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Home My WebLink About91-1989 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1989 tp Type of Permit Date ,I rJ. - I a. - 7' / g.E~ 0LUM~ propertYownersName~}f{L fL 1-fa'~ ~ ~ Job Address: .3 b ~ ~ .A.- 8UILI)I~J(s M~ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work ~+ ....z::;;.,~ .~~~/J Energy Code Readout: ~. Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ,~ /A-- All work shal! be performed in accordance with the above and all City Codes and Ordinances. Fee: OCCUPATIONAL LICENSE # ~O TELEPHONE # ~~;,. C PLUMBING~ ~I~ SLB Tp.Serv. Tub Set Rough In Water Meter Can Sewer Canst. Pole Final Pool Pre-Meter Final M~CAL ~ ~ING Ftr. Pre SLB Lintel FRM. Insul.CL WL 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 pcrsonowning same, APPLICATION FOR PERNIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~. APPLICANT -1SUt:>6.\:"\ lvv \. ~~\O\.o\..l P.\'. <;'WI..\~\-\ ADDRESS 3~\D Po\\tx.k.. L~~ "2.-~I\lS ~~S\.\l PHONE <:rl'3' 1~- C(5.3b OWNER S,h~1>.t? ~C; ~\ F cn~(j;e- JOB LOCATION ~l,,"'t.\..\\ e:hJI'3- ~~G" DY' 2-l41US LOT SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D ,l~ WORK PROPOSED:_New Construction _Addition ____Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family _M/F _l~ of Units ,._M/H _Commercial _Indust. _Swim., Pool Other _Restaurant & Health Department Approval BUILDING SIZE: X Square Fe'e t, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL LPLUMBING $ Valuation of Mechanical Installation GAS ROOFING ,~",~H~ SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** ELECTRICIAN Sio:nature Company ~Mk/ /f/f'r!N1t?/</ State Cert. or Regist. # 19q City License Registration iF $'hO ****************************************** Company State Cert. or Regist. # City License Registration ff ****************************************** MECHANICAl. Signature OTHER Signature Company State Cert. or Regist. # City License Registration n APPLICATION APPROVED BY ~~~~.~;~~~...**..*.*.*. PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ,undersigned understands that this perlit lay be subject to "deed restricti~ns" which may be more restr,ictive 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 contractori to undertake work, they may 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 ~ay be cited for a eisdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing reQuirelents lay apply felr the intended wlIrk, they are advised to cllnt'act the City of 2ept~yrhills Building Deparhent, (B131 7BB-bb 11. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl sign portions of the "Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor, Yllu are indicating that you, rather than the contractor, are resp~nsible fllr the work. If the contractor wishes you to sign as contractor that lay be an indicati~n 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 Departlent of Agriculture and ConsUler Affairs. If the applicant is s~le{.ne other than the 'owner" , I certify that I have obtained a, copy of the above described d~cUlent and proffiise in g~od faith to deliver it to the 'owner' prior to cOlmencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work Hill be done in compliance with all applicable laws regulating c~nstruction, 20ning, and land developlent. Application is hereby lade to obtain a perlit to do work and install~tion as indicated. I certify that no work or installati~n has cOllenced prior to issuance of a perlit and that all w~rk Hill be perf~rmed to ~eet standards of all laMS regulating construction, City cod~s, 20ning regulati&ns, and land d~velopment requlations in the iurisdicti~n. I also ",'if, 'h.t I ",d"".,d 'h.1 th, ,'g"I.'i'" ,f ,Ih" g",r,."I.! ag",i" .., .ppI, I, 'h' i,'"d,d "", .,d 'h.' i' i' ., "'p " , i hi Ii" to ""Ii f, ,h. \ .d i '" I m t h" t, b, i, ,,'p Ii .,,,. '"d,.g ",d" i ,d"do b" "" ,.,,' Ii. i I,d '" ,0- I Departle~t of Envir~nlental ReQulation - Cypress Bayheads, W~tland ~reas and Environmentally Sensitive Ldnds, Water/Wastewater 1reatment I Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArtY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Hastewater Treat~e~~. Septic Tanks I US Environaental Protecti~n AQenct - Asbestos abatement I also certify that, if filllaterial is to be used in Flc.od ZClne 'A' cor "A,ete.', it is understc.c,d \hilt a drainage plan addressing a 'compensating volume' will be sublitted which is prepared by a professional engineer regi5t~led in the State of Florida prillr to perlit issuance, A p".i' i,,",d ,h.11 b, "",,",d I, b' . Ii"", " p"",d ,ilh th' ",t .,d ", ., ."'h"i\y ,. ,i,I,\" ,.",1 .1"', " set aside any provisi~ns of the technical c~des, nDr shall issuance of a per~it prevent the Building Official from thereafter ","i,i'g . ,.",,'i., .f """ i, pl.,,; """,,'i.'. ., ,i,I."'" .f ." "d'. ,.." p".i, "".. ,h.11 b,,'" i".lid unless the work authorized by such perlit is commenced within six months ~f issuance, or if work authOI lzed by the perait is ,"'p"d,d " .b.,d",d f" . p"i.. .f ,I, .,,\b' .f'o; th' 'i., th, ",k i, "...",d. D"" d., .,1.,.,., .f Ii." .., b, allowed for the permit with fee charge of $15.00. The extensi~n shall be requested in ~riting to the Building Official. An approved inspedie.n '!!Iust be l~gl}edduri~g,each six month period, clr the prclject ~i 11 be cconsidered <lb,;l,dclned. 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 T RECORD A lD POST A "I'iOT I CE OF COMMENC MEN' SIGNATURE SIGNATURE NOTARY AS TO . . . fl -. OWNER OR AGENT ____~-~~------.- MY COMMISSION EXPIRRa~lX~~~j~!~~l~d~~------ My Commission Expb:. ~,pirl 2, 199% eond;;d lhru Troy fain. In~uran,e IlK. NOTARY AS TO j~' ~ < CONTRACTOR______~----~------ MY COMMISSION ~~~~~~6~~~~~01brli~------- '" t"' ~'~'l""- i\"irl '2, 1~~~ it,.) ~~...h".. ';'...l\..'.l 'U'"' >>91i~Jl" 1hlll1,91 fWD' W111~illlio