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Home My WebLink About91-1821 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ - 1821 Date /0 - / - "I ELECT~AL PLU~ING MECH~CAL Property Owners Name: ~~ cI'. ~/j~ Job Address: b / ~ Jf /9 "at ...i;C, Legal Description: Sub.Div. Lot Blk. Zoning CI: ///2. h -d I -1.1t>,-lej Description of Work. ~ fa / &nJln tA - ~L- Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~o C> 1:)'0 All work shaH be performed in accordance with the above and all City Codes and Ordinances. OCCUPA T10NAL LICENSE # t}W 111 L/? ICAL Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Tp.Se . Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Ins!. 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. Thc paymcnt of rcinspcction fecs shall be made beforc any further permits will be issued to the person owning same. . APPLICATION FOR PERl'IIT CITY OF ZEPHYIDIILLS BUILDING DEPARTMENT OWNER viA Lf.€(. G:, I J, L{ WR-d-c IL . f L, Iql4 J;;~tJAJF SeA \lEY sf c::.EA\JEy LOT SIZE~Xl2.2..1'Z.AREA SQ. FT .13f03 .'J.- SUBDIVISION '2:GPHyR..Bf€t; eGo St48.P;V' PHONE '78';). -c?J'o 9 APPLICANT ADDRESS JOB LOCATION LEGAL DESCRIPTION: LOT(S) I " PARCEL I.D.t~ / j- Z- ~ - L BLOCK ( WORK PROPOSED:____New Construction ____Addition -^lteration _Repair _Install _Sign/Temp. ____Sign _Hove _Demolish PROPOSED USE: ____Single Family ____M/F _t~ of Uni ts .._M/H _Commercial ____Indust. _Swim. Pool ~CAJCt:= Other ____Restaurant & Health Department Approval BUILDING SIZE: RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. x Square Fee t, Height ____ELECTRICAL AMP Service pERMITS REOUESTED valuation of Total Construction frlaT.Q/U~ olO~ill(l- OW ~ +.v ~S' 1'Cl.lLJL (j Florida power Corp. _____W.R.E.C. _BUILDING $ 4004SL _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY fC:lIlcc::-' Other TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** }3U1LDER S i !!na ture Company State Cert. or Regist. # City License Registration # ****************************************** ET .ECTRT CT AN Signature Company State Cert. or Regist. ;! City License Registration ff ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration a ****************************************** MECHANICAL Signature Company State Cert. or Regist. 0 City License Registration ff OTHER APPLICATION APPROVED BY ~~~~,;;::;:::**************** 17 PERMIT OFFICER. .. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed re5tricti~ns' which may be 30re restr.ictive than City regulations. The undersigned assules respDnslbillty~for co.pllanc! with any applicable deed restrictions. . . 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to b~ licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the ~wn~t and contractor lay be cited for a lisde.eanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requirelents .ay apply for the intended Hork, they are advised to contact the City of ZephyrhilJs Building Departtent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorts) sign portions of the 'Contractor Sections' of this appJication for which they will be responsible. If you, as the ~wner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the Hork. Jf the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitJed 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 Hith 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 s~le6ne other than the 'oHner', I certify that I have obtained a. copy of the above described document and proffiise in good faith to deliver it to the 'owner' prior to co..ence.ent. , . