The URL can be used to link to this page

Home My WebLink About91-1854 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit :N'~ 185~P Type of Permit ~_..EL~ Date / 0 ~ / 6 - ? / GUM~ Property Owners Name: i1M1l2 ft~ Job Address: 0 ,? 7 (;2 0 .At Sub. Diy. 7/~g J~ Zoning CI: --~Jr Z ,~ Description of WO;k I-: ~ ~ J ---+vt +/i( MEC~L Legal Description: Lot Blk. ~~~ ~.t- -<~ Energy Code Readout: ~ /1-U-W Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: .-7). All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ,J 9 Fee: ~3-S --. u-D SIGNATUR~a..T' C~~~tJ-A ~, COMPANY ADDRESS TELEPHONE # 3r . Tub Set Water ~ /7' I (; ~ ~ Sewer I ~l ({. ~ Final Ftr. Pre SLB lintel FRM. Insul.CL WL 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 (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. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERI'IIT CITY OF ZEPHYRHILLS DUILDING DEPARTHENT APPLICANT Brenda Jeffries ADDRESS 38720 Vulcan Circle PHONE 783-8522 OWNER Same '. Same LOT SIZE_X AREA SQ. FT. JOB LOCATION LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ WORK PROPOSED:____New Construction ..-:-Addition ____Alteration _Ftepair ____Install ____Sign/Temp. _Sign _Hove ____Demolish PROPOSED USE: __~Single Family ~M/F ____~~ of Units , .L-tl/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 FORNS.** **COpy OF CONTRACT REQUIRED, PERMTTS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp, _H.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation -X-PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block __Frame ____S teel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. lj City License Registration n ****************************************** BUILDER Signature Si!?nature Company State Cert. or Regist, n City License Registration 0 ****************************************** El ,ECTRT ClAN Signature Company BrUCil Carrigan Plumbiu~ State Cert. or Regist. n RF-0038842 City License Registration if 29 ****************************************** PLUMBER Bruce Carrigan Company State Cert. or Regist. 0 Ci~y License Registration # ****************************************** MECHANICAl, Signature OTHER Signature Company State Cert. or Regist. n City License Registration lj APPLICATION APPROVED BY * *** * ** *****~J****** * **** *1,~: 1:.": 1:~,~: * 1: *1, *~, 1: 71d4'hJ ;~ , PER!'IIT OFFICER. ~ -.. ,. .., . CONDITIONS~O~.PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 1he ,undersign!d und!rstands that this p!nit uy be sub~ect to "deed restridit,ns'which lIlay bl! ~He restrictive than City regulatlonli, the undl!Tsigned USUle5 resJlDn5ibpity~fDr;,cDIJlHance with any applicable dCl!d restrictions. '. ... . ,,"" " ' B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the owner has hired a contractor or contractor. to undertake work, 'they aay be required to bl! licensed in accordanc! with state and local regulations, If the contractor il not licensed as required by law, both thl! owner and contractor ~ay be cited for a Ilsde.eanor violation und!r state laK.; ,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 Zl!phyrhills ~uilding Depart.ent, (813) '789-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advisl!d to have the contractor!s) sign portions of the 'Contractor Sections' of this application for Khich they will be responsible. If you, as the ownl!r sign as the contractor, ,.. ... i.di""" 'I.' "', ...1.. '1.. .1. ...t......, ... ...,...Ibl. f.. 