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Home My WebLink About91-1900 STATE OF FLORIDA City of Zephyrhills Type of Permit 02 0 .0--0 B~G ~CTR~ PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 do ~,~ Permit )l~ 19(0)1 Date /1- / - / / PLU~G Property Owners Name: Job Address: .3 Yh..s 7 ~~A- 7&~~ Legal Description: Sub.Div. Lot Blk. Zoning CI: ::2 -;;L ~ - ;)./ - b (J/ () - O--S/ () 0 - () t) CJ D 7 DeSCriPtiOnOfWOrk~" 4-/C~ {?~e J 4.~-e~L Energy Code Readout: ~}J-o-91 I Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ,5; ~/ [-9" 0-0 All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # 9/ Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Tp.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. ~ConIrOI Systems , Southwest Inc. I J b ~ 1 CORPORATE OFFICE 6280 ARC WAY, FORT MYERS, FL 33912 FL WATS: 1 (8001432-5662 FORT MYERS 6280 ARC WAY FT, MYERS, FL 33912 CHARLOTTE: 639-6858 LEE: 275-8120 COLLIER: 597-1890 STATEC~TIFIED CACO 35496 '1If~f; lA~l ('DJJJJ f R ST~i37 .aA1A^~4 At,;~ I~~~ - 9tJ:J..9 SOURCE COST OTV. '? _ /~/IJ "EM ~.~ PRICE. -rfJAt.. Af,,;(i:J~ STREET '.', A /, I /J I PHONE J /C' ~At- rac,,k , " CITY ( r I. 1'1 . 1", STATE ZIP ~h v -W //I)Rw Lt(/t;.;~ IIi~Qr ?fO " . ):,,' #'1"- ~ - W /,l ';;;. " :riCHNtClANi; ~. L.. ..' ! I' Ao-t ^-J- @OO../t. I /.It IA,.-~_ .~ ) tlt C,t .... . ". ~ ~AKE ~~ tL I "':7~IAL NUMBER ~ ..tI~Jt"'-I'~'-M PA - .-tvtt/IA ~~ ~'f4JJIIJ?/~j;ili wP/htb)'1~II) _~/ ~ A111~ AT A'" cAJ-t' ff) PI ( Il, Ii ( fJ fA --let' rc.(' ~ /-1"/1".':' " t ~./4 ~ h i:tPt. ' : .. ~ t;' ( lA ~:~-- fJ A;1';/} A~ d. IJlJb~' -U;a~~~:;{- ~"L ~['~P.h~'~ ~ ..1 a" d:: r;, ~ :.,,~ Vk:"- l.oo ~c;c LtL L#,J-A un, $:-4~. J' h ~//) ApI' J,,4ri.LJ '1;;~'t. N ~,' { . tJ..,p'tf /Y;t..~/ f ~i~ .f)R /Yh 6 t:iL ~"{ r;:/ ? v~ A 71t'::" A.z~q, ()O / ' -~ ' :, IF YOU ARE SATISFIED WITH THE SERVICE YOU RECEIVED TODAY TELL A FRIEND, IF NOT PLEASE TELL US.": ~ ~RVICE INVOICE FORT LAUDERDALE 500 SW, 21s1 TERR. B 103 FORT LAUDERDALE, FL 33312 DADE: 621-8412 - BROWARD: 791-5605 BOCA RATON: 368-1799 WEST PALM BEACH 1387 N, KILLIAN LAKE PARK, FL 33403 PALM BCH,: 845-1407 MARTIN: 283-9459 ST, LUCIE: 461-0278 WORK TO BE DONE AJ€W Iiv' J7IJLL A7 J PAl , '" '! i-:- .~ TRAVEL TIME: TO FflOM , TIME ARRIVED TIME ARRIVED TIME DEPARTED TIME " DEPARTFIl ,- .., ,.... -")- #- SERVI\M; ~, 5XYJ ~ SERVIqt1ASOY ~ ~~ cUSTOMER'oiSCouNf' J ff J /; TOTAL CHARGE DEPOSIT BALANCE DUE $ ... .~ ') T,I I . "" $ $ 'If 1'1 ~I> SP No, 52"367. TAMPA ST. PETERSBURG 10820 - B 75th ST, N, /I, LARGO, FL 34647 CLEARWATER: 541-7600 TAMPA: 226-1379 PASCO 845-1212 LAKELAND 687 -0395 DATE I~/ql DATE DESCRIPTION OF WORK PERFORMED A ~ /J')1 P 4- ~ "lA,/..I 'LJ.../~ 'H f 4- pl(l. /' , ,t) l,d r ~ .....yv /' /1. t J....v , /fk'{, 7P I1\-t ,,~r A,L ., . , M/ I~~ / .&'~'(..I ffu" ~L ApIA tI A l,'{AA / 'rp,r/J.A,.