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Home My WebLink About92-2020 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 2020-8 Date /-s-~ .~ PL~ ME~L Property Owners Name ?J ;;~?j ;j;jfj~~ Job Address: c? JY 7 0 legal Description: Sub.Div. 2l.#~ ~~ lot Zoning CI: :2 DescriPtion. of Work ';.4..;.. -4 -Z- U --r-: ~ -I" _... A ~ '.AJ-<{ ~ ~<4-~ ~~~~ ..~ Blk. __..JiI'~ Energy Code Readout: 3 V'- 9 fJ--;) Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE /I J1 Fee~ SIGNAT E "" ~ COMP ADDRESS TELEPHONE /I Estimated Cost: d;;~fTZ) - o-tJ All work shal! be performed in accordance with the above and all City Codes and Ordinances. SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. ~~ Insul.CL wL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION-1) ( I (A-~O ~ ~O vJ2. LEGAL DESCRIPTION: LOT (S) l) 0'1. <]"3 BLOCK PARCEL 1. D. ~F ~?. - d- b -;t I - 0 C> I C. PHONE 7~5-~6'~ ~ to p.t.. "3-"55""V I APPLICANT ADDRESS SUBDIVISION AREA SQ. FT. (Ji 1/461<. 66<tlu.St D/~O LOT SIZE_X o~oC> _Sign/Temp. _Addition _Al~eration _Repair (! 011 \J ~A.;-1~ t'JI'k _S ign _ -;.0 u , h'j UJ 1 noo ~Move _Install WORK PROPOSED:_New Construction _Demolish PROPOSED USE: _Single Family _M/F _IF 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 REOUESTED _BUILDING $ 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. ****************************************** ~' .CONTRACTOR SECTI~ . ~ ' BUILDER - tun Company - I () t<4 J I"-y ~ ';' v..-dl __ State Cert. or Regist. IF 00" 085 Signature ~ City License Registration IF ~ , ......................................*.., Signature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRTCTAN Company State Cert. or Regist. IF City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTl:!.ER _ Signature ?i1*;~***dt::*::~:::***************** 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 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 Jicensed 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 aisde.eanor violation under state law. If the owner or interided contractor ire uncertain .as to what licensing re~uire.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart~ent, l813l 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 nntractor that .ay be an indicatic,n th~t 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 b'een provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to cOlmence.ent. 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 cOipliance 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 co..enced 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 development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies may 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 ~iP. not Jiaited to: * Departaent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treat.ent I Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways * Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks * US Environlental Protection AQency - Asbestos abatement I also certify ~hat, it fill .aterial is to be u.sed in Flood Zc,ne "A" or "A,etc.", it is understc,(,d thilt. a drainage plan addressing a ~co.peRsating volule"'will be sublitted which is prepared by 'a professional e~gineet fe~i=t~ied in the State of Florida prior tu permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to yiui~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici~J from thereafter requiring a correctiun of errors in plans, construction, or violations of any code. Every permit issued ihall beco.e invalid unless the Nork authorized by such pertit is cO'lenced within six sonths of issuance, or if work authorIzed by the pertit is suspended or abandoned for a period of six lonths after the tile the work is co&menced. One 90 day e~tEDsiu" of time, aay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six tonth period, or the project will be considered dbaildoned. 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 DO NOT NEED TO RECORD AND POST A "NOTICE OF COMME ---------------------------------- SIGNATURE SIGNAT OWNER OR AGENT DATE_____~-::--~--~-~-~-------------- DATE____j__~__3._~_7!_~______ .___ ----- ~~~~~~c~~~~_G__~~_____ NOTARY AS TO OWNER OR AGENT_____________________________ MY COMMISSION EXPIRES______________________ Notary Public, State of FlorIda MY COMMISSION EXPIRES_M.!