'h. ..". If Ih. ,..1,.,1.. .i.h.. ,.. I. .1,. 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) 1 ...'if, th.t I, Ih. ."li...., l.v' b... ,..vld.d .Itl . .." .f 'Fl..i'." C....,..II.. LI.. L'. - "........'. ".I...i.. Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the ......., I ...tif, Ih.' I h.v. .b..i..d . .." .f II. .b.v. d....ib.d d......' I.d pr,.i,' i. ",d f.ilh .. d.1i'.. i' ,. 'h. "ONner" prior to COI~ence~ent, / ~ '.'~p'.. \ I ; : E. CONTRACTOR'S/OWNER'S AFFIDAVIT I ...llf, 'h., .11 ". i.f....ti.. i. lhi. ."II..1i.. i. ....r.l. ..d th.t .11 ..r' .i11 ,. d... i. ...p1i.... .ilh .11 applicabl~ laws r~gulating construction, zoning, and land development. A"li..li.. i. l.r.b, ..d. I. .b..i. . ,...il lo.d. wi.k ... i..l.ll,'i.. .. i.di..t.d. 1 ..,Iif, ,h.t .. ..,k ., i.".11.1,.' h.. ........, ,.i.. I. i....... .f . p...il ..d t..1 .11 .." ,ill b. ,.,f.".d .. ...1 ,...d.,d' .f .11 I..' ..g.I.,I., c....,..'i.., Cit, ..d." ".i.g T.gol.1i..., ..d l..d d.v.I.,..., ,.,.l.ti.., i. .h. i.,i,dicli... I .1" c.rlif, ,..1 1 ..,.."..d 'l.t t" ..,.1.1i.., .f .11>. g.,.,....,.l .,...i.. .., 'rpl,. I. 'h. i....d.d ...k, .., ,.,1 il i. ., m,lI' ib i1 it, t. i dll' if, .h. t ." i... I ...1 "" to b. i. m, Ii ."". S"'. .,,,, i" i "c1,d. h" I '" ''"' Ii. it.d 'M . "..".. . I D.,..,..", .f E.vi......'.1 R.,.I.'i.. - Cy,"" B.,...d., H.l1..d A.." ..d E",ir......."y s.,.ili" l..d., Water/Wastewater 1reatlent I SouthNest Florida Water'ManaQe~ent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I D. "..." .f "..llh , ',h.bl1i..liv. s..vi... E.vi.....,..l "..11h U.il - ".,1., ",..,..1., T..,I..", s.,.i. T.." I ~S Environaental Protection AQenc)l - Asbestos abatement 1 .1" "rli f, th.., if Ii 11 ..I,ri.l i. t. b. .sed i. FI..d '"' 'A' " 'A "~Ie. " i Ii. "dHl ."d II", · d.. i ",. pi" .dd,...i.g . 'c.."...li., v.I.... ,ill b. ..b.ill.d .hlcl i. pr.p.,.d b, ' p..,...i.,.1 ,.,i"" ",I.",.d i. Ih. S'.I. .f Florida prior to permit issuance. A ,.,.i' i,...d .h,ll b, ....l...d I. b. . Ii..'" I. ,.....d .i,h ,I. ...k ..d ... .. ..,..,ily ,. ,i.I,'" ...,.1 ,I'." .r ..1 ,.id. .., ,..,i.i.., .f 'h' t....i..l c.d.., ... ...11 i.....c. ,f . "..i' ,...,., I'. ',ildi', Of",i.1 ,.,. Ih.,..fl.r r.,.i.i., . ...,.cli.. .f ..,.,. i. ,I...; ....t...,I.., .. vi.I..i... .f "y ..d'. E..'. p...il i..".d ,'.11 b...., i.,.lld "I." Ih. ",' "th,,1 zed b, ,"'. pm i Ii. co......d . i lh i. . i. ...th. ,f i,," '"", " if '" t '" II"" ,,,d b, th. ,." it i. ..",.d., ,. .b..d,.,d f.. . ,..i.d .f .i. ...1.. .fl.. .h. Ii.' 'h' ..., i. ."....,d. ,". '0 d., .,I,",i." .f Ii." .., b. .11.,.d f.. Ih. ,.,.il ,ilh f.. .h.". .f 115.00. Ih. ..I...i.. ~.II b. ,.,..,..d i. .,ili', ,. I" ',i1di.g Offl.i.l. .. ."m.d i..,.."OI ...1 b. I.".' d.d.g ",h .10 lI.th ,.d.d, " tho po<' ;... .i 11 b. CO"""" .,..,'oo"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 $ ,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMM~N~ENT"O SIGNATURE_~~---------- SI -CT~ ::::~~-:~~~~~L~~~----~;-27--- ::::~~~-~~:~-;;-=;-------- OWNER OR AGENT-f.G6~L-a~-.--_- CONTRACTORY~~-Q:-~--- MY ~OMMISSION EXPIRES______________________ MY COMMISSION EXPJREs_1JF--~L~~lg-f~ Notary Public. StMe of Florida at Large My eommisslon Expires Dec. 14.1991 t30nded thru Agtlnt's Notary Bro\(era~