~ n1~(;;f' J/J,..IIA. Y , L ;'111~ - M)1~"..t~ /JtL 'rf .... I'A 'E /7A \ , " 1\ k r f.fft) L/N } /' ~ A'" Dl L--'\ i D\\\ LJ.J" \ r ~ .:; - 'PLEASE PAY FROM THIS INVOICE TERMS: NET DUE ON COMPLETION en ~~~.:. -mject to . Finance Charge of 1-1/2" per month. Annual Percentage Rate of 18% which is ." h. is agreed and ~nderwtood by' the ptIrUes that all equipment and pam which ar. aokf pursuant hereto shall NOT Z =:':.':= ~of.::.t~:.~=~ wne:.~;:,:~: ~.=..:.: :~~ :~~~j~~:~\:~=.~~~I.1 ~i::~ 0 heret.v ag,... that all partl and equipment mIlV' be repouesMd in the event of non-payment. See reverse side . for wil".my ~nd tnnructiona. . (J1 :7>>~]~~.?It~Y=~.~~..nMMY'~'illhlS ~ TECHNICIAN SIGNAT~. V:; ~ ~ ~ CUSTOMER'S SIGNATURE ,..... CARD EXP, 'f~'~ .... NO. DATE -'- ... APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT " .1 i ,-,; "I: :,~~.'f4:: ~'O:~.' '; "'r ' ~.. \' ''\f 'a " ADDRESsZD~ 8:S':~ if!Sf'~-tt:tr'~~(.'6 $)QLpHONE "~'7~,::'<o:9'3(j: OWNER 't' it-1f 0 L:.~' ' e.. ib ;J tJBf?";' " I " JOB LOCATioNd~,'.t'.tlf\3'?':t ~~'iil:)J4:"A V _ LOT SIZE'; 'X;):'ARE^ 'SQ:FT/" ,', i'i LEGAL DESCRIPTION: LOT (s) 0 ,H (> BLOC: ",,"'I H. SUBD~VI~ION'__iJJ.:k 'Ii' ~y 'I /Jo /u\w ,;:, "iH"'P::t.rJ~,IL..,.';12,/ '" o~o/6' ~ D..r"/o c) .... f!1 " ~l Q,',: ',' PARCEL ,I,D,II . ' . ..' . ',;,: ,:rl,: ,'_ , .. . J'. 'llt,..tlJ-~\~~"',t;~f1)' ;,', '~cI!\d~.1ti. "t:, . '" ;" ,_,:;. , 1 WORK PROP~SE?:~Ne~I,~c~n~~ry.~ti~n .,~?~i.tion , -^lt~fa.tio~){:;:;-~e~fir .r:~_r;;, .,. :~S,i.gn/Temp. _Sign _Hove PROPOSED USE :'''-...:.Sir!~l~~ 'F~iii;~~~~1~~(1.~') M/F"!, t! f_4Itbthunftii(:'! I,' .....2J...JI/H APPLICANT \, , 'r "~ t";' , ' ~ ,t1..' ." ;t' ,<r", Install' '" ::}(.,:t!; ;';:, d"L"'I'Demolish BUILDING ;,~l}l<fill'il( ~:!b~_~rIJi~ii\'i;' j';)1'f 'WI !Indust. ~siJtm,pij~l "'i ~: ,f,S ~ i.' \ ,:: ~', I ..... t t .,; I, ~ , i ';~ ' t '~ . ; '" , . t tjOtCl -Restaurant ~,Health':Department Approval " . .. I I ' ~,' - .: It.;. t'. '" " I . I! ~'~;:a, t:J ~" ;'r~ ,< ',;' I lr~~\' ~.~: t '~~~~l ~!.~' r SIZE: X , Square Feet,! " ~' Other , ' ~'; 1 :~ Height 1"',,1.: " RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF.BUILDING PLANS & (1) SET ENERGY COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & 1(1) SET~ENERGYFORMS.**: " , .~ ~,:",~cppy:,.or ,CQNTR;ACT,REQUlRED. . . " " '~~ ~ \'.' ., , . ". r . . 'II l' ' ,l . ',~ I,,; ,7:" ~ ; FORMS. ** ;;, ; ~.- , .;, ~ .~.: PERMITS RRQUESTED ,"". t-', '.. _BUILDING '; ,_\.' .~'. $ .' " '"'I.: _ELECTRICA~,~~, ' hECHANICAL : i $ ,I , ; " ,it, , Valuation of Total;Construction _PLUMBING .'!i. . !;; I' . t , AMP 'Service , ___Florida Power 'Corp,. ,,', ," ;':.'~ ;,,~,'i""~~alUatiOn ~'f HeChanicalInsta~l~~ion .' .''!, GAS'jh: ROOFING'; "t"" " SPECIALTY" :'~ ~ j ~ f W.R,E.C. : L !<t"i . . " ".:'1 '# Other TYPE OF CONSTRUCTION: i_Block '; ~Frame" : ;, ~:; \ " " .~, ::'. . ~, , '. FINISHED'FLOOR ELEVATIONSi'"' , FT,. Y:H "' I BUILDER .: . **************************************.... CONTRACTOR SECTION Company State Cert. or Regist. ~ City License Registration ~ "*******************.*******.************** Signature " Company p,. R- . <::. -(,' C I fi S ~\ FI; cI/e ;' C' State Cert. or Regist, 4~ t:~'f..';Ij'-S/ 7 City License Registration ~ ~ *******************....