HomeMy WebLinkAbout91-1767
STATE OF FLORIDA
City of Zephyrhills
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PASCO COUNTY
BUILDING DEPARTMENT
1-813.788-6611
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~ECHANICAL
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Permit :N~
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Type of Permit
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Date
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PLUMBING
Property Owners Name:
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Job Address: /
Legal Description: Sub.Div, Lot Blk.
Zoning CI: / - c2 G-}, / -t1,,/;;'7~/ /;l 0 ~Cb;;? I;J" /l'rz'-A:' / B-':i ,-5~~~
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Description of Work /'J v/~Vt:(/--<-/Y'-\_-"/ r:(~, ' ~ _ /.., ;1- <"-lA'" ~',/'A':U~1 ~L
Energy Code Readout:
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Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
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Fee: / _>>0,
SIGNATURE i
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All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
COMPANY
ADDRESS
TELEPHONE #
OCCUPATIONAL LICENSE #3l'i?
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~TRICAL )
Tp.Serv, L t-Ct/
Rough In 0-
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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C~ILDIN~ -
Ftr.
Pre SLB
Lintel
FRM.Je-[-t1.[ (b~
Insul.CL
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Breakers
Ducts Insl. iOr/.J"1' "
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($.JO;OO)
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.
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CONSTRUCTION CORPORATION
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Southeast Office
P.O. Box 260473
Tampa, Florida 33685
(813) 876-0838
Northeast O[fice
. P.O. Box 203
Spr.ag Valley, N. y, 10977
(914) 352.2044
DATE:
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TO:
FROM:
MESSAGE:
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NUl~BER OF PAGES INCLUDING COVER SHEET __ ,:;i--_
FAX ~ ( 813 ) a 7 6'- 5 8 8 1
PHONEi(813) 876-0838
SOUTHEAST OFFICE
-
APPL'!CAT:r.ON FOR PERf-lIT
CITY OF ZEPIIYRHILLS
BUILDING DEPARTHENT
APPLICANT ./7.:r;;.?l""T:;:"~ OIv".....',n;d~~.~-=*'A<C_=~J(. ~.
ADDRESS 39035 J/r,&-"'/'i' .'&~ fju>:,'Q);~C p!lONE f/tvZ7 )j
OWNER O::rP?€'VS'TU--- OAA;-- /V1AI'V,4 f'n?(....."J' I""( 5"Arvo MfJ.rV
JOB LOCATION
LOT SIZE_X
AREA SQ. FT.
000
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D. ~~
WORK PROPOSED:____New Construction ~Addition ____Alteration ~Repair ____Install
____Sign/Temp.
_Sign
_Hove
____Demolish
PROPOSED USE: ~Single Family
~M/F
____~~ of Units
, .____M I H
____Commercial
_Indust.
____Swim., Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.**
**COPY OF CONTRACT REQUIRED.
x
Square Feet,
Height
Ef.RMITS REOUESTED
V
____BUILDING $
V ELECTRICAL
~~ECHANICAL $
'~UMBING
TYPE OF CONSTRUCTION:
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Valuation of Total Construction
AMP Service
Florida power Corp.
_H.R.E.C.
Valuation of Mechanical Installation
GAS
ROOFING
SPECIAI,TY
____Block _Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT,
******************************************
Signature
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~ONTRACTOR SECTION
(' ~~v(rrd~ Company
J/~ State Cert. or Rcgist. il
'" I City License Registration it
******************************************
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nUTLDER
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:'::::AN . Company -;::>tMr#'t'
.' 0 .A ~ / S ~n to Cort. or R"; gi5l'. . ,,~~ t!> () rr- ...~
_1.?___ ~ ~-?~ C1ty L1cense Reglstr<:lUOn il lJ.C;
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;4 ~ (- A /P1;{,')~ Company A / ( Avlf) b.,prvV;
State Cert. or Regist. i! Kr..:.- 00 57(177
City License Rcgistr<:ltion n
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Signature
~r5 Company 5'6~.vy <:;
<J.- State Cert. or Regist. ii f
, ~~I, City License Registration il
******************************************
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MECHANICAl.
Signature
Signature
Company
State Cert. or Regist. 0
City License Registration n
flTHER
APPLICATION APPROVED BY
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PERl-tIT OFFICER.
CONDITIONS~O~.PERMIT AFFIDAVIT
A.
NOTICE OF DEED RESTRICTIONS
Tht,und,rsign,d understands that this per.it lay bl subject to "deed restrictions' which may be ~~re r.str,ictivt than City
regulations, The undersigned assulles responsibilUf;foT"cc::\pHancl! with any applicable deed restrictions.
