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Home My WebLink About91-1866 STATE OF FLORIDA City of Zephyrhills ~~" Type of Permit ~ U PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1866 E I --- Date //) --~ /-c; / .' I , B~.IJ..DtNG ~. - ...\ ~_'.~,~:?:~ ~::P:~~r~s:~ers Name:~y;; -(-J~~L.k' PLUMamG -"~" ~_... Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work ,.~f(1~;~~~/' 1~ : t I .:.) ;l.;1_i,,,tX- '~., VM"~PAl)~ ~ Ai ~ Energy c6d Reado:t: ~h .b~,;)s'~91 Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ,41 Fee: cd IJ ' SIGNATURE~~!R ~n~ COMPANY - All work shal! be performed in accordance with the above and all City Codes and Ordinances. /73&;;t- U)f.~..{J, c .~ ELECTRIC~ ~/ Tp.Serv. Rough In IQ Meter Can Const. Pole Pool Pre-Meter Final ADDRESS OCCUPATIONAL LICENSE # TELEPHONE # .....'''''' /~~. . (2 / C .(J, _ ~NG' ~ P L.!J.M8fN G ~ SLB Tub Set Water Sewer Final M~tJICAt-.. - Ftr. Pre SLB Lintel FRM. Insul.CL WL - J I ~ /f Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of tcn ($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. ~ ^PPLICAI10~ FOR PERMIT CITY OFZEl'HYIUIILLS BUILDING DEPARTMENT APPLICANT ADDRESS OWNER _I' () f.F e I} tV 2- e-/ JOB LOCATION 3 9 Y ~& ;fZ.!:/~ PHONE LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~~" 0 3/ D .... 000 - () 0 0 "770 WORK PROPOS~D:____New Construction ~Addition ____Alt~ration ____Repair ____Install , _Sign/Temp. _Sign _Hove ____Demolish PROPOSED USE: ____Single Family _M/F _t~ of Uni ts ._H/II ____commercial ~Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, 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 FORtIS. ,~* **COpy OF CONTRACT REQUIRED. rf.~trT~ ~eQYESrEQ _BUILDING $ Valuation of Total Construction ~ELECTRICAL Al'lP Service Florida Power Corp. _H.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PUTI'm uW ,GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION nmLDER Company State Cert. or Regist. g Signature City License Registration ii ~-I' ~ ****************************************** ::E:::~::;;:~/ ~~~ ~~:~:n~er::~R1~~ fIt:?;~ __"_c_____ _~ ~*~~~;~*;;~~~~~:.~:~~~;~~~~~~" 173 Signature Company State Cert. or Regist. iF City License Registration # ****************************************** pT.mmER Signature Company State Cert. or Regist. 0 City License Registration ~, ******~*************************~******~~* 1'1ECHANTCAL Signature Company State Cert. or Regist. ifr City Licen,se Registration if ........../ i__ //" *"l{;~* * *. *. ;.*)* .*15-** **r*-** * 1*~* ~'_~:h:::2.f' *~: ':: '7 i: i: ,', .:;::..... >~J-V.1' .. ~::-- w...~t;tt.'-f(, PEIUlIT OFFICER. OTHER APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A:: NOTICE: OF DEED RESTRICTIONS.. . Th, undtrJign~d und,rstinds that this perlit lay bE ,ubject to "deed restrlcti~n5' which' may be lore res'rlctlve than City regulations. The undersil}fttd ISSUe!!! r!!5ponslbl~1\:.f~r co.pllance Kith any ftppllcablc- deed restrldlons. . . '. . , 9. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES if the owner has hired a contractor or contractors to undertake work, they may b~ required to be licensed ~n accordance with .tll. .ftd local regulations. If thl1 contractor is ntlt licensed as required by lall, be,th the olfncr and contradc.r lIay be cit.t for a eisdeleanor violation under state laH.'