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Home My WebLink About91-1828 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1828 P Type of Permit ~ ElEC~ ~ ME~CAl Property Owners Name: ~ -'4. ~ <'^ t'-:'" <l Job Address: ,-:; 8- J J- 0 '- ~ hI a.lfl--lJ Date Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work ~^<-(j4.~ Energy Code Readout: ~ \O-(fl-q,l ~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: A;/A OCCUPATIONAL LICENSE # Fee: ~O~ SIGNATURE IZ - ~# -lO./+ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. c~~.#/) - ~MBIN~ SLB Tub Set Water Sewer Final ~AL - MEC~CAL , ~G "'. Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp.Serv. Rough In Meter Can Canst. 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 rcinspection fccs shall be made beforc any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT C 1., a )-1 e S Wl S f: U r /t','))' ADDRESS /j 2> q ~ 0 ;l nd , A ~e,2. h r I J 5 OWNER C)., zu- ) e~-i- 1'1 a r- fa. f-e t ~fu",,/ I hj PHONE 78~-~~9g JOB LOCATION LEGAL DESCRIPTION: LOT (S) I - 2 - X cd LOT SIZE x AREA SQ. FT. J BLOCK SUBDIVISION ~' PARCEL 1. D. iF WORK PROPOSED:____New Construction _Addition _Alteration ____Repair ____Install ____Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ~Single Family ____M/F _i~ of Units . .____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 FORHS.** **COPY OF CONTRACT REQUIRED. :fERMITS REQUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. GAS Valuation of Mechanical Installation __ROOFING ~Z:~SP.ECIALTY _Fran;e _Steel Other _MECHANICAL $ VPLUMBING TYPE OF CONSTRUCTION: _Block FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRA~T2R SECTION Co:npany St~te Cert. or Rcgist. # City License Registration n ********************k********************* BUTLDER Signature Signature Company State Cert. or Regist. n City License Registration n ****************************************** ELECTRTCTAN Company State Cert. or Regist. # City License Registration n ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # **************~*~*~~********************** MECHANICAL Signature OTHER' Company /iJ/? 4. ~ St9tc Cert. or Regist. l~ S~gnature (_~~ ~ City License Registration 1~ J0'~:::~_._**~****~:~'****************** APPLICATION APPROVED BY ~ PEill'IIT OFFICER. .. . ' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The .undersigned understands that this perlit lay bl subject to "deed restrictions" which ~ay b~ ~ore restr.ictive than City regulations. The undersigned aSSUles responsibilt'V:fDT, co.pliance with any ap~licable d~ed restrictions. . ' ..,' .' ,~ ':, . , B. UNLICEN~ED CONTR~ORS A~D CONTRACTb~ RESPON BILI;I~S: ~. : -, If the owner has hired a contractor or contractors to ~ndert~~e Hor~, they lay be r~quired to'be lice;s;d in accordance with state and local regulations. If the contractor is not 'licensed as, required by l'aw, both th.1i' Olln'er and contract.or lIay be cited for a lisde.eanor violation under state laK. If the ollner or intended contractor are uncertain as to llhat Iiteh~ing "q,i".,.I, "y .pp!y f,' Ih, i.I,.", ",k, Ih'y ." ,'vi'" \, ".t.,1 Ih' City ,f Z'phy,hil!, ',ildi.g n'p.rl.,.I, .S131 788-6611. Furtherlore, if the OKner has hired a contractor or contractors, he is advised to have the contractor(sJ sign portions of the "Contractor Sections" of this application for Ilhich they Kill be respon~ible. If. you, as the owner sign as the contractor, y" ." ,.di"li.g Ih.t Y", "Ih" Ih.. Ih, ".I,.,t", ", ,,'p,.,ib!' f" Ih' ,.,i. !f Ih. ".I,.,t., ,i,h" Y" I. 