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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: / y tnJ. cr-o / :~:~ATAE51t:~W~ '-' ~"'-'- All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # -!J COMPANY ADDRESS TELEPHONE # t:-~., " - ~~ . - -~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. Date ( ! / I / Name />/ ,/ -"f... I ,. l) //A..--J ('A j ..",' I' .,// )--. / /, I IL i ~/'~/ .,,/.. / ' / i{A Address , _:-'.' ,.,,:/',.,," ~~) ) Phone ~~~ '::.;; /' /At,'?"'1 ' .1 , .-.. O. /r /! ,~I /'"i r' ,/ I / " , p;.\ /\~ l ,'" [,,{ \.. DESCRIPTION AMOUNT ( " l' l ,"\ / I V l\..., r /'/ t ,./{ 1. ~i~,j J~) l/l ,~ I ,.,:.,L'.:'.I ....'./ . I'~_- /, I ,.- , ;..'" "".~~-.; 'L .' . '.,' ..I ".. ;~ II , , .' /' -. /" / !',.jt ..A l'i..., ,r (, " < ~ _.f I'/-r:--., \,.,/ ,'"j r L. .1 i"/ 1 ' l ;/ --{" " ~I , ;; "' i ;, .jI .. -- . .,.y,,,.., -".".... t "'( (.';' " i "i ", /\./) ,.., ~"I\...... V ~~"'I.----, ) I)4 -Z) ~/ ,4( -,'-of [( -z>ti / L -_ ,~' i ,<' /" r/j " /lv"-..... . .:.1l/ /1, / "-.-,1 ........ v t. _/ .......> ~_' / / /;/ ,. </ .J"l,.../ I L "-'( 'l -l if /i i .,~-" - -- f ,.", I. >f!.fo~/('l/' r t :.~;~<, t.--"\-f/ 1 , " :. t...../ I .I 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 :1.;,'7 ' 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