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HomeMy WebLinkAbout92-2017 !"~":"" . STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1.813-788-6611 Type of Permit Olo . tJ?) J6. tr[) B~ GLECTR;;Y P~G ~HANI~ ::~:::r~:~e:~ N;m; ftJAr:n1 Permit :N'! 201711 Date / - :2 - 7' :2- Legal Description: Sub.Div. Lot Blk. ZoningCI: I;)...-r- ~/-002D- 198:0~- Description of Work,2 /, ~. ~-A. T J<2A. A-k / 01/ () ~ J( /.,. 3- ~7- p~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Fee: c5'i1. t1V -.I- ~ ~ SIGNATURE t: ~(' o~~ - COMPANY ADDRESS TELEPHONE /I Estimated Cost: ~7 tf7J · CIt) All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE /I ) y- Tp.Serv . Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Li ntel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Reinspections: 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. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. 'r;,:"..~::/,:, /, -&~ .-- CRADDOCK'! AIR CONDmONIHG *3t. C. R. 54 EJIIt ( ZEPHYRHIUS. Fl 335<<l ,..... 782-9426 ,1089 o eelllVICI o INeTALL NAMa :) Kr'~ )(. J .4 ~....., .\ , I DATI 0' ORIG. INIT"~. NATVIIl. 0.. Q (","'; i' \" ',/< /~ . -~.r l ..'WIO. - 'c, U AtOU..T J~ J1;h . I , ,1.( /..,I."K.. -'-<' '.-<..: ' . ] 81!AIAL NO. 1 /, C/I ~ o ESTIMATe o WAAR~NTY [] CONTRACT o CAIH o CHAfIlOI! o O.O.D. :f -- ---< OYAN. PART NO. OIUlCAIPTION Pille. AMOUNT DdI -I i: '- ~. t, f '" /.1" ('?J ~t? r r- ., ......" slilli" . P.RFORM-EO ~. TOTA~ Ml\r...tA,L TeellNICAl III AVice T''''. '!"If ])r'~ , ~~ J-t-, ..~.~ \ V~.'.___.._, h ,.TAX UPFB-'330JAS ;b) ry I M o o E L .j.}t~,!" D. as b.lng 8atlll< UHGIA -1 3(15Blt.1J 411 n good condltlol'l. M o o E L iTl M2 1 91 956::; " :.{..' .1l': S I! . A I A L B4388M3891085(' -' s e R I A L APPLICATION FOR PEIDlIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Char les Smi th ADDRESS 39213 Park Dr. PHONE 813- 7138-2046 " OWNER Charles Smith JOB LOCATION '39) 1 '3 p;nk nr LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK- SUBDIVISION PARCEL I.D.~~ 12_26_21_0030-00600-0110 WORK PROPOSED:____New Construction _Addition _Alteration _Repair 2-Ins tall _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ~Single Family ~/F _~~ 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 FOR}lS.** **COPY OF CONTRACT REQUIRED. ~ERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. -t..-MECHANICAL $ 2700.00 Valuation of Mechanical Installation . _PLUMBING ..t#-o. . GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration ff ****************************************** ~U1LDER Company 7-\\""""''- s. \=' 1 @:~\- <;'C'l1-U, State Cert. or Regist. il oc>o'?....\.G Ii$- City License Registration i~ \..D ****************************************** Signature Company State Cert. or Regist. ti City License Registration ff ****************************************** . PLUMBER MECHANICAL rr;:Hirlnrk'c; air rnnditionin~omparLY Craddock's Air Conditino ~. ~State Cert. or Regist. j;RM0019~37 Signature ~ ' ?6 ' . City License Registration ii' 18 ********* ************** 'fd, **'f, * *~: * **** * *.,: 1, OTHER Signature Company State Cert. or Regist. ff City License Registration ff APPLICATION APPROVED BY ~***********~************************ . ~ Av"~. O/\,A'1\/\'--, PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - The,undersigned understands that this perlit lay be subject to "deed restrlcti~ns' which lay be Dore restr.ictive than City regulations. The undersigned assules responslbllit~Zfor,colpl\ance with any applicable deed restr!ctions. B. UNLICENSED CONTRACTORS AND CONT~ACTOR 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 ~ay be cited for a lisde.eanor violation under state law. If the ~wner or intended contract~r are uncertain as to what licensing requirelents lay apply f~r the intended work, they are advised to contact the City ~f Zephyrhills Building Departlent, tBI3l 788-6611. Further.ore, if the owner has hired a contractor or contract~rs, he is advised to have the c~ntractorlsl sign portions of the 'Contractor Sections' of this application for which they will be responsible. If y~u, as the owner sign as the contractor, you are ,indicating that you, rather than the contractor, are resp~nsible for the work. If the contractor wishes y~u to sign as contract~r that aay be an indicati~n that he is not pr~perly 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 - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'owner', I certify that I have ~btained a copy of the above described de,cUJllent and prelmise in good faith to deliver it to the "owner" prior to co..enceeent. ~ j - ~ .: ~ . I:' E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all w~rk will be done in cOlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade t~ obtain a perlit to'do Mork and install~tion as indicated. I certify that no work or installation has cOltenced prior to issuance of a perlit and that all work will be perf~rmed t~ meet standards of all laws regulating construction, City codes, loning regulations, and land development regulations in the jurisdiction. I als~ certify that I understand that the regulations of other govern~ental agencies ~ay apply' to the intended M~rk, and that it is ay responsibility t~ identify what actions I lust take to be in compliance. Such agencies include bllt ~le "~t lilited to: ... f Departleht of Envir~nlental ReQulation - Cypress Bayheads, Hetland Areas and Envirunmentally Sensitive lands, Hater/Hastewater Treatment f Southwest Florida Water ManaQement District - Hells; Cypress Bayheads, Wetland Areas, Altering Hatercourses . Arty C~rps ~f EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~err~. Septic Tanks . US Envir~nlental Protection AQency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flbod Zone "A" ~r 'A,etc,", it is understu~d tll~t a drainage plan addressing a "colpensating volume" will be sublitted which is prepared by a professi~nal engineer fegist~(ed in the State of Florida prior tD permit issuance. A perlit issued shall be construed to be a license to proceed with the wDrk and n~t as authority t~ viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froll thereafter requiring a correction ~f errors in plans; construction, ~r violations of any code. Every permit iS5\1~d :hall bec~le invalid unless the work auth~ri2ed by such permit is cOlmenced within six months of issuance, or if HD1'k authorJ~ed by the perlit is suspended or abandoned for a period ~f six lonths after the tiJe the work is co~menced. One 90 day e:tensioll of tile, aay be all~wed for the permit with fee charge of $15.00. The extensi~n shall be requested in writing t~ the Building Official. An approved inspectie,n J!lust be le,gged during each six month period, elr the pre,jed Hi 11 be considered ilbdl,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". \ C --' . SIGNATURE:D~~~+-~~J~------------ OWNER OR AGENT DATE_____l~!iL------------------.------- SIGNATUR~~~~~ CONTRACTOR DATE /~~ f;/ --------~~------------------------ ~~~~:y G~S A~~NT ~~A-~~~~~sd{~!:;:c MY COMMISSION EXPIRES___________----------- NOTARY AS TO // ' , ~~ CONTRACTOR__~~~.!'=%;.0~-:~~& " . ' ~(, d,...., .v..' '._ .' '.'.: :- 1 ..- MY COMMI S~ION EXPIRES~~5-::'2'.:2:..::...:.;;.:..~~.....~~..;..:.;