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Home My WebLink About91-1883 ST ATE OF FLORIDA City of Zephyrhills ,/' d-5 PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit :N~ 1880 TYP~QtPermit ~~Il:PJ~ E~AL ~G. M~.. :::P::~r~:~erSName~~~~ .~ L4~ Date /tJ --,2<;?-S-/ Legal Description: Sub.Div. Lot Blk. Zoning CI: ~ DescriPtionOfwor~~~e~ ~~~f / I ~~~1.0f~ Energy Code Readout: -~&"'~~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost:~ /; / 9 ~ ~ 4i k) Fe . .~'- SiGNATUR~ W./ COMPANY ~( 1-/ # t#$'? All work shal! be performed in accordance with the above and all City Codes and Ordinances. (1 g ~ /62~-:S ADDRESS OCCUPATIONALL~CENSE # _ _ -7- _~. , TELEPHONE # \,-:1~4 !}pt~/hu5-,1 a~~fl / BUft.DING / PLUM~ EL~icAL V SL~ T~rv. Tub Set Rough In W~er M~~C~ Sewer Const. Pole Final Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul.CL WL MEC~A1. ..~ 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. 5';; J' /o~. d" ~mIL ~7 /~~/ ~~~. ~& ~~..-ur. t9,U ~:r ~ 3 y ~ / g"/. ~ c:z-z--G [. ;;Ie) rJ?~ · ~ ~ ? ~ ~/~~ ~ .:r/~/ c5!)~ drtt/~ ,'> (. ;,t ':.1.:,1,'. APPL'IdATiON FOR PERN'IT CITY' OF ZEPHYRlIILLS BUILDING DEPARTMENT ADDRESS , : ; ; f.!;', " SrtrJlJ V D;G1J;....~. / , / 7 ~ 3 1V.~y::~.:g;C)/, :",' PHONE OWNER --r/J oS 9~'1II- L"'L. (,/v'::-:.,.-.r6 1€-t"~;oJ {) JOB LOCATION S.:l ~ C- /19.J:::1.. $7";...... ' LOT SIZE .~ APPLICANT $~ 1 ~ 1 ? Y L '. , . x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION _Sign/Temp. ----,,:Sign _~love _Demolish PROPOSED USE: ~Single Family ~/F ~f~ of lIni ts ,._H/H _Commercial --.:-Indust. _Swim.. Pool Other _Restaurant & IIealth.Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATT.ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS. ** CO/"frlERCIAL: ATTACIl (3) SETS. OF BUILDING PLANS << (1) SET ENERGY FORHS.** **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED +BUILDING _ELECTRICAL $ / ( t/j )f!!!- . Valuation of Total Construction AHP Service ,. Florida Power Corp. _H.R.E.C. _MECHANICAL $ Valuetion of Mechanical Installation # # _PLUMBING GAS ROOFING SPECIALTY .. TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. . *************************~**************** cJ t?f.L) fl\.l. P ~ d CONTRACTOR SF.CTI~ _t . Company ~ 14 TV () If /) c.-V (!L) ~ State Cert. or Regis t. f/ <2 13. fL.O / 0 q~:s City License Registration ff ***********w****************************** Signatur Si!!nature Company State Cert. or Hcgist. U City License Registration U ****************************************** ELECTRICIAN Company . . State Cert. or Regist. a City License Registration U ****************************************** .PLUMBER Signature Company St~te Cert. or Regist. 0 City License Registration a ****************************************** ?-lECHANTCAL Signature '. Signature OTHER !~ APPLICATION APPROVED PERl-lIT OFFICER. CO~DITIONS OF PERMIT AFFIOnVIT A. NOTICE OF DEED RESTRICTIONS lhtundllrslgned undRrstan.ds that this peuit uy bl subhct io "deed restrlctic,ns' which ~ay be: OH~ nstrictive than City' reguhtlons. The undersigned a'.iSU11!5 re5pon5Ib~lltf:for"co..pllance with lIny applic.blc deed restrictions. . ..' . // '. t, B. -UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIRILITI~S ./ . "-.. . If the o;n~r has hired a c~ntract~r ,~r contractors to undertake Hork, 'they may be required to be licensed in accordance with s!ate and local regulalic.ns. ' If the, contractor is not licensed as required by lillI, bc,th the C'llner and cDntractor nay be CIted for a ~isdeReanor violation under state law" If the oHner or intended contractor are unc~rtain as tD what licensing require.ents ~ay apply fc.r the