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HomeMy WebLinkAbout91-1724 STATE OF FLORIDA City of ZephyrhiIIs PASCO COUNTY Permit N~ 1724 B PJ,I/O Type of Permit G~~ .---- ) I Property Owners Na~e: *~ /11-./ ~ .M.---< . g Job Address: 3Yb3~ - ~-.d ~ BUILDING DEPARTMENT 1-813-788-6611 PLU~G /).tJ- ~"~ ---------- -~ (MECHANICAL) - --- 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) (/0: o1J) ~ p ~ __ City License Registration 1F Signature ~ ****************************************** ..,... /J Company State Cert. or Regist. ff City License Registration ff OTHER Signature APPLICATION APPROVED BY *~**************************************** - c, --;; If / IA -"_'-' ~J Q...1A:'1/\'J ,r\ \..J 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 ,."i,...,t, "y ',ply I" tho i,t.,d.d ",t, Ih'y ". .d,I,.d i, ",I"t Ih. Cily ,I Z.,hy,hill, ',ildi', ,.,.'1..'1, "131 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) I ,.'Iily Ih" I, Ih. ",li",I, h,,' b... ".'id.d ,ilb , ,.,y .1 'FI.,id,', C,.,t",'i'. Li.. L., - ",.."..,', P"I.,'i.' ',Id.' ".",.d by Ih. FI.,id, '.p"I...1 .1 A,'i"I"" "d C..".., AII,i". II tho .ppli,'" i' "..,.. ,th., 'h.. 'h. '"..,', I ,.,Iily Ih,1 I h.,. ,bl,i,.d ".PY .1 Ih. ,b.,. d.",ib.d d""'" ..d p".i,. i. g,.d I.i'h t. d.li,., it " Ih. "owner" prior to COI~ence~ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I ,.,Iily th.1 .11 tho i,I".,ti.' i. Ihi, ,ppli,.li.. i, "",,1. ,.d Ih,1 ,II ",i ,ill b. d," i. ".pli,.,. ,ilh ,11 applicable laws regulating construction, 20ning, and land developDent. Appli"li.. i, h.,.by .,d. I, .b"i. , ,.,.11 I. d. ,.,t ,.d i"I,II,li.. "i,di,.t.d. 1 ,.,'ily Ih., ., ,.,1 ., i,,"II'li.. h" ,..,.".d p,i., t, i,""" .1 , p."il ,.d Ih,1 ,11 ",I ,ill b. p.,r.,..d ,. ,..t ",.d.,d, .1 ,11 I'" ,.,'I'li.g ""I",li,., Ci'y "d", ".i', ,."I,li"', ..d 1,.d d".I.,...1 ",'I'li'., i. 'h, j"i,di,ti'.. I .1" ,.,Iily 'h,1 I "d."I,.d Ih,1 Ih. ",'I'li.., ,I ,Ih., ",.,....1.1 'g..,i., "j .pply" tho i.I,.d.d ",k. ,.d Ih.1 i' i' 'y ,,'p..'ihilily I. id..lily ,h., .,Ii." 1 ".1 I.t. I. b. i, "'pli'.,,. .", ,g..,i., i.,I,d. b.1 M' ." li.i'.d 1.' . ' 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 . i.,.""" .1 H..I'h h ,.h,bilit.ti'. '.r,i,.'. E.,i,..,..t,1 "..llh U.il - .,11'. .",."", ],"""'. '.pli, T..I' I US Environsental Protection I\Qenc~ - I\sbestos abatement 1 ,I.. ",lily 'h.l, i I Ii II "1,,i.1 i, " b. ,,,d i. FI"d 1m 'A' " 'A. ,'e. " it i' end""'" II..' · d"i"g' pi" .ddr."i., . ',..p..,.li., ,.1"" ,ill h. "b.ill.d ,hi,h i, p,.p,r,d hy . p,.I",i,.,1 ..gi.." ",i,";" I. tho .,,1. ,I Florida prior to permit issuance. A p.,.i' i",.d ,h.ll b. ,."",.d I' h. . Ii,...' I' pr.,..d ,ith the "rl ,.d ." " .,'b"i'y " ,i,I.". ".,.1 .1'.', .r ,.1 "id. "y ""i,i'" ,I tho ,.,h,.,,1 "d.., ..r ,h,11 i","" ,I . p".it p""" 'h. ',ildi., Uff\,i.1 f," 'h.,..I'., ,."iri., . ,.""tl" ,I ."", I. pl"'i ,...1","", .r ,i.l,II." .1 "y "d.. E'.'. ,.,.i' i""d ,0.11 b.".. i.,.lid ,.1." Ih. ",I "Ih"i,.d by ",h p.,.i' i' ",...,.d .ilhi. ,I. ,.,'h' " i.",.". ,r il ..,1 .",. r,.d bj Ih. p.,.., i' ,,'p,.d.d ., .h,.d...d I., , p.,i.d ,f ,i. ...Ih, .ft.r Ih. Ii,. 'h. ",I i. ,...,.,.d. 0.. ,. d'. ,.I...i'. .f 'i.., "y b. ,Il".d I,r Ih. p.,.'1 .ilh I.. ,h"g' ,I 115.00. Th. ..I..,i,. ,h.ll b. ,.".,',d i. "ili., " 'h, ',ildi., Olfi,i.l. A. ...""d i"p"li" ",I b. "99.d d"i'g ",h ,i. ...Ih p.".d, or th. p" j,d .i II b. """",d ,b..d...6. 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". . . r---) 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.