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Home My WebLink About91-1919 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 191M Type of Permit ~~.~ M~ ~~:P:::r~s:~er;~a;e; ~ft: J- r'~ A ,Q Date //-/;:(-9/ Legal Description: Sub_Diy. Zoning CI: 3...s,- - cJ~---::L/ - ..J~ Description of War!\. ~I':f 9 --t / 0 ~~~ f \j Lot Blk. +- c) ~A;~~J ~ -127~ ~,"f11. Complete Plans, Specifications and Fee Must Accompany Application / ~ Energy Code Readout: Estimated Cost: ~ ~- {}7J. Ci() OCCUPATIONAL LICENSE # Fee: ~O .' o-U / SIG'NA TURE?] u"7;;~~-: Jc~~ '-__ 01 COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. BING M Pre SLB Lintel FRM. InSUI.CL WL Tp.Serv. Rough In Meter Can Canst. 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. ~ ,,\ ~~ ~\ ,-.t ('~ V \( r I, S-c - J- ( c' ..__.._____.._ I 7-:' Ie';( <...) frrD ,) C. C"'< C'. LL' f.r 1-) VI. I)~ ~ 0' ,.,..,.. ro/~ M 'Ill,i '- ;; ry <v N T~.~.... {; I 1 .s#~b ,'., '" ,.~\/ J \1 &It !-?-A(';....EZ- flDUSlL ? 1.-</.17'ff:( · . - ~ ......,...--::>______-- c~_. .' ---------~__i .~ __'_______ ~~:_:,., < I ~ ~~ f"'] ,~~. -:to t ,I - ::, "i', 0 "i \ . i~ flr_ I ----f-it---J ' -- ~ ---,-: __I \1f _______1~.; v -;I- ,. ?0C"'-' - "I - ., \/\ ~.~-I 0 ~ r-"i- {- o G'I ,.:: "J' CJd tr! {;' -j N 11 ~ t. &.) U1 ~\ t )-> , ^ i I I ! i I I K- Y'>'l ! i I ! ,,\ ---.1 -t /.----- i :\ 1r~/'// ~ ~ II N ~ 1 l 9-, ----- ~ i './1 " --- I , - I ., 4-,- ~ ----,-- 9) C?i '-' :S-' J..- :) ()~ '- ~ c . <L I : ,'-6 - ~<<I( . ....,). z j') \; l ~.~__r- - ~ --- .-. f-\- x-~ ....... I 0 I 11"' , ~' : t I ~ I ~ ~. ~ \l (1\ -;-1' () c. 7~ oJ "-to ~ (f. ~' t-' L ~ c... \', rv ~ ~~ 1i ). "- ,- f'-'\. I' \ 1/'. ~i \ - ~' ;r. ? ~ -+:. ,,\ :..~~.,. ~ -~,~~ ~ -- ~ ,... -r. .. ~ (> \.-> ;;. I}I \l) 1.. .... <::1\ v; ("\, """- \:--"",!. ~ '::I;, -' ~ ..... :: ---- -. <t~- ~ ~ '"' -' J-?' '-:., \~ "::\' I:' -.v i\' ~., APPLICATION FOR PERl-1'IT CITY OF ZEPHYRHILLS BUILDING DEPARnIENT APPLICANT ,gEI'2T/2/9;r./~ ~ r/M ;-r,e/) /-..... ADDRESS 7;2 y ~ A";ULrl/VD OWNER 1);1' IV'" P- - JOB LOCATION Sri /"2 ~ j)(2. PHONE 7't5 0- 753/ LOT SIZE 75- X;l () ;)- AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) PARCEL I.D,~j3.s;-:-a5~y./-SA-o BLOCK SUBDIVISION WORK PROPOSED:~New Construct.ion ~Addition _Alteration _Repair _Install _Sign/Temp, _Sign _~love _Demolish PROPOSED USE: ___''_Single Family ~M/F _ij of Units .._N/H _Commercial _Indust, _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COH1'lERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. ** **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED -X-BUILDING $?JZ),~ Vriluation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _\-l.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation -- _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. lj City License Registration 0 ****************************************** BUTLDER Signature Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** ELECTRICIAN Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** PLUMBER Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANI CAl. Signature OTHER ~)fi M ,,-= Signa tu re , ;;5--;-ZLU"-; ~~~M-- c/ Company State Cert. or Regist. U City License Registration 0 APPLICATION APPROVED BY ~ * * * * * * * ~ *;, ** * * * -I: * *.