HomeMy WebLinkAbout91-1882
STATE OF FLORIDA
City of Zephyrhills
Type of Permit
PASCO COUNTY
BUILDING DEPARTMENT
.J -813-788-6611
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Permit N~
188~
5)'~Y,
Date / D - li.(3;7- 9 /
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Property Owners Name:
Job Address:
~aof?~_(t~44At;gf/~
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
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Energy Code Readout:
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Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
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COMPANY .
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All work shall be performed in accordance
with the above and all City Codes
and Ordinances.
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OCCUPATIONAL UC.ENSE# /,f ~4
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ADDRESS
TELEPHONE #
c_..
CAL
ME
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
SLB
Tub Set/IJ-?--9- q I
Water
Sewer
Final
p.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 ($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.
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APPLICATioN FOR PERNIT
CITY OF ZEPIiYlUl:tLLS
BUILDING DEPARTMENT
;; 'I'" " '
'~A,J~:V j);6~:' eo r-~
1f:~~~r
31JO/cf ~..~. LOT SIZE
LEGAL DESCRIPTION: LOT(S) J '. BLOCK
APPLICANT
."
ADDRESS
PHONE
:5h7~79P;L.
.
OWNER
....
JOB LOCATION
. ,
x
AREA SQ. FT.
11tScto f1;/poJCA1/)rfJ~fr_
SUBDIVISION
PARCEL I. D. if
WDRK PRDPDSED,_New Construction ~ddition )<.Alterotion _Repair _Install
_Sign/Temp. ----..:Sign _~lo\!e _Demolish
PROPOSED USE: ~Single Pamily
Acommercial
~/F
_if of lIni ts
,._H/lI
~Indust.
_Swim. Pool
Other
_Restaurant & IIealth.Department Approval
BUILDING SIZE:
x
Square Pee t,
Height
RESIDENTIAL:
COMl'iERCIAL :
A TTAClI (2) PLOT PLANS & (2) SETS OF BUILDING PLANS << (1) SET ENERGY FORl-iS. **
ATTACH (3) SETS. OF BUILDING PLANS & (1) SET ENERGY PORHS. H
**COPY OF CONTRACT REQUIRED.
_BUILDING
$
~ fd. rPC2-
.:> /JQ
PERMITS REQUESTED
. Valuation of Total Construction
_ELECTRICAL
AHP 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. .
. CONTRACTDE :;EC~~ ~A_ 7~
. Company If/~(/ fl CO
tate Cert. or Rc.gis t. 1J 1'_ 0 / 2- 9' ';l. ~
. Ci ty License Regis tra t ion if / R'
*********R*U******~***~**U**
ELECTRTCTAN
Company
State Cert. or Rcgist. if
City License Registration if
******************************************
Si!!nature
"
.PLllMBER A .('. P4 6,~(
Signature~./ ~~-
. Company .4 ~ bk4~~t k1-:< 4r
. State Cert. or Regis t. {! C
City License Registration {J <:)..7
******************************************
1'1ECHANTCAL
Company
State Cert. or Regist. 0
City License Registration U
'******************************************
Signature
Signature
Company
State Cert. or Regist. if
City ~cense Registr~tion ff
'.
OTHER
APPLICATION APPROVED DY
PERl-fIT OFFICER.
CONDITIONS OF PERMIT AFr-ID~VIT
A. NOTICE OF DEED RESTRICTIONS
Th',undvrslgn,d undvrstands that this perlit aay bl lub1ect io "deed restrictions' Hhlch ~ay
regulations. The undersigned assUle5 re5Pon5Ibl~Ht;'.for"coIP1ianCe with any applicable deed
be ocro restrlctive than City
restrictions.
8.
'.
UNL I CENSED CONTRACTORS AND CONTRACTOR RESPONS I R I lIT I ES
If the owner has hired a c~ntractor .~r contractors to undertake work, 'they nay be required tD be licensed in accordance with
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CIted for a Dlsdeneanor violation under state la~., If the OHner or intended contractor arc uncertaln as to what licensing
requirelents lIay apply fc.r the intended HClrk, they are advised to cr,ntad the City of Zeph'lrhills \.1uilding Departaent, (813)
7BB-6611.
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'Contractot Sections' of this application for Hhich they Hill be responsible. If you, as the owner sign as the contractDr,
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as contractor that aay be an indication that he is not properly licensed ~nd is not entitled to pcr~itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORID~ ST~TUTES, AS AMENDED)
I certify that I, the applicant, have been provi~ed Hith a copy of 'Florida's Construction Lien LaH - HD~eowner's Protection
Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the opplieant is sote6ne other than the
. "..,', I "'. ify th.. I hm ,bioi..' "'" .1 tho .h." ."" ib.d d"."" ,,' .n."i" ,. good ,. ilh ., ..11'" iI " tho
.owner' prior to cOI~ence~ent.
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E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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applicable laws regulating construction, zoning, and land develop~ent.
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installation has cOI~enced prior to issuance of a per.it and that all work Hill be perforaed to meet standards of all laws
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Water/Wastewater Treatment
I Southwest Florida Hater.ManaQe~ent District - Hells; Cypress Dayheads, Hetland ~reas, ~ltering Haterc0Urses
I Aray Corps .of Enqineers - Seawalls, Docks, Havigable HaterNays
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I US Environaental Protection Aqency - Asbestos abate~ent
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F1Clrida prior to per~it issuance.
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approved inspectic,n /'Just be lc.gged during each six lIlonth period, c,r the pre,jeet Iiill be (c,nsiderr:d ilbcil,dc'i,ed.
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
DO NOT NEED TO ECORD AND POST A II NOT I CE OF cm1~lEI'1EN r" .
SIGNATURE SIGNATUR~ ~ --------
. ER DR AGENT ~~~~R
DA TE______________-1p/-?:-zL1.L---------- DA TE________L~=---~-~-f~~--------
6MOWY~~:yO~SA~~NNT-E-~I~R~ES .!;;::~~:;;~~~
COMMlSSIO XP ~~~8~~~~~~~~~~--
::;~~~<F~.L1.j_;;~~;~;:.J G~.~~tl..L l~":l. iJN1)..
NOTARY AS T~Y' n 5Y',./1.. )
CONTRACTOR~=:;~-J.4/=1L~ ~--:-~---
MY C~~1~1I S5 ION or I RE~..!" _ J~_Lqi~
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ZEPHYRHILLS FIRE DEPARTMENT
Zephyrhills, Florida 33540
38410 6th Avenue
(813) 782-8184
FINAL BUILDING INSPECTION
Assistant Chief
Robert Hartwig
OCCUP ANCY: Of' .c )"...(, Ar.o~ DATE: II / ;' /ry l
ADDRESS: 3 :1/} I q- //1/; c:~~~ r N / r-',,;I/, .1(. ,,' ;:-:,.-?
BUSINESS PHONE: ,;z//~- OWNER/MANAGER: {-/. ,;::~i;t?r l.'/.fC 4
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Fire Chief
William T. Fenton
This huilding has heen inspected by the Zephyrhills
Fire Department under the codes and regulations of the
NFPA Minimum Standards and other local fire safety codes_
-L APPROVED
NOT APPROVED
CO~I\tENTS:
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INSPECTOR:
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DATE:
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TIME: / l/ 11/,--
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SIGNED:)!" ./. /f //, J
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TITLE:
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06/1 7/86 als
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