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Home My WebLink About91-1733 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ - '0 17331- Type of Permit -~- Date~~/..::1 6- '? / ~- EL~ '--- PLUMBI~ ') ME~AL Property Owners ~ame: /)1 & {~ eLl '-:'-1 Job Address: , "? Y 0-5:. :;; ~ --.:$ :t4!.... U...r~- Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work_ ~i~u~'~ '-/;'/h ~ , z- /l /'2-f!!~ ~ .<..e-;i'74.>..t-, Energy Code Readout: 1.-t~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: /1-:///(- :tlt,jSfVG~ ,.I All work shal! be performed in accordance with the above and all City Codes and Ordinances. ADDRESS OCCUPATIONAL LICENSE #;1';/11;', tL?! (;.t,~ TELEPHONE. ~ '- L?~~~"~~'CAL -- -- -------- SLB Tp.Serv. '''--- Tub Set Rough In Water Meter Can Sewer Const. Pole Final Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul.CL WL 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 .1 ) dollars shall be made for each.... /rd.d e.. ( /c:j- tJ() ) (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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Mabel Conery ADDRESS 39053 5th Avenue, Zephyrhills Same as Above 33540 PHONE 782-4230 OWNER JOB LOCATION Same as above LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~F WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ~/F ____~F of Uni ts _M/H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: 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.H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation -1QLPLUMBIN"G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature Signature Company State Cert. or Regist. # City License Registration # ****************************************** F.T.F.CTRTCTAN Signature Company Bruce Carrigan Plumbing State Cert. or Regis t. 4~RF-0038842 <--(j'-" Ci ty License Regis tra t ion 1F 29 ************************************* Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # . OTHER Signature APPLICATION APPROVED BY ~~**********~**************************** U1L-l""....<A Y (2/\/"l--J-- \j ~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS lhe undersigned understands that this perlit lay be subject to "deed restrictions. which may be more restrictive than City regulations. The undersigned assules responsibility 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 accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor May be cited for a lisdeleanor violation under state law. If the owner or 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 Depart.ent, (813) 788-6611. " Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 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 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 Consumer Affairs. If the applicant is sOleone 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 cOI.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 cospliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a perlit 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 governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~le not li.ited to: I Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitiv~ Lands, Water/Wastewater lreatlent f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departtent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Tr~at.~nt, Septic lanks I US Environlental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.', it is understood th~t a drainage plan addressing a 'cotpensating volume' will be sublitted which is prepared by a professional engineer fe9ist~red in the State of Florida prior to per.it issu.ance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, 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 issued 3hall becole invalid unless the work authorized by such pertit is cO.lenced within six months of issuance, or if work authDrlzed by the perlit is susp~nded Dr abandoned for a period of six tonths after the tile the work is commenced. One 90 day e~t~~sioll of tile, .ay be allowed for the permit with fee charge of $15.00. lhe extension shall be requested in writing to the Building Official. An approved inspection lust be logged "during each six Month peri3d, or the project will be considered ~bi\idonrd. 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 II NOT I CE OF C0I'1MENCEMENT II . SIGNATURE~_~_~~-~-~-~---- CONtEiA~~-J DATE____~-~~-LL~-1~_-------- ~~~~=~C~~~~-~-- MY COMMISSION EXPIR~.j_~_6[t~ SIGNATURE_~-~-O~~:"_---- DATE__~7J~t~----------------- ~~~~=YO~SA~~N~~~~__- MY COMMISSION EXPIRE~~j_~{_~~~---