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Home My WebLink About91-1852 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1852 ~ Type of Permit ~ILDIN~ ELE~L Date /0 ,..../S ~C; I , PLUM~ MEC~L Property Owners Name: Job Address: to 21 Cj (~'1 f3fi(lTi: 1-' ~ HutJ rl ..0 &- ~A ~, Legal Description: Sub.Div. ,SJ 1,.:vevLc>r<\}L5 Blk. Zoning CI: Description of Work Jt~i))A\ 6- -F~(tE ~Tt2Olr~ L. rtt,J (2,iJor ro ~J({<)Tt,J6- ~L~f.I1 / All work shal! be performed in accordance with the above and all City Codes and Ordinances. Energy Code Readout: ~ Complete Plans, Specilicalions and Fee Must Accompany Application fZ- ?7-1~ 3 .- 0 0 3.04 }!.t'\~\)~ G-r\S Fee ~~~ SIG~ATURE COMPANY Estimated Cost: --?:, 1 <<-(0 c) OCCUPATIONAL LICENSE # ADDRESS TELEPHONE # Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final ..-- lfe c2 0 0 ? ELECTRICAL G. /.,. 5 rf-V{:... BUILDING :#;'bJ Tp.Serv. Rough In Meter C Canst. ole Pool Pre-Meter Final Breaker Ducts I sl. Compr ssor 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. APPLI.CATI.ON FOR PERI'1"IT CI.TY OF ZEPIIYRHILLS BUILDING DEPARTl'iENT APPLICANT G~L~ ADDRESS 3174b C~S I\I\,O- ~ miLs. 3A12.-Tr7C- JOB LOCATION b2.lOf IturJll J\.l61DH TiZo LEGAL DESCRIPTION: LOT(S)J 30 PARCEL I.D.i~ o~- 20 -Z-\':- of2-0 swve ; Co 1'\5> '['LuC1] ON . . . . ::M"'Je- PHONE 76 '2- - q <-f 4 '2 " OWNER SUBDIVISION 5,Llr/6l'L - OOODo - ('<,oo BLOCK LOT SIZE /00 X f2.j:) AREA SQ. FT. o,A.-((.S WORK PROPOSED:____New Construction ----:-Addition ~Altcration ____Repair b-Install ____Sign/Temp. _Sign _Hove ____Demolish PROPOSED USE: ~Single Family _M/F _i~ of Units ,._l'l/H _Commercial _Indust. _Swim. , Pool Other BUILDING SIZE: /7 X Ie;, R~t oH~1 300 Square Feet, 8' Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** **COPY OF CONTRACT REQUIRED. ____Restaurant & Health Department Approval l'F.RMTTS REOUESTED f.i~_BUILDING Ji/A-ELECTRI CAL 1J~MECHANICAL ~PLUMBING TYPE OF CONSTRUCTION: $ 3400, valuation of Total Construction AMP Service Florida power Corp. _",.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY _Block _Frame _Steel FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION 0,.,) Company 5A-M6 State Cert. or Regist. Q City License Registration ****************************************** cae. 022..1?>9 it 12>1 Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** ET.ECTRTCTAN ,PT.UMBER tV/A- Company State Cert. or Regist. 0 City License Registration 0 ****************************************** Signature MECHANICAL JJ/~ Company State Cert. or Regist. 0 City License Registration # ****************************************** Signature PTHF.R rJ(V , I Company State Cert. or Regist. 0 City License Registration U Signature ****************************************** APPLICATION APPROVED BY ____-_ r,JJ'1L . -Il~ ~~ PER1'lIT OFFICER. coNDITIoNS~O~cPERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS' The,und~rslgned understa~ds that this perlit lay bl 5ublect to "deed restrictions' ~hich ~ay be ~ore restr,ictive than City regulations. The underslgned assumes responsibility;for;,colpllance with any applicable deed restrictions. 'l -,</,.' " . UNLItENSED CONTRAC~ORS AND CONTRACTOR RESPONSIBILITIES B. 