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Home My WebLink About91-1897 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1897/3 Type of Permit ~~E~ PL~M~L Property Owners Name: )j~~. --&.-tJ Job Address: :......5 ::L y~ ~~ Date /' (J - 3/ ~ 7' / Legal Description: Sub.Div. Lot Blk. ZoningCI: I/.- :2(, --,2/ -. 6~O- /~ - Description of Work Ji,;'7"'4 -' A. - - - ';I o 0..5--0 d~'~ Complete Plans, Specifications and Fee Must Accompany Application I f'fV;)J Energy Code Readout: Fee: 90 ~ cri) SIGNATUR~L r1 7.(~ Q. ~ COMPANY ADDRESS TELEPHONE # Estimated Cost: 0- cf- --s.l?, 0-0 / All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #3/~<"- )1//// i2?~ C- BlJILDI~ Ftr. Pre SLB Lintel FRM. Insul.CL WL E-l...€.. CT R I C A L TP.serv~ Rough In Meter Can Canst. Pole Pool Pre-Meter Final M~ICAL ~ ~MBING --------- SLB Tub Set Water Sewer 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.(0) 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 PERl-tIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT .AIIY' ADDRESS };2-y: .>1<<)(' /",1' ' /1. PHONE JOB LOCATION // J~, J /jl/ '. OWNER LOT SIZE~X /..5fJ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) / / -;( ( -,;2 J BLOCK SUBDIVISION ?J 0/0 ~ / ~/ (/ rJ ..; 00 j-' 0 WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair tin f/J;iJt .-LIns talljll.ff. f .fi:('€ PARCEL 1. D. i~ ____Sign/Temp. ____Sign _Hove ____Demolish PROPOSED USE: ____Single Family ~/F _i~ of Units ,._M/H _Commercial _Indust. _Swim.. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COMNERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp, _\-l.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY S/Je,.~ Other TYPE OF CONSTRUCTION: ~Block ____Frame _Steel FINISHED FLOOR ELEVATIONS: FT. * ***1,***1:*.**** ********* * *1,* 1",< ** * 1. 1, 1: 1: {: ,': * 1: * 1: Signatu CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration II .:3 / ,!>'-" ******************************** Si!!nature Company State Cert. or Regist. 0 City License Registration II ****************************************** ELECTRTCTAN Signatur,e Company State Cert. or Regist. 0 City License Registration II ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration 0 ****************************************** MECHANICAL Signature Company State Cert. or Regist. 0 City License Registration # OTHER APPLICATION APPROVED BY ~*~::ij'~;~~""~***********" PERt-lIT OFFICER. CONDITIONS, OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~,und~rsign~d und~rstands that this p~rlit lay b~ subject to 'deed restrictions" which may be o~r~ restr,ictive than City regulations. The und~rsigned assumes responsibility;for cOlpliance with any applicable deed restrictions. B. ~NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONn~r has hired a contractor ,or contractors to undertake work, 'they may be required to be licensed in accordance with state and local regulations. . If the contractor is not licensed as required by law, both the owner and contractor nay be cited for a misdemeanor violation under state law., If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (813) 78B-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If ye,u, 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 aay be an indication that he is not properly licensed ~nd 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 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 Florida Departlent of Agriculture and Consumer Affairs. If the applicant is someone other than the 'owner", I certify that I have {lbtained a, copy of the above described de,culllent and prorr.i:e in ge,od faith to deliver it to the 'ollner' prior to conencellenL :1"": . