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Home My WebLink About91-1850 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Perm it N' ~ 1850 i1 /),L: 19 UE- E~ ~ Property Owners Name: ~-~n-tJ., ~~f~.e./ Job Address:_?1 y,.:) C:, - cY-A t:Iik-~ Legal Description: SUb.Di~~ t ~~ Lot Zoning CI: 0....1'/0- c/ 0 0 D CJ __ ().? Jl- 0 De~:~;~~;~d .p:::::" ~ .AA':/~ Y Date /10 - h---' 9/ M~AL Blk. A~"L.-~~\LA~ ;Ur4/~~$-91 Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 1~3/,O-U / Fee: ;)!J-' u--o SIGNATURE R~$-;-1 I~ All work shall be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # 70 !2.Ii?1'l-1 ~/ht.. COMPANY ADDRESS TELEPHONE # !5~ f!5~- BUILDING' Ftr. Pre SLB Lintel FRM. Insul.CL WL ~,.; !::~ . ELE~ . AL Tp.Serv. - Rough In Meter Can Const. Pole Pool Pre-Meter Final M~ICAL -------~ Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits wiII be issued to the person owning same. 03 J () - CO~;!)O -075'0 ~ _ /5- ? / !l ocq I !,J--+o -f ~ Su.n,r el Z'5 ft,fe'$ #= ~ P e )~. pC; 2'-i,/ LvT 7 fl J- ;' L/ H6iAJ'e 31X Sejl W51 . . 'I " I~ r-~x I~tln 9 L J-~ (}-on f 5 (J " APPLICATION FOR PERl-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS {o C1 ~ d f +, \( \~ n :J OWNER J:. (vYlo.... L, F vq7. JOB LOCATION5.9 Y ~ to <3 + 'I LEGAL DESCRIPTION: LOT(S) ~ 2 ,l4.. (+,' 0 n A I u fYl ) n l I (Yi r-<d, ) e_1 Avz L'ld..~.J ts PHONE [CK~ - \2:>4Y APPLICANT PARCEL I.D.l~ 0310 - 00000 - O'l{$() WORK PROPOSED:____New Construction )( Ad~ition ____Alteration ____Repair ____Install ~ w, ,\d.CiVS -to e>< \5 -t . ":J Y 0 0 v"'"""l ____Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ~Single Family _M/F _i~ of Units ,._M/H BLOCK LOT SIZE+LlX \ \ a AREA SQ. FT. SUBDIVISION SUI)~':+ E S+ 0.. -+ e J ____Commercial _Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, 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. pERMITS REOUESTED _BUILDING $ 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. ****************************************** VI CONTRACTOR SECTION BU1LDER 'Ac.-DC)f) 1,1 () (Y))' () lJ {"Yl Company State Cert. or Regist. ff Signature City License Registration iF "7n ****************************************** Signature Company State Cert. or Regist. n City License Registration n ****************************************** f.J,ECTRTCT AN Signature Company State Cert. or Regist. # City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration 1 ****************************************** MECHANICAl, Signature Company State Cert. or Regist. 0 City License Registration ff OTHER APPLICATION APPROVED BY ~**********~************************** /1A1 /' '\{ .'p ~ A'F)/I. .,..... . PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this penit uy be subject to "deed restrictic,ns' which Illay be lore restr,ictive than City regulations. The undersigned assules respon5ibility~for"colpliance with any applicable d~ed restrictions. , , 8. 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 OHner and contractor ~ay be cited for a .isdeleanor violation under state law. If the owner 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 Departlent, (813) 788-bbll. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 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 Construction Lien Law - Ho.eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'owner", I certify that I have obtained a, copy of the above described document and promise in good faith to deliver it to the "owner' prior to cO.lencelent. 