HomeMy WebLinkAbout91-1747
STATE OF FLORIDA
City of Zephyrhills
Type of Permit
______c... ",
~
ELE~
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611 .
PLUZ ML
Permit N'~ 1747 B
Date (1- s--11
Property Owners Name: {),JiAA.... (-rdJ2
Job Address: 1"10 ~'lA-5~ tJ~
. . . __ . I C>~ - 0 at 0
Legal Description: Sub.Dlv. 3f-25"~ L .- 0 D( 0 0 s-; Lot
Blk.
Zoning CI:
~ I ~
Description of Work .~(:...br:{
t~J
Complete Plans, Specifications and Fee Must Accompany Application ~'
Energy Code Readout:
Fee:
~~ov
Estimated Cost: '0:> .
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE # ~ 12-
TELE
Ftr.
Pre SLB
Linte!
FRM.
Insul.CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp.Serv.
Rough In
Meter Can
Const. Pol
Pool
Pre-Met
Final
Breaker
Ducts sl.
Com essor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of t . !.II.I~)
dollars shall be made for each _./rd.c:le.. ( /.5~ c.TD )
(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.
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APPLICATION FOR PEIDnT
CITY OF ZEPHYRHILLS
APPLICANT _M\Q OIN~~NG DEPARTNENT
ADDRESS 'I ~ ( 0 (b c2CGJ,C'6lo.pG-bQ
OWNERC)~~ ~~ '
JOB LOCATION ~e. LOT SIZE
PHONE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ~~
-=5 c.(. ., ~ S - '2...\
00\0....00(00-001'0
WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install
____Sign/Temp.
____Sign
_~love
____Demolish
PROPOSED USE: ~Single Family
,,:,,-M/F
___A of Units
,._l'l/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 FORHS.;d:
**COPY OF CONTRACT REQUIRED.
/'
_BUILDING
:pF.RMTTS REOUESTED
n I COO
c::... 0...., - Valuation of Total Construction
$
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
0'" .
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SF.CTI~ I~~{)
. Company ~
. State Cert. or Rcgist. #
City License Registration a
**********************************
(k~Cb ·
SiO'nature
Company
State Cert. or Regist. a
City License Registration a
******************************************
Signature
Company
State Cert. or Regist. n
City License Rcgistration #
******************************************
, PUJMBF.R
Signature
Company
State Cert. or Regis t. 11_____
City License Registration 1
******************************************
MECHANICAl.
ft
OTHF.R
Signature
Company
State Cert. or Regist. 0
City License Registration iF-
APPLICATION APPROVED BY
'~'j~~'~~*'******"***
I
PERtlIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Thl,undfrsignfd undfrstands that this per.it lay bl sublect to "deed re5trlctl~ns. "hleh ~ay b~ ~or~ restr1ctive than City
rl!gulatlons. Thf undersigned asSUlIll!S responslbiHtf;for,.colp1ianCI! lIith any appljcable deed restrictions.
, . .H' . . " ~ '.
'. \
B. UNLICENSED CONTRACTORS AND CONT~ACTOR RESPONSIBILITIES
If the owner has hlrl!d a ctontractor or contractors to undl!rtake 1I0rl:, .they lay be roquiredto bl! licensed In accordance lIith
state and local regulations. If the contractor is not licensed as required by lall, both the ~"ner and contractor ~ay be
cited for a .isde.eanor violation under state lall., If the ~lInl!r Dr Intended contract~r are uncertain as to what licensing
require.ents lay apply for the intended Hork, they are advised to contact the City ~f Z~phyrhills Building Departlent, (813)
789-6611.
Furtherlore, if the Ollner has hired a contractor or contractors, he is advised to have the c~ntract~r(s) sign portions Df the
'Contractor Sections' of this application ftor IIhich they will be ,resptonslble. If ye.u, as the c."n~r sign as the c[,ntractor I
y'" '" I ,di" Ii', ".1 YO', """ thon th, ",Iml", '" mp'" I b I, f" Ih,"", If Ih, ",I ml" ,I ,h" yO' '0 'I"
as ctontractor that aay be an indication that he is not properly licensed and is nDt entitled t~ per~itting privileges in the
City of Zephyrhill~.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
J e,,'lfy Ih.' I, 'h' .pplle.,', h.v' b'" p"vld,d ,I'h . e.py .f 'FI.,ld.', C",'"e'I" li" l., - Ho.,.""" p,,',e'i.,
Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so&e6ne other than the
,,,,,,', \ cor Ii fy ".. J h." .b ta i nod . e;py .f 'h' .bm dosed b,d doc",on t ond '''','" " goo d "it h " d' Ii ,or it ., ",
.ollner. prior to co.!encement.
