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Home My WebLink About91-1749 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1749 ~~~./? / / Date EL~P~E~ Property Owners Name ~uf t7j{ ~- Job Address: '3 9 () ~ ~. Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work p:~~~ rt-~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application <(,< ~ D Fee: o""'J ::~;:~:~~-~ ADDRESS TELEPHONE # Estimated Cost: "'/8 tJ?J All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ...2 9 J..( Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp.Serv. Rough n Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) dollars shall be made for each trip. (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 PEIDl'I.T CITY OF ZEPIIYRHILLS BUILDING DEPARTHENT APPLICANT PHONE 7rFj. /aJ f ADDRESS JOB LOCATION "0i',/;.A .?9'CJ:23 '. OWNER I BLOCK I LOT SIZE toD X ab AREA SQ. FT . -..: :z. ftT.~ pa ~ ~ SO LEGAL DESCRIPTION: LOT(S) SUBDIVISION PARCEL 1. D. i~ ~Addition ~Alteration _Repair _Install WORK PROPOSED:_New Construction _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ~Single Family ~M/F _i~ of Units ,._NtH _Commercial _Indust. _Swim.. poo 1 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.** **COPY OF CONTRACT REQUIRED. PERMTTS REQUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service' Florida Power Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY . #- . TYPE OF CONSTRUCTION: _Block _Frame _Steel / Other , FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION &;vJJItJ....- A / l,.C.M Company ~ State Cert. or Rcgist. il ~1 ~ .' City License Registration il ****************************************** BUTT.DER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** f,T.ECTRTCTAN Signature Company State Cert. or Regist. ~ City License Registration 0 ****************************************** PLUMBER Signature Comi'any State Cert. or Regist. # City License Registration # ****************************************** MECHAN1CAT. Signature Company State Cert. or Regist. ff City License Registration iJ PTHF.R APPLICATION APPROVED BY ~-Jl{~~***'*' PERtnT OFFICER. CONDITIONS:OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The,undersigned understands that this perlit aay bl sublect to "deed restricti~ns' Hhich ~ay be ~ore restr,ictive than City regulations. The undersigned usullles re5ponsib~Htf;for:,co.p1iance with any appl icable deed restrictions. , _;iJ'"' " . . . . B. UNLICENS~D CONTRACTORS AND CONT~ACTOR RESPONSIBILITfES' If the owner has hired a contractor or contractors to undertake work, 'they lay be required to be licensed in accordance with stlte Ind local regulations. If the contractor i5 not licensed as required by law, both the o"ner and contractor ftay be cited for a .isdeaeanor violation under state law., If the [,wner [or intended contracte.r are uncertain as to what licensing requiruents lay apply feor the intended work, they are advised to contact the City ~f Zept)yrhills Building Departlent, (813) 798-6611. ',' ' , " Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contract~r(s) sign portions of the "Contractor Sections' of this application for which they will be responsible. If y~u, as the ~Hner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the Hork. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed ~nd 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 provi'ded with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide' prepared by the Fl~rida Departlent of Agriculture and Consuler Affairs. If the applicant is sotec.ne other than the "owner", I certify that I have [,btained a, cripy of the above dl!scribed d[,culllent arod pre'ff,ise iro good faith to del iver it to the 'owner" prior to cOlmenceml!nt. ': '. ': ,~.~~." \ : .' E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in .this application is accurate and that alllie.rk liill be dC<rle in cc.mpliance with all applicable lalis regulating construction, zoning, and land development. . ' Application is hereby lade to obtain a permit to'do Mork and ins\all~tion as indicated. I certify that no liDrk or installation has coetenced prior to issuance of a pertit and that all work liili be performed to ~el!t standards of all lalis regulating construction, City codes, zoning regulati[lns, and land development regulations in the jurisdiction. 1 also ",tify 'h.t 1 "d",t.,d 'h.t th' ""I.'i." .f .th" "v."",t.1 .""i,' "y .pply to Ih. i,t"d.d "", .,d th.t it i, ,y m,,,,,ibit ity to ide,t if Y ,h. t .