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Home My WebLink About91-1907 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1907/1 Date~/-I/- r / Type of Permit ~~~ ~ANI~ Property Owners Name:_ ~' h Job Address: '- {""9 ;l 9 ~ - -- Legal Description: Sub.Div. Lot Blk. Energy Code Readout: Zoning CI: ~ oescriPlionofworkfi/.( "(--1/'':'.4> 117 - ,h'A T Complete Plans, Specifications and Fee Must Accompany Application Fee: '- 1'0. ~ SIGNATU~ ~ - COMPANY ADDRESS TELEPHONE # Estimated Cost: ~ Y .r 7, 07.J / All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # ..< ~CAL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final t2 ~l~~ "BUILDING PL~ING --- SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Ins!. 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. APPLICATION FOR PERl-lIT CITY OF ZEPIIYRHILLS BUILDING DEPARTl'1ENT APPLICANT \. ~/ ~ ~ -dJh ADDRESS cr --'-"9 i- ') .... . - . ~P,-l;V1i;~NE OWNER t ~,~l>~ JOB LOCA- ::j-' -f~' - - '''1, LOT SIZE ~r- ;J~3 2- x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install ____Sign/Temp. ____Sign ____Hove ____Demolish PROPOSED USE: ____Single Family ~M/F _i~ of Uni ts .._M/H _Commercial _Indust. -SWA;l~Ol , :/"~~. APproval~,j;i:j'H ~,}-' Square Feet, Height ____Restaurant & Health Department BUILDING SIZE: x RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOmlS. ** **COPY OF CONTRACT REQUIRED. EERMITS REOUESTED ____BUILDING $ Valuation of Total Construction _ELECTRICAL ~MECHANICAL AMP Service' Florida power Corp. _H.R.E.C. $f~ 'f<;?~ Lj -5- Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY .#'.. . TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~ONTRACTOR 0ECTION Company State Cert. or Regist. 0 City License Registration 0 ****************************************** J3UILDER Sif:Tnature Company State Cert. or Rcgist. 0 City License Registration 0 ****************************************** ELECTRICIAN Signature Company State Cert. or Rcgist. 0 City License Registration # * ************************************** PLUMBER Signature Company 3 V 9-5-~;t:id~~ ~ State Cert. or Regis t./ ,f .A V City License Registration iirF .2. ************************************* Signature Company State Cert. or Regist. 0 City License Registration # PTHER APPLICATION APPROVED BY ~~:;::~~;~~***..~..*.*.*..**** PERNIT OFFICER. CONDITIONS;O~,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tht,undtrsigntd undtrstands that this p~rlit lay b~ sub3ect to "d~ed restrictions' which may b~ more restr,ictive than City regulations. The undersigned assumes responsiblHty~for,.,colpHanc~ with any applicable deed restrictions. " ... ".,,' ' , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If th~ owner has hired a contractor or contractors to undertake work, 'they lay be r~quir~d to be licensed in accordance with state and local regulations. If th~ contractor is not llcensed as requir~d by law, both th~ owner and contractor nay be cited for a misde.eanor violation under state laM.; ,If the owner or intend~d contractor are uncertain as to what licensing require.ents lay apply for the intended w~rk, they are advised to contact the City of Z~phyrhills Building Depart.ent, (8131 7BB-bbll. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the .Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor, you ire 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 - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is someone other than the 'owner', I certify that I have {lbtained a, CDPY of the above described de,cullent and prc'ff1i:e in ge,od faith to deliver it to the 'owner' prior to cO.lencelent. .. : \.."t (~. I" I ; .'. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a per.it to'do work and install~tion as indicated. I certify that no 1I0rk or installation has cOllenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws regulating construction, City codes, zoning regulations, ane land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies ~ay apply to the intended work, and that it is .y responsibility tel identify what actions I !lust take to be in cOlllpliance. Such agerlcies include bid ~\ e liot liaited to: ... I Departle~t of Envir~nmental ReQulation - cypr~ss Bayheads, Hetland Areas and Environmentally Sensi live Ldnds, Water/Wastewater Treatlent I Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses 4 Arl' Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways 4 Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Hells, Hastewater Tre.l~en~. Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if fillllatl?rial is to be used in H[lod Z{lne "A' or "A,ele.', it is understele.d t1,~l a drainage plan addressing a 'coapensating volule' will be sublitted which is pr~pared by a professional engin~er regist~led in the Stat~ of Florida pri~r to permit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, canc~1 alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici.1 fr~~ th~reafter requiring a correction of errors in plans; construction, or violations of any code. Every per~it iss"~d shall bec~le invalid unless the work authorized by such permit is commenced within six months of iS5"anC~, or if WOI'~ authDl lzed by the per.it is suspended or abandoned for a period of six lonths after the ti2e the "or~ is co~menced. One 90 day e=le~sjDII of tile, say be allolled for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspecti[ln f.lust be lClgged during each six month period, or the project Iii 11 be ({,nsidered abdl.doili?d. " WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN:'~ENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PR PERT IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 0 AN - RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS U ER ,5 0 IN VALUE DO NOT NEED TO RECORD AND POST A II NOT I CE OF COMMENCE T II \ \ " ,-,/ EXP"~~~~~~j~!~~~~~~dr.?f-- fliq C;.~.::".,-,-"., ..,';:, {, .~, ~-, 11 B........,~-.~ ::. '0" .! 1'.1.0 I,'" MY COMM I 55 ION MY COMMISSION Jroponul Page No, of ~ages SOr,!NY'S DISCOUNT APPLIANCES, ~NC. 3399 South Highway 301 DADE CITY I FLORIDA 33525 (904) 567.6224 , '- PHONE ,r../' ~~ ~'? ,< "I'; '--, ~.: ...:-- ..:J ~-. JOB NAME DATE /!~ ~ :5/'" '// STREET JOB LOCA nON CITY, JOB PHONE ARCHITECT '" DATE OF PLANS We hereby submit specifications and estimates for'. I ;:::~U.,t{/') /~:, '-' .: ~~:.Ij,i:.;/ ir:.u/) 1'12-- 4~J//AL~~ . ,.,{~.2~.A"~ ;. I /1 l'Ui ~H...-' ..:-_/;-C:.t-L.~ / /-bt'~ /' /;/ //Di/10/0 I ~/11(')/() ~/ / "'1' .. j/', ,~ () -- ",", l)c.,,r / i....../' J '} / , <..~ '~.) ~i/.::.i~ 1__/1 \...d,:-..fl"A...- ,// // ,) /"1 / .~ /' ,r / ?q~;7~/J / Lj 9, ;;. ~_. ~/'----t; :l i~ 3t.CP ....---- ~. ::/',,//'/;;/74-- "1 r', ~ A ~~~R~e/;/ ,yZ~;.2- ...-?v . / .. ',~"" Dr lIIropo.nr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: dollal's ($ ), Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according 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 beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Authorized Signature .-,. Note: This proposal may be withdrawn by us if not accepted within, days, J\rrrptnurr nf Jrnpnnnl- 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 o~tlined above, ,(', , Signature /,1 ;' , / Signature Date of Acceptance: PRQlJUCT 118.] [t~!~J!!iJ~ll1c., GrotOIl. Mass. 01471. To Order PHONE TOll FREE 1 +800-225.6380