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Home My WebLink About91-1912 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Type of Permit ~L~~~M~L Property Owners Name: ~ ~ C., ?~ Job Address: 0--;;106 '- r20.Z/! ~- Permit N~ 1912'P Date /1- b '-- 9/ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work j)~~ AA~ , - (i>bnl~J~ 11-~-91 I Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~/A- OCCUPATIONAL LICENSE # J,;2 ) " Fee: ~-~ SIGNA1I'"URE ff ~ ~ COMPANY ADDRESS TELEPHONE # ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances, SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul.CL WL 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. OWNER ; ,t'::i.:,I,. APPL'ICATXON FOR PERN"LT o ~Df,fer / 3'> 57- it CITY OF ZEPHYRJULLS CI-YS-f,1L SpJ/l.//I'J5 1~t..:J BU1.LD'ING DEPART~ENT ,. , " ( ,', " IS Vf2..!t'J,v t.' P#/i.p~fr;iG~f'~ PIf/J#~/~1 , ./ .5 2-06 2-0 -Lv, Sf ..:'>,:. 2 .e.t1-ti 7f/'11///( PHONE , ( Su ~ fOfA./ ''f p)/n. /rf34..' .' .,:', ' , ' 26 Lh. 5 f " APPLICANT ADDRESS " Jon LOCATION 5206 LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .11 ~r _Install WORK PROPOSED:_New Construction ----Addition _Alteration _Sign/Temp. _Sign _!'Iove _Demolish PROPOSED USE: -,-Single Family ~/F _1~ of Uni ts .._H/H _Commercial ~Indust. _Swim., Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS, OF BUILDING PLANS & (1) SET ENERGY FomlS. **' **COPY OF CONTRACT REQUIRED. ~RRMITS RROUESTED _BUILDING $ V~luation of Total Construction _ELECTRICAL AHP Service Florida Power Corp. _H.R.E.C. _M~CAL bLUMBING $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ' ****************************************** , CONTRACTOR SECTION Company State Cert. or Regist. ff City License Registration 0 ****************************************** nUTLDER Signature SiO'nature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** ELECTRICIAN 'PLUMBER LOPll're f?/v/V16/b"j Company 0- C~V'v1f>.e OIc.)p;N~7- jJ ~ State Cert. or Regi~t. ;,f "" G (2-f1~ Signature 11' ~ (; ou..~ ./ --. City License Regis,tration it !7_7 ****************************************** Company State Cert. or Regist. 0 City License Registration J ****************************************** MECHANICAl, Signature Company State Cert. or Regist. 0 City License Registration 1 OTHRR Signature APPLICATION APPROVED BY ************~************************** '11 cl/jo "', ~ .." /I c>."l . PERIHT OFFICER. . .... r " ~ CONDITIONS OF PERMIT AFFIDAVIT NOTICE OF DEED RESTRICTIONS A. lhe,underslgned understands that this per.lt .ay bl sub3ect ~o 'deed restricti~ns" which may b~ oor~ restrjctive than City regulations. The undersigned assu~e5 responsib~1it"~for"cor.pliance with any applicabl~ deed restrictions. " ..' B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the own~r has hired a contractor ,~r contractors to undertake Hork, 'they Ray be required to be licensed in accordance with state and local regulatic>ns. ' If the contractor is not licensed as required by law, be,th the e.uner and contractc>r nay be cited for a Disdemeanor violation under state law" If the owner or intended contracte.r arc uncertain as tD what licensing requirelents ~ay apply for the intended Hork, they are adviscd to contact the City of Zephyrhills Building Dcpartlcnt, 18131 7BB-bb II. Furthermore, if the Oliner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions Df thc 'Contractor Sectic>ns' of this application fc>r which they will 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 contradH that aay bc an indicaticln that he is not prclperly liccnsed ~nd is not entitled te, per~ittir,g privileges in H,C City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORID~ STATUTES, AS AMENDED) I ccrtify that I, thc applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho~eowner's Protection Guide' prcparcd by the Florida Departlent of Agriculture and Consuler Affairs. If the "pplicant is soteonc othcr than the 'owner', I ccrtify that I have clbtained a, co'py of,the above describcd document and prc.IT.ise in ge,od f.iH, to deliver it \0 the 'ollner' prior to cOIr.encellent. I ; " '~':~:, ". . ; : . E. CONTRACTOR'SIOWNER'S AFFIDAVIT I certify that all thc infor~ation in this application is accurate and that all \tork Mill be done in co~pliancc with all applicable laws rcgulating construction, zoning, and land developDcnt. ., . , Application is hereby ..ade to obtain a permit to"do ~ork and install~tion as indicated. I certify that no liork or installation has cOI~enced 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 regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is my rcsponsibility tel identify lihat actions I /Dust take to be in compliance. Such agerlcies ir,clude bu\ :Ole Ji{,t linited to: ... I Deparhe~,t (If Envir~M!!ntal RCQul;tion - cypr~ss Bayheads, lIetland Areas and Envirclnm!!ntally Sensi ti\;~ L~ndsr Water/Waste~ater Treatm~nt I South~est Florida Water'ManaQer.ent District - Wells; Cypress Bayheadsr H~tldnJ ~r~ds, Altering HatercOUfses I ArDY Corps ~f EnQineers - Seawalls, Docks, Navigable Haterways f Departlcnt of Health L R!!habilitative Service5, Environ~ental Health Unit - W~lls, Wastewater Trea\~en: I Septic Tanks I US Environcental Protection ~Qencl - Asbestos abatement also certify that, if fillaatE:rial is to be used in FIMd Zone '~. Clr "~,dC,', it is underst(,(,d 1I,:\t a drainage plan addressing a 'co~p~nsating volu~e' will be sublitted which is prepared by a professional engineer r~gi5t~f~d in the state of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisiDns ~f the technical tDdes, nor shall issuance of a permit prevent the Building Officiil fro~ thereafter requiring a C{lrrection elf errors in plans; c(.nstrudicln, elr violations of any cc,de. EYery pl'r~i\ iSS\II~j ohall bece.lC inv~lid unless the wDrk authe,ri2ed by such permit is cCoJlll\enced within six months (If issuance, e,r if 11(<1\: at,t!,c" ),ed by the per.it is suspended or aband(lner! feor a peri{ld (If six lonths after the tbe the lfork is cc'Menced. One 9(; day ~~\~"SiOIl of tiH, tUY be allowcd for thc pcr~it with fec charge of $15.00. The extension shall be requested in Hriting \0 the Building Official. An approved inspedi(.n /'Just b~ logged during cach six Illonth period, or the project Hill be ce,nsidered db,;l.de",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 OBTAI~ FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A II NOT I CE OF Cm1MENCEI'1ENT to . SIGNA;URE_~1L-...~ SIGNATURE~_~--------- OWNER OR AGENT CONTRACTOR DA TE_____M(j])-'--~-L-?_tL'~-----,------- DATE______~~~~-~L~~~J------ NOTARY AS TO //~. / ---r f ~ I NOTARY AS TO f\ .. ' Q ,2 . A 0 OWNER OR AGENT -0Q~ . CONT~ACTOR--~-------~~ MY COMMI SSION EXPIRESNOIAHY_!:l1.~.!.S-~T!;~~~~.?~~~ MY COI'I1'11 SS ION EXP I RES__________________ My commission expire B. ht AgencY Bonded thrU Patterson - ec NOTARY PUBLIC, STATE OF FLORIDA Jt4Iy commission expires Oct. 2. )992 Bonded tbnI Patterson - Becht A&ency