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Home My WebLink About91-1756 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit Jf~ 1756 ,,6 Type of Permit ~ Date (7 -6-S' / ... , EL~CAL P~G M~CAL Properly Owners Name (~~J '~:!~ P . Job Address: c' ~ /::2 I, (,. ...1bfr Legal Description: Sub.Div. Lot Blk. Zoning CI: L'D I y. ./'/~' Description of Work __ .~ ~J2 AP,l4' -/ .s?~ Energy Code Readout: ~idJ /D'-st>--9/ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ & 00 Fee: All work shal! be performed in accordance with the above and all City Codes and Ordinances. COMPANY ADDRESS TELEPHONE # ~ OCCUPATIONAL LICENSE # ~ .." // \ ( U i/J71'0 0-~lJ"L'D;~G) Ftr. q, loi ~{t!;; Pre SLB 10- .1 - Lintel FRM. Insul.CL WL .~_d SLB Tub Set Water Sewer Final ELE~' Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ME~HANICAI Breakers Ducts Ins!. Compressor Final Driveway Reinspections: 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. L,...l....J. ~)I LLi J.~...~\,~..i.J-.',J...b) ~...I,i..4,..'_.i- .''''; ....1--;. r..~'..Lll_.\.J, · OWNER _ \ : W\. ~ \ ~ Ie.. Q \""1 '''l''- ,d ~ ~ \:-~~ ,\<!-x. JOB LOCATION 5-.8: 1 ~ l ~EGAL DESCRIPTIO~J~UB DIV. Showsll e~isting~nd /9vP~ !?& N, c?~c2'9 -7/ g(!)eJ ~ .3 \t ?~ ~ ~d ~v\ C-Cll~ e."..~ ~~" ~"SL .. ""B ~~ \~ r\~'o'v \- ~~ \ ~ ~c-Jls $" --g" ~ l so _ r:: l) '\N~"''' ~~t '+ }l G V\ 4'" ~~~ to- l I~ r "C>y-. .' . ...1.NO TE EXAMPLES t " 2) CD ~ Be.l back5 fot 'R') "R'2, ~ ~3 , , ;(cd'llng No+~: 11:1-'&3 fer BU~. LOT fi1,.~:,,";4r) ~ proposed s tl'llctures gi "S.ng dimensions & se'tbacks. t< ~ I , .....-.-... . ~ Street _~ J '- J.() · <?- ~~- r~ \1 L( F~ON ,;:,1 -'->- ..w llN I I S . 'i. I -R:: ~~i \ l lb' .( I 'I~ >1 ~1 J~' , l2;' ~) --~-)r ~ ,0 (/"'''"'1'''' .:,' Q.:,r,,<.'..t 11"C~ a fI~ ~ ;+1 (j'~ + flc"';e uS ,,)\:'tboc.!,t - u f~/'r., /,v',IJrPtr,:J M;S f ~4cw ~;t.~ ( !O';':'IJJ c!f 1 ~"1 . ~if .L ___,~I:;:.I t="~"T , {: , Prc ro~ ~n " It1d(1'o>1~ I . ~~ E~i..-t.i. H~ I ~j /0' ...t- /0,:4 sf 1#)' 1 - \+- bOo - ..-4\ F -_......:.~~"--,- \ ,0[} fK i~ 1"(:'1 . ~...... . Pr<. ~o:.~d IiJd ,'t,' Q'" ---J 1 !>o'. ~, 5Ir~1- ':('u.1 /0 rf, st 8t::fbCLCh) fv' ~-,4- 4"'11"'~ 10' APPLICATION FOR PERr-l'IT CITY OF ZEPINIDlILLS BUILDING DEPARTMENT APPLICANT ~~~ Q.,L~ ~ JP~ \ 1.- ~.' U')........'\.o.. .,,' : ~.,,' <. OWNER "'!9;-\t:l..\ __)l\~ ~\~~ D~' JOB LOCATION S~\,,?-\ \ll)"^\::~...... PHONE Z ~~ l. ? ~ If '. ADDRESS ~'iI. ' LOT SIZE~ AREA SQ. FT. V ~ ",\c... LEGAL DESCRIPTION: LOT(S) BLOCK.... SUBDIVISION U.l)-~'" - PARCEL I. D. ~~ WORK PROPOSED:_New Construction -". Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ____Single Family ~M/F _~~ of Uni ts ,._H/H _commercial _Indust, _swim.. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: t IJ X 1,..6 , / C, 8 ..__Square Fee t, , ,tI I Y\ 3 \0\ f,.. . . -')S4 It Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SET": OF BUILDING PLANS & (1) SKi' ENERGY FORM-S.** ATTACH (3) SETS OF BUILDING pLANS & (1) SET ENERGY FORHS.** **COPY OF CONTRACT REQUIRED. '~ BUILDING V',RMITs... REOUESTED \ ~"7 <) t) fi- Valuation of Total construction $ _ELECTRICAL AMP Service __----Florida power Corp. _H.R.E.C. _MECHANICAL $ Valuatlon of Mechanical Installation .... GAS ROOFING C(PII\.(,.",.c,.lt<. ~,,".. ~ Block _Frame _Steel SPECIAI,TY . _PLUMBING '.... S~Y' ~~W\ Other ~B a .v, TYPE OF CONSTRUCTION: FINISHED FLOOR ELEVATIONS: FT, ~r-"': ~ 0.... \ ~y. ~) (f.)~ p, :Jll:f J ****************************************** ~ONTRALL~ ~ECTI0N Company State Cert. or Regist. a C:Lty License Registration jf ******************~*********************** JWILDER Signature Sir7fiature Corroany Scate Ce=t. or Regist. a, City License Registration a ****************************************** = f,T.ECTRTCTAN Signature Company State Cert. or Regist. 6 City License Registration 0 ****************************************** . ~.\TMBER Signature Company State Cert. or Regist. a City License Registration 0 ****************~************************* j:1ECHAN1CA1. Signature Company State Cert. or Regist. a city License Registration a DTHER APPLICATION APPROVED BY *"J;.~~..** **'*~**. *.*~**><*{k)~*.**' d:-:d:" ;::,:*"*,,,!: , ~. fi}:' "- X. ,-, / , .' , /Ij ~, -- PERNIT OFFICER. ...........t' MIP' "' ,~r.'