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HomeMy WebLinkAbout91-1954 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY ~: {TV Type of Permit d..... {;J.. 0-0 CBG.LDIN-;;~ECTRI;:a P~ Property Owners ~me:.1L fr Job Address: --5 P" c2 I bLt~ BUILDING DEPARTMENT 1-813-788-6611 Permit _ N~ 1954 (3 1/ '1"" 9/ Date / / . c:;:# /' - r _ ME~ Legal Description: Sub.Div. LO~ ~/b'/7-fr-Blk. , /3. Zoning CI: / . )) 7f Descriptio.(lofWork ~-Z..u ~~ _AA_?-~ /.M!.,--~,dLj Q~/ Energy Code Readout: Complete Plans. Specifications and Fee Must Accompany Application Estimated Cost: ;7 .3 --o--z; t)() Fee: ;<-5-- , SIGNATURE COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ~- Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Reinspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of ten ($10.00) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PER1'lIT CITY OF ZEPHYRHILLS BUILDING DEPART!'1ENT APPLICANT i/;N;i~f/l& h(~. . . . . ... . ADDRESS ~q'5fl!;t/'fh':./J41. /~PIlONE ?r?-.?,q-3~$/ OWNER 11. :t2~-=--- -141- ~ p ;j. dfl /d~/r/ a ~I /C- Jon LOCATION 5'~rZ/ &ACL-. t3~, LOT SIZE X LECAL DESCRIPTION: LOT(S)1" I~,~ /.f B~~ SUBDIVISION PARCEL LuOtl-I'1I? _ {/ t:1,r ~~vn:/~j" . I . AREA SQ. FT. WORK PROPOSED:____New Construction _Addition ____Alteration ____Repair ~Install _Sign/Temp. ..x..Sign ~/F ____~love ____Demolish PROPOSED USE: ____Single Family _t~ of Units , .____M / H ,X..... Comme rc ial _Indust. _Swim, Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COM1'lERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI-IS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS.** **COPY OF CONTRACT REQUIRED. EF.RMTTS REOUESTED ~BUILDING $ 7s~C:> valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E,C. _MECHANICAL $ Valuation of Mechanical Installation .- _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SF.CTI~ . (1 . Company _ _~~_~.u.X State Cert. or Regist. 0 City License Registration 0 ******************************** SQ/'vJk--..JJ :1f. ~ ('rb Company State Cert. or Regist, 0 City License Registration 0 *************************************** ~~~0 -- Signature Company State Cert. or Regist. 0 City License Registration a ****************************************** PUTMRER Signature Company State Cert. or Regist, 0 City License Registration 0 ****************************************** MECHANICAL OTHER Signature Company State Cert. or Regist. 0 City License Registration 0 APPLICATION APPROVED BY ****************************************** )1d~h~ _VieAAM- .. PERI-lIT OFFICER. CONDITIONS. OF,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The.undersigned understands that this perlit lay be subject io "deed restrictions" which ~ay be Dore restrjctive than City regulations. The undersigned assulles responsibilitf;forcollpliance with any applicable deed restrictions. . , B. UNLICENSED CONtRACTORS AND CONTRACTOR RESPONSIBILITIES If the own~r has hired a cDntractor .or contractors to undertake Hork, .they lay be required tD be licensed in accordance with state and local regulations. . If the contractor is not licensed as required by law, both the o>>ner and contractor nay be cited for a .isdemeanor violation under state laH. If the OHner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-bbll. Furthermore, if the OHner has hired a contractor or contractors, he is advised to have the conlractor(s) sign portions of the 'Contractor Sections" of this application for which they Hill be responsible. If YDU, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wory.. If lhe contractor wishes you to sign as contractor that may be an indication that he is not properly licensed ~nd is not entitled to per~ilting 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 C(lnstruction lien law - Ho~eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the ~rplicant is SOle~ne other than the "oHner", I certify that 1 have [.btained a. copy of the above described de,cument and prclrr,i~e in g(,od fai th to del iver it to the "owner" prior to cO.llence.ent. ;1.',:: " E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be dDne in coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a per.it to'do work and install~tion as indicated. I certify that no work or installation has COllmenced prior to issuance of a per.it and that all wory. will be perfor~ed to roeet standards of all laMS regulating construction, City codes, zoning regulations, an~ land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply' to the intended work, and that it is IY responsibility tel identify what actions I must take to be in cOlllpliance. Such agencies include but ~le 1\[ll liaited to: ... I Deparhe~,t Df Envir~nllental ReQul;tion - Cypres5 Fayheads, Hetland Areas and EnvifClnITientally Sensi tj\ie L~nds, Water/HasteMater Treatment I Southwest Florida Hater ManaQement District - Hells; Cypress Bayheads, Hetland Areas, Altering ~aterc0urses . ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks . US Environaental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flc.od Ze,ne "A" [.r "A,etc.', it is unders.tel(ld 11,,1 a drainage plan addressing a 'compensating volule" will be sublitted which is prepared by a rrDfessiona\ engineer registered in the state of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the wory. and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offi[i~J frol thereafter requiring a cHrection e,f errors in plans; c[lnstructi[.n, c.r violations of any [clde. bery per~it iSSll,!J ::hall bHc'!e invalid unless the wc.rk authelrized by such permit is celllllenced within six lIlonths of issuance, (Ir if \itld. autl.e" !,ed by the per.it is suspended or abandoned feor a period e.f Sill lonths after the ti:lle the lllJry. is c(I~lmenced. One 90 day ('~l"i.sio\l of tile, may be allowed for the per0it with fee charge of $15.00. The extension shall be requested in writing to th~ Building Official. An approved inspecti,.n oust be logged during each six lIlonth period, c.r the prc.ject Iii II be cc,nsidNed db.;lldc.n..d. 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 $2,500 IN V UE DO NOT NEED TO RE ORD AND POST A II NOT I CE OF COMMENCEt1EN r" . SIGNATURE ----- -I ~~:~__________ SIGNATURE --~~ OWNER R AGENT NTRACTOR DATE__.JJ&d.L::Zr-Lfi..2.L------------ DATE _/-L2:1J:-::.lL.---------------- NOTARY AS TO -/.../ ./ \,(l NOTARY AS TO.// ~I . '\ Y2._ .,JJ_ OWNER OR AGEN:r4~~~A-- /Ylf~i/:t!J._ CONTRACTO~~-1h.~/&:f-"L~-- MY COMMISSION EXPIRES NotaryPul:!lic.StateofFl;~d~_9t3 MY COMMISSION EXPIRE!JI.!!9r...L~li'<<-$!~t!.!ln'!!~!.='1 "Mj-cGfiljftllstlJrr1rpln!~ ' My (omnliGJion Expires Sept. 26, 1993 Bonded T....rv fro)' Fain. Insuronce lAc. Dond~d Thru Troy Fain. IMUrance Inc. \:~ _.-_..-- ......----- ~ ""'" \J'.... "- ~ ... ~ ~ ~ -r ~ I ~-:- ~ I \ I I I '\I'\.. 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