~~~!!'!!..~!!'!.~~.3!o.J994 ~ A A lSYL{IU SITE PLAN (RESIDENTIAL USE ONLY) I'!\ReEL 1.0. SEe TWl' RNG SUllU llLOCK LOT I'HOI'EHTY I-IEI\SUREMENT CUHIU-.Xl' OWNE.HS UJ 4J-J.~ ~cJ) DATE All drawings shall be drawn to scale for all parcels or lots five acres or less. $0 '7~ 3~ 76 ~o ( '-bJ~~ U uJCA--t\ C , Ie SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE ~y BODIES OF WATER AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PHOPEHTY, INDICATE Tlili SIrE, YEAR, ~~D N~~E OF MOBILE. SUCH AS 12' x 60'. 1981. FLEETwOOD. All "EASEMENTS". "RIGHl'-OF-WAY" and "JURISDICTIONAL LINES" must be showJl on all site plans, DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE HOUSE CONSTRUCTION "ALl: ,.. eoo PROPOSED ADDITION .CoALl: ,.. .0' MOBILE HOME SETUP "ALl: ,-. 10' ""16011.1 w :J .. ;r. ~ 7." o It - :: Ill' 20' I 10' ~2." - Oeld. ~ 0 0 2 Ellllln, 7." S! - . kou.. . ! ... .. :10' P/L ROAD NAME '0' <10' ~ - 0 0 on '" 2" ulllln, Wl - '" Shld .. . ... :!' .. .. liD' ROAD NAME HClu.. 7.,5' ~ . ! :10' ROAD NAME sitepL11l:rr> LAKELAND PLANT CITY ,A-i Quality Aluminum Improvements, Inc. 5050 Gall Boulevard Zephyrhills, Florida 33543 Florida State License No. RXOOS90BS (813) 782-5946 CASH SALES THIS AGREEMENT is made and entered into this 7- day of ,19#bY and between Blvd Zephyrhills, FL 33541 , (hereinafter called WHEREAS, Owner wishes to retain the services of Contractor to provide the materials and workmanship more specifically described below, and WHEREAS, the parties wish to reduce to writing the terms of their agreement. . NOW, THEREFORE, in consideration of the promises and mutual covenants contamed herein, the parties agree as follows: (List specific improvements here) 1-1/1 <; i A-il Q- 4-(1 gR'2- 2- L- 'I eo 7-/lA- VtI " pi oR}1JA b IA-S~ I)("y/ 'P-e.A-m <; 4- !~cl( A- II r~ l)j I /11 Y) () c...v 9 u /J1~/ I\-E 0 lAJ) --r 0 f) ( TOTAL CASH PRICE: $ LESS DOWN PAYMENT: $ BALANCE DUE ON COMPLETION: $ d. ~O C) 5 <::>0 ~ 0 C 0, O-c 00 0C 2. Work will begin within approximately after credit is approved if any amount of this contract is to be financed. Otherwise, work will begin within approximately ~ -/3 ..... ~ / of signing this contract. Work will be completed within approximately ';;2. ~ I (J --J~rking days. Contractor will not be liable for delays beyond his control. 3. It is agreed that this contract shall not become binding upon the Contractor until it is approved by an officer of the company. 4. Any representations or agreements not contained herein shall not be binding on either party. All of the agreements and underSlandings of each party are contained herein. 5. In the event it becomes necessary for the Contractor to employ an attorney to recover monies due under this agreement, or to enforce any of the terms and provisions hereof, Owner(s) will be liable for, and agree(s) to pay, all costs and expenses, including reasonable attorney's fees, necessarily incurred by Contractor as a result, regardless of whether suit is filed or not. 6. All unused materials shall. under any conditions, remain the property 01 the Contractor. 7. The undersigned warrant(s) that he is (they are) the owner(s) of the above mentioned premises and the legal title thereto stands of record In his (their) name(s). 8. "BUYER'S RIGHT TO CANCEL": This is a home solicitation sale, and if you do not want the goods or services. you may cancel this agreement by providing written nOllce to the seller in person, by telegram, or by mail. This notice must indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel thiS agreement, the seller may nol keep all or part of any cash down payment. 9. In the event Owner attempts to cancel this agreement after the date and time allowed for cancellation under paragraph 8 of this agreement, Owner(s) will be liable for, and agree(s) to pay Contractor, all damages which Contractor sustains as a result of such cancellation, including loss of profit, Contractor's cost of any materials specially fabricated, and a 15% re-stocking charge for all materials required for the work specified above. THE OW EBY ACKN WLEDGE(S) RECEIPT OF A COMPLETELY EXECUTED COPY OF THIS CONTRACT. oW"Elf aiL ~~ f TITLE OWNER