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Home My WebLink About91-1745 STATE OF FLORIDA City of Zephyrhills Type of Permit ---. ~?-.- ~ PASCO COUNTY BUILDING DEPARTMENT 1-813- 788-6611 .---- ...go'.__ p~~ Permit )l~ 1745)?l 9 - ~ -:; / Date ~ Property Owners Name: Job Address: ~~ a1-~ /7 " 7- ,Ji#. 01k~ Legal Description: Sub.Div, Lot Blk. Zoning CI: Description of Work G~~tJ "# ,97 <"":>.,-. i) Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application if /7 /, --7 z?6 Estimated Cost: ~ c::><) ~ I r--. i!i2-- Fee: .,:"L ~ . SIGNATURE~~ ~ /,. v COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # ,~ , Tp.Serv . Rough In Meter Can Const. Pole Pool Pre-Meter Final SL Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul.CL WL 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 _. Trd.-d e. (/ - /17. ) (a) Wrong Address ...s ,. (../ lJ (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. Jroponul Page No. , . ....~ SONNY'S DISCOUNT /'.PPUANCES, ;NC. 3399 South Highway 301 DADE CIT'!, FLORiDA 33525 (904) 567-6224 STREET JOB LOCATION ARCHITECT DATE OF PLANS '_./ ~11f'~ ~ 1 -- ~t4~ ,_ {/I ..-, .J"''-'' /' t f 37#6/ '/- LP~?d~' C ~~.tir:Y .p~--F .,/ 1- /- /~AAA/r- / OL'( /,' ./ ~()-y .' r/,~ ~J '-' ~. ','\,. ~~'~t,r;~:c/::~, . \ 1 i~ /,1/ . ./ ~' /~ , ~ f4 ;,i of Pclges / JOB PHONE :/ I :/ t,. ".' \ '\, / '\ ., ~ \ #. -7 '-,_/1('''. ~ __/5j~.~) /2- (~. ff?:1 , t~::.:-.::.---:---- :;;~ ' ') J " ".- ...-, / .r 'rl1pl1!1t hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Payment td be made as follows: dollars ($ ) . Authorized Signature /-, / .~ " /~. '7;:;PA /!-t ,>-" .,>'; ,,"'- "-- c/ ;../ Note: This proposal may be withdrawn by us if not accepted within All material is guaranteed to be as specified.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. // --:, - _, ~/).Y:.. :__ : /~/ ....- Signature ./..' ,.: /1 _ Z;3)' - J - J AV .~~.../~-<:...r Attfptautt of 'ropollul- The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specifieday~en~ill ~ m~ l' outlined above. , , C,I'> Date of Acceptance: ' j / ' Signature PRODUCT 118-3 /iVEBS}"lnc, Groton. Mass. 01471. To Order PHONE TOLL FREE 1 +800.225-6380 days. ,) i' \..j '(- /lK .-(.,,~.... i . APPLICATION FOR PERMIT CITY OPZEPHYRHILLS BUILDING DEPARTMENT f ADDRESS . .,: .a~~ ?f?~~r~ OWNER ~ ~ ---~-- JOB LOCATION, J ~ - - - ~~' SIZE LEGAL DE6~PTION: LOT(S) BLOCK SUBDIVISION PHONE ;VI? APPLICANT }{ AREA SQ. FT. PARCEL I.D.4t ~ WORK PROPOSED,~ew Construction ----Addition ----Alterat~~{l'~stall V _Sign/Temp. _Sign _Move' _Demolish PROPOSED USE: _Single Family ~/F _tt of Units .-M/H . _Commercial _Indus t. _swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: X Square Feet, 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 REQUJRED. _BUILDING ~LECTRICAL ~CHANICAL $~~r?f ~-G ~I Valuation of Total Construction ---. rJ f fl_"V--, -'(j'~ :rRRMIT!=i REOUESTED AMP Service Florida power Corp. W.R.E.C. $ ::;2./ 1~ I ~ Valuation of Mechanical Installation _PLUMBDfG GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. Signature ****************************************** CONTRACTOR ~ECTION Company State Cert. or Regist. # City License Registration # ************************** ************** B.JJI LD ER :::::::~"-4 inry.,4 City License egistration II - .. .......................................... PLUMBER Company I State Cert. or Regist. # Signature city License Registration ~t ****************************************** Compan - 0___ -$~f?-f1.~ 'Hj'?J State ~~Tc; Regist. tt ~ 00 If/' JfC) signatur _ City License Registration Ii -:;z ****************************************** OTHER Company State Cert. or Regist. # Signature City License Registration ~t /'") /l * * ,**", * APPLICATION APPROVED BY PERMIT OFFICER. .. CONDITIONS OF PERMIT. AFFIDAVIT , I ..! A. NOTICE OF DEED RESTRICTIONS :'f', Th! und!rsign!d und!rstinds that this p!r.lt .IY be subject to -d!!d restrictions- Nhicfi' .ay be .or! restrictiv! than City r!guhtions. The undetsigned aUIII!!1 rt.ponsibiH\!,,,:!