: '''~~.~~" ~. I, ::
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I e,,'ify .h.1 .11 'h, i,f.r,,'i" i, 'hi' .pp1i,.'I., I' .""." .,d 'h.' .\1 ,or' ,'II b' d,.' " eo.,\i.,e, ,'Ih .\\
applicable laMS regulating c~nstruction, zoning, and land development.
Appllralion I, h",by "d' t. ,btal, . p"''' '0 d, POT' and I "tall ,liofu" "dic; t,d, J co" ify Ih.1 no ,,,. "
1",.\1.11" h., ,...""d p.i.' ,. i""'" .f . p,r.11 .,d 'h.1 .\\ ,or' ,III b,,~lo...d 10 .,,1 ,t.,d.,d, .1 .1\ \."
.",\.'1', e."'r,,'lo,, CI.y e,d", ,.,i', ""\.'1.,,, .,d \.,d d,"\'p"" .""1.".,, " Ih, 1"I,d\,'i", J .\,.
e,.'ify 'h.' J "d,."..d th., 'h, ",'I.'i." .f ,Ih,' g.".,..".1 .",e'" "y .pply I' th. i.I.,d,d "", .,d 'h.. il I,
.y m,..,ibll ity I. 'd"li f Y ,h" ,,\lon' \ '"' t tal, '0 b, i' coop lim', Soch .g""'" ',e I,d, b" I '" "', I Ii .it.d ,,,
.#'
I"\so ",lify \h." if fill ..'ori.1 I, to b' ,,,d i, Flood Z.no 'A' or 'A,ole,', It i, ond",t".d \I"t · d,,'"'' ,\"
.ddm,i', . . coop"" Ii" "\,,,' ,m~, ",b.1 lI,d ,hleh I' p"p."d by . pr.1 m"" I ,r,g' r,w rogi' I,;.d i' \h' S\. t, of
Florida prior to permit issuance,
A p,..i' I""d ,h.li b, e.."",d " b' . \1"'" '0 p,.",d ,I'h 'h, ".. "d ,.t ., ..th.,ity ,. ".1.1., e.".1 .It'r, "
"~, .,id, .~ p,.".i... of 'h, I,eh,ie'\ ,.d," ,.. ,h.l\ "".", ,f . p",'1 p,.",t Ih' ',ild,ig Iff",.1 f... Ih,.,.I'"
"q,i ri', . "me lion ,f PH ," I' pl.,,; ""I.", lion, " vl.\.lim of "'y ",d.. '",y p'" it ,,,,re' ,h. \I b'''"' i ".1 id
on I'" \h, ,,,, "tho< i zed by ",h P'" it i' ,.."",d ,ith i, ,i. .., \h' ,I i "" OC''', " if "',' l or, \I, T" ,,ed by \h, '''' it i,
"'p,,d,d or .b.,d."d f,' . p",.d .f ,i. ..,Ih' .f." Ih, 'i., th' "or' i. eo.."e.d. D.' ,. d., ,.t...i'. ,f ti.', "y b.
.\\."d f.' 'h' p",il ,ilh f,' eh.rg' of IIS,OO. lh' ,..",i.' .h.\1 b, r.",.I,d " ."t", t. th' ,."d", OII'ei.I, A'
."""d I ",oc Ii on ," I b, \ .",d d,d', mh ,i. ..,'h p'" ,d, " I h, p" i ,ct · ill b, <T' '" "ered ,b. "d ""d.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
INTEND
BEFORE
DO NOT
RECORDING YOUR NOTICE OF COMMENCEMENT.
NE:~'-:(.P.. REC.o~~ANDr1f)T A "NOT! CE OF CD
Ccr;: ~ .
SIGNATURE_~~;~~----------~----------
owNER OR AGENT
DATE__?lrl-~(_9-t_-----------------_.-------
VALUE
DATE
,
NOTARY AS TOx .
OWNER OR AGE J (:fd1.,_t.ld(l/Ar.L_.!I1I1!JCO~-
~c.,.)u./l!!.-
MY COMMISSIO EXPIRES_________ -------
NOTARY PUBUC. STATE Ofl1i1J5t8mr. -f
MY COMMlSS.ON E;.P1EES: MAY \1. '99 R~l
BONDED TriRU NOTMi<' pUdLlC UNDERWRITE ,
NOTARY AS(}wO ·
CONTRACTO __ _L/dA~..e_.:6u-~"
" ~U
MY COMMISSION EXPIff~Oft~--------------
NOTARY PUBLIC. S-rATEO ,,\M \7. '99-'
MY cO""'''~'~'--'' ,-..' """.--:',~ UNDERWRIT...
BONDED TH.i\U j,,__:,d" .....J_.
"""