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Home My WebLink About91-1974 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit 1lf~ 1974 ? Date /,2- ' ,(y- 9/ , , , Type of Permit ~~~~,I,N,G" ,," ~fRICAL C~ ~A~ICAL Property Owners Name: .it.) .Jl,eJ!,~ ,~~ Job Address: ~__;;. 'Zil- .;5T1!.7 . ~ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work \~O~1 (~t</ ;{yt;J<~~ ~ /~.4~-9L Energy Code Readout: All work shall be performed in accordance with Ihe above and all City Codes and Ordinances. Complete Plans, Specifications and Fee Must Accompany Application ~ ~ Fee: SIGNATU~E. _~-4.?~'7J. h~ COMPANY Estimated Cost: y'/J ADDRESS TELEPHONE # ~ ING PLUMBING SLB Tub Set Water Sewer Final MECHA~JCAL Ftr ./,/ Pre SLB Lintel FRM, Insul.CL WL Jif'SeN . Rough In Meter Can Const. 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. APPLICATION FOR PERtlIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT CJl~f \; hAl//( -37 ,s-2>' ,/It cvet.{ 's ()/ lie e J... 1;/( JOB LOCATION S' 569 OWNER 13(( f19 r> 'L Y k~ x S slit J3t- ~ PHONE . 7~').. - ~ 5 :z t.; ADDRESS " LOT SIZE_X AREA SQ,FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I,D,# WORK PROPOSED:_New Construction ____Addition ____Alteration ~Repair ____Install _Sign/Temp. ____Sign _Nove ____Demolish ____Commercial ____Indust, ____~~ of Units ,.____M/H ____Swim., Pool :)ewe^- ,(efl{Pc€~ofl( PROPOSED USE: ~Single Family ____M/F _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, 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 $ Valuation of Total jL-uP-J '7' ~ -t-" , . ..--,~ J ~ ~1fI9+ Construction ..t) l' PERMITS RF.OUESTED ____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 SECTION Company State Cert, or Regist, n City License Registration n ****************************************** BUILDER Signature Sionature Company State Cert, or Regist, n City License Registration n ****************************************** ELECTRICIAN Signature . Company. (' ~1/<; I3~JI~ ~~*6 ~._ ~)) /.502 State Cert. or Regist. II _. F. - - 1- .. ~a . City License Registration n ,57 ****************************************** PLUMBER Company State Cert, or Regist. n City License Registration # ****************************************** MECHANICAl. Signature Company State Cert, or Regist. ff City License Registration # ..------... " j / i ./ . ..... ~*~~jJ~***-~t:J~;;;~~:L<~***** PERMIT OFFICER, - , OTHER Signature APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~ und~rsign~d und~rstands that this perlit lay be subj~ct to "deed restrictions" which may be mor~ r~str.ictiv~ than City regulations. The undersigned assules responsibilitf;for..co.pliance with any applicable deed restrictions, , , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If th~ owner has hired a contractor 'or contractors to und~rtake work, they lay be requir~d 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 aisde.eanor violation under state law., If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Further.ore, if the Ollner has hired a contractor or 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 lIishes you to sign as contractor that lay be an indication that he is not properly licensed and 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) I certify that I, the applicant, have been provided with a copy of .Florida's Const~uction lien law - Ho.eollner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is sOleone other than the .Ollner", I certify that I have obtained a, copy of the above described dc,culent and prc,~,i!:e in good faith to deliver it to the "ollner" prior to cO.f1enCelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance lIith all applicable lalls regulating construction, zoning, and land developaent. Application is hereby aade to obtain a pertit to'do work 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 performed to meet standards of all laMS regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern~ental agencies ~ay apply'to the intended w~rk, and that it is IY responsibility to identify what actions I lust take to be in COMpliance. Such agencies include bIll ile not li.ited to: or I also certify that, if fill laterial is tD be used in Hood Zone "A" or "A,etc,., it is underste,od t,,~t a drainage plan addressing a 'cospensating volume. will be sublitted lIhich is prepared by a professional engineer regist~ied in the State of Florida prior to permit issuance, A perlit issued shall be construed to be a license to proceed with the work 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 Official frol thereafter requiring a correction of errors in plans; construction, or violations of any code, Every permit issu~d ;hall beeole invalid unless the work authorized by such perlit is cOlmenced within six months of issuance, Dr if ~ork an tho. lzed by the per.it is suspended or abandoned for a period of six lonths after the tiJe the work is commenced, One 90 day e:tensiou of tile, .ay 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 lust be logged during each six I~nth period, or the project will be considered aballdoned. 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". SIGNATURl~l:trL/t'L"- ". OW~E~- OR AGENT ~, i, / /^ .. DATE _J-k.,Li;:l--::---------------------.------- ~~~~:y o~S A~~N~_-tl-~~--.=~~- MY COMMISSION~:::~~~~~l~:~S------- SIGNATUR _ _ cfi-U CONT ACTOR DATE___-----~~~~-------------- ~~~~~~C~;R T~_Af~~ MY COMMISS~~:~~~~~~-~~~Jt~-~s::-- Q)