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Home My WebLink About91-1817 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit )f~ lS1;P Date--Z>' - 3' () - 9' J Type of Permit ~ ELE~ GUMBIN~ ME~L Property Owners Nam~~./-~~ Job Address: 3f-63 cP- .- 7.4 tL,.e Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work ~-fi"'" JJ7.A ~~o _.It7/oA'~~.1 Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: /~A' Fee: ~o-D SIGNAl'U lYvv- COMPANY ADDRESS TELEPHONE # Ci>>w'rr ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. r:J1! /' L. OCCUPATIONAL LICENSE #[0 r~ l.Ak:h ~. Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Tub Set Water Sewer Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($ 10.(0) 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 ZEPHYRlIILLS BUILDING DEPARTl'1ENT , .. APPLICANT ~at Pomp , . ;.~' . PHONE 7'83-3682 ADDRESS 38038 7th Avenue OWNER '. Same JOB LOCATION Same LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. t~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install _Sign/Temp. PROPOSED USE: ~Single Family ____Sign _Hove _Demolish ~M/F _t~ 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 FORNS., 1d, **COPY OF CONTRACT REQUIRED. J?F.RMTTS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation ...xL-PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame _Steel I' Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~ONTRACTOR SECTION Company State Cert. or Regist. # City License Registration n ****************************************** BUTT.DER Si!!nature Company State Cert. or Regist. 0 City License Registration U ****************************************** ELECTRTCTAN PLUMBER RrllC'P r..<1rri g.<1n "Illllmhing . Company. Bruce Carrigan Plumbing ~ /1., .-. ~ State Cert. or Regist. "B.E'=0018R4? Signature tLr-~ en City License Registration iF 29 ~ * * * ** * ****** *** * **.****~,*** * 1, ,', ,', 1, 1,,~ ,', 1, * 'I, *,~ ,', Signature Company State Cert. or Regist. 0 City License Registration ~ ****************************************** MECHAN1CA1. Signature Company State Cert. or Regist. n City License Registration n OTHER APPLICATION APPROVED BY ****************************************** 11 ~M'<1 ;.y ~AA^'V . PERtlIT OFFICER. CONDITIONS.,OFPERMIT AFFIDAVIT 'i: '... A. NOTICE OF DEED RESTRICTIONS The .undersigned understands that this perlit lay bl sub~ect to "deed restrictions' which ~ay be aore restr.ictive regulations. The undersigned a5SUIe5 responsibilitf.;foT;..c01pHancl! with any applicable deed restrictions. '. . ;Hf" ," . ' I than City 8. , UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES , If the owner has hirl!d a contractor Dr contractors to undertake work, .they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, 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 Khat licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBI31 7BB-bbl1. ' . ".' Furtherlore, if the owner has hired a contractor Dr 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 owner 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 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 Consumer Affairs. If the applicant is so.e~ne other than the 'owner", 1 certify that I have obtained a. copy of the above described dr,cuJllent ilnd pron\ise in Qe,od faith to deliver it to the "owner" prior to cOliencelent. : '. _': ':~~. \, 1_ : : 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 coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a perait to' do work and install~tion as indicated. I certify that no Mork or installation has coatenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws regulating construction, 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 work, and that it is ay responsibility to identify what actions I lust take to be in compliance. Such agl!flcil!s include b\ll il' e Il(,t lillited to: . ".... . I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds, Water/Wastewater Treatment I Southwest Florida Water. ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses I Aray Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health" Rehabilitative Services. Enviromlental Health Unit -Hdls, Hastel1ater Treat~ef\.~. Septic Tanks I US Environaenta\ Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flbod Zone "A" or "A,elc,', it is understood th3t a drainage plan addressing a 'coapensating volute" will be sublitted which is prepared by a professional engineer regist~ied in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a p~rmit prl!vent the Building Official from thereafter requiring a correction of errors in plans; construction, or violations of any COOl!. Every per~it iSS\led :hdll becote invalid unless the wort authGrized by such permit is co.menced within six lonths of iSS\lance, or if H01.k autho\ lied by the perlit is suspended or abandoned for a period of six lonths after the ti,e the Hork is co~menced. One 90 day e:lensjo\, of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An approved inspectie,n aust be Ic,gged during each six lonth period, r,r the prc,jed Hi II be considered abcil,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 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 COMMENC~MENT". . .. fl.,,-, ~r{;Lfd.O---&~{OJ-~7.) SlGNATURE~~E~f-~----- SlGNATUREJ1.1!.?_~~~<<J_-~ DATE ____CJ.:-~2-::t.L--_---------.------.---~--- ~~~~~YO~SA~~NT__~_ ___~~~..- ___ ~~~- .~c 'TATEOFFLOlt . NO ARY. l'lffl..... " IRES' .'!Ull" l \95- MY COMMISSION Eil.ftI~ISS'ON i,)[:~'rAUc~jl,il~ _tIIIIIO BONDED 1'BB'l~Lu.w""'-~---------- DATE___~~~f-i_~_~l___--------- ~g~~:~cAORTO _~____ ... ------------------- MY NOTARY PUBLIC. STATE OF FlORIO-X.-. MY COMMISSION EXPIRES; JAN. 28, 19901. BONDED THRU NOTARY PUBLIC UNDERWR\TJ:,R9i