'ig. as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. .J C. TRANSPORTATION IMPACT FEES AND UtILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713; FLORIDA STATUTES, AS AMENDED) I certify that J, the applicant, have been provided with a copy of "Florida's Construction Lien Lall - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOlec.ne other than the "oKner", I certify that I have c.btained a. CDPy of the above described document and proIT,isc, in ge,od fai th tD del iver it to the "owner" prior to cOI~encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work Ilill be done in coapliance Ilith all applicable laws regulating construction, zoning, and land dev~loplent. Application is hereby lade to ~btain a per.it to do work and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws regulating construction, City codes, 2~ning regulations, and land development regulations in the jurisdiction. J also "rlify Ih,1 I ,.d""..d th,1 'h, ,'g,!,II,., ,f ,Ih,r g,v".".I,1 "l,.,i,' "Y .,ply t. 'h. Int,.d,d "rk, ,.d th.t II i, .y ",p..'ibil I Iy ,. "..I I fy ,h,1 "Ii..' , ousl \Ok, " b, i. "'p Ii""'. Suc' .,..d" i ,or I'"~ t.c '" .,. Ii ,\l,d I.. .... I also certify that, if fill aatl?rial is to be used in Flc.od Zl.ne "1\" 0; "lI,etc.', it is underste,e,d t!.~t a drainage plan .dd",'i.g . '".p,."li.g v.I,.,' ,ilt b, "b.lll,d ,hi,b i' p"p.,.d by , ",I.,.i..,. ,.,in,,' ,.,i"."d i. Ih' S,.t, ,f Florida prior to pertit issuance. , ",.it i""d ,h,l\ b, ,..,t",' t. b, . \i,"" I. p"",d ,ilh Ih' ,.,k "d .,t ., "lho,ity t. ,i.\.I., ,..,,1 ,I.", " "I .,id, "y p,.,i,i.., .f Ih. 1,'b.i,,1 ,.d,'. .,r ,h.il i""'" .f , p".il p""'C 'h, B,ildi'g '1Ii.i,1 I,.,. 'h",.fl,r "q,i,i.g , "",,'i.. .f "r." i. p\"'; ".,tr"tl.., .r ,i,I,li.., ,f ,.. "d.. ,,'" ",.i. i"'" ,h,\1 b"'" i."lid ,.1", 'h, "rk "Ih,ri.,d by ",h p,r.lt i, ,...,.", ,ilhi. ,i. ".th, .f i.""", ., if ",' .,C.. ,..d by Ih, p".it i' ,,'p..d,d " ,b,.d...d fo, , p"i.d .f ,i. .,.Ih' .fl" th. c;.' Ib, "" i. "..,."d. 0" g. d', ,.c,...,. .1 ti.,. "y b, ,Il",d f', tb' p".il ,ilh f,' ,h"g' .f 115.00. Th, ,.t,.,.,. ,h,11 b, ,'q"..,d i. "iCi.. .. .h. ',ildi.g Offi,i.l. " .ppr..,d 1.'p"li.. .". b, l.gg,d d,ri.g ",h ,i. .,.Ih p"i... .. th, ,,'1'" ,ill b' ".,id".d .b.,d..,d. 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 CmIME..'C~MENT. JUDS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "~mT 1 CE OF C0I'1MENCEMENT". SIGNATURE~ OWNER OR A c 1 G~:r-\ nJf~E ------------------------------. CONTRACTOR DA TE______________J_R--:.-"3-:.Cf.. L---------. .--- DATE ----------------------------------- NOTARY A5 TO. NQTARY AS 10 OWNER OR AGENT~\j,J!-,::x::r.:t~r~ r;JNTRACT\IR.________._____________________ MY COMMISSION E~PI~ES ------------------ MY COMM 155 I ONNM~t ~6Bi.j.G,..e~..~-F.L.ORIOL--------- MY COMMISSION EXPIRES: NOV. 16. 1992. SONDEO THRU NOTARY puaL.IC UNOERWR'1'e:.~