~ CONDITIONS;O~"PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ,undersigned understands that this perlit lay b9 subject to '~eed restricti~ns" which ~ay be Dore restrictive regulations. The undersigned iSSUIII!S. responslbl~,it(':,~,or:,coIIPllal,ce with any appl icable deed restrictions.' 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired ~ contractor or contractorl to undertakl! Hork, 'they .ay be required to be licensed in accordance with s~lte and loc~l regulatl0?s. ~f the contractor il not licensed as required by law, both the o"ner and contractor nay be clte~ for a 11sdeleanor rVlo1atl~n under state IaN.; ;If the owner or intended contractor are uncertain as to what licensing requlre.ents lay apply I~r t~~ !ntended "ork, they are advised \0 contact the City of Zephyrhills Building Departaent (BI3) 788-6611.' ',"; , ' , than City Furtheraore, if the owner has hired a contractor or contract~rs, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are rrspDnsible for the work. If the contractDr wishes you to sign as contractDr that aay be an indication that he is not prDperlu 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 r, the applicant, have been provided Hith a cOIY of 'Florida's Construction lien law - HOleowner's Protection Guide' pnpared by the Fl[lrida Departlent of Agriculture and'onsuller Affairs. If thE' applicant is se'llee;ne other than the 'owner', I certify that I have ~btained ~ c~py of,theabove d.scribed document and promisE' in good faith to deliver it to the .owner' prior to COI~encement, ". ~ 1,": ";': ~.. ~. ~ ; : E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the informati[ln in this application is accurate and that all work Mill be done in c~Dpliance with all applicable laws regulating constructi~n, zoning, and land deyelopaent. Application is hereby lade to obtain a perait to'do "ork and install~tion as indicated. r certify that no work or installation has C[llmenced prior to issuance of a per.it and that all work Hill be performed to ~eet standards of all laws regulating construction, City codes, zoning regulations, ane land development regulations in the jurisdicti~n. I also certify that r understand that the regulations of other gove-nmental agencies ~ay apply'to the intended Mork, and that it is IY responsibility tCI identify what actions I lust take to be in compliance. Such agencies include bill ;;1 e Iie,t lillited tc.: ... I Departle~t of Envir~nlental ReQulation - Cypress Bayheadsj Hetland Areas and Environmentally Sensi tjv~ Lands, Water/Wastewater :reatllent I Southwest Florida Water'ManaQellent District - Hells; Cypress Bayheads, tetland Areas, Altering WatercDurses I ArlY C~rps ~f EnQineers - Seawalls, Docks, Navigable Watprways I Department (If Health !.' Rehab\1itative Services. Envirom'E'iltal Health Unit - Wells, IJaste\'later TrE'ahen~. Septic Tanks I US Envir~nQental Protection AQency - Asbestos abatement ' I also certify that, if fill aatE:rial is to be used in FIe,!] ZClne "A" e.r "A,dc.', it is underste,e,d t1,"t a drainage plan addressing a 'colpensating volulle" Mill be sublitted Mhich is prepared by a professi[lnal engineer fegist2fed in the state c.f Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevE'nt the Building Uffici.! fre'll thereafter requiring a C(lrrection (If errors in plans; constructicln, c.r violations of any ce,de. Every pE'rillit iss\ll!d :hall bece'le invalid unless the work autheori2ed by such permit is ([llIlIenced Mit,in six Alonths Df issuance, or if )ie,j}; "'.,the" );I:d by the per.it is suspended or abandonE'd feor a period of six lonths after tht ti3e the "Cork is (D~mE'nced. OnE' 90 day e=li~5ieoll eof ti&e, lIay be alloMed for the per~it with fee charge of $15.00. The extensi[ln shall be rE'quE'sled in "riting tD the Building Official. An approved inspection oust be logged during each six month prriod, eor the project "ill be considered abil,doned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IM,~ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COf1MENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "1\jOT I CE OF COMMENCEMENT". SIGNATUR~_ __ _~-~-----_._- OWNER OR AGENT J 9/5/91 SIGNATURE ------------------------------ CONTRACTOR DATE DATE ------ -----~--------_. ---------------- NOTARY AS TO ~ ' J V/' . OWNER OR AGENT~~~~~~~-~- MY COMMISSION EXPIRES NOTARY AS TO CONTRACTOR_____________________________ " MY COMMISSION EXPIRES ------------------ MARY E. VINCENT State of Flor;-da My Comm. Exp. Aug, 31, 1994