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 OHn~r and contractor ftay be cited for a lisde.eanor violation und~r 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 Z~phyrhills ~uilding Departlent, (813) 788-6611. · Further.ore, if the owner has hired a contractor ~r contractors, he is advised to have the contractorlsl sign portions of the 'Contractor Sections' of this application for which they Hill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are respe.nsible for the work. If the ce;ntracte,r wishes ye,u 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 provi'ded with 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 sOle6ne other than the 'owner., I certify that I have obtained a, copy of the above described de,culllent and pre,mise in ge,od faith to deliver it to the 'owner' prior to COllencelent. : \, . ~~,:~., \. \ ; : E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a per.it to'do work and installction as indicated. I certify that no work or installation has cOI.enced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laMS regulating construction, City codes, zoning regulations, and land development regulations in the iurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is .y responsibility tel identify what actions I lIust take to be in ctlmpliance. Such agencies include bill i'1 e ne,t liaited to: I Departte~,t elf Envir~nllental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tivi? Ldnds, Water/Wastewater Treatment I Southwest Florida Water' ManaQelent District - Hells; Cypress Bayheads, Wetland Areas, Altering HatercClurses I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Departlent uf Health ~ P.~habilitative Services. Environmental Health Unit - W~lls, Hast~Hater Treat~en~, Septic Tanks I US Environaental Protection AQ~ncy - Asbestos abatement I also certify that, if fill latl?rial is to be used in Flc.od Zone "A" tlr 'A,etc.', it is understoe,d t1."t a drainage plan addressing a 'colpensating volume" will be sublitted which is prepared by a professional engineer regist~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 n~t as auth6rity to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froft thereafter requiring a ct.rrection e.f errors in plans; constructie,n, e.r violations of any ce,de. Every pN~it isslll!d "hall bece,.e invalid unless the work authe.rized by such penH is ce.ftIIlenced within six lIlonths of issuance, or if H(>I~; alltl,{q ],ed by the perlit is suspended or abandoned for a period tlf six lonths after the tiJe the Hork is [o~men[ed. One 90 day e:tensiol\ of tile, lay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An approved inspectie,n f.lust be lelgged during each six month pl'riod, c.r thl' project Iii Ilbe [C,nsidered dbol,de,n"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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT N(7;A~~~PO OTlCE OF COMMENCEMENT". Sl=R~l~GENT- SlGNATUR~~"--- ,.---,-"-,--\ ::::~~-~j~.j~ ~ --------~------- OWNER OR AGENT --~-~-~- MY COMMISSION ---------------------- DATE___O_~~o2~~_J2J_1331_________________ NOTARY AS TO ~ '-7l W CONTRACTOR___ _ - -~-~-~--- ~ Mary H. ~--p MY CO'll"': I SS 1 ONN5f'it~; ~,-S.t.at&-Q.f~Of.!da-a.t-La~ My commission Expires Dec. 14, 1991 Bonded thru Agent's Notary Brokerage :~Ttg~ PV?JLIC. STATE OF nORmA. BONDED ~~8Jg:;.::~~LEISC: June 3D, 19d.. UNDERWRITERs. Mt:. ~ M~? (,Ooj 6ACTcLL lOZI9 HUNTINGTON De\\/f SIL'Ie ~ o~'(..~ I Z"t\' t-\ ~~ ~\LLS ADO 31' 'STl<vc-,ve.A-L IN?u'vATcl) F~^-leL TO E')(/STJN6 ~~tf:N INC.LOSvi?E, ~}.,rElS :"'(:> Bt~ A:\--r;.+C},~-LVj fT\4 -# ID >< '-1 'i H-€x - __ ' ' I' p" - SC$.( 1.0S (Ajl"i M :"-J;;:,.,')t-ICi~- S I~ v' c.. 1<-1'D '"" tIt) b E. '5t'A-Lt:() D O~}N (,....) 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