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Home My WebLink About91-1984 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 ~;;:~ EL~pd)Mfll/~~_ M~L Properly Owners N:.me: r ~ Job Address: 0::..s- _ .:L - ~ ---P-: Permit lf~ 1984~ Date / ~ - 9' - cr I Legal Description: Sub.Div. ZoningCI: // - :2.6 -.;2../ - Z/ 0 - Description of Work /~ X~ (J ~__~ Lot Blk. t!J?7iJO - ~/7() Energy Code Readout: ~/~- Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ g:--o- 0, c.J--Z) OCCUPATIONAL LICENSE # 77 , ...., <.--. ~ Fee: "-0.......) SIGNATURE 4~. C~UA.' COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. BUILDING Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp.Serv. Rough In Meter Can Const. Pole POOl Pre-Meter Final ME~AL '"' 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 (SIO.OO) 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. Thc payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERI-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS ((ilf ,53 ?u-r /2 7"'< 's'y- PHONE '7~3 <8 '1 sO APPLICANT OWNER JOB LOCATION 9~ LOT SIZE~X /c4 AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) II BLOCK .:u::. SUBDIVISION .:LI , di1to 01> 7' r'O 019 iJ PARCEL 1. D. i~ // ( r . <?~ G> ~! dOlo () 'Sfoo o /9dr1 ~stall WORK PROPOSED:_New Construct.ion _Addition _Alteration _Repair _Sign/Temp. _Sign _~love PROPOSED USE: ____Single Family ....:....-M/F _t~ of Units _Commercial _Indust, _Swim. Pool _Demolish , __1'1/ H Other BUILDING SIZE: _Restaurant & Health Department Approval /).- X")-() & FlIt> g lit)) Square Fee t I ~.D , ~-f1/f- I' .. Height RESIDENTIAL: COM1'IERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** A TT ACH (3) SETS OF BUILDING PLANS & (1) SET EN ERGY FOR~lS. * * **COPY OF CONTRACT REQUIRED. ~F.RMTTS REOUESTED _BUILDING $ if /<DM . iJ Valuation 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, * *~, **~:*'*** ********** * *~, *;"~~:~, * ,',;, ,', 1, ,', ,', * 1, * 1, Signature CONTRACTOR SECTION Company State Cert. or Rcgist. !I City License Registration 0 ****************************************** 77 Si!!nature Company State Cert. or Regist. n City License Registration 0 ****************************************** ELECTRTCTAN Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** MECHANICAT. Signature , ' . Company State Cert. or Regist. 0 City L{~eriS~ ~egistration n OTHER ,;> , ~" ..l :{. r/. APPLICATION APPROVED BY W;::~";;Jf'~~*:;:;."~"**"""""" PERl'lIT OFFICER. CONDITIONS OF.P~RMIT AFFIDAVIT A. NOTIC~ OF DEED RESTRICTIONS . lht ,undtrsigntd undtrstands that this perlit lay bt subject to 'deed restricti~ns' ~hich ~ay b~ oor~ restr,ictive than City regulations, lhe undersigned a5SUles responslbl1itf;for, cOlpliance with any applicable deed restrictions. ,,' . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPO~ISIBILITIES If the ONner has hired a c~ntractor ,or contractors to undertake work, they laY be required to be licensed in accordance with state and local regulati~ns. ' If the contractor is not licensed as required by law, both the OHner and contractor ~ay be cited for a Disdefteanor violation under state law. If the ~wner ~r intended contract~r are uncertain as to what licensing require.ents lay apply f~r the intended work, they are advised to contact the City ~f Zephyrhills Building Departaent, (BI3) 7BB-bbl L ' Furthermore, if the owner has hired a contractor Dr contract~rs, he is advised to have the ce,ntract~r(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the o~ner sign as the c~ntractor, you are indicating that you, rather than the contractor, are resp~nsible for the work. If the c~ntract~r wishes you to sign as contractor that aay be an indication that he is not pr~perly 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) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho~eowner's Protection Guide' prepared by the Fl~rida Depart_ent of Agriculture and ConSUDer Affairs. If the ~pplicant is some6ne other than the 'owner', I certify that I have obtained ~ c~py of the above described d~cument and pr~mise in g~od faith to deliver it to the 'owner' prior to co..encement. ; 1 '. .:'~ " 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 coapliance with all applicable laws regulating construction, zoning, and land development, Application is hereby made to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has commenced prior to issuance of a per_it and that all w~rk will be perf~rmed to meet standards of all laws regulating construction, City codes, zoning regulations, an~ land development regulations in the iurisdicti~n. