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Home My WebLink About91-1841 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1841A Date /0 - g-- 9/ '~ PL~ MEC~ Property Owners Name'~ ~ Job Address: <...3? 63 0 --/e~4dAo /i, '~L 9- /C...I-b /~, , o/~ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of W';;; J?J2 _.!i~ ~IP Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ ~. 0(.) OCCUPATIONAL LICENSE #_'573 (;,.-.j'J??,,- Fee: ,J-~ SIGNATUR ,~">--. COMPANY ADDRESS TELEPHONE # ?F'14 All work shall be performed in accordance with the above and all City Codes and Ordinances, o~-~~?~ c:;- BUILDING _~) ~~~ Ftr. SLB Pre SLB Tub Set Lintel Water FRM. Sewer Insul.CL Final WL E~CAL ~ ME~AL "" Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway 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. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERN1.T CITY OF ZEPHYRHILLS BUILDING DEPARTl'1ENT ADDRESS IIOJrI1A- - hE ~orE~.s' JAJC , , ' 50/ D 9-11., S+. L"C"ph'l,4 I lis OWNER f7'~. f...i!("~ ~ <fi'~ RC1 y S~N5E/lJ1 b JOB LOCATION 3~c.30 PEID/YlO)..rr AJ ' LOT SIZE PHONE 71;; - ~d-? Y APPLICANT " x AREA SQ. FT. ALPflA v'1[,~ eSTAtes phase ,8'L.j BLOCK SUBDIVISION Pt5ICf .,. P6 69 LEGAL DESCRIPTION: LOT(S) PARCEL I. D. i~ J . WORK PROPOSED:____New Construction ____Addition _Alteration LRepair _Install ____Sign/Temp. PROPOSED USE: ~Single Family ____Sign _l'love _Demolish ....:...--M/F _i~ of lIni ts .._M/H _Commercial ~Indust. _Swim., Pool Other _Restaurant & Health Department Approval BUILDING SIZE: RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COM1'IERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. ** **C01'y OF CONTRACT REQUIRED. x Square Fee t, Height PERMITS REOUESTED f(oorliJb ____BUILDING $ 7000 tOO 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 ~ONTRACTOR ~ECTTON Company State Cert. or Regist. # City License Registration # ****************************************** mn1,DER Signature Company State Cert. or Regist. n City License Registration 0 ****************************************** El .ECTR1 C1 AN Signature Company State Cert. or Regist. ~ City License Registration a ****************************************** ,PUlMRER Signature Company State Cert. or Regist. a City License Registration 0 ****************************************** MECHANICAl. DTHER ,fbor ,AJ& Signatu~~ jfJJ Company Ik U M If - or; L.C State Cert. or Regist. i City License Registration lj Rc o.~ CI? s-I AJ c-: - ('lce 0 t.j <1::1 70 ~7? APPLICATION APPROVED BY ************~************************** '-/! AMJI~ ~~) . PERl'IIT OFFICER. CONDITIONS;OF.PERMIT AFFIDAVIT A. NOT I CE OF DEED RESTR I CT IONS " The ,undersigned understands that this perlit uy bll subject to "deed restrictie,ns' which Nay be ~ore restr,ictive than City regulations. The undersigned nsules responsibiHty:;for..,colpHanCl! with any applicable deed restrictions. , ur' '.' . , B. UNL I CENSED CONTRAC'TORS AND.. CONTRACTOR RESPONS I B I LIT I ES If the owner has hired a contractor ~r contractors to undertakc work, 'they lay be required to be licensed In accordance with state and local regulations. If the contractor is not liCl!nsed as requircd by law, both the OHner and contractor ftay be cited for a lisde.eanor violation under state law;; If the owncr or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-bb II. : ' ','; Further.ore, if the owner has hired a contractor or contractors, he is adviscd to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responslblc. 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 Ce'nstruction Lien Law - Ho~eowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the ~ppllcant is sOleCne other than the 'owner', I certify that I have e,btained a, copy of the above described doculIll,:nt and pre,~,i~e in ge,od faith to deliver it to the 'owner' prior to cOI~encement. ~ l'; :"::. ': I. i : . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all ~ork will be done in coapliance with all applicable lalls regulating construction, zoning, and land development. Application is hereby lade to obtain a perlit to"do work and install~tion as indicated. I certify that no work or installation has co.menced 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. 1 also certify that I understand that the regulations of other govern~ental agencies ~ay apply'to the intended work, and that it is IY responsibility tel identify what actions I lust take to be in compliance. Such agencies include bid ~l e Iie,l liaited to: . J _~ . 0' l Departlent of Environl1lental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi live Landsr Water/Wastewater Treatment I Southwest Florida Hater'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses l ArlY Corps ~f EnQineers - Sea~alls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Haste~ater Treat~€~~. Septic Tanks f US EnvironDental Protection AQencl - Asbestos abatel1lent I also certify that, if fill latl?rial is to be us'ed in Fn.od Ze,ne "A" or 'I\,etc.', it is underste,e,d t1"l a drainage plan addressing a 'coapensating volule' will be sublitted which is prepared by a professional engineer reqisl~ied in the state of Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violatE, cancel alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official fro~ thereafter requiring a ce,rrection e,f errors in plans; ce,nstructie,n, e,r violations of any code. Every perilli t issued ~t.all becc..e inval id unless the work authorized by such perllit is ce.amenced within six months of issuance, CoT if t1Co1~ autl,e',lied by the permit is suspended or abandoned for a period of six lonths after the tiJe the >>ork is [ommenced. One 90 day e:lensjDn 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 inspectie,n oust be logged during each six 1I0nth period, or the pre,ject Hill be ce.nsidered dbdlld('ned. .. , WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTV. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $21500 IN VALUE DO N~RECO;O AN;<~ST A" ,NOTICE OF COMM:/EN:'~ ~ SlGNAT~~~-R-~pt SlGNATU~~R~~~------ DATE__~-_~-~'l_]L_~-l_-__- DATE___~_<2~_d:::~~--------------------- NOTARY AS TO f2... L ," j ~ t'j,OTARY AS TO /2 .... ~~ ~-;-, / ,J ^' OWNER OR AGENT L,~Jt:.J':l.UJ..:JJ.~, .C~NTRACTOR_-"<"~~-- NOl"ARY I'UE;liC; STA'~ G" F!,<.,[,~',:d' t" ~;..' ", " MY COMMISSION EXPIRES thY COMMSSION ~X"!Ri;;; :;,:,'( 1,,",1995 MY COMMISSION EXPIRES_______________.___ - LC:"..roEJ"fRit IT T\G:...r1:s1m'f;~"1>1faKERAG' NOTARY PU8L1C, STATE OF FLORIDA My commission eXf'!res J '111,,2 8, 1995 Bonded thru Pa!terson - Bech~ Agency