*********** PLUMBER I..- Company State Cert. or Regist, ~ City License Registration ~ . ' ****************************************** :"": i ',' f t Signature , ) Company I G If D' A-t.f tf! State Cert. or Regist. t~ c AC.o City License Registration # ************************************ J i.} i: " OTHER Company State Cert, or Regist. # City License Registration ~ Signature APPLICATION APPROVED BY PERMIT OFFICER. ... :;;: . '~t ); . ' CONDITIQNS.OF PERMIT AFFIDAVIT , ' A. NOTICE OF DEED RESTRICTIONS lhl undlrlig~'undlrltlnds thlt thil plrlit IIY bl lubjlCt \0 Idlld rlstrictionsl Nhich lay be lorl rll~rictivl than City rlgulat,i..~~:~~~~ ~~,!r~l~~~~~~~'~~~~' r~~~.n~,lbUUl/or CDIpHlnu Nith Iny appnubll dlld n~tricUonl. ,- " " " . B. UNLICENSED CONTRACT9R' AND CONTRACTOR RESPONSIBILITIES . . .... ,.t~~:~"'.fh"~."~'''~'f''''i'.'''1H1Ii..-_~-~,~,,\.1.,~-'I<~h)' ....,.~ " . ' If thl oNn,rhllhirtd a contr.ctor Dr contr.ctorl to undlrtlk, Kork, they IIY be r.quirtd to be lictnsld in Iccordlntl lith stlt, .nd lotal'ttgulatlons;"'lf th.c.atrlClor 't not HunsH .. required by 1.., both th. ONn,r Ind untndor I'Y b. ,; cited for I' lildtle~nor'Y\'~ltion under ,It.tl ll~. If the ONner or intended contrlctor Ire uncertain IS to Nhlt licensing requirel,nts'lay Ipply for th,'lntlnded'Nork, they Ire advised to contlct the City of Zephyrhilll Building Dlp.rtlent, 1813) 788-6611.. ,; '~',.t"~~;,. '~".;''1''"~'~'''' ,i.-";,"~ t''''; ,', ~ '~ , " , ; . . . \,l 1 ~ " Furtherlore. if the oNne~ hll,hired I contractor or contrlctors, he il advised to hlv, th, contrlctores) lign portions of the' IContrador S,dionl"of'thla'.ppllutlon'fot lhich they IHi bl relponsibl', If you, .. th, ONner lign .. thl contrador, ' . youlrl.lnd.lF~ti~g th.t,y~u,~r~ther tha~ the:CDn~ractor, In n,poDlible for the NOrk, If the contractor lishes you to lign, IS contnctor1\hat laybl'ln Indi,caUonthlt h, b not prop,rly licenled Ind is not .nUtled to p,rlUUng privileges in th., ( ~ '. .: , " '1.' City of, ,~ephnhUI5. " . Ii' '. ".i....3,__" , 0'1 r; ',.'.10, fl . C. TRANpPORTATIO~ IMP~C~ FE,S A~D UTILIT~ CONNECTION FEES, . ,;;, : D. t:ONql,~U~!.~~~, .,~X.EN L~W.t,~~)"tAPTER 713, ,FLORIDA STAT,UTES, AS AMENDED) I certify that ,I, the applicant, have been prlvid,d lith a copy of IFlorida's Construction Lien LaN - HOleoNner's Protection Guidel preplred by-tbe Florida Deplrtlent of Agriculture and ConsUler ,Affairs. If the applicant is SOleone other than th, "oMner., I c'rtify that I bave obtained ,a, ~oPYlof tbe above ~escribed doculent and prolise in good faith to deliver it to the t~ %. ~ -,f '(.:,,-.. . "-'~' . .' . \ ,,' . ' ": .. IONnerl prior~ toto~lInc~lInt, ' " ' " E. CONTRACTOR'S/OWNER'SAFFIDAVIT, .." . j t'.. 