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is IY responsibility tel identify what adions I must take to be in compliance. Suct, ag!?nci!?s include bid ~l e Iie,t linited to: . ,,#-, I Department of Environmental ReQulation - Cypress Bayheads, H~tland ~reas and Environmentally Sensi live Lands, Water/Wastewater 1reataent I Southwest Florida Hater Manaqement District - Wells; Cypress Bayheads, Hetland Areas, Altering Hatercourses I Arty Corps ~f EnQineers - Seawalls, DDcks, Navigable Haterways I Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wast!?~ater Treat~en:. Septic Tanks I US Environaental Protection Aqencl - Asbestos abatement I also certify that, if fill aaterial is to be used in Helod Ze,ne 'A' elr 'I\,etc.', it is underste,e,d \1,,,1 a drainage plan addressing a 'conpensating volume' will be sublitted which is prepared by a prof!?ssiona\ engineer rcgi5t~icd in the State of Florida prior to permit issuance. A pertit issued shall .be construed to be a license to proceed with the work and not as authority t~ violjte, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Officio! fr~l thereafter requiring a correction e,f errors in plans; cclnstructieln, e,r violations ~f any ce,d!? E>-ery per~it issul.j "hall bece,le invalid unless the wc.rk authe,rized by such permit is ce'JUlenced within six /Ilonths of issuance, c,r if lle'l k al!lI,c" ],ed by the per.it is suspended or aband~ned for a period of six lonths after the tiJe the HDrk is co~menced. One 90 day c:li~5jOII of tiae, aay be allowed for the per~it with fee charge of ~15,OO, lhe extensi~n shall be requ~5ted in "riting to the Building Official. An approved inspecti(,n eust be logged during each six month period, ~r the pre,ject Iii \1 be C(,nsider"d db.;l,de,r,ed. 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 OBTAI~ 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", -.--- ...7 / /../ .... _ /_,:-~~//7 SIGNA T~~ _.;__-.:::.;.,=~.:..-------~---------------- C---- ,. ... / . OWNER OR AGENT DA TE___________l#-ql-f~----.----.--.------- NOTARY AS TO Notaf!. ~b\k ~SCO Co. ~ \99S OWNER OR AGENT My CommlsstOn EXp"'tS May , -----------;7f-~~~-~---~\ MY COMMISSION EXPIRES_~~~---~ / 2:~<?-->~-;:/--: - e,- --- ~_/- SI~AT. , _c.':::~:'~______--____--- -C-':..~,/-::;:.;---- CONTRACTOR DATE_______l~~~c~-fL-------- NOTARY AS ~Commission Expires May 13. \995 CONTRACTOR MY COMMlS~~~:-:~~~:::~~~~ . "--'\ S IT E PLA\J PERMIT # LEGAL DESCRIPTION: (RESIDENTIAL USE ONLY (I ;2e ~( (JO/O' 6 <?fa::;) 077'C? SECTION TOWNSHIP SUBDIVISION OR OTHER LOCATION DESCRIPTION: ,5.5 .?--- 2--- RANGE 7K S1 REAR ( FT. ) 1;>/ J~ , -y-;- ge-r tA.( ~ ~ - '; L- +IQ/tJ~ /a. ~ -- I- - ~"P ---. . " V> f- ..... I.L.. 0 /!l;r.r#? !"II D ,." 5ift(..~ , ......... E'fr" 5 77Y C7 LLJ 570 f.L. Q ..... ! -" V) -l ~ lrW FRONT ( i!fJ FT, ) Show all existing and proposed structures giving dimensions and setbacks. Also, indicate any a~jacent bodies of water and roadways adjacent to the property. Indicate size of mobile homes such as: 12' x 60'.241 X 361. EXAMPLES ',--:1 _ ~ '---- .. ~~ EIUI, ."..~~ \~fti .....,.au. ..~ SUN STATE ALUMINUM, INC. 37528 Hwy. 54 West ZEPHYRHILLS. FL 33541 (813) 788-7308 CUSTOMER'S ORDER NO, PH07y '3!SO ~JfPva- SS-:;l-;L n , 7 ~ s-; NAME ADDRESS PAID OUT <-:-' ; /2--- A A,.,OYNT , '1 I I t /7'1SIrt) I i t 16 7 : 70 .' /~();)-I 7() ).-~ tv 17?-7: '7 I ! I I PRICE ' " ,i\.,,'" -- --'-72--~ cu ,-__':l. ----. - (;;tp,. m.. .. ...,l, .. 1A,",L, ' -ij; ii)~ ., ?-o . <: Interest of 1'1,% per month after 30 days TAX i I ~----T------ TOTAL! i RECEIVED BY All claims and ret'urned goods MUST be accompanied by this bill. I'ROlUT 610 '---TO I!', "l (, \ ) l'UU1R; /Juu