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Home My WebLink About91-1782 STATE OF FLORIDA City of Zephyrhills ~ lBU~ '----.. PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 178211 9-/3 -7'/ Date ~ P~ MEC~CAL Property Owners Name: Job Address: -.27 Lot Blk. Legal Description: Zoning CI: /71 ~.;J.-/ - 0 0 0 <:) . Description of Work j, . -"".""""if ~ 0;).. 00- (', <.) UI <:) Energy Code Readout: ~ L~-5'..()-9/ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 9 ~ . cJ-O Fee Ol.o~ ~ SIG~ATURE ,/ ..__~~ I COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #/D 111~ ~~~' \,;. BUILDIN~_.. Pre SLB1:J.,/ I-If ~ Lintel FRM. Insul.CL WL ------ E~CAL ~ Tp.Serv, Rough In Meter Can Const. Pole POOl Pre-Meter Final ME~ICAL ~ 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. APPLICANT APPLICATION FOR PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT C (; ]v <p V) \?~" ~l f:'_,--7 ;2 IlL ((' tuJ1L't HircLe77 . JOB LOCATION '"J 7<:1;1. Y 13 riD Ge ' LEGAL DESCRIPTION: LOT (s) D'1'J Y 01 A-/'Y BLOCK -r -j) ADDRESS PHONE 7~; .1.-0 c.'j OWNER " LOT SIZE<~-J X 90 AREA SQ. FT. SUBDIVISION I..A) / .,IV? '(?,",A>.J) 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 , _____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 FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ~UILDING $ 9t7?U7> Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ____Steel .Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** /CJ , ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** Si!Znature Company State Cert. or Regist. # City License Registration # ****************************************** 'PLlJMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ~~.~.~.:......~.**.***..***' PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - Th.,.d.,.'g..d "d.,.I..d. Ih.' Ih'. p."" "y b. .,bl.tl I' 'd..d ,..I"tl"..' .h'th "y b' ",. ,.."j"". 'h.. C'ly regulations. The undersigned aSSUles responsibilitf;foT"colpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If Ih. ,.." h.. b;,.d . ".Ir.""" ".1,.,1". I' ,.d.,I.k. ."k, 'h.y "y b. ,."".d " b. I't....d ,. .tt.,d..,. .'Ih .1.1. ..d \".1 ,.g,\.li'.., If 'h. t,.I,.,I" i. ." li,....d .. ,."".d by I'., b,lh 'h. ,..., ..d t..I,.,I" ..y b. ,i,.d f,' . .'.d..."" ,;,1.1'" ,od" .1.1. \.., If 'h. ,..., ., i.,..d.d "."."" .,. ,.t",,;, .. " .h., I"...;.g r.,,;,....I. ..y .pply f', Ih. i.I..d.d ."k, Ih.y .,. .d"..d t, t""" Ih. C"y ,f Z.,hy,h'll. P,;ld'.g D.,."..." "131 79a-6611. F"lh.,."., ,f Ih. ,..., h.. hi,.d.. "..,.tl,' " "..,.,1"', h. ,. .d,;..d " h." 'h, ".I",'"I.} .;g. ",I',.. ,f Ih. 'C,.".,I,' 5.,1"'" ,f 'h" .ppli,.II'. f,' .hl,h 'h'y .111 b. ,..p...'b\.. If y", ,. 'h. ,..., .;g. .. 'h. ".I,.t"', y" .,. i.di,.,i.g 'h.1 y", ,,'h.' lh.. lh. ".I,.el'" .,. ,..p,..'bl. f" 'h. .".. If 'h. ".",e'" .'.h.. y" I' ,'g. .. ".I,.el" 'h., "y b. .. ;.d'e.li,. 'h., h. i. .,1 p",.,ly I;t....d .,d ,. .,1 ..l;ll.d I, ,"';"'.g ,,','I.g'. ,. 'h' City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) D. 1 e.,lify Ih.1 I, Ih. ."lie..I, h.'. b... p,,'id.d .;Ih . e'py ,f 'FI"id.'. C,..",t"" li.. l.. - ",..,...,'. '"I.e'i" Su'd.' ".,.,.d by Ih. Fl,,'d. D.,."...I ,f Ag,le,II,,' ..d C,..,.., Aff."', If lh. .,pl;t.., ;. .,..d.. ,Ih.' Ih.. Ih. '".,,', 1 ",lify Ih.1 1 h'" ,bhi"d . e"y ,f lb. .b'" d.."Ib.d dot"'" sud P""" ;. good hith to d.Ji," it to ". 