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Home My WebLink About91-1744 STATE OF FLORIDA City of Zephyrhills Type of Permi! . ~'~ ELE~. PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 ~~ Permit N~ 1744m 9-$- 9/ . f ..-" Date P~- " ......".. .......... -~.- ~----... ~CHANIC~ Property Owners Name: Job Address: ('?s/j/l11-~~ C7/n~JdL .g 9? /7 - IDCZ!! are... Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work (~~\ (jh-l /l1C!.-- (!-It?j",-C2):;.t ~~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ /79' oiL OCCUPATIONAL LICENSE # (t<. ~ Fee: I~~' . ..;; SIGNATURE~~- COMPANY ADDRESS TELEPHONE # ~~~~ V' All work shal! be performed in accordance with Ihe above and all City Codes and Ordinances. \.~._.. PLUMBI~--. ~ EL~' .- th~~ ICAL Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due 10 anyone of the following reasons, a charge of 1 ) dollars shall be made for each .../ r d- de.- r/6- d?J ) (a) Wrong Address , . (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. 'roponul Page No, of PageS" SONNY'S D!SCOUNT APPLIANCES, INC. 3399 South Highway 301 DADE CITY, FLORIDA 33525 /) / (904) 567.6224 /1/ STREET DATE .r7' / -3 ,...... ."..- w CITY, JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby?Zsub it specifications and estimate~7 /: I '-/-- .?- ~ Gi$ ,?~ 52..- ,"'- / z,.. ~-d'...,.......' ...-c._-':-:: (,r--rlV",/ / / ~. /'....-. . , / - ,). -C~j/~ -~~~ ,/ / (J 1/2 I) '} 0 7'~/1' L_ I jt/iY C/ 0 / ----5 c-.,/ ";/;1 0 .3 ../?)/ ,/ ") / '/~ () / "?&:t#tV / / "(f.1rcP?d' v--9t~ / _d AF' '7'011 ~ 'J / ~e/ ( ..- .--- II ------------r; 7 /.-1 / __ " 7 . / 2-7'/ / ~ Dr Jrnpnnr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: dollars ($ ). 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. ~~:~;:;:d. . ;';;rl- /'L;7r ~-;: This proposal may ~e (.. withdrawn by us If not accepted within days. AtttptuUtt nf Jrnpnliul- The above prices, specificaltons 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~. <' '/? . Signature ,i (I~,1t~d Date of Acceptance: ,)' , Signature PRODUCT 118-3 /IVE.""'BS/~lnc" Groton, Mass. 01471. To Order PHONE TOll FREE 1 + 800-225-6380 I APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I OWNER APPLICANT ADDRESS JOB LOCATION LEGAL Des~PTION: LOT(S) LOT SIZE x AREA SQ.FT. BLOCK SUBDIVISI:ON PARCEL I.D.~t WORK PROPOSED:____New Construction ----Addition _Sign/Temp. _Sign ____Move' _Demolish PROPOSED USE: _Single Family _JI/F ____# of Units ____M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH ATTACH **COPY (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** b~) c~~~~~ ::~~:~~::~:;~~: ::::::u:=:~~ G~ _BUILDING $ _ELECTRICAL Iif AMP Service $ "7 //,79 ~ D :k Florida Power Corp. W.R.E.C. -A-MECHANICAL _PLUMBDfG Valuation of Mechanical Installation 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 F.T .ECTRT ClAN Company . , State Cert. or Regist. # City License Registration # ****************************************** Sillnature Company j State Cert. or Regist. # City License Registration # ****************************************** PLUMBF.R Signature MECHANIC~ ~ Compan . - . State Cert. Regist. # Signatur' f71~? City License Registration 1t .......................................... Company State Cert. or Regist. # City License Registration # ) (W;tk:..c;fsZj7..:;:::("..... ... . OTHER Signature APPLICATION APPROVED BY PERMIT OFFICER. ... .j CONDITIONS OF PERMIT,AFFIDAVIT I A. NOTICE OF DEED RESTRICTIONS:~': The undersigned understands that this per.it .ay bt subject to 'deed rlstrictions. whicfi' .ay be .ore res~rictive than City regulations. Thl! undersigned n!Il'l!Itl!.ponsibUiy.;~to~ cD.plianee lIith any applic.~bL~<~~~~i.re~t,rictlons. Y', B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors tD undertake work, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by laM, both the OMner and contractor .ay be cited for a .isde.eanor violation under state law. If the ollner or intended contractor are uncertain as to what licensing requir!.~iay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813) 78~-bbll. . Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) sign portions of the 'Contractor Sections. of this application for which they will be responsible. If you, as the OMner sign as the contractor, you are indicating that you, rather than the contractoT, are responsible for the Mork. If the contractor wishes you tD sign as contractor that .ay 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 with a copy of .Florida's Construction lien laM - Ho.eoMner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the 'owner., I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the .owner. priDr to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT , I certify that all the infor.ation in this application is accurate and that all Mork Mill be done in co.pliance with all applicable laMS regulating construction, zoning, and land develop.ent. ' Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no Mork or installation has co..enced prior to issuance Df a per.it and that all wDrk will be perforaed to .eet standards of all laws regulating construction, City cod~s, zoning regulations, and land develop.ent regulations in the jurisdiction.' I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is .y responsibili ty to identify Mhat actions I lust take to be in co.plianc~. Sui:h agel\tl!!i include but ille Ilot lIiited to: I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Hetland Areas and Environ.entally Sensitive lands, Hater/Wastewater Treat.ent f Southwest Florida Hater ManaQe.ent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses I Ar.y Corps of EnQineers - SeaMalls, Docks, Navigable Waterways f Depart.ent of Health L Rehabilitative Services, Environ.ental Health Unit - H~lls, Wastewater Treat.ent, Septic Tanks I US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood 20ne .A. or .A,etc.., it is understood tt..t a drainage plan addressing a .co.pensating volu.e. will be sub.itted Mhieh is prepared by a professional engineer registered in the State Df Florida prior to per.it iss~ance. A per.it issued shall be construed to be a license to proceed Kith the Mork and not as authority to viol~te, cancel alter, or set aSide any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official, fro. thereafter requiring a torrection of erroTS in plans, construction, or violations of any code. Every penH issll~d shaJ1 berole invalid unless the work authoriz~d by such perlit is cOI.enced within six .onths of issuance, or if Mork authorized by the per.it is suspended or abandoned for a period of six .onths after the ti.1 the Mork is co..eneed.' One 90 day extension of tile, lay be allowed for the perait Mith fee charge of $15.00. The extension shall be requested in "riting to the Building Official. An approved irispection .ust, be logged 'during each six lonth period, or the project Mill be considered abaudoned. WARNING TO OWNER: ~OUR 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 COMM EMENT". SIGNATURE~~~~~---~----- OWNER OR AGENT DATE________________~J~l~_L______________ NOTARY AS TO P/?~ . (OJ ~ /1 OWNER OR AGE~~ ~~ . tate of f10ridll MY COMMISSION EXPIRES___~~~~~~~~l- My cocnsnau f . . I..uron'. In;. "",clecl Tn'u T.O'f o.n \ .