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E. UNLICENSED CONTRAC~ORS A~D CONTRACTOR RESPONSIBILITr~S
If the owner has hired a c~ntractor or contractors to undertake work, 'they lay be required t~ be licensed in accordanc. with
'!It' and loc~l regulatio~s. ~f the contractor is not licensed as required by law, b~th the Ollner and c~ntractor ~ay be
Clted for a 11sdeleanor vlolatlon under state 1aK.. If the owner or intended contractor are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent IBI31
788-6611. ' , ' '
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
.Contractor Sections. of this application f~r 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 wor.. ]f the contractor wishes you to sign
as contractor that may be an indication that he is not properly licensed and is not entitled to per&itting privileges in the
City of Zephyrhi1ls.
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 Kith a copy of .Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the
"owner", 1 certify that I have obtained l c~py of the above described docu&ent and promise in good faith to deliver it to the
"owner" prior to cO.lencement.
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E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all Hor. will be done in coapliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perait to'do Mork and install~tion as indicated. I certify that no work or
installation has cOlllenced prior to issuance of a per.it and that all work will be performed to ~eet standards of all laws
regulating construction, City codes, 20ning regulati~ns, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies ~ay apply'to the intended work, and that it is
my responsibility to identify what actions I /IIust take to be in compliance. Such agencies include bllt ,'Ie I;c.t lirsited to:
#'
I Departle~t of Envir~nmental ReQulation - cypr~ss Bayheads, Hetland Areas and Environmentally Sensi live Ldnds,
Water/Wastewater Treatment
. Southwest Florida Hater' ManaQelent District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses
f Ar.y Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Hells, HasteHater Treat~En~, Septic Tanks
f US EnvironDental Protection AQenct - Asbestos abatement
I also certify that, if fill latE'Tial is to be used in Hc,od Zc,ne "A" Dr "A,etc.", it is understc,c,d 1I13t a drainage plan
addressing a .co.pensating volule" will be sublitted which is prepared by a professional engineer regist2ied in the State of
Florida prior to permit issuance.
A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel aller, or
set aside any provisiDns of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
requiring a correction of errors in plans; construction, or violations of any code. Every permit issued shall becole invalid
unless the work authc,rized by such permit is cC'lIlIIenced within six 1II0nths of issuance, c,r if tfc.rk a\lll.c" Ized by the perail is
suspended or abandoned feor a period of six lonths after the ti:ae the Hor. is CC.Menced. One 90 day e~t"i.siou of tile, say be
allowed for the per~it with fee charge of $15.00. The extension shall be requested in tfriling to the Building Official. An
approved inspedic.n aust be lc.gged during each six lIonth period, c,r the project Ilill be cc,nsidered ilbol,doiled.
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. JOBS UNDER $2J500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMMENCEMENT "./J .../'- (}J
SIGNATU~~~'---- ~ ~~ ______ SIGNATURE___~-~--~~~---------
OWNER OR AGENT ' CONTRACTOR
DA TE_~L?Lqt._---------------'------,-------
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MY COt/1M! S5 ION EXP I RES Notary Publit. State of Horida -.
MY-C-;;;;;;i7si~lxPlres-Oa:.'1O;-t99J
:.onded Thru TroY Fain - Insurance lac.
DA TE___11-!.17L--------------.--------
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MY COMMISSION EXPIRES~~~llWili~~M~~-A
My Commission Expires Oct. 10, "9~~
Jondod Thru Troy fain ~ Insurance ,,,('
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FAX'l'O:_
Randy Mikell
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8/20/91
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Her_itage VillaS of Zephyt'hi~) LfcL.~_..5- OiJ.\fi-~
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813/876-588l
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rcllowin9 is the legal descripticn of:
Heritage Villas of Ze~hyrhillS
39073-1 Heritage Circle
zaphyrhillsl FL 33540
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S. The l:1nd referred to In lhis policy is situated In ~ Pasco County.
and 15 the s:une bod as described in the mortgage shown at No.4 above.
Florida
A parcel of land lying in Seotion 1. Township 26 south, Range 21
East, Pasco County, Florida, being comprised of a portion of
Tract 120, Zephyrhi11s colony Company lands, as shown on plat
thereof recorded in plat Book 1, p~ge 55, of the public records
of said county, and being more pe~ Jlarly described on Exhibit
"A" attached hereto and' made a p~, l1ereof.
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If you do not receive the number of pages listedl please call.