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor~ation in this application is accurate and that all wor~ will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby ftade to obtain a perait to'do work and install~tion as indicated. I certify that no work or installation has commenced prior to issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws regulating construction, City codes, zoning regulati&ns, anrl land development regulations in the iurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply' to the intended work, and that it is .Y responsibility tCI identify what actions I must take to be in compliance. Such agl'ncies include bid ';1 I' nelt limited to: I Depart&e~t of Envir~n~ental ReQul;tion - Cypress Bayheads, Hetland Areas and Environmentally Sensi tiv~ Lands, Hater/Wastewater Treatment I Southwest Florida Water ManaQe!ent District - Hells; Cypress Bayheads, Hetland Areas, Altering Hatercourses I Arty Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks I US Environmental Protection Aqency - Asbestos abatement I also certify that, if filllllaterial is to be used in Flclod ZClne 'A' Clr "A,e\c.', it is undl'rste,e,d t1,,;t a drainage plan addressing a "compensating volume' will be sublitted which is prepared by a pr~fessional engineer regi5t~fed in the State of Florida prior to permit issuance. A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prl'vent the Building Ufficial froft thereafter requiring a ctorrrction elf errors in plans; construction, (lr violations of any ce'ol'. EVf.>ry per~it issll\!d ~hall beee'le invalid unless the we,rk authtorized by such permit is C(ollllenced within six lIIonths e,f issuancl', e,r if lie, If; autl,[q ],ed bi the perait is suspended or abandoned for a period of six lonths after the ti~e the uDrk is c~.mf.>nced. One 90 day e=te~5iDll of tiae, aay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing t~ thf.> Building Official. An approved inspedi(,n i!lust be logged during each six month period, or the pre,jt'd IIi II be (C,nsidered dbcillde,r,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 Al"TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". 5IGNATU~~(C_~fL- ~~~rRACTOR r DATE 10-<3I-Q / ----------------------------------- NOTARY AS TO . j,^'f) ,r /l.. . J ~ J CONTRACTOR___~--liJ~ SIGNATURE__~~~---------- DA TE___LQ--_.aL:_9. L__________'~___,__,_______ NOTARY AS TO P. _ . ' \ r!l . J---:'Y../ OWNER OR AGENT,~~ d)--11-~- Niltll1V Public, St{!~a 0'1 f!m"illlf MY COMMISSION EXPIRE~~mm;...i~nl~~LC~~~.l~- Bonded Thru Troy Fain - In!.urc.r,c.e Inc. MY COMM I 55 I ON EXP I R~l!;'1 f'lJ:'!::, Sill^(" ,,'II;bl.1a My(~rr~~~~\rx~~$~~~~~19r.t .Dondad Ti1iU Troy fain. Insurance Inc. 'rnpnliul L O. l "'l' lEPHV~"HiLL:~LJ'CA, 31.248 ,813) fSf (~:;44 ( I ME' f!'> k <{" .,}.. ...... ~.J?/vt // 5/ CITY, STATE AND ZIP CODE ARCH!TECr l DATE OF We hereby submit specifications and estimates for: PLANS .-;;; r~" J ~Li.~ .....,.... i/.. t: ~..... !,.....~,/tA...-(":.v -- ',~ /" ( --? /-<Yf!-'~i-<.~\._,<-, r./ /~ ~ ~J [7v' /,' ftL-v'", .?-<:,L:f;v~_ ~' {/t71... \ I I I I I II II II !r-- II ii I I I ,// ( ". #J./ / ./, i , .'/\". (~ - I 42.. '?'~. :.,.;;.T.' , Y7."J \ j J\LJMtNUM c: JOB NAME JOB LOCATION // ...no-r.~ ~ f) <',,-" /-,/'. , Page No, of />}/ /? p....kr ("'(~: A~4~5t2- - //r()'fIVv\" //'-;<(r - ;2./... CJO/O -/;?/Uu -tJO'-O --- -~-~_._---------~-- /, /~; ~/' ~../{ "" ,J~/tJ.-< ) I I 'Ill' ilrnpOlil' hereby to furnish material and labor - complete in accordance with above specifications, for the sum I""<'/' t://')~' t?J dollars ($ -2. 6j U~ C~M/I'\. ~t"r.2./ [' <t ~ Payment to be made as follows: I I ! i i ~ I l All material is guaranteed to be as specified. All work to be completed In a workmanlike manner accordirlg to standard practices. Any alteration or deviation from above specifica- tions inVOlving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays bG'yond our control. Owr.er to carry fire, tornado and other liecessary insurance. Our wcrkers are fully covered by Workmen's Compen5ation Insurance. !\tttptuutt nf 'rnpn.aul-- The above prices, specifications and conditions are satisfactory and are hereby accepted, You are authorized to do the work as specified, Payment will be made as outlined above, Date of Acceptance: _ //-../ .{" ...i...~.,~ /' ,/ " Authorized '/~'_.c>/.,.' - Signature ;....;1,: ,.- j /-=-::.... /' ~ =r:E JOB PHONE L/:;~'A- .., .. /';/ .. ~~~ ) ./ '-12- j ,/ .,r Note: This proposal may be _'~.' "I ' withdrawn by us if not accepted within_"':'~__ -"f .-- ~ //< (. . "'..,;> ,{.>" , ":-,~~,,, SignaturX Signature _ ,1 , I 'j I of: ~ I ), ! _ days. J