<li'" I ."t "t, t, b, i' ""Ii..". ,,," .,.", i" i ," ,de ,.. i '" '" t Ii .it,d to> #' I Departle~t of Envir~nmental ReQulation - cypr~ss Bayheads, ~etland Areas and Environmentally Sensi live Ldnds, Water/Wastewater Treatment I Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, ~etlarod Areas, Altering HatercDurses I ArlyCorps ~f EnQineers - Sealialls, Docks, Navigable Waterways . ~,..,t.,.t " "..,th , ',h.bilit.ti" ""i,'" ',vi"..,.t.1 ",.Ith ",it - ~,II" ".,t".i" T".i,":' ,.,ti, T.," I US Envifonaental Protection AQenct - Asbestos abatement I also cl!rtify that, if fill latedal is to be used in H[.od Zone "A" Of 'A,etc.', it is underste.e.d tll~t a drainage plan .dd""i., . .,.."".ti" "I'." ,ill b, "b.itt,d ,bi,b i, p"p."d by . ",r""".1 .",.,., ",i;t",' " tho St.t. " Florida priof to permit issuance. , P'" it i "",d ,h.1l b, "" tmd to b' . Ii "n" t, p"",d ,ith tho '"' k ond eo I " '" n,", it y i, ,i, I' i., ,,",.1 .11", " "t .,id. .ny ".v',i,n, " th' t.,hn".1 ,.d", n.' ,h.11 "".n" ., . p".it ""." th' ','Idi', Orri,i.1 r". ih.,..rt., ".,i d" . "n" Ii" ., """ in p 1m; <onst,,,Hon, " ,i.!oHm ,f .., "d', ["" 'OCO it ,,,,,,d ,t,.ll boc'" i ",I id ,,1m tho ",' ",,",,i,,d by ,,,h p,,,it i' <o."",d ,ithin ,', ",,", ., i,,""", " if "." ",lI,'" nod by th. ""it i' ".p.nd.d ., .b.nd",d ,., . p.,i.d .f ,i. .,nth, .ft" th' tl., tho .", i. ,....,'.d. 0,." d', .,1...,." .f Ii.., ,'y b. .11...d ,., 'h. ,.,.il ,ith ,.. ,h.'" ,f '15,00, fh. .,t.n.i,n ,h.11 b' ,'..,.", 'n "it'., i. '" ,,'Idi', Offi,i.I, " approved inspection ~ust be logged during each six month period, or the prDject Mill be cDrosidered dbdl,dDned. 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. JODS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". - -~~~------ . ....' QI..JNER OR AGENT DATE wtq,aI1:g,tJ-~c--Jg-qL--- NOTARY AS -;-0 ~ _ _' IL-:-h-..~) NOTARY AS TO AD .- J~ OWNER DR AGENT~~~t:-~---~---- . CDNTRACTOR_____~~--~----c---------- NOTARY PUBLIC, STATE OF FLORIDA .. MY COMMISSION EXPIREgMyC~mm~j~~~xpkWL~-2Sr~995MY COMMISSION B'6"nCJeatliru Patterson - Becht Agency SIGNATURE__~~~~--------- CONTRACTOR DATE__~~~--j(-7~~j7~------------- EXP I RE~.""'tlYti !fafi-1ff1for'llcr- IIy Commission Expires Marc!! ~ 2, 191 Bonded Thru Troy Fe;n - Insuronce !!'Ie. ,.. . . (. , :\'i. [annlf Aluminum snd WOME 'VE81GN tJfV1SION OF ALLEN CONNER ENTERPRISES. INC. A Florida Corporation LIe. # CBC 040888 ~ hereinafter called the Owner. THIS AGREEMENT between Conner Aluminum and Home Design AND: ~ (All checks are to be mBCie payable to Alien Conner Enterpris . , An ltllltiff.1 I. Qu.r.ntttd to b. .. .pecll1.d. All I.bor In connection wtth perfor. . '1h~ of tlllt IOrHm.nt I. cov..ed by the ett.eh.d w....nty. OWNER'S PROTEC- . TION PoliCY: lAIOR . INSTALlATION. limited W..r.nty. which I. Ineorporeted , by rtf.,.nct to Ihl. .or..m.nl. Any .11..lIlon 0' devl.t1on Irom .boY. .pecll1elllon. InvolvlnO .xl.. COlt. will be .xecuted only upon wrlnen ord.... .nd will becOme .n " .xl" ch.rgI ov.r .nd .bov.lh. .peell1.d .um on Ihl. 'orllm.nt,.iQ\. Own.. .h.1I be lI.bl. fo, .ny collection Coil. court COlt. or .norney'l f.. In conr4lM1on with .l;lQIICh 01 thl. .o,..m.nt by the Own.r. Thll 'O'lIm.nt Ind p.rfo,mlne. th..eunde, II' cOn. tlngenl upon the .belne. olllrlk... .eeld.nll. or d.leyl beyond Conn.r Aluminum · Hom. Deellln'l cont,ol. Th. Own.. II 10 e.rry I1r.. lorn.do. 1100d. v.ndelllm. .nd bttltt n*-..ry Inlur.nee. Our .mploy"l .re cov.red by workm.n'l compen..t1on 'lnMltt..... VOU AM I'tIOIECTtO IV THE FlORlOA HOMIlMl'l'lOveM!NT Acr, "ve"IAl "!!MENT! WIll NOT IE' IINDINO UPON THE COMPANY. 11h ,:,',<' CONTRACT~l TO \~mt\8'tAEeT '~,~)~.~'> : ' ;~ <:^;:'. ClfV. st T ~':~ ~;'~ ~:.~: f ~ . t~H1~: , '?l~;t I;!~~;,/t~tte~ hlrnlnum & Home Design hereti PRO t;~'f';> ~A1'icf\he'Owner PROMISES to pay the sum of: J~~",'WfTt'r"8VT1'1ent to be made to AII1t~n~ntJEises. , .. ,- ~ ~'. ISEAL) (SEAL) .~ -. . 0"""'. SIOnllure f')~ :. ~'..;1l.~ , t 2..1 JOB NAME JOB LOCATION JOB PHONE ..,....~:""...c ....... .t. N'.".. ..',~' "f".;;;;:lt?"..:\,'< '''''Ie'':'.'''''.'', . '-.'.,-' . . . . .-... '~", ,. .' }--::;~~ A:);;"'~::-;'+':' . O~.: '" (' ,4.'. ( " ..... rJ , .:> / fr ~ .~.~ ~,,: (t\f\. " ). Authorlnd 81gnltU ACCEPTANCE OF CONTRACT: Thi. eont,.et II not binding until .c. ~ I F.pt.d .nd .Ign.d by the .Ignlture of GI.n AII.n C"nn." p,..ldent, o,.nlutho,l.ed .."fflce, of AUen Conne, En'.,prl.... Inc. or upon the eommencement or performlnce by Conne, Aluminum" Home O..ion under this Igr..ment. It ,hall thin be. binding contr.ct'l to.1I plrtie.. and i. not. there.fter. lubj.ct to clne.n.tion ..eep. II pro- J vld.d by lew. ~ or AuthcII1zed 0fII0tt (SEAL)