. If the OHn!!r or Intended contractor are uncertain as to what licensing requlrelents .IY Ipply for tho lntendod work, they ete Idvls.dto cont.et tho City of Zophyrhllla ~ulldln9 Deparll.nl 19131 iBB-bbll..... ' . Furthermore, 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 Dllner sign as the contractor, you are indicating that you, rather than the contractor, are responsible ftlr the Hork. If the cc,ntractor wishes you to sign as contractor that aay be an indication that he is not properly licensed and 15 not entitled to perlittlng 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 Kith a copy of 'Florida's C~nslruction Lien Law - H~~eowner's Pr~tectlon Guide" prepared by the FI~rida Departlent of Agriculture and Consumer Affairs. If lhe applicant is SOIEc,ne olher than the 'owner", I certify that I have obtained a copy of' the above described document and pr~~i~c in g~od faith ttl deliver it t~ the 'o"ner" prior to cO.DentRment. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this applicatiDn is accurate and that all "Drk will be d~n~ in cD~pllance wilh all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a ,erlit to do work and installation as indicated. I certify that no work or installation has co&!enced prior to issuance of a perait and that all If~rk Hill br. performed to ~eet standards of all laws regulating c~nstruction, City codes, zoning regulations, and land devel~pment requlati~ns in the jurisdiction. J also certify that 1 understand that the regulations of other g~vernaental agencies ~ay apply lo lhe Intended "~rk, and that It is flY responsibility to identify what actions I /Dust take to be in compliance. Such agerlcies include bill ~Je Ii{,t li.llted to: } ~~DartEent uf Envi~on~ental ReQulation - Cypress Diyheads, Hetland nreas and Env:rDnmentclly Sensjliv~ L~nds, Hater/Wastewater Treatment i S~uthwest Florida I'ater ManaQement District - Wells, Cypress Dayneads, Wetland Areas, Altering HatercOUfses f Ar.v Corps of Enoineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - He1ls, Uastew~ter Treat~en!. Septic Tanks I US Environoental Protecti~n Onency - Asbe~tDs abatement I also certify that, if fill uterial Is to be used in Flc,od Ze.ne "0" or 'I\,etc.' fit Is urld~rste'c,d tt.3t a drainage plan addressing a "co.p~nsatlng volu.e~ Hill be sub~~tted "hith is prepared by a prDfessional enqineer rcqlst~ied in the State of Fltlrida prieor to perllli t issu.ance. ' 'I,. A perllit issued shall be construed to be a license to proceed tiith the H(,rkand nc,t as.authc,rity tc, vicol~leJ cancel alter, or set aside any provisie,ns of the technical"c~des, norsh'all issuan~e of a permi t prevent the l.lui ldinq Official frc," thereafter requiring a correction of errors in plans, construction, or violatiDns of any code. Every per~it issued ~hall beCD_e invalid unless the Hork authorized by such permit is commenced within six .tlnths of issuanc!!, or if uOl'k authDrl~cd by the perlit is suspended or abandoned for a period of six lonths aft~r the tile the "ork is co~menced. One 90 day ~:te~5iDII Df tile, ~ay be allowed for the permit with fee charge of $15.00. The ext~nslon shall be requested in "riting to the Building Official. An apprtlved inspectie,n /:Just be le,ggedduting each six Mnth peritld, ~r the pre,jed liill be cc,rlsidl?red db,;!idc,rl~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 <'Jl.C?J NOT !'.lE, ~~.: T., 0 RE. COR.D. AN,D POST A. ~. NOT I CE OF COMMEf\ICEMENT". 11&-i/.t.. .JJ<. ,d'..". ~..::~~..->.~../U/i 5.f'f'!U4L/ ~ ~&..v1~'ti.~,'M // ?<1~~.~" t.L~ ,/?...,.~~ //~ bSI~NAfuRE_'" __g. _____ 5IGNATUnEbd'~~~. - ~. , WNEROR . NTRACTO /' DATE_~~~~~:~~____-_-_________-_-- DATE_~~~~~=~~------------------- NOTARY AS TO \\, . (~ . OWNER OR AGE~.I'~~~~- NOTAHY.PUBUC, ST.nE OF ,.LCRIDA.. MY COMM 155 I ON EXP llfl8S>Jfll\'lISl>-,-UJ.'-~l::.W~..;....;......;H.-~3:: aON.oE':1Tiif(u hl'JTAj":'{ i~' _..J_;_ u;>J".:I.:::;~\.'I;;iTERS. . NOTARY AS TC(\,' ".-.. . ... r' \ CONTRACTO~_~~~ .. . N.oTJUlYl'lJl~UC, Sp',..r: OF r..;-;:,nX." MY COM~l I 55 I ON r-.A'itl6~1~~W.l:i..i:i"",,,~":'..;.."';'-2.i....1.2~ LONDED THHw NOfA;'<Y j-'.,.i::JU;::;; ui'i;";~,;'..',i"ITZ.~S.