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Home My WebLink About91-1993 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit )f~ 1993-Jj Date_/~-/3 -? / ~ ME~AL Property Owners Name: Job Address: J.j r 3 0 Legal Description: Sub.Div. Lot Blk. Zoning CI: I L./ -;)...{, - 'J.J - 0 0 0 0 ~ - 0 0 " 0, Description of Work .vfl.:.t- (?~ ~ ~ ~ ~/ A /~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ! 9 crz:; - cr-D All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #b~ ? / G Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final ME~NICAL ~ Ftr. ~1 Pre SLB I'2.-/'?-'t1 r~ Lintel FRM. Insul.Cl WL 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.(0) 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 fccs shall be made before any further permits will be issued to the person owning same. OWNER /'vrJ<. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT FL M~K {]A-J(rE;2 if ;;(10 C () T1~!:lr r;F- S T tAl /tV TE/2 <;;. il..{6&'l. ~ I./C>J-U: ,:>I-l~ JOB LOCATION PARCEL 1. D, # SHOW AL) EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. Il/J/ ~ J{J tJ j/'- 7- OJ / r;* , _ p "IS,,,,,,<- \4 c... U MI jVtM p:lh~n Q;J ,,~O r)/S<AK. f <.--...i!l--------'7 t ~ ~~ ~~ ~ 1\ I~J ~ v l1 UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. ! ~ ~ l~ I~J '\. ,oJ ~~ ~~ I FRONT PROPERTY nINE I "' . y' '- .~ ~ f" ~ 3\ .4' r.J '-, . \; \- ,~ -~ ~ ~ ~ , ti · - 'l ( I J \" ~ '- ,/') ','j ~, -.) -; \'\' 'Z) . . .... ... , lLf I , " (NOTE EXAMPLES 1 & 2) STREET (Jc17A-(]E3- 5-r~E-E-r- , 1, SETBACKS FOR Rl, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' - 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' FRONT PROPERTY LINE 10' 10' EXISTING 10' .' . PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT I/'!=; A.J fA) ({ F \. ( C n /'.J S r /VL.AI JJT ADDRESS fl()'{ "SD 1 {I i<"YS~kL' <: ?,1L/!J6 s K.PHONE 1\112 ~LMlCit 1'A-l2-r~~ tf)(,3 0 ef)rrlt~.E <; r LEGAL DESCRIPTION: LOT(S) WI A)"rG/:2BI.A4~'tfJllJjli;iBIONIf() 1'---1 F IN C ~/~-7Y~-iJsft " OWNER JOB LOCATION LOT SIZE_X AREA SQ,FT. PAR/~ WORK PROPOSED:_New Construction ~AJC~e1c::.. /)dLIVE- .~L"~ -c..~1t~7 ~ddition _Alteration _Repair _Install PARCEL I,D,i~ _Sign/Temp. _Sign _Nove _Demolish PROPOSED USE: ____Single Family ~M/F _i~ of Uni ts ,._M/H _Commercial _Indust. _Swim.. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x ~ --. Square Feet, -" - 9 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 REOUESTED V BUILDING l ~D /7'01) .- Valuation of Total Construction AMP Service _F~rida Power Corp. --- ~ ____Valuation of Mechanical Installation ---- . _~LUMBING ~AS __' ROOFING ....----- TYPE OF CONSTRUCTION: _~ ----:-~~teel FINISHED FLOOR ELEVATIONS:~ ~RICAL _MECHANICAL ::::::--- ~R.E.C. $ SPECIALTY ...- cElJJJo<LJ.UA ~er ****************************************** CONTRACTOR SECTION BUILDER 1(E",u tV 'JL.~y I!lJtJ5~ . Company K ~ WIC,G Y (! OP ~ A/ Jd;y State Cert. or Regist. 4~ . ~ ~f- Signature...K.b ~ ~ .. City License Registration W~Z:;c;,r&7 ************* ****;*~~~~~"~~'~:rl~;'O ELECTRICTAN Company State Cert. or Regist. 0 Signature City License Registration 0 ****************************************** Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company StaLe Cert. or Regist. # City License Registration # ******~~~*~*******~~**~******************* MECHANICAL Signature Company State Cert, or Regist. 0 City License Registration ff OTHER Signature APPLICATION APPROVED BY 91*;:::;~"~~*~:;:;~"*******"** PEFMIT 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 m~re restr,ictive than City regulitions. The undersigned asSUles respDnsibilitf~!or"co.pliance with any applicable deed restr!ctions. 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 accordince with stite and 10Cil regulations. If the contractor is not licensed as required by law, both the owner and contractor liY be cited for a lisdeaeanor violation under state law. If the owner or 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 Depart.ent, (813) 788-6611. Furtheraore, if the'owner has hired a contractor or contractors, he is advised to have the c~ntractor(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 aay be an indication that he is not properly licensed and is not entitled to peraitting 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 Florida Departlent of Agriculture and Consuler Affairs, If the applicant is soaeone other than the 'owner', 1 certify that 1 have obtained a, copy of the above described document and pr~mise in good faith