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Home My WebLink About91-1790 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT .3 ~-= {J"D 1-813-788-6611 ~t cXO ~ Ol) ~ GECTRrri?) ~NG M~CAL propertyoWners_Na~e: !l!dA-(f-~ N",:Z:t; Job Address: ~ -S /.s - -.-S _~ _' permit:N~ 1790;J Date-.i;; - / ? - /' / Legal Description: Sub.Div. Lot Blk. ZoningCI: I/~OO-::;;- U~.300 - ~ Description of W~rk " ~ -<" ~ - J-<I ~~:.. "- _ "J ~~, ~/ Energy Code Readout: Co-m~, ld--3~-ql Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ..3 ~- 0- 0 . /,)L) , OCCUPATIONAL LICENSE #.3 a/ Fee" .ss-~ ~ SIG~ATURE" ~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. :21 Ftr. Pre SLB Lintel ~ FRM. ll-7..b~ <-), I . Insul.CL WL SLB Tub Set Water Sewer Final Tp. e . Rough In '"1- 4.-., I 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 (SIO.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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 1f:?Il~ (11, ff/J> ADDRESS 5"-- _ __ Sf: OWNER fi14rj4re/ /It. ttJ~ JOB LOCATION S5/5 5" tJ:. 5 r PHONE 1%;1. - Ro;;S - . LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~, . WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~stall ____Sign/Temp. PROPOSED USE: ~ingle Family ____Sign _Hove _Demolish _M/F ____i~ of Uni ts , .____M I H ____commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: /0 X 10, . /00 Square Feet, 'II 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 FORl-1S.""* **COPY OF CONTRACT REQUIRED. ere 35 (JO =-- pERMITS REOtJESTED ~ILDING ~LECTRICAL $ Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame ____Steel AIM,.. Other FINISHED FLOOR ELEVATIONS: FT. Sillnature f./!!s11l fiufrit/ Company Aa. r;4/ir,' State Cert. or Regist. ~~ lJOO(Jc.t,;J'1 City License Registration 11 '::..2./ ****************************************** ****************************************** CONTRACTOR SE~ ~! ~~ ' Company , State Ce t. or Regis . II if City License Registration ji .'3iLl ****************************************** BIl1LDERQ~ at.-. Signature ELECTRTCTAN ~ Signature Company State Cert. or Regist. # City License Registration ji ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration ji OTHER APPLICATION APPROVED BY ****************************************** -7! -'i ~ ""'0 ~/ /l ,r> - i- . PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - Th! und!rsign!d und!rstands that this p!r.it lay be subj!ct to "d!~d r!stricti~ns' which ~ay b~ more r!str,ictiv! than City r!gulations. Th! und!rsign!d assules r~sponsibility~for cOlpliance with any applicable deed restr}ctions. 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIEILITl~S . If the owner has hir!d a contractor or contractors to undertake work, they ~ay be required to be licensed in accordance with state and local r!gulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a aisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended w~rk, they are advised t~ contact the Ci.ty of Zephyrhills Building Departlent, (8131 788-6611. ' Furtherlore, if the ~wner has hired a contractor or contractors, he is advised to have the contractortsl sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the ~wner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the w~rk. If the contract~r wishes y~u to sign as contractor that aay be an indication that he is not properly licensed and is not entitled to perlitting 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 C~nstruction Lien Law - HOleowner's Protection Guide' prepared by the Florida Depart.ant of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the 'owner', I certify that I have obtained a, copy of the above describ~d docu.ent and promise in good faith to deliver it to the 'owner' prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby aade to