HomeMy WebLinkAbout91-1924
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1924 P
Type of Permit
~
Date-hl-I z- '1.1
ELEC~L
PLU~
MECH~L
Property Owners Name: J~
Job Address: 3C/;,llo C/L.
u,tJrJ~ (tf-(rtEfr+,0tJ
S-tf &-11~~
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
64~ t-+t~44'
Description of Work .- tJ
L"jO
I
61\$
1/i,J /<
~
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: N/;t
All work shal! be perform~-:l accordance
with the above and all City Codes
and Ordinances.
~ ,,0 Z
Fee: D.")
SIGNATUf;(1 Qz: ~
COMPAN
OCCUPATIONAL LICENSE #
ADDRESS
TELEPHONE #
~
~
ME~I AL
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp.Serv.
Rough In
Meter Ca
Canst. P Ie
Pool
Pre-M ter
Final
Breakers
Ducts I sl.
Camp ssor
Fina
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 caned for
(d) Work not ready for inspection when called.
The payment of reinspection fees shan be made before any further permits will be issued to the person owning same.
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APPLJ:CATXON FOR PEF.NX-:r
CITY OF ZEPHYRHJ:LLS
BUILDING DEPARTMENT
APpmANT ; ~~ ~~:'!:~ ' ~ " ,
::::SS -P::)C~ " ,.~ . ,.~::s:,' e }"~I FL
PHONE .J J..../.... D 70 0
LEGAL DESCRIPTION: LOT(S)
PARCEL 1. D. if / / - ;) (; .- J-(
. ..
2ej;'i~. ~ j, t / (j' LOT SIZE X
I (
BLOCK SUBDIVISION
AREA SQ. FT.
JOB LOCATION ~ fl/ 0 r:;(.)4 [;'.
WORK PROPOSED:_Neh7 Construction _Addition ~Alter:)tion _Repnir -X-Install
_Sign/Temp.
~Sign
_~love
_Demolish
PROPOSED USE: ~Single Family
~/F
_fj of lIni ts
.._I'I/H
-X-Commercial
-':"-Indust.
~Swim.. Pool
Other
_Restaurant & IIealthDepartment Approval
BUILDING SIZE:
X
, ,
Square Fcc t,
Height
RESIDENTIAL:
COM1-1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.**
ATTACH (3) SETS. or BUILDING PLANS & (1) SET ENERGY rORl'ls. H
*~COPY OF CONTRACT REQUIRED.
PERMITS REQUESTEQ
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
Al'IP Service '
Florida Power Corp.
_H.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
-
'X
~
~
GAS
ROOFING
SPECIALTY
~
TYPE OF CONSTRUCTION: _Block
____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT, .
******************************************
. CONTRACTOR SECTION
Company
State Cert. or Resist. 0
City License Registration 0
******************************************
mnLDER
Sigonp.ture
ELECTRICIAN
Company
State Cert, or Regist. 0
City License Registration 0
******************************************
Si!!nature
.PLUMBER
Company .
. State Cert, or Regist. U
City License Registration 0
******************************************
Signature
/'IECHANICAL
Company
State Cert, or Regist, 0
City License Registration U
******************************************
Signature
OTHER
Signatucfd1, ~~'./
**** *** *********
Company ~14 oD ~~ CS'L S'
State Cert, '01.' e~ist. fJ 3709
City License Registration U -35. '7
APPLICATION APPROVED DY
PERl-lIT OFFICER.
CONDITIONS OF,PERMIT AFFID~VIT
A. NOTICE OF DEED RESTRICTIONS
The .undtrsign,d undtrltands that this per.it lay bl sub~ett to "deed restrictions" ~h\ch ~ay be oor~ rcstr.ictive than City
regulations. The undersigned anulllS responsibiHtf;for,.colpHance with any applic~blc deed rB\r\dions.
8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPO~~IRILITI~S
If th~ owner has hired a cDntract~r .~r contractors to undertake work, 'they nay bc rcquired tD bc licensed in acccrdance with
state and local regul~tiDns. If the contractor is not licensed as rcqu(red by lall, both the OMncr and ccntractDr ~ay be
cited for a DisdeneanDr violation under state law., If the ~wner Dr Intended contractor are uncertain as tD what licensing
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'Contractor S~cticns' of this application for which they will be respcnsible. lf you, as thc o~ncr sign as th~ contractor,
y.. ." i,di,,'i', Ih.. y", r.,h.r .h.. .h. ,.,Ir.,..r, .r. ,,'p..,ibl. I.r 'h. ."" If 'h, "",.,1" .i,h" y" ., ,i,.
