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Home My WebLink About91-1792 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Date 1792$ ct' - /?-9/ Permit N~ BUILDING DEPARTMENT 1-813-788-6611 ./ ),0 Type of Permit C_.."~~ ~AL P,opertyOwners Name: . ~~ ~ tl7[? Job Address: fo5. ~,~.tli >M. P~'-'-"' Legal Description: Sub.Div. Zoning CI: Description of Work Energy Code Readout: JJft . MeeRAN ICAl" Lot Blk. ~II ,;V91 :l ,~ b ~ Fee: ~ 0 SIGNATUR~ ('J~ COMPANyL13~ I-'Y\ C(,$l-~ l ADDRESS i~ V r 8 V'1c ~ <(.tl {., ~~ kf e fci ~ TELEPHONE # ~" '~ - i Y (1_ {) t( J-6 Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: Nfl All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ? 9- Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway EL RICAL MEC Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final 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. -S;l\M CONSTRUCTION B & M CONSTRUCTION COMPANY,' INC. P.O. BOX 5468 LAKELAND, FLORIDA 33807 TEL. (813) 644-0456 FAX NO: (813) 647-3794 4771-91 Date September 10, 1991 City of Zephyrhills Building Department Gentlemen: Power of Attorney is hereby granted Wayne Taylor for the specific purpose and the specific purpose only, of signing in my stead for permits and/or license for work at Amoco Service Station site at 6512 Gall Blvd., Zephyrhills, Florida Wayne Taylor's signature is as fOllOW~ ~~ Signed ~ f? ~'l.. Bobby L Moore state Certificate #CBC0003l3 state of Florida PCC 045039 Sworn to before me as a specific purpose and Power of Attorney for purpose stated above and subscribed in my presence this 10th day of September , 19~A. D. C~A~ ;I. tuU-/ Notary . , My Commission Expires , i ., I' .."'~! ... APPLICATION FOR PERMIT CITY OF ZEPR~RHILLS BUILDING DEPARTMENT APPLICANT ADDRESS F 0, [3 ~ f1t\ ~ 'VI <; 1. ,~, C3 P)L- _\Lf-hd ,LrA//ce/~ lid OWNER ~ (iL D D l' fA)' JOB LOCATIONb S-12 (~) l f.? It.v~ 1"//9 PHONE f l '? - ' 6' LfLfr () if~( " LOT SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. ~~ ____Sign/Temp. ____Sign _Hove ~tall ____Demolish WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair PROPOSED USE: ____Single Family _M/F ____~~ of Uni ts , .____M I 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 FO~lS.** **COPY OF CONTRACT REQUIRED. /BUILDING ~F.RMITS REOUESTED $ ,/ff 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. ""r). ~ b 'j. L ~ }vi 00 r c: . ********~:******************~n~*****,.,******1: I.:J 0 n ;1 _ () /' CONTRACTOR SECTIOi3 fj BUTLDER t:> '\. Yk.. GO -}l..4...P' LO' ,Company <:::\ 'YY\ ~~, (~ 0~ State Cere. or Regist, !I r: ~- ace 7 ':22 Signature c./"'.-I ' City License Registration iF 21 e:ht. . ~ - .. ............................."....,,,.. /~ vi El.ECTRTCTAN Company State Cert. or Regist. # Si2nature City License Registration # ****************************************** PLUMBER Company State Cert. or Regist. ~ Signature City License Registration j,f ****************************************** MECHANICAL Company State Cert. or Regist. # Signature City License Registration lJ ****************************************** OTHER Company State Cert. or Regist. # Signature City License Registration j~ APPLICATION APPROVED 3Y PERMIT OFFICER. --,.~ .. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The.undersigned understands that this perlit lay be subject to "deed restricti~ns. which may be more restr.ictive than City regulations. The undersigned assules respDnsibility:for,colpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor 'or contractor 1 tD undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor il not licensed as required by liw, both the owner and contractor lay be cited for a .isde.eanor violation under state law. 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 ~f Zephyrhills Building Departlent, (813) 788-6611. Further.ore, if the owner has hired a contractDr Dr cDntractors, he is advised to have the contractor!s} 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 work. If the contractor wishes you to sign as contractor that lay 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 Const~uction Lien Law - Ho.eoHner's Protection Guide. prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOlet.ne other than the .oHner", I certify that I have obtained a, copy of the above described d~culent and promise in good faith to deliver it to the 'owner. prior to co..ence.ent. .~ "i .. ~ .~: I E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, 20ning, and land develop.ent. Application is hereby tade to obtain a pertit to"do work and install~tion as indicated. I certify that no Hork or installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet standards of all laMS regulating construction, City codes, 20ning regulations, and land development regulatio~s in the jurisdiction. I also certify that I understand that the regulations of other govern~ental agencies ~ay apply to the intended Mork, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~le not li.ited to: .... I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.', it is understood t"~l a drainage plan addressing a .colpensating volume" will be sublitted which is prepared by a professional engineer fegisl~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 auth~rity to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a p~r~it prevent the Building Official frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit iSSUed ;hall becole invalid unless the work authorized by such permit is co.menced within six months of issuance, or if HOI'k authorIzed by the pertit is suspended or abandoned for a period of six lonths after the tiJe the work is co~menced. One 90 day e~t~nsioll of tile, 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 inspedie,n llIust be lc.gged during each six lonth period, or the prc.jed will be cc,nsidered ilbdl,dc,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 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". SIGNATURE ---------------------------------- OWNER OR AGENT SIGNATURE_~~~-~~~~--- VJNT RAC T OR-=-Q--~- - --- DATE___~~--~~1-~j[-~~---- NOTAR AS 0 ')/J/J \\ CO NT ACTOR JJr~~-- N E P I RES~~~ .1.:.cli- PURL!~~~TE OF i7LORIDA:1 "" ",;SSlO,'J EXPIfIES: JAN. 28. t99li I?-::','il...r':i:.< ~"HhU NOTARY PUBLIC UNDERWRITERS. DATE_______________________________________ NOTARY AS TO OWNER OR AGENT_____________________________ MY COMMISSION EXPIRES______________________ ... ......----