to deliver it to the 'owner' prior to cOllencelent, ;"( .:' ,I E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be d~ne in coapliance with all applicable laws regulating construction, zoning, 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 installation has cOllenced 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 jurisdicti~n. I also certify that 1 understand that the regulations of other govern~ental agencies ~ay apply' to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance, Such agencies include bill ~le ne,l liaited to: ~ I Departle~t of Envir~nlental ReQulatiDn - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatl!!nt I Southwest Florida Water' ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Ce,rps ,of EnQineers - Seawalls, Docks, Navigable llaterHays I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastellater Treat~en~. Septic Tanks I US Environaental Protection AQenc~ - Asbestos abatement I also certify that, if fill laterial is to be used in HODd Ze,ne "A" or "A,etc.', it is understc,c,d thol a drainage plan addressing a 'colpensating voluille' will be sublitted which is prepared by a professional engineer fegist~ied in the State of Florida pr.ior to peTtit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~tef cancel alter, or set aside any provisi~ns 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 issll~d ;hall bec~.e invalid unless the work authorized by such permit is cOllenced within six months of issuance, ~r if wOl'k authollzed by the per.it is suspended or abandoned f~r a period of six lonths after the tiJe the llork is co~menced. One 90 day e:tensiOII of tile, aay be allowed for the perillit with fee charge of ~15,OO, The extension shall be requested in writing to the Building Official, An approved inspecti(,n l!Iust be logged during each six lonth period, or the prc,jl)ct will be considered ilb,;l.de,ned. 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". t:.~' J.. ~o/ :.< ' " ~// r U~).. . SIGNATURE. . SIGNA TURE_~_.<-.-L.1.L '.~_.t4.-.<.~-------- ---~~-._- .- - -- ------ OWNER OR AGENT CONTRACTOR DAYE____-rZd~--/-3_1-2L------.------- DATE__.;&j2L--/..:jL'~-------------- NOTARY AS TO C2:n ' / ;/~. ./1 OWNER OR AGENT L~-I:i:YL:'':dl-:'' -t:~r;" notary Public. St of florida . ' MY COMMISSION EXPIR Commiuion Expires April 14,1 4 -~~~Thrul~r~~~w~M~~~--- NOTARY AS T~ ' -' CONTRACTOR.L./...)d:i..c..1~~~ ~ 1l7' " r-!iotary Public. ate of Florid MY COMMISSION EXPIRE~_~~~~_~~~~~,]jj,l 94 Bonded Thru Troy fain. Insurance Inc. . . 'I r FROPOSAL I PROPERTY SUBMITTED TO: M~ ElJ,1EI<. eA~ PHONE: DATE' ~ Y-153D 0 tJT1;4&E .> / (J) / JJ rG/lS M / If PAIL).!. Z.f:/I?IIY~HILL5 FL, / We hereby submit specifications and estimates for: DESCRIPTION: \ e ()AJ C/l~rE c A~ PO 1<-r L.. LA-L. k. 5>>131> ~i,,5E -:<6 '><. /:2 / ~x. '3/ Sx...b' -ALU.M/AJuM --e-W~~-:(, D32 .?3X Is CO I / /-J- ? ')(? P D 5 / c::>'--. :::LX 'f A k.A M. ~4 T(G4l FActA- ~ Dou.J 1J ~ Pv u..,S l... \ 1A4,&:=, (-t 1J W m-r F-- Tf'ie complete in accordance o 0 /xx Dollars (IrA :?</Vfl -l:i:::;' {o ( , t. All material guaranteed to be as specified, All work to be completed in a workmanlike manner according to standard practices, Any alteration from the specifications involving extra costs, will become an extra charge over an,d' above".t'he estimate, All agreements contingent upon strikes, accidents or delays beyond our control, Final payment due the day of substantial completion, payed to the installer or authorized re- presentative. We shall then issue a Wavier of Lien, Amounts past due are subject to 1~% per month interest, should collection be required, owner shall pay reasonable attorney fees. Venue of any suit concerning this proposal shall be in Pasco CountY,Florida, All accepted proposals over $1,000.00 require a Notice of Commencement in accordance with Section 713,13 of the Florida Statues. The contractor carries bodily injury, property damage and workman's compensation, alloth~r liabilit- les shall be the responsibility of the owner. This prop'osal' subject to acceptance within ~days and is void thereafter at the oPt;Jn~ _ the undersigned. ~ A01{V~ 1\) 8E /iff/21;veLJ 13/ !?;J/3 tJ ltJr~ ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions You are authorized to do the work as specified, as outlined above. are hereby accepted. Payment will be made ACCEPTED: DATE . f) vi ;22/c;/ I SIGNATUR SIGNATURE KEN WILEY Const.- Maint. Inc. 1214 BobolinK ~rystal Sp, FI, 782-0546 Job Name: Street: City: