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Home My WebLink About91-1908 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit:N'~ 19088 Date11 -S-;1 / ~ PL~ ME~ Properly Owners Name: _~ -L ~ ff:.~<?# Job Address: ,:?9/~<-;J--- _-e... Legal Description: Sub.Div. Lot ZoningCI: /:J-- ;;>J" . ;;./ - 0030- oo.s-o 0- OO~ Descrlplionof wo:': X~r..c ~ eJV-<'A-- ~ C -+- .-/u.~-~~ Blk. Energy Code Readout: 4.\ -;.', g /'2.' / V' Fee: 3.5-: 07J ~ SIGNATURE 0~ t~~ COMPANY Complete Plans, Specifications and Fee Must Accompany Applicatio Estimated Cost: ...32 r;/7) . trt> / All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # S ADDRESS TELEPHONE # BUILDING ,~ PLU SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL 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. AFPLioATXON FO~ PE~I~T C~TY OF ZEPIIYRHILLS BUILDING DEPARTMENT ADDRESS I' ' " , , \/\X~.L \~I~ ~~ \)~'\\ \ ~\\\~~\\ ~ ,\\~~Sf \)~~\~) lJ ~\ \~L\ L(~~ \~ L~\)~ ,1fu\;\;~ OWNER ~~\') 'V. ~()." . ~\"'<.:~~{'\ JOB LOCATION ~~\~~ \\\<0C-',V\~ \\\\y/ LEGAL DESCRIPTION: LOT(S) ~ BLOCK G \J.- 1\D~ ~\" ~U~~ - DDGb\J - UhlD ..,; ( fl.of.lli[j' ~ C . PHONE-D ~ I~'- \ c, 3~ APPLICANT " LOT SIZE~X \~U AREA SQ.FT. SUBDIVISION 1,(" Pt\;\\l) , \'\\f A~ ~Th PARCEL 1. D. i~ WORK PROPOSED:____New Construction ~ddition -LAlterntion ____Repair ____Install ____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: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'1S.** **COPY OF CONTRACT REQUIRED. PF.RM1TS REOUESTED _BUILDING $ !b\'J tJ ,\j~ Valuation of Total Construction _ELECTRICAL ANI' Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS J ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECJION , Company , ~ , ~. /) I) 7 State Cert. or Regis t. iF (...-A./t-t' (./0' o-o-t City License Registration ****************************************** ntJlLDER Sirmature Company State Cert. or Rcgist. n City License Registration iF ****************************************** ELECTRICTAN signature Company State Cert. or Regist. # City License Registration 1~ ****************************************** PLUMBER Signature Company State Cert. or Regist. ff City License Registration # ****************************************** MECHANICAl. Signature Company State Cert. or Rcgist. ff City License Registration n OTHER APPLICATION APPROVED BY ~********~*************************** .d AJI"(j . oJ! /I\.,r- , PERMIT OFFICER. CONDITIONS OF PERMIT AFFID~VIT A. NOTICE OF DEED RESTRICTIONS Th',und,rslqned und,rstands that this per~lt ,ay bl subject to 'deed restrictions" which may be D~re restr1ctive than City regulations. The undersigned assumes responslb~llt~for"co.pllance with any applic"blo deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor ,~r contractors to undertake Hork, 'they nay be required tD be licensed in accordance with state and local regulations. ' If th~ contractor is not licensed as required by laM both the ouner and contractor nay be cited for a misdemeanor violation under state law., If the owner or Intended contr~ctor arc uncertain as to Mhat licensing requirelents ~ay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departaent, (813) 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 OMner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes y~u to sign as contractor that aay be an indication that he is not properly licensed ~nd is nDt entilled 10 per~itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORID~ STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien LaM - Ho~eowner's Protection Guide' prepared by the Florida Depart.vnt of Agriculture and Consumer Affairs. If the ~pplicant is sotlone other than the 'owner', I certify that I have {lbtained a, co'py of the above described de,culltent ilnd pre,rr,i:e in ge,od faith to deliver it to the 'owner' prior to cOI~ence~ent. ~1,.~'~~~.\ ,;: E. CONTRACTOR'SIOWNER'S AFFIDAVIT I certify that all the inforiation in this application is accurate and that all wor~ Hill be done in coapliance Mith all applicable laws regulating construction, zonirig, and land developDent. . ' Application is hereby ~ade to obtain a permit to.~o ~~rk and install~tion as indicated. I certify that no Mort or installation has co~~enced prior to issuance of a per.it and that all work Hill be perfor~ed to roeet standards of all laws regulating construction, City codes, zoning regulations, ancl land development regulati~ns in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to Ihe intended Hork, and that it is ay responsibilily tel identify what actions I IIIUSt take to be in compliance. Suct, age:,eies include bill ,,1 e ne,t li~ited to: . ~. .". . I Department of Environmental Reoulation - Cypress Bayheads, Hetland Areas and Environmentally S~n5jtjV! L3ndsr Hater/Haste~ater Treatment . Southwest Florida Hater' ManaQe~ent District - Hells; Cypress Bayheads, Hetland ~reas, ~lterinq Haterc0ur:es I Army Corps of EnQineers - Sea~alls, Docks, Havigable Waterways t Departlent of Health L Rehabilitative Services, Environ~ental Health Unit - Wells, Wastewater Treat~En~. Septic Tanks I US Environcental Protection AQency - Asbestos abatement I also certify that, if fillllatc-rial is to be used in HClod ZClne '1'\" Clr "A,de.', it is unde'rste,e,d tl"t a drainage plan addressing a 'co~pensating voluie' will be sub.itted which is prepared by a professi~nal engineer registered in the Slate Df Florida prior to permit issuance. A permit issued shall be construed to be a lice~se to proceed with the work and nol as authority to violate, cancel alter, or set aside any provisiDns of the technical codes, nor shall issuance of a permit prevent Ihe Building Official fr~~ thereafter requiring a CCtrredion e.f errors in plans; cClnstructicln, {lr violations of any ee,de. [,'ery pl'r~it issul'd ~hall becc,le invalid unless the we.rk authe,rized by such permit is cClJUlenced within six lIIonths e.f issuance, e,r if liC,r\; 3\!tl,CQ ),ed bi Ihe perait is suspended or abandoned f{lr a period of six lonths after the ti)e the "ork is [D~.eneed. One 90 day e:I~~5joll of tile, aay be allowed for the permit with fee charge of $15.00. The extension shall be requested in "riling to the Building Official. An approved inspectie,n /'.lust be le.gged during each six month period, CoT the prc,jl'd "i 11 be ee,nsiderd dbollde.ned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER"fY. 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 "NOT I CE OF C0i'1MENCEt'1Ef\lT". 5JGNATU"E___~~--~!~~-- CONTRACTOR (ji 7 /2." ~ . Y/~ ' 5 I GNATURE_-c__~~1ld~~--_:~~~<<-- OWNER OR AGENT DATE _ _ _ _ __ - _! j jCJ4-!-!jJ- -- - - - -, -7)- - - - - - - - -- NOTARY AS TO lfJ ' \ /) . CONTRACTOn__[~~~~~~~!_--- "' Notary Public, State of Florida I MY COMl'lI 5S ION OP I REfi~omlJli~Sj9!!~~~e~~~v.:..~O.:.~~l .'.1 0 [ l