intended Hork, theY' are advised. to Ec'ntacj the' City c,f 2eph'lrhills 8uilding Departaent, (813) 7BB-661I. .' Furtherllore, if the Ollner has hired a contractor or contracteors, he is advised to have the cc,ntfacttor~S) si~n portions Df the 'Contractor Sections' of this application for which they Hill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lIay be an indication that he is not properly licensed ~nd is not entitled to per~itting privileg~s 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 provided with a copy of 'Florida's Construction Lien LaH - Ho~eowner's Protection Guide' prepared by the Florida Departaent of Agriculture and Consumer Affairs. If the ~pplicant is so~e6ne other than the 'owner', I certify that I have c.btained a, ccipy of.the above described dc,cument "nd pre,rr,i"e in gc,od faith to deliver it to the 'owner' prior to cOI~ence~ent. .. . t, .~. ~;:. ", j ; E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforiJlation in this application is accurate and that all l;c,d: lfill te dc.ne in ce,apliance with all applicable laws regulating construction, 20ning, and land develop~ent. .. . . . Application is hereby ~ade to obtain a perait to'.do work and install~tion as indicated. ] certify that no work or installation has CODtenced prior to issuance of a perait and that all work will be performed to roeet standards of all laws regulating construction, City codes, 20ning regulati~ns, an~ land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern~ental agencies ~ay apply. tQ the int~nd~d Hork, and that it is IY responsibility te. identify what actions I must take to be in compliance. Such aDencies include bill ~I e ne.t linited to: .... I Depart&e~,t of Envir~Mental ReQul;tion - Cypr~ss Bayheads, Hetland Areas ann Envirccnmentally Sensi tiv~ Lands, \later/Wastewater Treatment I Southwest Florida Hater.ManaQe~ent District - lIells; Cypress Bayheads, Hetland ~reas, ~It~rinq ~atercourses Army Corps ~f EnQineers - Seawalls, Docks, Navigable lIaterMays De artlent of Health L Rehabilitati e Services Environ~ental Health Unit - Wells, Wastewater Treal~en:. Septic Tanks f US Environaental Protection Aqency - sbestos abatement also certify that, if fillaaterial is to be used in Fle'od Zc,ne "A" or 'A,ete,', it is undNstc,c,d tldl a drainag~ plan addressing a 'cD~pensating volule' will be sublitted which is prepared by a professional engineer reqist~red in the state Df Florida prior to per~Jt issuance. , . \ ' A permit issued shallb~ construed to be a license to proceed l/ith the wClrk and npt as authe,rity to vic,j~te, canCEl alt~r, or set aside any provisions Df the technical codes, nor shall issuance of a peimlt prevent the Building Officiil fro~ thereafter requiring a correction of errors in plans; construction, or violations of any code. [yery ppr~it i5SU~j iha}l becole invalid unless the W(oT~ authc.rized by such perlllit is ce'luenced within six 1Il0nths (,f issuance, e,r if IIC'I \, at,the" J;Qd by the per.it is suspended or abandoned fc.r a period c.f six lonths after the tbe the lIDrk is [e,r.,menced. Dne 9(. day c,;\~,.::iOIl (If tiae, aay be allowed for the per~it with fee charge of $15.00, The extension shall be requested in Hri\ing to the Building Official. An approved inspectic,n /lust be lc,gged during each six Mnth periClo, or the pre.jcet lIill be cc'nsider~d dbcil,Gc'f,ed. MY COMM I SS ION EXP I RES Notary Public, State ofFlorlda .." - 'MY T'oriimiisioii lxpTres-Sept -:-26,1993 Bond.,d Thru Troy Fain - Insurance In( DATE NOTARY A~ P ---f2. . CONTROCT~_---~-~--- MY CClMt'lISSION EXPIRES~l~-Lq:i'tl if I -------------------------------