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Home My WebLink About91-1980 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Type of Permit c2-6 -, t:7D J n . rTZ;) ~- c:iLECTRICV PL~ CMECHANIC~ Property Owners Name: ~ 8A~.~ Job Address: C ~ <3 b - 9D -4- Permit N~ 1980/1 Date 1;1-7-7/ Legal Description: Sub.Div. Lot /3../- / Y - Blk. / / r Zoning CI: Description of Work If-LA-, A,/c Energy Code Readout: ~t'IL4L Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: oJ,. 7 ~-. IT''D OCCUPATIONAL LICENSE # 9b Fee: <!J'O. E ~ SIGNATU;~ ~C~'_ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. V" v-- BUlL MECHANICAL Ftr. Pre SLB Lintel FRM. Insul.CL WL sea Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following I;casons, 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. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT " APPLICANT ....)Q ~A.) B~Ax'rDN ADDRESS i<T \ ~'1 5\~ })A\\41O\1O A L \ OWNER \. )D~~ b"'f\)(\o..J PHONE JOB LOCATION .s--l3 b g~ ~\ LOT SIZE_~ AREA SQ.FT. t /3 l:1L/ BLOCK IIq SUBDIVISION 0,."., ~F ~~~HILLS. LEGAL DESCRIPTION: LOT(S) PARCEL I.D.# WORK PROPOSED:____New Construction ____Addition __---Alteration ____Repair ~Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____4~ of Units _____M/ H ____Commercial ____Indust. ____Swim. Pool Other ____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. PERMITS REOUESIED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R,E.C. ____MECHANICAL $ 0l7a.:5- 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. # City License Registration # ****************************************** BUILDER Signature :::::~AN Company E"l>M~~ ~~ E A \ r . --~ . ~f(2 A . _ - ~~~~eL~~~~~e o~e=~:~~~~i~n ~<!- /t~OOl/ql ****************************************** PLUMBER Company State Cert, or Regist. # City License Registration # ****************************************** Signature MEClMBrc~ Company ~"\"->'11E'Sr AL 0f>Al'r~c.."'i'. ~ ) State Cert. or Regist. # <!A~ !)~q~g:t. Signature . Y l City License Registration # 9-" ****************************************** OTHER Company State Cert, or Regist. # City License Registration # Signature APPLICATION APPROVED BY PERMIT OFFICER. ... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands ~hat this perait aay 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 or 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 lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (BI3) 7BS-bbH. Furtherlore, if the owner has hired a contractor or contractofs, 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 periitting 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 Departaent 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 doculent and promise in good faith to deliver it to the "owner" prior to cOllencelent, 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 developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has comaenced prior to issuance of a pertit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction, 1 also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is .y responsibility tc. identify what actions I lust take to be in cOlpliance, Such agencies include bllt ~i i? liCIt liiited to: . Departaent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitiv~ I.~ndsf Water/Wastewater Treataent * Southwest Florida Water Manaoeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Arty Corps of Enoineers - Seawalls, Docks, Navigable Waterways . Departtent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~ent. Septic Tanks . US Environlental Protection Aoency - Asbestos abatement 1 also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a dlainage plan addressing a "coapensating volume" will be sublitted which is prepared by a professional engineer registcled in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to vioiate, cancel alter, or set aside any provisjons.,of tbe tec~nical codes, nor shall issuance of a permit prl!vent the Building Official fn.1I thereafter requiring a correction of errfJ!-'s in plans, construction, or violations of any code, Every perllit iSSUed ~haJl becc'le invalid unless the work authorized by such per.it is cOI.enced within six sonths of issuance, Dr if work authol lIed by the pertit is suspended or abandoned for a period of six lonths after the tile the work is co&menced, One 90 day i!~tensioli of tile, lay be allowed for the perlllit 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 tonth period, Dr the project will be considered abaHdoned. 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 RECpRDlNG YOUR ~OTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO.R.ECORD AND POST"A "NOTICE OF COMMENCEMENT". . SIGNATURE-------OWNER-6R-AGENT------------- SIGNATU;'-~~ DATE_______________________________________ DATE___l~=_g_:~l_____________________ ~\\"'\"\1l11l1!ll;!, L7 NOTARY AS TO #\'~~.).t~~.",AS TO n . I! t:oa. OWNER OR AGENT _________________________ ~...,... CONrf(~~~R---[7a~---.!.----:..-':::"-':::"--- MY COMMISSION EXPIRES ~ + ~ I"W CO~t:1If5SION EXPIRES 1/- JJ/ - y.f:J- ------------------~;%-~...... .' "..~.:..: .- ------------------ ;~ / ( ......... ;/;//1//. or ,\. "',. IjJ//ld~tn;.\.-. . JAN:S ~. c(;;\'.! My Comm. Ex;:;. (:0\/. ~(~ 1,:.?j r.cmm. No. CC 1C::~:sB APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ....., APPLICANT E"A.> If I ~.0M ~i A '-- (\ f'.1l.3r'ROO:::r-o 'R. S ADDRESS PHONE OWNER ~c~ D M~A X\DJU JOB LOCATION 5~ q~ 5T J 3 J JV : 4,0 )) ALAN ~oJ\lSD~ LEGAL DESCRIPTION: LOT(S) LOT SIZE_X AREA SQ. FT. BLOCK lie; SUBDIVISION QI'l e)F 2E..~ \\ IfF:. HILLS PARCEL 1. D. # HORK PROPOSED:____New Construction _---Addition ____Alteration ____Repair ~Install ____Sign/Temp, _Sign _~ove _Demolish PROPOSED USE: _Single Family ---.J1/ F ____ft of Uni ts ____M/H ____Commercial _Indust. _Swim. Pool Other ----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 FORNS.** **COpy OF CONTRACT REQUIRED, PKRHITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E,C. -HECHANICAL $ 6rkJ.~ 00 Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, CONTRACTORS Builder Company Signature City License Registration # ***************************************************************************************** Electrician . Company t,Jff?NJII-,:J Stt~I~;}'\ So Signature City License Registration # ********************************** ****************************************************** Plumber Company Signature City License Registration # ***************************************************************************************** Mechanical Company ~~..)\:tRoiOM~'iAL OW~\o~.s. Signature City License Registration # *********************~~********** ******************************************************* Other Company Signature City License Registration # I Hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of law and ordinances governing this type of work will be complied with whether specified herein or not,' the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or performance of construction. '\~ (3~ tf Sign~~ture of Owner /1-:1.9-0,1 \"",' .111 11"1// Signature of contrac~~~~~....e~:;/-:~-:;. ~O~..... .....</~ D ~ I ,~~ ate 5<'f \"1 . &- g +\ * J :t-.~igned /tJ DT,l/p,/ - ()~L~ ~,~~~...............<~jf U ~/' I [ 0 f . \ 'Z\ ,.;.' CDPI/I)IS5t: rJ 1/ I;Jf / 9S '1//II;'It/f:r';l\~;\\":"\~:'u_- E :x(JIRJ;:~ fI JANiS R. CJ/I.,i _ _._ Cvn Nov. 14. 199il Date by the O\vner and notarized. '-'"":r' , ;..; . ",c ~.~.""...~--~..._~~,--,,...,.~,,,,,.,,,,,.,...,.,~,,,.....~._,,-, ARCHITECT NSTM.L: