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Home My WebLink About91-1757 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit :N~ 17576 9- /, -..' <7/ T~. .-/ ..- '.'" ,,///aUILDING ) E~, PL~ ME~!,L (------//. 2 I Ll -/---;"'--) Ii'" -j Property Owners ~ame: ..' / a:/~_ / . ,," C>~J- Job Address: 3':1 / {/ 0- ;7 -rj{ t{t'...~ Date Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: (~,.) {:c.;' . (7?j Fee: '-::> --/ _-5 <i / SIGNATURE COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances, ) / /----J //- / i OCCUPATIONAL LICENSE # 7 J 71lry/. It 0 (~l" I . I , \1 ~!::J~~:~ / BUILDINrr----" ELECTRICAL - ------- Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final M~ICAL ~- '-- PL~G -~ Ftr. Pre SLB Lintel FRM. Insul.CL WL -' SLB Tub Set Water Sewer Final Breakers Ducts Insl. 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. I':::"::;;;::::::';':;':::" ~::;~::;.;:;::;.::::;::;:::::::::::;~:::::;:::;;;:..-=::~;:;=:.:;.;::.::~;.:-.::.;:;:..-;:.::::.~:;;:::';;:;;::;;:;~:':'::;:::'.::~~;';::::;;;::-";'~~:::',;:::;;;~:;:;;.:..::.:.;:::;::;;;~::..-;:::;.;:;;::::;:.;;.-.;:.-..-.z;.-::::~-=-.::;:;:.;:::;::::-...-::.::::;;=..:-=::.::;:.::::;:.;.::;;,::;:::=::;::;.~~~::;::,;:::;:Z:;:-':';';::':":~.:;;:;:=..-=~:;;::;:"i 'I! . Ii I . " II \ F:otLJL :!:3C:::i--If~FoE=':f::;': COI......~:j:.TRLJCT I 01...... 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VB F 1 Ba:;~GLASS FELT !\ III .. !r\l'3Tf~LL DRIP EDGE \;iITH fjiJT 1'10P 1/3 U,)F' {.)F'F'LICATIOI'..j III I' ... 1::tJ(\ l WITH "E; 11.. VEH DDU.AF;:" (~LJJtvl UH Z ED ROOF C(J{.H I hle3 I ,. '1,1 - RE,-INSTALL EXISTING ROOF TIE-INS ! I' , " II - ~\~ ~y : ::::::T':E:':~:,: T OBT i\ J NE iJ II I,' j,r.2.-.r[.'..'I'.. -,,-" '.I"'-""C.'-Of."-" 11."'1" l "L:I'... "".., ,I I' -<;;:o~+-/:'''S f'~./' '@;fi~'?~ '= Ii il f;JI'54.. ;fl! ~ L ;(-e.. TClTi\l. COSTY'Z- U 0 0 ~1\111. Il L '1 I; ~ II 1\ PA Ilv'JH ':~CHEr:)'JL E: 1/2 I::''' CDr111ENCE!'lEN T, BALi=iNCE AT CCH'IPLET I Or-;l 0 jI I \.. il I \ : (- II Pi\U. D. SCH{\P;;;;. CONTRACTlJh". tJ I i :::::TE:.'&lj._______ :H:natw:~'1:t2J~.a--./L~~--- II 11,.. " ...., .. .,..,__.........,.. .. . "_...,,, . ;..", '.. . ..,) 1 ~,~ I, a t tIt t~--,....~...-..-'-,.-7.-;:.._--.--7-~}..'-.-11'-.---{::I-.-..-1---'-. -- il .".....~(~~~-7A ~~c(;~~-l(~'. '--'~l;;-"'/lJ})?J 'lZ~- ;:.:'- ~l:- ". .,"-, >"~7 ..,_." "--7" / ,,',,".-.. .._n,.' " ~I,.lltll__.-w-~~ __'QIIlDJ7-' liV.W" JOB LOCATION APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT PHONE 1Brz~?o92- APPLICANT ADDRESS OWNER LOT SIZE_X' AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# ~. _Repa~r _Install WORK PROPOSED:_New Construction _Addition _Alteration _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~~ of Uni ts ,_M/H _Commercial _Indust, _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COHMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. ~UlLDING __ELECTRICAL PF.RMITS RF.OUESTED 22 00 0.,2 Valuation of Total Construction $ 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.CT~~ J-""~ /1....... , t;; /'1~ -" /;: 1/ Company ~~LPNSY? /~17;v~ State Cert. or Regist. # City License Registration l~ "f-'t-- ************************************ Si!Znature Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company State Cert. or Regist. 4fr City License Registration # ****************************************** PUlMBF.R Signature Company State Cert. or Regist. lF~ City License Registration # ********************************~********* tlECHANICAL OTHER Signature Company State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY ***.'.~**********:{1~************************ '--11 a.HL~ r .a/)A'i~ b.. . PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restr,ictive than City regulations. The undersigned assules responsibility' for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to 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 law, both the OHner and contractor lay be cited for a .isdeleanor violation under state law. If the owner or intended contractor 'are uncertain as to what licensing requirelents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, 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 responsible for the work, If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitting 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 Const~uction Lien Law - HOleowner's Protection Guide' prepared by the Florida Departlent 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 doculent and promise in good faith to deliver it to the 'owner' prior to cOI.encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.tnt. Application is hereby .ade to obtain a perlit to do work and install~tion as indicated. I certify that no work or installation has co..enced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies fiay apply'to the intended work, and that it is IY responsibili ty to identify what actions I lust take to be in co'pliance. Such agencies include but ~1 e not Iilited to: . J I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water ManaQelent District ~ Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I Any Corps of EnQineers - Seawalls, Docks, Navigable Waterways t Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environ.ental Protection AQency - Asbestos abate.ent ,1 also certify that, if fill I,aterial is to be used in FlC,od Zone 'A" or "A,etc.', it is understc.od that a drainage plan addressing a 'colpensating volule' will be sublitted which is prepared by a professional engineer regist2ied in the state of Florida prior toper.it issuance. A pertit issued shall be construed to be a license to proceed Kith the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit isslIud "hall becole invalid unless the Kork authorized by such perlit is cOI.enced within six lonths of issuance, or if work authol lzed by the perlit is suspended or abandoned for a period of six lonths after the t~Je the work is commenced. One 90 day e~t.EnsiDIi of tile, lay be allowed for the permit with 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 period, or the project will be considered dbdlldoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT OBS UNDER $2,5 0 II DO NOT NE~ECORD A~T A "NOTICE COMM CEMENT". SlGNATURE-------~GEN~----- Sl DA TE___%L.f.L---------------------,------- MAY YOU , . NOTARY AS TOt: ' OWNER OR AGE J, ~~_~~---- MY COMMISSIO EXPIRES______________________ lfOYA'RY PUB(IC. STATE 'CfF FlORlDiI1 ~,Y COMMISSION EXPIRES: MAY 17 199Z eNDED THRU NOTARY PUBLIc UNDER~RjTER;. VALUE ------------------