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Home My WebLink About91-1736 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1736l? TXP.~~ ~~~_/// ~,- Date ,p--- v{ J=' -? / ~~ M~AL ~ ~. ~ -a'" !~' h_' . I I -! / /} .' .' /'.. . Property Owners Name:.' I .LV -:1 IA:-'1-v1 c.....( )~JI--<-- ~.--L;/- G~<.. L ~ / . Job Address: 3 P {,~ s;;l - ~'=d! 01-~ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of wor; ;t7e - A_/>-T' Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: .5- 9 cF- CJ. ()() ,/ Fee: ._~ J; /1 OCCUPATIONAL LICENSE #-S .11 C-z:r~"I'(J (At /1 ~ /1:UlZ~ai!'f;: " (.../,-;~~ " () PL~ F;----- ....... / SLB - Pre SLB Tub Set lintel VVater FRM. Sewer Insul.Cl Final VVL COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. El~ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ME~l -------- Breakers Ducts Insl. Compressor Final Driveway Reinspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of I) dollars shall be made for each ....---y-ra. d e. ( /-.5- fl) )- (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. ,{;,,"\:-,;',1';'l'~.t. ,', ~",~','l'~~~~~~,:, ....<,,~. ,..~:-;;j.,...; '~J~'~:w, ,-,,;;:';'-';:'::"~'.'if~'~'Y ....'.>1.rr. !--,....,.:..,!;..~_'...,,: ;,)~ ..'!..... ,.~;, d_.":~:_;'-,,"':~" Please Send Remittance to: 1\. lIarthtt iRnnfittg <Of Cltrtttra11Jllnriba. Int. c/o Richard Bartlett 38408 3rd. Ave. ZEPHYRHILLS, FLORIDA 33541 One Of The Largest, Oldest, Most Dependable Roofing Companies in Central Florida Specializing in Mobile Home Uniroyal White Rubber Roofs RESIDENTIAL * COMMERCIAL * MOBILE HOME LICENSED-INSURED & BONDED '* MEMBER OF CHAMBER OF COMMERCE '* OFFICE PHONE (813) 782-5585 Name Serving Zephyrhllls, Dade City, Ridge Manor, Quail Hollow, Land 0' Lakes. and Surroundi~ Areas /' / I I I /. r- / I {:.......'2. ,) / (l Or (;71""11 / / D~e I u; I d / /' /, ,-f- I; J-' \ I I' _ ( if. JA ~" ,\ .~.... ~ '-'VV" IF '-'1 /_" \ .r " '\".7 t f\ \ ., \'f;.-'-' .,,/ /"\ / , /~' ..,...../... Phone DESCRIPTION AMOUNT -IYO 1 (> L.lJL-L/ o --- .' ( \. fi' THANK YOU Your Business is Appreciated Payment upon completion unless previous arrangement made. Warranties pertain to original owner All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. / / J To:lal ('-f~ ( (--' . J . APPLICANT APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS PHONE 2-~~?S-- OWNER y~ LOT SIZE_X AREA SQ. FT. JOB LOCATION LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. 4F WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units .____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 FORJIS.** **COPY OF CONTRACT REQUIRED. ____ELECTRICAL $ ArJ'u I AMP Service PERMITS REQUESTED ~~LDING Valuation of Total Construction Florida Power Corp. _H.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBIN'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ************************************* Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ************************************ Si!mature Company State Cert. or Regist. # City License Registration 0 ****************************************** ELECTRICIAN Signature Company State Cert. or Regist. ~ City License Registration # ****************************************** PLUMBER Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAl. Signature OTHER Signature Company State Cert. or Regist. # City License Registration ff APPLICATION APPROVED BY **ry**********~*******~***************** /; (j A LC~ X /2>J d-"1--J ~ PERJtIT OFFICER. ~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned underst~nds that this perlit lay be subject to "deed restrictions" which ~ay be more restrictive than City regulations. The undersigned assules re5ponsibility.fo~ cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake work, they may 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 ~ay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents aay apply for the intended work, they are advised tv contact the City of Zephyrhills Building Departtent, (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 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 - Homeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is SOIEone other than the "owner", I certify that I have obtained a copy of the above described document and prc'ffiise in good faith to deliver it to the "owner" prior to cOlmencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a perlit 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 und~rstand that the regulations of other governmental agencies may apply to the intended ~ork, and that it is /ty responsibili ty to identify what actions I lust take to be in compliance. Such agencies include bill ~I e liCit I illi ted to: I Departlent of Envi,onmental ReQulation - Cypress Bayheadsf Wetland Areas and Environmentally Sen5itiv~ Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~llsl Wastewater Treat~errt. Septic Tanks I US Environ~ental Protection AQency - Asbestos abatement I also certify that, if fillllaterial is to be used in FICtod Zone "A" or "A,etc.', it is understclc,d tho! a drainage plan addressing a "colp~nsating volume" will be sub.itted which is prepared by a professional engineer reqist~led in the State of Florida pric.r to permit issu.ance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violjte, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a p~rlllit prevent the Building Official fro~ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~hall becole invalid unless the work authorized by such pereit is coa.enced within six lIIonths of issuance, or if work authorIzed by the perlit is suspended or abandoned for a period of six tonths after the tile the work is commenced. One 90 day e=le~5ioll 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 lUSt be logged during each six month period, or the project will be considered iba\~oned. 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 RECORrY AND POST A "NOT I CE OF COMMENCEMEp(r '.' . / I I .~ / , // "I" .' -- / //~ SIGNATURE_#l~~E~-Afed~~i~=~-.. . SIGNATUR'iLc~~~jv~ :::::~~__-'-~_~_;9=_____---~- :::::~~_~_~z_~~~-- OWNER OR AGENT __ _ _ --~-~----RI A. CONTRACTOR___~_~T!m"rpaB"L1c,-ST".IITnJF' FLOR NOTARY PUBLIC, STA.TE OF FLO 0, My commission expires Jan. 28, 1 MY COMMISSION EXPIIiES~ ~mmission expires Jan. 28, 1995My COMMISSION EXPIRESi!QQ..d"gfUb.r.lL.PAtets.co.:..B.e.cht Age BO~ded-tiiruPatfersoii-:B~t"'1l.genCY