HomeMy WebLinkAbout91-1858
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1858 A
Type of Permit
}
B~
Property Owners Name: J/if L,' 2~". J~/Y;..
Job Address: -S-:!;-33 - ~ -./:?fl:
Date / (J - / 7 - 9/
ELEC~
PLU~
ME~L
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
'71
Description of Work _0.
,
/lA/7r
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany APPlicat~n
Estimated Cost:
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All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE # -!J
COMPANY
ADDRESS
TELEPHONE #
t:-~.,
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. - -~UILD~~~J) (J.~_
Ftr. SLB
Pre SLB Tub Set
Lintel Water
FRM. Sewer
Insul.CL Final
WL
ELE~ICAL
~~..
M~ICAL
"
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.
.. ..
Please Send Remittance to:
1\. il nrthtt iRnnfitt!1 OPf Cltentrul 3J1lnribn. Int.
~..
c/o Richard Bartlett
38408 3rd. Ave.
ZEPHYRHILLS, FLORIDA 33541
One Of The Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home Uniroyal White Rubber Roofs
RESIDENTIAL * COMMERCIAL * MOBILE HOME
LICENSED-INSURED & BONDED
'* MEMBER OF CHAMBER OF COMMERCE '*
OFFICE
PHONE
(813) 782-5585
Lie.# RC 0031769
Serving Zephyrhills, Dade City, Ridge Manor, Quail Hollow, Land 0' Lakes, and Surrounding Areas
We have reroofed over 6000 Homes and Mobile Homes in the last 17 years.
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THANK YOU
Your Business is Appreciated
Payment upon completion unless previous arrangement made.
Warranties pertain to original owner
All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado
and other necessary insurance, Our workers are fully covered by Workmen's Compensation Insurance,
ADDRESS
APPLICATION FOR PERl"IIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTt-mNT
APPLICANT
PHONE
OWNER
JOB LOCATION
57tvhL-
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.~~
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
_Sign/Temp.
_Sign
_Hove
____Demolish
PROPOSED USE: ~Single Family
....:.-M/F
____~~ of Units
, .____M I H
_Commercial
_Indust.
____Swim, Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t,
Height
RESIDENTIAL:
COl-fr1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORl'IS. **
**COPY OF CONTRACT REQUIRED,
.EF.RMTTS REOUF.STED
____BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp,
_H.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
...
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block
____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
Ii
Signature
S i !!Ua ture
Company
State Cert. or Regist. 0
City License Registration 0
******************************************
F.T.F.CTRTCTAN
Signature
Company
State Cert. or Regist. 0
City License Registration J
*************************.**.*************
PT.UMBER
Signature
Company
State Cert. or Ftegist. 0
City License Registration 0
******************************************
MF.CHANICAL
Signature
Company
State Cert. or Regist. 0
City License Registration 0
OTHER
APPLICATION APPROVED BY
~***** ******* ,/,* *** * * * ** * ,/, ,/, ,/, .:, ,/, -I, ,', -I, ,', ,', ,/, * -I, 1,
01' ... ~ ,.,.fJ ,," $.S .- .
PERt-lIT OFFICER.
CONDITIONS OF,PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The.undersigned understands that this per.it lay be subject to 'deed restricti~ns' which ~ay be m~re restr.ictive than City
regulations, The undersigned assulcs responslbI1ity";for. compliance with any applicable deed restrictions.
"
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
If the owntr has hired a contractor ,~r contractors to undertako wor~, .they lay be required to be licensed in accordance with
state and local regulations. . 11 the contractor is not licensed as required by law, both the ~Hner and contractor nay be
cited for a Disdeneanor violation under state law,. If the owner or intended contract~r are uncertain as to what licensing
reQuire.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
788-6611.
Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(sl sign portions of the
'Contractor Sections' of this application for which they will be responsible. 1f you, as the ~wner sign as the c~ntractor,
you are indicating that you, rather than the contractor, are responsible for the w~r~. If the c~ntractor wishes y~u to sign
as contractor that lay be an indication that he is not properly licensed ~nd is not entitled t~ 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 Fl~rida Departlent of Agriculture and ConSUDer Affairs. 1f the applicant is s~&eone other than the
'owner', I certify that I have (.btained a. cDPy of the above described de.cument ;,nd pr~~lise in ge,od faith to deliver it to the
'owner' prior to co..enceDent, I
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E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all Mork will be done in coapliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby ~ade to Dbtain a perlit t~. dD wDrk and install~tion as indicated. I certify that no work or
installation has COlmenced prior to issuance of a perlit and that all wor~ will be perf~rmed t~ ~eet standards of all laMS
regulating construction, City codes, zoning regulatiDns, anrl land development regulati~ns in the iurisdiction. 1 also
certify that I understand that the regulations of other governmental 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 ne,l liaited to:
. ,,#" .>
I Department of Environmental ReQulation - Cypress Fayheads, Hetland Areas and Environmentally Sensi live L~nds,
Hater/Wastewater Treatment
I Southwest Florida Hater'KanaQe!ent ~istrict - Wells; Cypress Fayheads, Hetland Areas, Altering Watercourses
I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
t Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - ~ells, ~asteHater Treat~en~. Septic Tanks
I US Environaental Protection AQency - Asbestos abatement
1 also certify that, if filllatr:rial is to be used in Flt.od Ze,ne 'A' or 'A,etc.', it is understc,e,d \I.~t "drainage plan
addressing a 'compensating volume' will be sublitted which is prepared by a prDfes5i~nal engineer regi5t~led in the state of
Florida prior to permit issuance.
A perlit issued shall be construed to be a license to proceed with the Hork and not as authority to yi~l~te, cancel alter, or
set aside any pr~visions ~f the technical codes, nor shall issuance of a permit prevent the Building Officiil fr~l thereafter
requiring a ce,rredion e,f errors in plans; consirudic,n, e,r violations of any (c,de. Eyery per~it iSSIlI~j ohall be(c'le invalid
unless the He.rk authe,rized by such permit is cC'IIlDenced within six 1II0nths (,f issuance, e,r if In" k dllthe.. ],ed b)' the perlit is
suspended or abandDned f~r a period of six tonths after the tiJe the Hork is [~mmeneed. One 90 day e:te~5ioll of tile, aay be
all~wed fDr the per~it Hith fee charge of $15.00. The extensi~n shall be requested in Hriting t~ the Bu~lding Official. An
approved inspedie.n oust be le,gged during I!ach six mDnth period, or the prc,ject Hill be (c,nsidcr"d dbd\,de,,,~d.
RESULT
INTEND
BEFORE
MAY
DA TE ____lO---1.J-:.q-l-------~-.----.--,-------
DATE
lO-li-q \
-----------------------------------
~~~~:y o~s A~~NT _~ttJ1'iliiL---- ~~~~:~C~~R~~_~~-:~--
iTARY PUBLIC STATE OF FLOR1OA
MY COMMISSION EXPIRES~~~issi.Q.l'-~.Pi!~-Ju.!Y 11, 1993MY
Bonded thrv Patterson .1lec"it~encY
COMMISSION EXP~~~..P..lJBl,.1C.Jn~IL9i FLBRiDA
My commission expires July 1f, 1'"993
Bonded thru Patterson. Becnt Agef'lC'l