obtain a perait to'do work and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a pertit and that all work will be performed to meet standards of all laws regulating c~nstruction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies ~ay apply"to the intended ~ork, a~d that it i~ ay responsibility to identify what actions I must take to be in compliance. Such agencies include bill ~l e IlC,t lilited to: . J I Depart_ent of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Envlronrnentally Sensiliv~ Ldnds, Hater/Wastewater Treatlent I Southwest Florida Water ManaQelent District - Wells'; Cypress Bayheads, Hetland Areas, Altering Watercourses f ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify tha~, if filllaterial is to be used in FICtOd Z[lne "A" or "A,etc.', it is understc,[,d th~t a drainage plan addressing a 'co.pensatlnq volute" will be sublitted which is prepared by a professional engineer regist~ied in the state of Florida prior to permit issuance. A perlit issued shall be construed to be 'a" license to proceed with the work and not as authority to violate, cancel alter, or set aside any pr~vis'iDns of the technical codes, nor shall issuance of a permit prevent the Building Ufficial frolll thereafter requiring a cc.rrection [If errors in plans; c[.nsiructi[.n, c.r vi~lations of any 'cc,ll~. Ev,ery perilli t iSSIIl!d :hall becole invalid unless the work authorized by such perlit is cOlaenced within six months ~f issuance, or if work authol Ized by the pertit is suspended or abandoned for a peri~d of six lonths after the tiJe the Hork is co~men(ed. One 90 day e~lt~Sioll of tite, lay be allowed f~r the perlit with fee charge of $15.00. The extension shall be requested in wriling to the Building Official. An approved inspecticln lust be Ic.gged during each six month period, or theprc,ject "i II be cc,nsidered ab61,dr,ned. 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 OETAIN FINANCING. CONSULl WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OSS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO CEMENT". MY COMMISSION --.------- DATE -------- SIGNATURE__l~~ OWN DATE____3_~lq___ __ L_i1J~- AGENT NOTARY AS TO OWNER OR AGENT NOTARY AS T CONTRACTOR . STATE 0"", n:ORlDIJ 1.QN..~.oo:~~.f,- L6~.! ~9..f.i. .ONDED THR\.J Nu,AkY f-UULIC UNOEflWRITER9. .. MY COMM I SS ION .------.------------ NOTARY PUBLI ::..~~DMMIS510c,; ~I:11~2F FLORIDA'. THRU NOT"'RY"tlBL;CJ;)[<;. 16. 19911 . UNOERWRITE:R'" Jack Hall Jr IS lJALITf ALUMINUM SERVlCES (813) 667-0068 License #RRC058470 ~ IpeoW P~LL f~:~ ~ ~';~ ~ (~k ~~ N ~lis J),~1 D. .) to~Jj ;;(, r 8u'l ~ ~I - D " J DAi'L J I ~D ~. (L..utl:^", ~ (g I 10 1/ #:-T~tc l),w~ . Vi^1! ~ O~~. 'i ~'D,! ~ 'tJMfL- ~~s~ r/I?-ql w';/'y,;" oJ< Jl;/)I~ 5Ju ( .' . ," /l.J THE FLORIOA HOME IMPROVEMENT ACT, UNOER THE30AYR~ECISS ~C. Authorized V c:../f ;; Sllnatun '~ -cf '----- ~ Sllnatun ,)( nrJ'lh-'!f;! 1)7//. j;[) I~ 1& THIS IS TO AOVISE YOU THAT YOU ARE PROTECTEO BY PLEASE READ BEFORE SIGNING: Workmen an covend by workman'. comp.nution lnaurance and liability In.uranc.. Company II bonded and iRlUne!. All accounta to be paid by cub. 10% depoalt and balance due on compl.tlon. No v.rbal apeem.nta will ba honone!. 1% per montb .."Ice chalp on -\I put due KCOunu unl_ otherwise agreed in writing, p1UI attorneY'1 fccl. I year labor warranty. Subject to final approval of Corporate officer: Slp.tura Date 1-7-11 Date ~, ~...'" II , TWF.' ?~ 5., RNG?/ E., N. w. E. S. A SURVEY 0 : Lots 1 and 2 AND Lots 3 and 4 , Block recorded in Plat Book 1, Page 54, ~ub1ic 63, CITY OF ZEPHYRHILLS, as Records of Pasco County, Florida. C. 9'Jfcct q),ul ttnd ~'socin..I"c. 51. IW.~ - Z.plly,jllb ;,d till to SfmI.y. ....... R..,S.. _ !J/~ FOR: Ernest Watts DATE: June 6, 1979 ORDER 113005 DfIIa AM. eM/. G;;