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Home My WebLink About91-1734 STATE OF FLORIDA City of Zephyrhills DO 0fJ.. Type of Permit ~ t)t> Z,O. ~CTRICAL) PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit )f~ 1734 13 Date <6.- 2b -1' I PLU~G MECH~AL Property Owners Name: -.Jf\Mt" <: fA!. Jtfli L5 o,.J Job Address: ~ 3 27 ;nJJ-el.(,:\f( -L Drz.. 00 20tJ -. 0/01) Legal Description: Sub.Div. rl.-U -;../ -ooL/O - '/ Lot Blk. Zoning CI: Description of Work _Rb~~ r\ ).) t) IT ( D....J L 'fSloc It:; ) (.J / I-j, rC. L-f.ic- fy , '- Energy Code Readout: 115 {'" fj ~; Complete Plans, Specifications and Fee Must Accompany Application "2f') 0..C>O Estimated Cost: -:.J vO ( 00, lJ a (-... SIGNATURE '~Cv."" Fee: n rQ f!Ab~ t- I ";) , 6-~ S '+ " ) -...j! ~ ~-"l ~-).J All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # COMPANY ADDRESS TELEPHONE # ~ BUILDING _ Ftr. 1-S-(.II--B:J' Pre SLB Lintel t ez. - I c> ...."1I= FRM. Insul.CL WL PLU~G ( ~RI~ MECH~AL Tp.Serv. n . Rough In q-Zs:-q-z,. 6g-v- Breakers Meter Can Ducts Insl. Const. Pole Compressor Pool Final Pre-Meter Final SLB Tub Set Water Sewer Final Driveway ~~L~ Relnspectlans: When extra inspection trips are necessary due to any dollars shall be made for each tIip.. 7r- ~ 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. ~t)~ '-2'1.ijl ~ ne of the following reasons, a charge of Jf II a) ( /6--: CI?J ) <. ~ ,,) - 6" ~ -\ I ~ 'f -T^ I I\) y "'... I -_Y.. ^ I ~....... v .. ..----....... [--"-.'J;- .-. k W I 2.' C) --- <;:) .... v ,-- - I ! I i ~ ~ ~ ~ ~ l~ { (8 - & l.l \J ~ \.t. ~ \J .J \f) .~~ I.~.' --1 ' '" ,.~ ~ j .J o ~. ~ \~ ~ \ \ ! \ I \ I I~- _~J\~~j ---~ I' I I I ! I I I I I I I > - c . . -...; . 0". ~ ~ I Y. ~'I i ~ \ \ \ \ " S' I . ~ I n_ . _ --~-Y-J .. ^ <::> --.---:-n'-. c(J"J ~ tll -1 I"TJ .:tl -=: r-- ._-:'CC_- - ___~_...___.L__ .-_--.~T--~--l. 1 i ;---=1_1 1"'--::':~-::.] 1-' I ! "-=_ I ! --rui I _~___J-_ -1 _~-=-_J .... L-r~1 -. ~-~n--' _ : - --1 _ i i i i-___.___---L':;...- - -- - ---__-.==---.1 , :, r~.-_::~==--.,.~:l-=--,:,:~- ~-- ~-- ~==+' Ji::: -z ~ X ~~~ ~ \L ~~ --.9 - >- .--- _c-- .. --I - ..___1. -------~::.:.::,I -- L 'i I, ~ ~ -_.--.~-_._"-- .-- r __J- .. __ . ____ II j -- .-~:==,!.J - -:~~_____'I ---or - _n___ __ - - II ____. ____--==------ .J ...---=------=.:...~ r . - . r ---- ---- v '" w. ~ l" ~~ v ^ <'(l r .----.- --- I ~___I .-r----... ___V _: ~ ^ , -~ ~ ~ : ^ ^ : I >"0",," >< ./ v APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT '-:J (). m ~ C, / .t L Ai e I ~S() Y\J . ADDRESS ~ -) 3 ~ 7/ G.. ':~( r'l Y'\ t' .S) Y' OWNER S('~())f~ 'AI N-i/..s{)Y'\ JOB LOCATION .::) ..3c.J7 2-k,l\ PHONE 78',;)'- fJ,")"// '. Tell':) P ,,', ne .#-ID LEGAL DESCRIPTION: LOT(S) __ . r~f' LOT SIZE x AREA SQ. FT. BLOCK o SUBDIVISION 2. ~ rh~l r- /-Je ij h t .5 PARCEL 1. D. ~~ WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install ____Sign/Temp. PROPOSED USE: ~Single Family ____Sign _t--love ____Demolish --.-M / F ____# of Units , .____M / H ____Commercial _Indust. ____Swim.. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: ..:JD X JJ) , Square Feet, gl 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 FORNS. H **COPY OF CONTRACT REQUIRED. PERMTTS REOUESTED --LBUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. 0 City License Registration ff ****************************************** HUTLDER Signature ELECTRT ClAN 0 l.,dn fr Company t9- ^ / State Cert. or Regist. tt Signature /. ~W /y~ City License Registration tt ****************************************** Company State Cert. or Regist. tft City License Registration ff ****************************************** PLUMBER Signature Company State Cert. or Regist. ff City License Registration ff ****************************************** MECHANICAL Signature OTHER h{)l'n Lt"Ildt':'lU' Signature-)/.!Jllrnz.h W N~ Company State Cert. or Regist. ff City License Registration 0 APPLICATION APPROVED BY *r;*j~"'"*.L~*~~**i5;?~'*~:1'********* PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . Th~ und~rsigned und~r5tands that this per.it tay be 5ubj~ct to "deed r~5tricti~ns" which may be more restr,ictiv~ than City regulations. The undersigned assutes responsibility;for cotpliance with any applicable deed restrictions. , , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If th~ owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local r~gulations. If the contractor is not licensed as required by law, both the owner and contractor ~ay b~ cited for a lisdeleanor violation under state law. If the ~wner or intended contractor are uncertain as to what licensing requirelents tay apply for the intended work, they are advised to contact the City ~f Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the c~ntractor, you ar~ indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contract~r 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 Fl~rida Departlent of Agriculture and Consuler Affairs. If the applicant is sOlec.ne other than the 'owner', I certify that I have cobtained a copy of the above described dc,cullient and prt,rr.ise in good faith to deliver it to the 'owner' prior to cOlmencelent. 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 coapliance with all applicable laws regulating c~nstruction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or installation has cOltenced prior to issuance of a pertit 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 govern.ental agencies ~ay apply to the intended wur~, and that it is IY responsibility to identify what actions I lust ta~e to be in compliance. Such agencies include bllt ile not limited to: .r 1 also certify that, if fill laterial is to be used in He,od Zelne "A" or "A,etc.", it is understt,t,d thi.\t a drainage plan addressing a 'compensating volute" will be sublitted which is prepared by a professional engineer re~i5t~ied in the state of Florida prior tu permit issuance. A permit 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 ~f errors in plans; construction, or violations of any code. Every per~it iS5U~d ;hall becole invalid unless the work authorized by such pertit is cOI.enced within six months of issuance, Dr if wOl'k authol lIed by the perlit is suspended or abandoned for a period of six lonths after the tiJe the work is co~menced. One 90 day e:tensioll 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 llIust be logged during each six tonth period, or the prtlject will be (t,nsiden,d dbcilldc'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~~~OR~EN~~---- SIGNATURE------CONTRACTOR-------------- ::::~T-_w'O'-J~l9-L_---------- :::::~-::-~:--------------------------- ~::S::::T~~~~~::N:::::::~::-:~:~::~~~~~~~~~~~~~~~~~~~