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Home My WebLink About91-1769 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788.6611 Type of Permit ..f!. BUfG PLUrlNG ME71CAL :::P:~:r~s:~ers Nas: 0~~~ Legal Description: Sub.Div. Lot Permit N~ 1769-..Je-- 9- j(/- (j I Date Blk. Zoning CI: Description of Work Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: tll~5 OCCUPATIONAL LICENSE # 20 {p J1 LJD Fee: :at -- ~ SIGNATUR~_ u - - .-- COMPANY ___ ~ ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. '- Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub S t Water Sewer Final p, erv. Rough In 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 PERl'l'IT CITY OF ZEPIIYRHILLS BUILDING DEPARTHENT OWNER //<- /' / e-, !lev'! fe) / /Hc, 1 ~~ '1 JOB LOCATION S-- ') I Y ,f( &~ 5 5 I LEGAL DESCRIPTION: LOT(S) Lt>-; !-/;., 7' et ( T 0-J -e ~5 S , (fl I Y1 rJ? 'r' l~ C ('Cc ( 'S (,/ ......../c-e APPLICANT <. :i',,-' PHONE ( 7'tJ '1 j 5; / ...s 0 r<? ADDRESS J'f'J-O " LOT SIZE x AREA SQ. FT. ,rl BLOCK SUBDIVISION PARCEL I. D. ~~ i). J- (, - ~I () :J- f'O .. 0 () () 0 0- 0 5 r ( 0 WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install ____Sign/Temp. ____Sign _Hove _Demolish PROPOSED USE: ~ngle Family ~M/F _~~ of Units ,._M/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 FORNS. ** **COPY OF CONTRACT REQUIRED. J'ERMITS REOUESTED _BUILDING ~ELECTRICAL $ Valuation of Total Construction / 7'2' AMP Service ~/Florida Power Corp. _\-l.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation .; . _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR 0ECTION nUILDER Company State Cert. or Rcgist. " Signature City License Registration 0 ****************************************** F.l,F.CTRTC1bN d~:/<l:-7~' Company C~~A.-<'~~/'~ ~rfl/7//'_r //, State Cert. or Regist. ii no/5-/ 'II Sianature /~ ~/t " ::::x:- L-- City License Registration iF ,/ ****************************************** Signature Company State Cert. or Regist. # City License Registration 0 ****************************************** PLUMBER Signature Company Stat~ Cert. or Regist, 0 City License Registration 0 ****************************************** MECHANICAL OTHER Signature Company State Cert. or Regist. 0 City License Registration n APPLICATION APPROVED BY ~, ******************************* . tit. 'b~ '.l&J ' PERtHT OFFICER. CONDITIONS~O~.PERMIT AFFIDAVIT ;", A. NOTICE OF DEED RESTRICTIONS The ,undersiQned undlrstands that thil perlit lay bl lub3ect io "deed re5tricti~n5' which ~ay be m~re restr,ictive than City regulations. The undersigned USUIBS responsibpUy;for.,colpHance with any applicable deed restrictions. , . .,~,~, ,. ." ' . ' E. UNLICENSED CONTRACTORS AND CONT~ACTOR RESPONSIBILITIES If the owner has hired a c~ntractor or contractors to undertake work, 'they lay be required t~ be licensed in accordance with stat, and local regulations, If the contractor is not licensed as required by law, b~th the ~wner and c~ntractor ftay be cited for a aisde.eanor violation under state laK.; .If the owner ~r intended contract~r are uncertain as to what licensing require.ents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the OKner has hired a contractor or contractors, he is advised t~ have the contract~r(s) sign portions ~f the 'Contractor Sections' of this application for which they will be responsible. If y~u, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wor~. If the c~ntractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and 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 provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soae{.ne other than the "owner", 1 certify that 1 have obtained a, CDPY of the above described document and promise in good faith to deliver it to the "owner" prior to co.aence.ent. : t, "t (i, I" ~ : ~ . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlati~n in this application is accurate and that all ~ork will be done in coapliance with all applicable laws regulating construction, z~ning, and land development. Application is hereby ~ade to obtain a perlit to'do Mork and install~ti~n as indicated. 1 certify that no w~rk or installation has cDltenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws regulating construction, City codes, zoning regulatipns, and land development regulations in the jurisdicti~n. 1 also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bul '" e ncot Iiaited to: ... I Departle~t of Envir~nlental ReQulatiDn - Cypress Bayheads, Wetland Areas and EnvirDnmentally Sensitive Lands, Water/Wastewater Treatment . Southwest Florida Water'ManaQeaent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses . Ar.y Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways . Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, \Jaste~ater Treat~en~. Septic Tanks f US Environaental ProtectiDn AQencl - Asbestos abatement 1 also certify that, if fill laterial is tD be used in Hc.od Zone 'A" or 'I\,etc.', it is underste,e,d \h~t a drainage plan addressing a 'coapensating volume" will be sublitted which is prepared by a professie1nal engineer reqist~(ed in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the wor~ and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter ""i,i., ' "r","o, ,/ ,'ror, i. pl..,; eo.,tr,etl", " ,i,l.li,., ,/ "f "do, [,o'f p".it ",,,r' ,h,11 b"o" ,."Iid unless the work authorized by such permit is cOllllenced Kithin six ~onths of issuance, or if "ol'k authol lied by the perlit is suspended or abandoned for a period of six .onths after the t;,e the work is commenced. One 90 day e~tE~siol\ of ti&e, aay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection ~ust be logged during each six to nth period, or the project ~ill be considered db."doofd. " , 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 COM~ENCEMENT. JOBS UNDER $2J500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE_~~;,(_/~~------- CONT~CTOR No'~'" p~! ,~ MY COMMISSION EXPIRES__Mj0~~c(JCc!Jn!Y,Flor~a,-___ c. ,rr,~i'i.)'Jlrn.1992 DATE___7_~j_~_~__ij--- ~~~~~~C~~R~O_-- ~-- DATE __!t:.-j!?..-.5..L-----------~--~----'-- NOTARY AS TO m.JNER OR AGENT MY COMMISSION EXPIRES Ndf~.Pi,' ,:,~~ '1TyrAJrrfniG;;';--'"" ~CT:~;~~ " .... '. ... II '~.'. L~':r Housing Rehabilitation Project Community Development Block Grant Program City'of Zephyrhills, Florida Unit: 5318 King Street Zephyrhills, Florida 33540 Project Number: ZH-5.48-9 OWner: Verta May Key K proposed Improvements: 1. Install two solid doors at front and back, one exterior door at utility room, install screen door at front Cost $ ~. Check, re-wire electrical as needed, . Upgrade service to 150 amps Cost $ 3. Install CHA with heat pump Cost $ 4. Replace tub, install new hardware, Repair and rc-tile tub area Cost $ TOTAL BID: $ /" "l ~/' AJ ,,) ,...,,) I> , , 'I I