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work wilJ be done in coapliance with all applicable laws regulating construction, 20ning, and land development. Application is hereby lade to obtain a pertit to do Hork and install~tion as indicated. I certify that no work or installation has cOltenced prior to issuance of a pertit and that all work will be performed to ~eet standards of all laws regulating construction, City codes, 20ning regulations, anrl 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 responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ale not li~ited to: . J.""" I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environffientally Sensi live ldnds, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering HatercOUfses I Arty Corps Gf Enqineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Hastewater Treat~ent, Septic Tanks I US Environaental Protection Aqenct - Asbestos abatement I also certify that, if fillllaterial is to be used in Flood Ze,ne "A" or "A,etc.', it is understo(,d that a drainage plan addressing a 'compensating volume" Hill be subtitted Hhich is prepared by a professional engineer regist2ied 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 viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the BuiJding OfficiaJ from thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issu~d ~halJ becole invalid unless the work authorized by such permit is commenced within six months of issuance, or if Ho!.k authol lied by the pertit is suspended or abandoned for a period of six lonths after the ti2e the work is commenced. One 90 day e:te~5iol\ of tile, aay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each SIX month period, Dr the project will be considered abdl~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". SIGNATURE ------------------------------ CONTRACTOR DATE O-,fC!J ~ q / .. ---------~----------~---------------- DATE ----------------------------------- NOTARY AS~O .~. \_\. ".,..." _.1~... OWNER OR A ~_~~~~~~J~ Notary Public, State of Florida. MY COMMISSION EXPIRESMly~~~~~~!~k~1~_1J2~___ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES " ------------------ 't , J . IV (>;"\ ;-tA Eac:., Q. D ~ a I, h"L,~ ~Q,e. L/JV\W-G +c fae ON t../~e.1 Fbsts -\.0 b.& C ~'ti.C.D \&)~\(.~ \JJ~LL ~ ~ 71/' oF~ ll~ ~.3 · (2- 0- F 6 N C ~ 101 i 1 ~ <~ , . ~ . -" "/~...,o ~ I fG,;t.F ... ~ 7'1, ~ ~ -- ~ ' ~.~ ~ ct,~ ~J( foOl RE.;;R.. PRoR L\'NE fA -0 u+;L'\ +I'e~ EA~=~CMlr --e rl\ ~ - e.-- - -0 ~u- ,Q fc.'7 ~ ...p ~ I I J~9~ Kif "".~' /1"' , () M ~ -it!; g ~ " y .e J 5 I 9 '1 -/r;'b rl ~Co - L) )~ ~ I ( 7/' ~ ) use f 1J{IG#I3~e.s 'fGN'C: , . . Ir.,~ 3" oP; L,~e. .:J/ 122-'/)., 1 , 1ll'C) '- .,.~ t ^ ':"' , \~.., ", l)'" , ~ \ I'. 1.-; ('4 " ) O. -7 I ........ _~~,,"_-;L ~~- J_ __ ... ,II "- .' 'r------, --, ..., _...-_t_v~ . '. lot 1'1 i'=~;Jr,- i3'R~rei: l-"IJ.~-'--14!1 S+ \ \ I J . i I t ---0 A J I I I c)l1 " ~ :'<!. ~ .". ~l ,.. .<j. 1 .~. I ,~g _~I: :80 'J J': t.-:. . :: : . ..: ~..' -.- 'cc.vc"!'< .~... >... :[.:.. /4.: i I~:: I r... I ~"'~d-:: . tV. ..1' 1 N~I"/e1l1~O./'" ?I- () ): :iff', Cl ~ if-., ()" I~' i It'' IS Gj. ~' OB I, <' . J" .. ; i I?o , ~/ I ... " ~!~ ~I~ llj !,'\ IVI"'!- ~l~ Ii) I >- 1'< ':t: ! ~ ~ I~ ~I~ ~ I I HENR.Y P,R./VE ..v: 89 '// '.5"5"" E. it " I ~ " ' --; o 1 Cl I" FOR: WALT SEAVEY DATE OF SURVEY: SEPTEMBER BOUNDARY AND LOCATION SURV1' ORDER ,9592-ZH 20 pi ," 'I~ ~16 i~ fO I 30 'Ii ," , I~ ~I~ .,0 fcJ /.3 oCCL/P/CD AI. 896// /2 "E. /22.72/ 18 25.1 I " I .. 3.3 x 3.3 F"'..PWAj'2 "! \~ 4. Yj I~ .. II '" \l'j I~ tn ~ ,If) .. l~ (, "i VI " ~ ~ I ~ I ~ ~ ~ .~ ~oO '" Cl ,J It} !" I{tO H A,PO /2- (C~ i CERTIFIED T( 30.0' I'- ~ /9 LEGAL DESCRIPTION "- ~ Lot 19, ZEPHYR BRE] in Plat Book 14, Pi of Pasco County, F; C"VEt€EO ~~ , \) I ...~~c....................~................ )rE-vCi!' " /22.3~' ci I J.:!.;' INDUSTRIAL , SUNSTATE TI~ CTX MORTGAGI WALT SEAVEY .. , '::l: " , ~ ~\ ~ \~ I ~ ""1 S CUT SURV!YED 1.l' HUEON J S AMP TMAT , 21 IIM_'. aMOVLEDCE SHOWN NI:lEi w(l /8 () i \)~~ ~ i ~, I ~ : oc-cuP/cO /22.00 , ..-..- /35. 00 <'---.J{ ! I I 1 , I \ji ,",,' " ~ $tec: NOT VAllO UNLESS EMBOSSE::, V!lT!' t, SEA~ THIS STAMP IS RED ST. ~[. ~ /8/# AVENUE E 1 SURVEYORS NOTES 589<//'/2'",,-, C. FRED DEUEL & ASSOCIATES, INC. 5151 GALL BOULEVARD ZEPHYRHILLS, FLORIDA 33541 (813) 782-6717 , . NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS HAVE BEEN LOCATED EXCEPT AS NOTED. 2. NO INSTRUMENTS OF RECORD REFLECTING EASEMENTS, RIGHTS OF WAY AND lOR OWNERSHIP WERE FURNISHED THIS SURVEYOR EXCEPT AS SHOW!;, 3. THI S SURVEY WAS PREPARED WITHOUT THE BENEFIT OF A TITLE SEARCH. 4. BEARINGS SHOWN HEREON BASED ON PLAT OF RECORD.