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Home My WebLink About91-1835 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 183511 Date J t1 - /' - ? / E~AL PL~ MEC~ICAL Job Address: Legal Description: Lot Zoning CI: /.3 - -::t/!2 - .;L / Description of Work -'e Co] (: :L ' r~~ ~- ;t,-r-~ ~ Energy Code Readout: ~. .//J, 1,]- "', "J- Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: (? CJ 42TJ.>~ OCCUPATIONAL LICENSE # Fee: 02$~'l/ StGNATURE '~~ cf ~'4 COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. /)'v! )Yu2../l ~ BUILDING ) ) SLB Tub Set Water Sewer Final 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 payment of reinspcction fecs shall be madc bcfore any further permits will be issued to the person owning same. APPLICATION FOR PEIDIIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS ~D.57 ;,. r!l /l.eh-///O jI/! ~j}cI?J ~)06c:-1 L~t5 .La , PHONE ( g L3 ,l r-; ft.3 - I J. 6,5 APPLICANT 0~5~S '. OWNER JOB LOCATION 2 c,P 6 fL- n~; #..s / LEGAL DESCRIPTION: LOT (S) 7 / -I 7 ~ BLOCK PARCEL l.D.t~ /3 - .;;26 ~ ~/ LOT SIZE x AREA SQ. FT. SUBDIVISION m~~~~~~ WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair _Install _Sign/Temp. ____Sign _Hove ____Demolish PROPOSED USE: __Single Family ____M/F _t~ of Units .____M / H ____Commercial ____Indust. _Swim. Pool "-...-7:,/1--1 Jl J? 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 FOllIS. ** **COPY OF CONTRACT REQUIRED. PF.RMTTS REOUESTED ~BUILDING ? $ _..) uD. OV 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. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** ~UTT.DER Sionature Company State Cert. or Regist. # City License Registration # ****************************************** f,T.ECTRICT AN Signature Company State Cert. or Regist. ~ City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. U City License Registration # ****************************************** MECHANICAl. Signature Company State Cert. or Regist. # City License Registration 0 OTHER APPLICATION APPROVED BY ~~~~;~.~.**..***.***********' PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The .undersigned understands that this plr.it lay bl subject to "deed restricti~ns" which ~ay be ~ore restr.ictive than City regulations. Thl undersigned assules re5pDnsibility~for co.pliance with any applicable deed restrictions. E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor Dr contractors to undertake Mork, 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 owner and contractor ftay be cited for a .isde.eanor violation under state laM. If the ~Mner ~r intended contractor are uncertain as to what licensing requirelents lay apply f~r the intended Mork, they are advised to contact the City of Zephyrhills Building Departlent, (BI3) 7BB-bb11. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorls) sign portions of the 'Contractor Sections' of this application for Mhich they Mill be responsible. If you, as the owner sign as the c~ntractor, 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 indicati~n that he is not pr~perly 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 Mith a copy of 'Florida's Construction lien laM - HOleowner's Protection Guide' prepared by the Fl~rida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the 'owner", I certify that I have [,btained a. copy of the above described de,cUlllent and promi!:e in ge,od faith to deliver it to the 'owner' prior to cOllllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlllation in this application is accurate and that all work will be done in coapliance with all applicable laMS regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work Dr installati~n has coetenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulati~ns, 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 ay responsibility te, identify what actions I lust take to be in compliance. Such agl?ncies include bllt ~l e nol li~ited to: .... I also certify that, if filllaterial is to be used in Flc.od Zt.ne "A" e'f "I\,dc.', it is undHstc,e,d t1,~t ii drainage plan addressing a 'compensating volule" will be sublitted which is prepared by a professional engineer regist~ied in the State of Florida prior to permit issuance. II 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 permit prevent the Building Offici~1 frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every per~it issu0d ;hall bec~le invalid unless the Hork authorized by such permit is coamenced within six months of issuance, or if HOlk authol lzed by the per.it is suspended or abandoned for a period of six lonths after the tise the work is co~menced. One 90 day e:tensioll of tile, lay be allowed for the permit with fee charge of $15.00. The extensi~n shall be requested in writing to the Building Official. An approved inspecti~n ~ust be logged during each six lonth period, or the project will be considered dbjl~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__ t7 _ _~-~----------- ~OWNER OR AGENT SIGNATURE______________________________ CONTRACTOR :::~~l~~~::-~L------~-~---- _._--~--- OWNER OR AGE - _l2t~~---- ~Xrfl CO,';' MY COMMISSh DATE ----------------------------------- NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES__________________ " NOTARY PUBLIC, STATE OF FLORlDA. MY COMMISSION EXPIRES: June 30 1995 BONDED THRU NOTARY PIHlLIC UNDERWRITERS. SS31NO OI1VA ION 101j IO~d !ffi1ol /I.,.." : AS 03HVd3Hd aO.lLt, NOUJ3S INIwav VaHl01j N3W3~In03~ 3Ul ~ns lN3W3^0~dWI ~3J ^83~3H I c" ~ oP' oc= 1:37t12)- , . /I d 1 /.J.:J3S c;'\~~1 t~ .;>)\ " '" ,Ih~ f')~ 00 ~ ~ ~~ <:)Q:l '3,,-aJ, roo 98 N 1)' 8~ v~~ ~ ~o~ ~~ 0\ -......: ,s. _ 9 tl' ,p'" 90~ ;:r, 0\ ~ ,f 12' "l " ~ ~, ~4 cf' /, " ~ ;V ;' ,- ~ ~ / ' ~~./'~ - \ -c o c of:'. 0_ ..'3;. VI / / / -~. ~ ..../~.... .. /. aU.'I.laIUaj s. .IauO/l/pu OJ .I/D S l/o/Sl/aWlp paulw.lalap PIa.'} s. l/OIsl/aul'p Iqd s,