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City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713, FLORID~ ST~TUTES, AS AMENDED)
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G,'d,' p"p."d by Ih, 'I,rld. D,p.""" .1 A,ri,.t'.r, .,d c.".." All.i", 1( 'h' .ppl;,.,1 i, ,."", ,th,' 'h.' th'
,,,,,,', I ",'If Y th.' 1 hm .bI.i "d " "py ,I lb, .bIV' d",db.d d"."" .", ""i" i. good hith ., d, it '" it t, th,
'~wner' prior to c~.~encement,
.. '. . t' ~~ ~. ". ' i
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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applicabl~ laws regulating c~nstructi~n, zonirig, and land developDent.
. .
App"""on i. h",by "d, " ,bioi, . p".i' "d. MOrk Old i" loll oj iOl " i ,,,.. I.d, 1 ",,, fy lb. I " ..,. "
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.y m,.".ibil ity " """'y .h., "",,, I .os' h" ,. b, i' mp Ii ",", Sor" 'g"" i" ; "".d. to., '" ,." Ii. it,d I"
...
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Water/Wastewater Treatment
. Southwest Florida Hater. ManaQe~ent District - Wells; Cypress Bayheads, Hetland ~reas, ~ltEjing ~aterc~ursES
I fir., C~ros ~f Enqineers - Seawalls, D~cks, Navigable Hater~ays
. D' ,,1m' ,f II.. 1\' \ "..bil it."" S"'"" [ovi roo"'" I 1l,,1Ih U,it . \I,ll., \I" ,," lor 1 '" I "n'. S,p'" h,k.
I US Environ~ental Pr~tecti~n Aqenci - Asbestos abatement
I .1.. ",Iify th.l, if fill ..',d.1 i. to b' ."d i. nOld 2,." 'A' .. 'A,d,,', it i, ..d"",.,.d "'" · d..,,,g. ,I'"
.dd""'" . ",."".'i" ,,1..,' .ill b, ..b.i",d .hl,h i. "".,.d by . p,.",.i"" ,'g"'" ,."..".d .. Ih, SI.., .t
Florida pri~r to per~it issuance.
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011,,, 'h, '",' ,,"'" i "d 'y so,h """ .. ",,,,,,d .ithi' . i, ...", " i "".", ,.. if ",.01, '" II.,., ,,,d by I" p'" it i.
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.1I",d I.. ", pm" .'lh ,.. ,horg. of 115.DO, Th' ".."i.. .h.lI b. ""''''',d i. ,,,iii,, .,. 'ho '"ddi" Offi,i.1. ,.
."ro"d i",,, Ii ,., "' t b. I,.".d dor i" ",h ," ... lh p,ri ,d, ,., t h, P "",, I · i" b. ". '0; id md "."d ,. ".d,
WARNING TO OWNER' YOUR FAILURE TO RECCnD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, lF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOOS UNDER $2,500 lN VALUE
DO NOT NEED TO RECORD AND POST A "NOT I CE OF COMMENCEt1ENT".
SIGNATURE~~---------- SIGNAT
m.INER OR AGENT
DATE___#----------c------.-------
NOTARY AS TOn ' Od": __I ..
D"NER OR AGENT L~r-~-'--'"-
MY COMMISSION EXPIRES
~ IIofaIy MIff, Sfaft of f10rWG
IIr ::.mtuion Expires Fe&. 7,1992
ed1lvv 1101 fain. Insurance ...
----------------------
DATE_____~~~~-------------------
NOTARY AS TOL41 A . _ _{1J A~~\ ~
CONTRACT08 __L -f.:::.-.:.~../.,d.UrlCU- ----- ---
"
MY COMMISSION EXPIRES
r- ------------------
.'my Pubtit, Sf~fe of FIortdCl
My Commi~.lon t)\pin,s feb. 7, 1992
ic>ndod ihrv it01 fain .IMul1Ince....