'owner' prior to COlmencement. ": 1 -, .~ ~ ' ; , E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 e.,lify lh.1 .11 lh. ;.f,""'" i. Ih;. ."I;t.li'. ;. .ee,r.l. ..d Ih.l .11 ..,. .;11 b. d.,. ,. t,.,I;..t. .;Ih .11 applicable laws regulating construction, zoning, and land development. . A"I;t.li'. i. h.,.by ..d. " ,bl.i. . p.,.'1 I,.d' ."k .od ;..1.11,1;'. ,. i.d'e".d. 1 c.,lify lb.1 ., "~,I " ;..1.11.1',. b.. e,....t.d p"" I' i..,..,. ,f . p.,.il ..d Ib.1 .11 "~,I .ill b. p"f.,..d I. ...1 .,..d.,d. ,f .11 I... ,.g,I";'9 e,..I"tl;", C"y c,d.., ".i.g ,.g,I.I;,.., ..d 1..d d.,.I"...1 ,.g,I,I'... ,. Ih. i",.d'tl;", 1 .1., e.,I;fy Ih.1 1 ,.d".I..d Ih.l lh. ,.g,I.I;,.. ,f ,Ih.' g".,.,..I.1 ag..ei.. ..y ."IY. " lh. i.I"d.d "", ..d Ih.l ;1 ;. ,y ..."..'bility I' id"lify .b.1 .eli... I ".1 h" I' b. i. ,,,pi'..,,. Such 'g'''''' ',d,d. b"l ". ",l l;.it.d ,,, .... 1 .1., ,..';fy Ih", if fill ..I.,i.1 ,. I, b. ,..d I. FI.,d Z,.. 'A' " 'A,."." " ;. "d...,..d .h.. · d";"9' ,I.. .dd,...i.g . "",""".g ,.1'." ,;11 b. .,b.i'l.d ,bieh ,. p..p.,.d by . p..I,..;...1 ..g"'" ,.,',I,;.d ,. Ih. 5'." " Florida prior to permit issuance. . A p.";' I..,.d .h.ll b. e,.,I.,.d " b. . Ii,.... ,. p,.c..d .'th lb. .,.. ,.d ." ,. ,.'h""y," ,"I.t.?,t,...1 .11." ,. ..1 ..id. "y p"",I,.. ,f Ih. l.th.le.1 e,d.., ." .h.11 I,.,..e. ,f . P"',' p""" 'h. ,.ill." D"",.i f," Ih....fl.. ,.,,;,i., . ".",11" ,f ..",. ;. pl...; e,..""';'" " ,1,1.1;." .f "y ,.d.. E",y p.,.'1 ,.,,,,d ,h.11 b."., i.,.I;d ,.1..' Ih. ..,. .,Ib,,;,.d by .'th p.,.;' i. e,....e.d .ilh'. .;. ...'h. ,f ;"""', ., 'I .,,1 "'h.,,..d by 'h. p."" ,. .,.p,.d.d " .b..d,..d f" . p..;,d ,f .;. .,.Ib. .fl., Ih. Ii.. Ih. ",k "......"d. "., '0 d.y ."""." " 'i.., "y b. .11,..d f', 'b. p.,.il .i'h f.. ,h.,g' ,f 115,00. Th. ..'...i,. .h.11 b. ,.q,....d ,. ."".g " 'h. ,,;Idi.g Of".;.I. A. ."""d ;..por"ou "" b. I'qq.d d,ri'9 ",h .;. ",.Ih p.ri,d, Of Ih. p" i.d ., II b. ".."",d ,b..,dOf,.d. WARNING TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR TMPROVEMENTS TO YOUR PROPERTY. IF YOU TNTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". '/ SIG"ATUREJJ~JAl.:L):JD..~0!;l!::JL STGNATURE ~~-- -~ OWNER OR AG~T' ~. l'~i?iiNTR CTOR DATE______'!-:.!/!.::--'!.L--------------------- DATE___~--Y---C;Zf------------ NOTARY AS TO '..J),.- " .~~~~~~C~~R T_~__________;/1~___ OWNER OR AGENT~~-~~~~--~- " EXF-lIR~S .-. _ _ __ -n--- ofiiry1'ii61lc,-sfme @m"t;ji(J My Commission bpiit:s f,;'J"$. 22, ~'~'?2 Bonded Thru Troy fe.in . ImufCince Inc. MY COMMISSION EXPIRR~~~~r~~-~---- My (ommissilll'l hpiris Nov. 22, 19'12 Bonded Thru Troy Fob. Imuranc6 I~c. MY CoMM I SS ION " OWNER CITY OF ZEPHYRHILLS BUILDING {VAL! jl-IILL e 7T .77 <7:;. V (3 'y1' DG-E- DEPARTMENT JOB LOCATION ~ LA) I /If /ev"~ , I~Y(< PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES ~VING DIMENSIONS & SETBACKS. ~l, /l~~ ?e:. U~ , lIP I "-~ ..1. \ ~ ~~I ~ ~ ~ , ~ ~. ~q ~ 1f+ ,'" "1 I I I ,I(' ~o 0' I 11--- UTILITY BUILDINGS ( MUST SHOW SIZE & ,1- FOUNDATION INFOR- MATION. FRONT LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 2. SETBACKS FOR R3 ZONING 60' 60' > la' P E- R X 0 I I 10' P S la' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING la' PROPOSED 20'SGL FAH 30'DUPLEX 1 A' FRONT PROPERTY LINE FRONT PROPERTY LINE