1 certify thlt III the inforlation in this application is accurlte Ind that all Nork Nill be done in cOlplilnce Nitb III , Ippliuble, laMS regulating construction. zoning,lnd lInd, d~velopllnt. ; _~ ~ ,. '1 > Application is hereby lad, to.,obtaln a p.rtU to, do lork ,and inltalla~ion II indiuted, I certify thlt no lork Dr Instlllltion hll cOI.enc,d prior to issUlntl of a perllt and thlt all Nork .ill bl perfor.ed to leet st.ndlrds of III IINS ngulating &:OD~trudion,' City &:ode" 'zoning ,r.guhtions, Ind land dev,lop"nt ~egulations in the Jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended Mork, and that it i~ IY responsibility to identify .hlt acUons 1.lult \Ike tD be in cOlplilnce, Such agendes include bill are 1I0t UIUed tOI I DeDartlent of Envinn.en..nReaulatloD :. typr... Bayheads, lieU and Areas Ind Environ.entally Sensitive LandS, , " " . lIater/"lIttlater Treahent" I SouthMest FIDridalllter "anaaelent District - lIells" Cyp~.ss Bayheads, Wetllnd Areas, Altering Watercourses I Arlv CorDI of Enoineers - SeaNalls, Docks, Navigable "aterMIYs I DeDlrtlent of Health ~ Rehabilitltive Services. Environlental Health Unit - Wells, WasteNlter Treatlent, Septic lanks I US EnviroRle~tl~ Protection Aaeney - Asb,ato. ,abatelent ' ' "-;0(:.';' '.~ '~ ,;~\:! I also certify that, if fill laterill is to be used in FloDd ,ZDnl ~A~ or "A,etc,., it is understood lhat a drainage plan addressing a~CDlpensatingvolulI~ lill,.be subliUed Nhicbllprepared by a professional engineer registered in the stat. of FIDrida prior to p8rait luuante.." :; t. " ' \. \Ii: n A perlit issued shill be construed'to be .'llceDle to proce,d Mith the Nork and not IS authority to violate, cancel liter, Dr set aside Iny provilions' of the \ecbnical todll, nDr shall:s!,uance of a perlit prevent the Building Official fro. therrlfter requiring I correction 0' erfOrI in plans.,tlMtruction, or ~iolltions of Iny,CDde. Every penit issu!!d shall beeo" invalid. unless the'lork authorlzedbysuch perIU"iI1tol..nced lithin six lonths of issuance, or if Kork authorized by the penit is suspended Dr,~'ablndoned :for a plriodoflh1ao"tbl .nIT the UI. the Nork is cOlleneed. One 90 dlY extensioll of U.e, IIY be alloNld forth, perlU lith fee tharglof~.l'lOO.lh' .denslon shill be requested in "itlng to thl! Building Dffichl. An approved inspection,lult,bl logg,d during Ilch lix lonth period, or the project'Nill be considered abal~oned. . . .; '1-" ~. WARNING TO OWNER I , YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL T,.INiYOUR: PAVING 'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN. FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING VOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT~NeeD::TO RECORD ,AND ,POST A "NOTICE OF COMMENCEMENT". i' ...~ It':_ - ~. ~ .~, r::,~~<:'~ ~>.t.. : ~ - ;', ~.; ,." __, > ~- l'" t: " . SIGNAT ~':'j:'Q".~t' ,':7:,"'~' , UR ___________~~--------------- " ,OHt:4~?V~,AG~T , DATE__~______2~~~~~~~-------- NOTAR~'~~'TO '. ;;'~;, '~~ OWNER o~,!~~~~r.,~-:-~~----------- MY COMMISSION EXPIRES__~_~~~~J1~------ DATE_________~_~ --~-------------- NOTARY AS TO ~ - - ~ CONTRACTOR_____~~---- MY COMMISSION EXPIRES_____~_~~~?-~- -----..,.----