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 coapliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit 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 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 responsibility to identify what actions I lust take to be in compliance. Such agencies include bill j\l! not liaited to: . ' I Department of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi live Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps ~f EnQineers - Seawalls, DOCKS, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic I US Environmental Protection AQenc~ - Asbestos abatelent Tanks I also certify that, if fill laterial is to be used in Hood Zone "A" or 'A,etc.', it is understc,e,d tldt a drainage plan addressing a 'colpensating volute' will be sublitted which is prepared by a professional engineer rl!uist~led in the State of Florida prior to permit issuance. A 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 Official frol thereafter requiring a correction elf errors in plans; ce,nstructie,n, e,r violations of any cCode:. Every permi t isslIl!d "t..1l bece'le invalid unless the Hork authorized by such permit is coamenced within six months of issuance, or if HColk authol lIed by the per.it is suspended Dr abandoned for a period of six lonths after the tiJe the work is co~menced. One 90 day e~tEn5iol\ of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspeclie,n i!lust be logged during each six lonth period, or the pre.jl:cl Hill be C('nsidered dbilllde'ned. 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_~~~~~~---- OWNER OR AGOO---.-O--- DATE __________..L.L2-,-L~..s::.:-:i.L-------,------- SIGNATURE~Url~ CONTRACTOR DATE________~~~-L-~~~qL-------------- NOTARY AS TO , /', ' ...../ /0 . OWNER OR AG~~~~~;~~~----~- /,7 l...--' ~ .-- MY COMMISSION EXPIRES_________~~~~~------ i?;:~~\;~t;ii,:;.\ "\,.','; :t.,~~ ~ NOTARY AS TO ::/' . /,} CONTRACT~__ ~~~~L______ / .-/'" " MY COMMISSION EXPIRES__________________ Notary Put!!c. Sta~() ell t:lpriO<l at ~arge My CC!mm\~s\"n ki\';lllflS Mar .3. 1':194 c (' rYI G- L. f= v 0.. '\ Le..---! 3 9 Lf ,) to 8;-VI A v ~ , '--'7 i L -/1 L -c:....p n \( ,r v I I ,I.. S ~ 0.. dd 'W I' i\d Ov~.s ~ dO<:J l -t- 0 e)< I S +,' f't5 1 () O-rY) t Ii t \d.-~ ..- \, ..'..~ ,..- '...."-.j ~- . --- " eA'IJ4 inS " \' rOOY"') 'C\del VlI.nJc,;......I, l.tar'd,.- .. - ----~ I I I ! , I-- I /-~-~- " / Lt ~' -~ ,./ hOU5~ ~~r^sy / i , ~ - ",- ..:) () ~ ~ " -tuuu_--. , - / Y0 < --"'-'-"---...-..-----..,.- ( 1/ /. \1/ ~ ,.., J , , 'f' ~:{ PHONE 783-1344 516E FT, KING RD, ZEPHYRHILLS, FLORIDA 34248 ACTION ALUMINUM JOB NO. SOLD TO DATE , t,' 11..../ , '"", I '. ADDRESS PHONE SHIP TO PANS _ FT. LONG PATIO CABANA ROOF CEILING GUTTER PANS _ FT. LONG CARPORT ROOF CEILING GUTTER PANS _ FT LONG OVERHANG CEILING GUTTER "T" BARS CARPORT PATIO ROOF.) ~ ...~ ; /,"", 4.; , " ; --.:..-1----',--- \ FT. AWNING RAIL (STD. OR GUTTER TYPE) 'i " '" I , .' ---..-.-- FLASH FRONT GABLE AND BEAM WORK ON FLUSH FRONT , FT. GUTTER ON SIDE OF COACH 2 X 2 FASCIA BACKUP BAR X ~X __SCREEN ENCLOSURE (DOORS INCLUDE CLOSER, THRESHOLD & KEY LOCK) SPLASH PLATE BUGSHIELD SCREEN X__ MESH CANTED WALL __ DOOR(S) BELL GRILL(S) X_UTILITY RooM_ WINDOW _~SHELVES(TORooF&STD) X _X __ CABANA WALLS (2" EXTRUDED OR 3" WOOD WITH TRAILER SKIN INTERIOR PANELlNG_ OUTLETS OUTSIDE LIGHT ___BELL AWNING WINDOWS SINGLE HUNG WINDOWS DOOR(S) PANEL TRAILER WALL __BUILD 4TH WALL CUT ARCHWAY X_ RAISED WOOD FLOOR (2X6JOIST,PLywooD FLOOR, METAL FLASHING LIN. FT, (ALUMINUM OR BLOCK) FILL FROM GROUND TO FLOOR HEAT DUCTS OR ELECTRIC BASEBOARD HEATERS RAISE ROOF ABOVE TRAILER X _INSULATED CEILING (SPECIFY) - WINDOW AWNINGS: SIZES HURRICANE TIE DOWN ANCHORS LINEAL FT. SKI RT BLOCKING ----...COLOR LINEAL FT. PLANTER "'OLOR SET STEPS (_ TREADS) (_TREADS) X_ PLATFORM FOR STEPS X_ UTILITY SLAB / A.C. SLAB X_ PATIO SLAB X_ DRIVEWAY (WITH / WITHOUT FLAIRS) X_ SIDEWALK X_ RAISED SLAB SPLITS - REGULAR BLOCK The undersigned agrees to pay INSTALLERS IN FULL ON COMPLETION PERMIT PRICE TAX TOTAL PRICE DEPOSIT BALANCE C.O.D. (, c: '0"...' q ",' .' o~S,' ~ .' .~ '~.:.,/ "-, to') '~/, (, i. t I ;c':' ,(':';'~1": f I -,:,:} REP. ACTION ALUMINUM CUSTOMER SIGNATURE