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Home My WebLink About91-1864 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Type of Permit ~IN0 ELE~ p~_ Property Owners Name: _ ~ A J/~ Job Address: \. C'-I / {} - :;l.... ~ ff Legal Description: Sub.Div. Zoning CI: Description of wor~--:I? p Permit )f~ 1864 15 D t Iv - :L / - ? / a e , ME~ Lot Blk. ~~ / Energy Code Readout: 11nydJ;, '/O-~3-91 LI1.1L Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: c2. -3 --.s--o, c-v ./ All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~ OCCUPATIONAL LICENSE #0 ..> /-------suJL~~ C_ . .._ Ftr. Pre SLB Lintel FRM. Insul.CL WL P SLB Tub Set Water Sewer Final G Driveway Fee: <_3' (J . SIGNATURE COMPANY ADDRESS TELEPHONE # (~ ----- M Tp.Serv. Rough In Meter Can Const. Pole Pool . Pre-Meter Final Breakers Ducts Ins I. Compressor Final Relnspectlons: When extrajnspection 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 PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB LOCATION PHONE APPLICANT ADDRESS OWNER LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign _!'love ____Demolish PROPOSED USE: ____Single Family _M/F ____~~ of Uni ts , .____M I 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 FORtiS. ** **COPY OF CONTRACT REQUIRED. _BUILDING $/ ;<JSD ( PERMITS REOUESTED ~Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ~*, ***** *1:** ,************* ***" ,~*1, * 1, 1:,':1: o{: 1: * 1: * 1: n~ ~ ' - CONTRACTOR SECTION J3lJILDER ~ '~' Company ( _, State Cert. or Regist. ff Signature . . - - . City License Re"istration !I ****************************************** ::;ignature Company State Cert. or Regist. 0 City License Registration # ****************************************** ELECTRICTAN Signature Company State Cert. or Regist. ;~ City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist, # City License Registration # ****************************************** t'1ECHANICAl. OTHER Signature Company State Cert. or Regist. # City License Registration 0 APPLICATION APPROVED BY ****************r~************************ 9f ~ >t ,,/1 A)~""" . PERMIT OFFICER. I CONDITIONS OF PERMIT AFFIDAVIT . .' A. NOTICE OF DEED RESTRICTIONS Th~,und~rsign~d und~rstands that this perlit lay be subject to "d~ed r~stricti~ns" which may b~ ~ore restr,ictiv~ than City r~gulations, Th~ und~rsign~d assUles responsibility:for..colpliance with any applicable deed restrictions. ,;,. ' B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hir~d a contractor or contractors to undertake work, they aay be required to be licensed in accordance with state and local r~gulations, If the contractor is not licensed as required by law, both the owner and contractor ~ay be cit~d for a eisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents lay apply f~r the intended work, they are advised to contact the City of Z~phyrhills Building Departlent, 18131 788-/,/,11. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the c~ntract~rlsl sign portions of th~ 'Contractor Sections' of this application for which they will be responsible. If y~u, as th~ ~wner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the w~rk. If the contractor wishes y~u to sign as contract~r that lay be an indication that he is not pr~perly 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 c~rtify that I, the applicant, have been provided with a copy of "Florida's C~nstructi~n Lien Law - H~.eowner's Protection Guide' prepared by the Fl~rida Departl~nt of Agriculture and Consue~r Affairs. If the applicant is sOleone oth~r than the 'owner", I c~rtify that I have ~btained I copy of the abov~ described document and pr~mi5e in g~od faith to deliver it to th~ 'owner' prior to co.mencement, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in co~pliance with all applicable laws regulating c~nstructi~n, zoning, and land developeent. Application is hereby lade t~ obtain a perait to do Mork and install~tion as indicated. I certify that no work or installation has co..enced prior to issuance of a perlit and that all work will be performed t~ meet standards of all laws regulating construction, City codes, zoning regulations, anrl land development regulati~ns in the jurisdicti~n. I also ,.,'ify th.t , .""".,d th.t th. ,.g.,.'i'" ,f ,Ih.r goy.rn..,'" .g,"i" .,y .p,ly" Ih. i,t"d,d ,.,k, .,d Ih.' il i' IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~le "~l li!ited to: . .;. """ I Department of Environmental ReQulation - Cypress Bayheads, Wetland ~reas and Environmentally Sensitive LdDds, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~err~. Septic Tanks I US Environlental Protecti~n AQenc~ - Asbestos abatement I also certify that, if fill aaterial is to be used in Hood ZClne "A" or "~,etc.', it is underste,e,d l"~l a drainage plan addressing a 'colpensating volume' will be sublitted which is prepared by a pr~fessi~nal engineer fegisl2ied in the State of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed with the work and n~t as auth~rity to yi~l~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter ,.,.i,ing . """Ii,' ,f .,r'" i, pl.n,; ""I,.,'i.n, " vi".I;,,' ,f "1 "do. '"ry ,.,." ;"",d 0,.11 b','" ;,v.I;' unless the work authorized by such permit is co.menced within six months ~f issuance, Df if HOlk authDI lzed by the pertit is ,.,p.nd.d or ,b.,d".d f.' . p.ri,d ,t ,t. .,,'h, .f'., Ih. Ii.. Ih, ",k i, ".""". 0'. ,. d., ",.,.1,,, " Ii.., "Y b. allOMed for the per~it with fee charge of $15.00, The extension shall be requested in wriling tel the Building Official. An approved inspectie,n must be le,gged during each six eonth period, or the pre,jed wi II be considered dbdl.de'lled. MAY RESULT INTEND BEFORE DO NOT ______~fi: DATE __Lj~_c:Bf.::-_CZf__--------------'------- NOTARY AS TO /-:J /(L.--:--r- / .-/1 OWNER OR AGENT ~J.2:kU~~/~~':!'- MY COMMISSION EXPIRE~A~~~Y8~G,&~~~~~DA My commission expires Jan. 2 S, 1995 Bonded thru Patterson. Becht Age~y DATE I () ,- d (~ 9' I --------------------_._------~--~--- NOTARY AS TO /7 - / -//.. CONTRACTOR__~-~~~~~ MY COMMISSION EX~'~_~~~~S-~T3Ig~~-~~ I\,y C~r;Jr.I1,ssJOn expires Jan. 2(;, 1995 Bond~a ltlru t"\..lrtt.:'rson - B~cht r..\gency ~" _~', ?~';'J.,':';,';ih.'~,' _.,,,;',~ (~,~;. ~?,,'~-\ ., ~','.-L j;., Please Send Remittance to: ~. ilarthtt Luting OOt (ltttttrnllJlluriha. fttt. c/o Richard Bartlett 38408 3rd. Ave. ZEPHYRH/LLS, 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. Name I .[/' I' I, " ./ C'/ /\ /1 /1 , / / ,j ,-,~/ Date , . / / ,", / '/ / / f ~. I Addre.. Phone DESCRIPTION AMOUNT i-L. ,--- .-- THAN au 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. ,,.-' ", Ii r )". (, TotaL' ..> j