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Home My WebLink About91-1818 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDI~_;I~ENT PermitN'~ 1818$ Date .f- :-::1lJ-<j / C~I~9/' ~... ~/-'~L '~ropertYOWnerSN.me: w~ ~.. _ '" , ,~J<P'(.MML Job Address: ~~_ -------==------ _~n - / Legal Description: Sub.Div. Lot Blk. Type of Permit Zoning CI: 4 DescriPtionofworkJ-c/~~ ~7~./ ~.- ~?r~~ d71~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ..------- All work shall be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ) --~'~"~ PLlJM&tNG Ftr. Pre SLB Lintel FRM. Insul.CL WL / SLB Tub Set Water Sewer Final Driveway Fee: c:<.2J I ~ SIGNATUREi ~/Lc'....U'-1 COMPANY ADDRESS TELEPHONE # ( ~ / / '-1- <--t-<-r (.~ _ MF=(,IotMJIOAL 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 ($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. Thc paymcnt of rcinspection fccs shall bc made beforc any further pcrmits will be issucd to the pcrson owning samc. APPLICATION FOR PERl'iIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT MAPLE LEAF RESTAURANT th . 5740 7 St. Zephyrhi11s, "F1. ADDRESS PHONE OWNER JOB LOCATION LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. t~ WORK PROPOSED:____New Construction ____Addition -^lteration _Repair ____Install _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ____Single Family ~/F _t~ of Units ,._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 FORHS.** **COPY OF CONTRACT REQUIRED. ~ERMITS REQUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL --2-MECHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ o ....')( GAS Valuation of Mechanical Installation ____PLUMBING ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. ii__ City License Registration a ****************************************** BUILDER Sirmature Company State Cert. or Regist. a City License Registration a ****************************************** f.T .ECTRT CT AN Signature Company State Cert. or Regist. 0 City License Registration a ****************************************** PLUMBER Signature Company S~ () efjil G t1 ~ State Cert. or ist. Ii 3709 City License Registration 11 :J"'l"7 , ****************************************** MECHANICAl. Signature Company State Cert. or Regist. a City Li9-efl.ge Registration i~ OTHER APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The undersigned under5tands that this perlit lay bl sublect to "deed restricti~ns' which may be ~~re restrictive than City regulations. The undersigned USUles responsibilitf.'for cOlpliance with any appl icable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the ~Hner and contractor ~ay be cited for a misde.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 of Zephyrhills Building Depart.ent, l8131 788-6611. Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(sl 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 respclnsible for the we,rk. If the celntractelr wishes ye,u to sign as contractor that nay be an indication that he is not properly licensed and is not entitled te, 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 Consuler Affairs. If the applicant is sOle6ne other than the "owner', I certify that I have obtained a. copy of the above described 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 compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a perait to do Mork and install~tion as indicated. I certify that no work Dr installation has COllenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply. to the intended work, and that it is IY responsibili ty te. identify what actions I tlust take to be in compliance. Such agencies include bllt ~l e IiC,t I imi ted to: .'" Tanks I also certify that, if filllat!:rial is to be used in He.od Ze,ne "1\" or "I\,elc,', it is underste,od th3t a drainage plan addressing a 'compensating voluee" Hill be sublitted which is prepared by a professional engineer fegist~red in the state of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every per~it iS511~d ;hall bec~le invalid unless the work authorized by such permit is commenced Hithin six lIonths of issuance, or if wOl.k authDI lzed by the perait is suspended or abandoned for a period of six lonths after the ti2e the worK is co~menced. One 90 day e~tensioll of tile, nay be alleowed for the perlllit with fee charge of $15.00. The extensieln shall be requested in liTiting te, the Building Official. An approved inspection must be logged during each six lonth period, or the project will be considered dbal~oned. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SlGNATURE~~~~~--- ]),4p),v J I'1rVD(iM#~"ffT"'" OR AGENT 31i"3:i}Etott;t?~~,.s rL' 33S-;i-1 DATE ___-.;{.€.E.ZJ~.P.J_fJ~&---.;ft.",-L.L1.L------- ;~;~80:TS:;~~1l~8J/i-~-'<$- ~g~~~~C~~R~~~ . 'FL .. MY COMM I 55 ION EXP I REp.:.._____________________.' MY COMM I SS ION EXP I RES _!!Q.T~B.'LJ:\LBJlC...sWE...&-FlORIDA ~~,;;J.,., ....u.".....__.J. MY COMMISSION EXp.. ~.?R.19,1992 BONDED THRU GENERAL !i4S. UNO. CO TRACTOR DATE________f1J-~QJ-~j---------------