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Home My WebLink About91-1739 ST ATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 / PLU~ ME~ Permit N~ 1739 e:- Type of ~t BUIL~G Date ~~ .-7. 9~ q I Job Address: Property Owners Name: 3'313'7 M~A~ 7f4 ft\;tE- Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work ~Lfi-L ..,rtl cAL U vJ G- f{t4, 0 P=- i Complete Plans, Specifications and Fee Must Accompany Application Energy Code Readout: Estimated cost:~ Fee: 2-0,00 SIGNATUFt€./~ ~ .......-./" COMPANY ADDRESS TELEPHONE II All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE II tf'l Ftr. Pre SLB Lintel FRM. Insul.C WL SLB Tub Set Water Sewer Final AL BUILDltlG Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts In Com pre sor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of .1 Ii) dollars shall be made for each _."7Y-a J-e.. (" /0>7 trD ) (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 ADDRESS ~~~ ar 'i y j' - ,_.;:PI!-~ - ;,;.1.t PHONE OWNE:OCATl~;/~~ -;Z-~T SIZE IJ!? APPLICANT x AREA SQ. FT. BLOCK SUBDIVISION PARCEL I. D. 4t ~ -;:;;:b2.- WORK PROPOSED,_New Construction ~ddition -----"lt~ ---Rep.~all _Sign/Temp. _Sign _Move' ____Demolish PROPOSED USE: _Single Family ~/F ____ff of Units ____M/H ____Commercial ____Indust. ____Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQuptED. '. PP.RMTTS REOUESTED _BUILDING V ELECTRICAL Valuation of Total Construction AMP Service ~loridaPower Corp. _W.R.E.C. _MECHANICAL $ 1-nJ $ Valuation of Mechanical Installation _PLUMBIN'G -~ GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. Signature ****************************************** ~ONTRACTOR ~ECTION Company State Cert. or Regist. ff City License Registration ff ****************************************** .BlJILDER :::::::: ~ ., Company, . ~- () . I State Cert. 0 Regist. 4t ~~'f/'}:?f. City License egistration 4t *** ************************************ Signature Company I State Cert. or Regist. # city License Registration # ****************************************** pLUMBER Signature Company State Cert. or Regist. ff City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. ff City License Registration # OTHER APPLICATION APPROVED BY ***~*t**~i1**~****************** Wd . r ur ' " " PERMIT OFFICER. CONDITIONS OF PERMIT. AFFIDAVIT I ..! A. NOTICE OF DEED RESTRICTIONS :r":. . ' The und~rsigned understands that this perllt lay b. subject to -deed restrittions" Mhic6' .ay be .ore res~rictive than City regulations. The undersigned anUlts r!lpDnslbiH\l;7f,~~cD.p1iance Nith any appllc,~!e d!~d,re~trictiDns. " B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake Mork, they lay be required to be licensed in accordance Mith state and local regulations. If the contractor is not licensed as required by laM, both the OMner and contractor lay be cited for a lisdeleanor violation under state laM. If the OMner or intended contractor are uncertain as to Mhat licensing requir~l~ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent (913) 79a-6611. ' Further.ore, if the OMner has hired a contractor or contractors, he is advised to have the contractor 15) sign portions of the "Contractor Sections" of this application for IIhlch they lIill be responsible. If you, as the OMner sign as the contractor you are indicating that you, rather than the contractor, are responsible for the Mork. If the contractor lIishes you to si~n as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting 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 lIith a copy of "Florida's Construction Lien LaM - HOleoMner's Protection Guide" prepared by the Florida Departtent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the "o"ner', I certify that I have obtained a copy of the above describeddocu.ent and pro.ise in good faith to deliver it to the "oMner" prior to cOI.ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT . I certify that all the infor.ation in this application is accurate and that all Mork lIill be done in cOlpliance lIith all applicable lalls regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do Mork and installation as indicated. I certify that no lIork or installation has co..enced prior to issuance of a per.it and that all Mork "ill be perforled to .eet standards of all laMS regulating construction, City cod~s, zoning regulations, and land develop.ent regulations in the jurisdiction.. ] also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended Mork, and that it is IY responsibility to identify "hat actions I lu;t take to be in cOlpliance. Such agent'i!s include but ill e not Ii.ited to: I Depart.ent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/WasteMater Treatlent I Southllest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environlental Health Unit - W~lls, Wastewater Tr~at.~nt. Septic Tanks f US Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill .ateria] is to be used in Flood Zone "A" or "A,etc.", it is understood tll~t a drainage plan addressing a "colpensating volule" "ill be subtitted "hich is prepared by a professional engineer registered in the State of Florida prior to per.it i5s~ance. A perlit issued shall be construed to be a license to proceed Mith the "ork and not as authority to viol~te, cancel alter, or set aside any provisions ofithe technical codes, nor shall issuance of a per.it prevent the Building Official fro! thereafter requiring a correction of er'rors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid unless the work authoriz,d by such per.it is co..enced within six .onths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six .onths after the ti.e the Mork is,co.lented. . One 90 day extension of tile, .ay be allowed for the perlit Kith fee charge of $15.00. The extension shall be requested in "riting to th~ Building Official. An approved inspection lust, be logged'during each six lonth period, or the project will be considered abandoned. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__~~_~___ DATE______________~1?~-f~---------- NOTARY AS T~o~Q) 4 /J CONTRACTOR_ __~ _ ~ .. t " 't. Stat. 0' F10riJtI MY COMM I SS I ON EXP I R~ (~~!.l!IkesJloW.~r19ts - ~rro,feJa."'MQ".1nw MY COMMISSION EXPIRES~ILa_~~~~~~Tm~~- ..., OfIIIftission Expires N . IIohd.d fhrv fr..,. f . ov. 30. 1993 DIn.. InSlJrQrH".'n.;., ...... 'ropollul Page No. of Pages SON~~'rs DISCOUNT t.PPUANCES, lNC. 3399 South Highway 301 DADE CITY, FLORIDA 33525 (904) 567-6224 PROPOSAL ~ ~7 '-y/ STREET JOB LOCA liON CITY, STATE AND ZIP CODE JOB PHONE ARCHITECT DATE OF PLANS We hereby submit specifications and ~timates for: c:fkt;:iJ ~ -'lI/fA~ V 1: 710 IJ / 00 UP 'rnpUliP hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: dolla:-s ($ ). Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica. tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. 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. ~~i::;:,,:"7;2Jr-~VA - Note: This proposal may b:"" C-'v' . withdrawn by us if not accepted within days. Attrptuutr nf Jrnpnnul- The above prices. specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. ~. r- /) 1- . q I Date of Acceptance: () c7 - I .' Signature /;~;:~4#'&JP .":; '...j",". Signature PRODUCT 1183 [fjt;ifEe1nc., Groton, Mass. 01471. To Order PHONE TOLL FREE 1 +800-225-6380