~ *,,;:;,~,;,;, ,',;, ,',,~;, *;,": (] A't.h d- . f' -1. ..d1, 'T". . PERl-lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th. .undRrsigned understands that this permit .ay bl lub~ect to "deed restricti~ns. which ~ay b~ D~re restr.ictive than City rllgulations. The undersigned a'Ssules responsibill.ty";for.collp1\ancll with any appl icablll deed rostridions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor .or contractors to undertake lIork, .they may be rllquired to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the ~"ner and contractor nay be cited for a misdemeanor violation under state lall., If the ollner or intended contractor are uncertain as to IIhat licensing reQuirelents lay apply for the intended lIork, they are advised to contact the City of Zephyrhills Building Departaent, (B131 7BB-bb 11. Furtheraore, if the ollner has hired a contractor Dr contractors, he is advised to have the contractortsl sign portions of the .Contractor Sections. of this application for IIhich they lIill be responsible. If you, as the ownllr sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wor~. If the cc,ntractor lIishes 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) 1 certify that I I the applicant, have been provided lIith a copy of .Florida's Construction Lien Lalt - Ho~e~wner's Protection Guide. prepared by the Florida Department of Agriculture and ConsUler Affairs. Jf the applicant is soe~6ne other than the .ollner", I certify that I have obtained l c6py of the above described document and promise in good faith to deliver it to the .0Hner. prior to cOlllencellent. ~ 1 .. . -;~ ~ E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be de,De in coapliance with all applicable lalls regulating construction, z~ning, and land developDent. Application is hereby lade to obtain a permit t~' do Kork and install~tion as indicated. I certify that no Hork or installation has commenced pri~r to issuance of a permit and that all work lIill b~ performed to roeet standards of all laMS regulating c~nstruction, City codes, zoning regulati~ns, an~ land d~velopment regulations in the jurisdiction. I also certify that 1 understand that the regulations Df other governmental agencies ~ay apply. to th~ intended work, and that it is ay responsibility tCI identify Hhat actions I must take to be in c~mpliance. Such agencies include bill ~l ~ liC,t liaited to: I Departle~t of Envir~nmental ReQul~tion - Cypress Bayheads, Hetland nreas and EDvironmentally Sensi tiv~ L~Dd5, Hater/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses I Army Corps ~f EnQineers - Seawalls, Docks, Havigable Waterways I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks I US Environeental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in F1c.od Zc.ne "A" c,r .A,etc.', it is understc,e,d t1,,1 a drainage plan addressing a .compensating volule" lIill be sublitted which is prepared by a professional engineer regist~red in the state of Fl~rida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the 1I0r~ and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a ((.rrection c.f errors in plans; cClnstructic,n, c.r violations of any code. bcry per~it issu\!j ~hall beec,le invalid unless the wc.rk authc,rized by such permit is cCllllllenced within six 1lI0nths c,f issuance, (,r if Ii (,1\: a\lthe" ],ed bi the perlit is suspended or abandoned for a period of six lonths after the ti~e the work is commenced. One 90 day e:lf~5jol\ of tiae, llIay be alloHed for the per~it with fee charge of $15.00. The extension shall be requested in "riling to the Building Official. An approved inspectic,n oust be logged during each six IIlDnth period, c,r the prc,ject liill be ((,nsidered ilb.;\IGC"lfd. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATUR~~<~~~~~~------ OIrlNER OR AGENT SIGNATURE ------------------------------ CONTRACTOR DATE _~m.L------------~--.-~.-.----.--.------- DATE___________________________________ NOTARY OIrlNER 0 NOTARY AS TO CONTRACTOR_____________________________ MY o~~~_~~----------------- MY COMMISSION EXPIRES ------------------ nOTARY PUBLIC. STATE OF FLORID~. IX1 Cm,ihdSS10N EXi-'ll/ES: JAN. 2.8. 1991. c;:nc.:.:;::o THRU NOTARY pua&"IC UNDERWRITERS.