HomeMy WebLinkAbout91-1778
STATE OF FLORIDA
City of Zephyrhills
.,
PASCO COUNTY
BUILDING DEPARTMENT
1-B 13-7BB-6611
Permit N~ 17781=
Date 9 - II -- 7' /
Type of Permit
~o
~G (~~TRIC~W P~ M~
~~:P:::r~s:~ers Name gi~~ 1J;~ ~~1
Legal Description: Sub.Div, Lot Blk.
Zoning CI:
Description of Work
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
4
Fee:
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
Q ~D C~;:t7
;J
SIGNATURE ,./""-
COMPANY
ADDRESS
TELEPHONE #
OCCUPATIONAL LICENSE #
lif41~
SL
Tub Set
Water
Sewer
Final
M~NIGAL
Ftr. ____
Pre SLB
Lintel
FRM.
Insul.CL
WL
Tp.Serv,
Rough In
Meter Can
Const. Pole
POOl
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Reinspectlons: 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.
APPL'ICATION FOR PERl-lIT
CITY OF' ZEPIITRHILLS
BUILDING DEPARTHENT
JOB LOCATION
( If /tlAr\. tJ{) !(r/)
,~rl- ODG'
APPLICANT
ADDRESS
PHONE
OWNER
'.
AREA SQ. FT.
--
BLOCK
--
LEGAL DESCRIPTION: LOT(S)
SUBDIVISION
PARCEL 1. D. t~
WORK PROPOSED:_New Construction ____Addition ____Alteration ____]~epair _Install
_Sign/Temp.
____Sign
____I'love
_Demolish
PROPOSED USE: ~Single Family
~M/F
____~~ of llni ts
, _____1'1/ 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 rORHS. ~d-
**COPY OF CONTRACT REQUIRED.
PERMITS REQUESTED
____BUILDING
~LECTRICAL
$
Valuation of Total Construction
AMP Service Florida Power Corp.
_H.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
FINISHED FLOOR ELEVATIONS:
FT.
If B ~k v..f !. If!r (e
( hi /(1 h~ ..J
of
TYPE OF CONSTRUCTION: _Block
Frame
~*************~*********
CONTRACTOR SECTION
Company
State Cert. or Regist. ff
City License Registration n
***********~******************************
J III- Company 111<< vt WO If! !ICIecl .7itc.,
State Cert. or I~cgis.t, il /E,( 0 (1 J~.r-y ct
City License Registration il ~.:<O
*************************************
BUILDER
Signature
'"
.ELJ::..G.IR1.{;
Company
State Cert. or Regist. 0
City License Registration U
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. 0
City License Registration 0
******************************************
MECHANICAL
Signature
APPLICATION APPROVED BY,
Company
State Cert. or Regist. n
City 'cense RegistraSion il __
OTHER
Signature
PERl'lIT OFFICER.
CONDITIONS~O~iPERMIT AFFIDAVIT
NOTICE OF DEED RESTRICTIONS
A.
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,
ONTRACTOR RESPONSIBILITIES
B.
UNICENSED CONTRACTORS AND
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799-6611. ' '
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City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
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'o~ner' prior to COI!encement.
~ t,'~ .(., ". I :: .
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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applicable laHs regulating construction, zoning, and land development.
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Water/Waste~ater Treatment
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I ArtY Corps ~f EnQineers - SeaHalls, Docks, Navigable ~aterways
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I US Environ~ental Protection AQenc~ - Asbestos abatement
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Florida prior to permit issuance.
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."m.' I ""ee Ii" '"' \ b. I."" 'OC i., each ,i. ",th ,.d ,d, " th, p" j," ,i 1l b. ",.. id ee ,d ,b ",d ",',.
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 $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SlGNATURE_~~~~-~~-~----------
/ O"tR DR AGENT CONTRAC
DATE ----9..I;!!..L~!/-------------------- DATE_______J=--tL~-i-------------
~~~~~V o~s~~WdJ;JjLf1!fib=C~~R~~-~~-
NOTA;~Vi\~tTE O'F FLORIDA.
MY COMM I S9 ION EX'W'..f.%~..;'~ MV COMM I SS I cm.,liijt' tf"ll:Jc;",rnnWKOiimC---
. .,'<";", 'c.:i~ ,; . ':":;'I~ES: J~n, 16, 1995.
,."."Lv trh{U NO~A.l{Y Plmi..IC UNDERWRITERS.
SIGNATURE
.1