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Home My WebLink About91-1970 STATE OF FLORIDA City of Zephyrhills ,.-/ {pu . Type of Permit PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 permitN~ 1970$ Date/:2- - 4-91 (~~ILD~ ~~.,.~ ~--- M~ Properly Owners N.me:YJ'It /, . ~ g .~)Z/!/4j Job Address' ~__! - - (] - ---= ~=----.. Legal Descri~tion: Sub.Div. t cr..;! /h, /1/II;r;?t Blk. ZoningCI: ,/2. - :20.- bl-/-; ~;3 -~ - 10 /O'X./fc',/) "0.,.. ...7? Description of Work / ' Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated cost:-f 7;; tJ" ~ All work shal! be performed in accordance with Ihe above and all City Codes and Ordinances. {] I< ~O ~_-:;!~:J! OCCUPATIONAL LICENSE # /5::;- ~I , I~M:'~ / , ~ BUIL.Q~ .~,,'~-_._-~ ....",,- ... .~..., Ftr, g . Pre SLB/t.-5~J :;::I Lintel FRM, Insul.CL WL ELEC!.BJ.CAt-- ," ---- Tp,Serv . Rough In Meter Can Const. Pole Pool Pre-Meter Final MEg;AHtGAL ~ PLUMBlblG- --... SLB Tub Set Water Sewer 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 ($10,00) dollars shall be made for each trip, (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called, The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. .I-i-7 I-~~ f? F),57 G rli rrVt Ifft\\~ ~ \ " t~- ,3-~ D / fJ;, C Ie /'-1 c 1. /::J uc;' AIL; A../ -'I 10" I ~- II" I -;:'f.. lj} !fV(!! r - 1&' ~ J t J "Z- r f- I IZ<f I I I I I - LE fYlE:~ (JJ<: /~~, ~. 'CJ f!.. f' ;) ",I Lh __ Ex/iS) c .-'r" ,_.:;)0: ..:._,-:~~~- ,~\Jb.. '" -:"\~ ~r'~.'~ '. _ ;O! ' ,\ '::l~'.);i\"'\,\", " . \';:/?~","/l'~J t--1 r Z F) , ,:\Z:~:::~'.') D' '1\' IG ," ~-'-' , .. 7.3;. I- t-y L/fJ. , , . --1/ ::~($'O;LFC.! ~ry 2 =-- ", .GYJ " / ;y;:t .;. I . " 1'0 - ~.. ' APPLICATION FOR PERt!IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Y / c. K 11 c J. R c/ 6"// L / ;c/ ADDRESS ,;;60 J J. J1 v R R SF C /4 /1 J/E P1Jj( tJ PHONE ~ 82.- ~~ 17' OWNER Die. K ,fi-,::C L F1 l./ & ff L J A/ JOB LOCATION ;:5',/'7 /'IT LOT SIZE x AREA SQ.FT, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I, D , IF WORK PROPOSED: ~w Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ~'ingle Family ____M/F ____IF of Units _____M/H ____Commercial ____Indust, ____Swim. Pool Other Resta~rant & Health Department Approval -;O'^- Ib BUILDING SIZE: !/~2 x~, C.E/'1c~ Square Feet, -rB~ 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 FORMS. ,,* **COPY OF CONTRACT REQUIRED. ____BUILDING 1?2-0 PERMITS REOUESTED Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp, _\'J,R,E.C, ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature RI\T HII R )-1 E,:]! ;-/ (~t~_A CONTRACTOR SECTION Company ~ State Cert. or Regist. IF . City License Registration ****************************************** C/(C.D 3?-1L( IF J 6- -.:, - BUILDER ELECTRTCIAN Company State Cert, or Regist. # City License Registration # ****************************************** Signature Company State Cert, or Regist. # City License Registration # ****************************************** PLlJMBER Signature Company State Cert, or Regist. # City License Registration # _ ****************************************** MECHANICAL Signature APPLICATION APPROVED BY Company State Cert, or Regist. # City License Registration # .7 OTHER Signature PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a misdemeanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-b611. Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections" of this application for 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 contractor that lay be an indication that he is not properly licensed and is not entitled to permitting 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 Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to cOlmencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or installation has cOltenced prior to issuance of a perlit and that all work will be performed to meet 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 governlental agencies lay apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in c[.lIpliance, Such agencies include but ':<1 e uot lilited to: I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water HanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatment, Septic Tanks I US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood th",t a dl'ainage plan addressing a "colpensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to pertit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to vioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Offici",] fro. thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every permit iSSUed ;hall becolf invalid unless the work authorized by such perlit is cOI.enred within six lonths of issuance, Dr if work authol lzed by the per.it is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~tEosioll of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An approved inspection must be logged during each six lonth period, or the project will be considered dbdildoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. 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 NeT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". /'~~ / ~4-/ ~ SIGNATURE__~~~_ CONTRACTOR DATE_______~-'-_--'i+5E.2!.,-------- NOTARY AS TO /// ~ ,L- .LJ CONTRACTOR___~"----_-__~~-~~ MY COMMISSION EXPN8~~_gu.auC.-~1=Ar~~~bGRIDA My commissior. e:(pire3 J,,;I1, 28, 1:)95 80nded thru Patterson - Becht Agency SIGNATURE_~, __~( ~__ ~~~~_______ ., OW~GENT /" DATE_____~~---~f-!-2'-~f--------------- NOTARY AS TO //~.... /-r-L P , OWNER OR AGENT~~~::::"_ MY COMMISSION EXPIRE~A~~~~8~T~~~~a~~te~DA My commission expires Jan, 28,1995 Bonded thru Patterson - Becht Agency