~~colplhnn lIith any IPPIic:,a.,~!!~!~di.re~trlctlon~. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake lIork, they .ay be required to be licensed in accordance Nith state and local regulations. If the contractor is not licensed as required by law, both the ONner and contractor .ay be cited for a .isde.eanor violation under state laH. If the owner or intended contractor are uncertain as to IIhat licensing requir!..,tI~ay apply for the intended 1I0rk, they are advised to contact the City of Zephyrhllls Building D!part.!nt, 1813) . 78lJ-6611. . Furth!r.ore, if the ollner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the 'Contractor S!ctlons' of this application for Nhlch they 11111 be responsible. If you, as the ollner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the 1I0rk. If the contractor Nishes you to 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 Nith a copy of 'Florida's Construction 'Lien Lall -'Ho.eoNn!r's Protection Suid!' prepared by th! Florida Depart.ent of Agriculture and Consu.er Affairs, If th! applicant is so.eone other than the 'ollner', I c!rtify that I hav! obtained a c~py of the above described docu.ent and pro.ise in good faith to 'd!liver it to th! 'owner- prior 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 lIork Nill 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 lIork and installation as indicated, I certify that no Nork or installation has cO'lenced prior to issuance of a per.it and that all lIort Hill be perforaed to leet standards of all laws regulating construction, City cod~s, zoning regulations, and land develop.ent regulations in the jurisdiction,' J also certify that J understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is .y responsibility to identify IIhat actions I lust takE! to be in co.pllance. Such agent'l~~ Include but <Ill! 1I0t lIliited to: I Depart.ent of Envifon.ental ReQulation - Cypress Bayheads, Hetland Areas and Environ.entallV Sensitive lands, Water/Wastewater Treat.ent f Southwest Florida Hater "anaQe.ent District - Hells, Cypress Bayheads, Hetland Areas, Alterinq Hatercourses I Ar.y Corps of EnQineers - Seawalls, Docks, Naviqable Wat!rNays f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - W~lls, Wastewater Treat.~nt. Septic Tanks f US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone -A" or 'A,etc.', it is understood that a drainage plan addressinq a 'colpensating volule- will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it iss~ance. A per.it issued shall be construed to be a license to proceed IIlth the 1I0rk and not as authority to violate, cancel alter, or set aside any provisions of , the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every p~r.lt issued shall beeo.e invalid unless the work authoriz~d by such penit is cOllI!nced lIithin six .onths of issuance, or if work auth(orj1~d by the per.it is susp~nded or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day ~xten5ion of tile, lay be allowed for the pereit "ith 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 .onth perlod, or the project lIill 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. J08S UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE_/~J __~~__ SIGNATURE_ ~~__ ! ~7-dl_- OWNER OR~ENT ~~CTOR :::::~-::-~:--~JJlf:LJ-~:-~--::,---- :::::~-::-~:~';~-~J---~------~------ OWNER OR AGEN~a~ CONTRACTOR -E.;;,~ _ - - ,- -- - - --..., - No PII ic. State of f10rirJtI .. MY COMMISSION EXPIRES__~__ ~~~!~~!!~~~ MY COMMISSION EXPIR~_~~~J~UL~~_~~993 My Commission Expires Nov. 30,19"qr Io'nd.d Thr. T'''l'r..i.. In,u'on,. In,,- 10-..4... Thr. T,"l' fDl. .In,ura"<< In<:. " '