARTMENT
1-813-788-6611
PLU~G
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(MECHANICAL)
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Date ,,f'- c;J (7 - 9 I
d- D. 61J
mL/1~.c/~
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI: ~ () , ,
Description of Work y):, C!~~ d.J&l ;0 O./} ~~
- D 0/ b - /? &~t) - C) CJ....5-0
1/)/
~A'1\t:
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
b c1 ,,2 rF, C7J
.J
Fee:
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
f)~t
COMPANY
ADDRESS
TELEPHONE #
;2/SV -
j.
#~S7
OCCUPATIONAL LICENSE #J'..s t;j' &ub~
Tp.Serv.
Rough In
Meter Can
Const. Pole
POOl
Pre-Meter
Final
BUILDING
\
PLUMBING
SLB
Tub Set
Water
Sewer
Final
----
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
i(j',.
Relnspectlons: When extra inspection trips are necessary due to any 0
dollars shall be made for each"'./Y'o..de
(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.
f the 'following reasons, a charge of' IT II 11)
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~ p ~ __ City License Registration 1F
Signature ~ ******************************************
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Company
State Cert. or Regist. ff
City License Registration ff
OTHER
Signature
APPLICATION APPROVED BY
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PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The ,undersigned understands that this perllt lay be sublect to "deed restricti~ns. which ~ay b~ more restr,ictive than City
regulations. The undersigned a'SUles relpDn51bll1ty~for, cOlp1iance 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 accordance with
state and local regulations. 1f the contractor is not licensed as required by law, both the owner and contractor ~ay be
cited for a lisdeleanor violation under state laK. If the ~"ner ~r intended contractor are uncertain as to what licensing
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7BB-6611.
Furtherlore, if the OKner has hired a contractor or contractors, he is advised to have the c~ntractor(s) sign portions of the
.Contractor Sections" of this application for which they will be responsible. If y~u, as the ~wner sign as the contractor,
y" .,. i,di"ti', Ih.t y", "th., Ih'. Ih. ".1",1", ". ,."..,ibl. I" Ih. ",t. II tho ",i,"'" ,i,h., y" t, 'i"
as contractor that lay be an indication that he is not properly licensed' and is not entitled to permitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
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"owner" prior to COI~ence~ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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applicable laws regulating construction, 20ning, and land developDent.
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I Departl~nt of Environm~ntal R~Qulation - Cypress Bayheads, Wetland ~r~a5 and Environmentally Sensitive Lands,
Water/WasteKat~r lreatlent
f Southwest Florida Wat~r ManaQe~ent District - Wells; Cypress Bayh~ads, W~tland ~reas, Altering Hatercourses
I I\rlV CClrps ,of EnQineers - Seawalls, Docks, Navigable Waterllays
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I US Environsental Protection I\Qenc~ - I\sbestos abatement
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Florida prior to permit issuance.
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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".
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SIGNAT~~~~
CONTRACTOR-~-es.:.."'-"""
DATE_________f~[~i~j------------------
NOTARY AS ~ ~ ':iJ
CONTRACTOR_~_~_~~~!~-~J_-~-~~~
"' t1t:~y Publi~. Statelr Flo;rda al : ~I
MY COMMISSION EXPIRE~~~O~_~~~E~~~!~~~~19~
SIGNATURE__r:<f\ ~_C--~
\:\~:7rOWNER OR AGENT
DATE____1'3J\'~Lsl~~tL------------
NOTARY AS TO A . ~~
OWNER OR AGENV.allLi -'-.: - --:-
, ,. ,.... ,.."
t.)~":,,, ".:,'\('; .",,,"-.~' '", yn,j
MY COMMISSION EXPIRE~2j~~~~~------------~~-
Housing Rehabilitation Project
Community Development Block Grant Program
City of Zephyrhills, Florida
Unit: 38632 5th Avenue
Zephyrhills, FL 33540
Project Number: ZH-5.48-2
Owner: Robert and Connie Meredith
Proposed Improvements:
1. Install central heat and ait unit *
*(provide alternate bid with heat pump)
2. Check kitchen wiring, install hood over
stove, 2 GFI recepticals at sink area
3. Replace soffit/fascia where rotted
4. Repair roof le~ks at rear of house,
over kitchen and by sunroom
5. Replace rotted wood along porch,
rear bedroom floor
6. Remove and replace second story roof
deck area at rear of house (owner to
replace hand and guard rail)
TOTAL BID:
Cost $
Cost $
Cost $
Cost $
Cost $
Cost $
Cost $
$
* This includes electrical service including wiring.