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Home My WebLink About95-5289 BUILDING PERMIT.- CITY OF ZEPHYRHILLS Permit IV! (813) 788-6611 --- :-.528~ III /0- 9-9s- . c3D Date Property Owner: Job Address: Parcel I. D. # ater Meter: Zoning: Description ~rk (j)j ~ 0flA' /~~~;;;e~::i47~ FINAL /O.-11~7 5" DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE Valuation 0' ~6Z ~ 25 o:J Contract Price I ' Permit Fee Signature Company Address Telephone# Inspector City License Registration # ~ ;;; 0 State Certified License# t!-/l C!- 1"') ,~5' f 33 Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final .. Ftr, Pre SLB Lintel FRM. Insul. CL Wl SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final /,1)-11'7 r j;1.iJ Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. .,---t . Page No. of ~ages Jlrnpnsul ~ ~ CJ's Heating & Air Conditioning, Electrical, Inc. 10i b/q..iJ 8423 New York Ave. I Hudson, Florida 34667 (813) 863-1862 · 1-800-635-4861 . f~ I 1-<) ~.p There will be a $25.00 charge for a notice to owner if bill is not paid in 35 days. ~t JrnpoSt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: 00 dollars ($ Z 2.. 9.s - ). Payment to be made as follows: ,; 0 ~ DO<.<I>- --r cJ.,J -I... ~ ~f ell ~ All material Is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications Involving extra costs will be executed only upon wrinen orders, and will become an extra charge over and above the estimate. An agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our wor1<.ers are fully covered by Workmen's Compensation insurance. A~thorized f)...p )~ Signature n-! C. a-- Note: This proposal may be wilhdrawn by us if not accepted within days. J\CCl~ptnltCe of Jroposnl - The above prices, specificat~ns and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specifi.:!)f,men~ ~I~e made aSOUtlinedabove.~~ D ~-:'JC~ Authorized .r/' A~ Signature . I have aulhorhy to order the work outlined above which has been satisfactorily completed. I agree that seller retains title to equipment I materiallurnished until final payment is made. II payment is not made as agreed, Seller can remove said equipment / material at seller's. expense. Any damage resulting Irom said removal shan not be responsibility 01 seller. II seller is forced to lake any legal action lor coHection 01 any balance owing by me by lawsuit or otherwise, , agree to pay any interest on amount owing unt" paid as well as all collection and court costs, induding all anorney's fees. t-ENTRAL PERMIITING OFFICES: c ( 1\ 0 F 'Z,e pf-le'ifC H--j //1 . Jsco COUNTY BUILDING PERMIT APPUCA nON SHADED AREAS FOR OFFICE USE ONLY .. THIS APPLICATION MUST BE TYPED OR PRINTED IN INK ,. AND IS VOID IF NOT P~~~ ~I!!:!'~ MO~~ _ _ _ _ _ _ _ _ _ _ __~ _ _ _ _ _ _ _ __ __ _ __ ------- · Dade City: (904) 521.4206 37918 Meridian Ave., Rm 234, Dade City · New Port Richey: (813) 847-8126 7432 Little Road, New Port Richey . Land a'Lakes: (813) 929.1266 4111 Land a'Lakes Blvd. (US 41), Land a'Lakes ~ ~N:;.:::;;jj i1J/~~ t fi! <i ~ ~&~ Ll::' SUB;,~~'<I~~2 . 'f 8:!J'.2 or PARCELIl'>;S :2.T~R - SUB QJ.UJau< ~ ~T _PR='>'>"""TAtS2tiLOTSIZE~X-=-- W aWNER'SPRESENTADDRESS: SA-fill/!. CITY:.ZEi..IJI"IRiJ rhLl...."TATE: ZIP ~{~J '40 ~ f ' o . FEE SIMPLE TITLEHOLDER'S NAME (if olher than owner): address (if applicable): CITY STATE ZIP -------------------------------- ~ESC_;PTIO;_OFWORK: -All'" GfJ.h-AJcs:.L 0 ,t r ~ LIVING AREA: PATIO: GARAGE: ENTRY: TOTAL UNDER ROOF: ~ # BEDROOMS II BATHROOMS: _-_ TYPE CONSTRUCTION: 0 BLOCK 0 FRAME 0 OTHER: 1ZI z o 1= a. ~ (,) lJ) W Q . IF MOBILE HOME OR RV: MAKE "WORK CODE: ~~ PLANS ON FILE? 0 NO 0 YES MODEL NAME: YEAR SIZE VALUATION: $ --------------------------------- . BONDING COMPANY: ADDRESS: CITY STATE ZIP ~ (,) 0 . ARCHITECT/ENGINEER: ..J 1ZI CITY STATE ZIP It: ADDRESS: W :z: l- . MORTGAGE LEN~FR: 0 ADDRESS: CITY STATE ZIP --------------------------------- . CONTRACTOR: SIGNATURE: ~ ADDRESS: 9 STATE L1C # (if applicable): 1ZI ~ . ELECTRICAL CONTRACTOR: l3 SIGNATURE: ~ ADDRESS: !Z STATE L1C II (if applicable): 8 POWER CO: PHONEII ( CITY STATE ZIP PASCO CO COMPUTER I~: PHONE # ( CITY STATE ZIP PASCO CO COMPUTER ID*: SAWPOLE: AMPS: . PLUMBING CONTRACTOR: SIGNATURE: ADDRESS: STATE L1C # (if applicable): # FIXTURES: . MECHANICAL CON~ACT9R: G-1's q. I"", <'l * of /:tjr -+ U,,~/~ ~ SIGNATURE: . ~ PHONE II ( ) .ft .~ - I ~~ G ADDRESS: . r '.r1.x..CITY "J,j.I.~~ STATE~ZIP ~~ 4b~-"] STATE L1C # (if applicable): } . ~ASCO CO COMPUTER ID*: .5"' 8' ).~'_.- _, """ .? '''9 --':C,' ) a NEW 0 ALTERATIONvc.. ..) -- (Required) ,j ~!J.D / ~ ~/ PHON # ( )__ __--< ST ~ZIP PASCO CO COMPUTER 10*: SEWER: CITY . SEPTIC PER #: WATER: WELL: ---------------------------------- . OTHER CONTRACTOR: SIGNATURE: ADDRESS: STATE L1C II (if applicable): TYPE CONTRACTOR: CITY PHONE # ( ) STATE ZIP PASCO CO COMPUTER ID*: VALUATION: $ OTHER FEE TYPE: JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT" (permit form 10/91) EDITIONS OF THIS FORM RELEASED BEFORE 1/91 ARE OBSOLETE AND WILL NOT BE ACCEPTED BY CENTRAL PERMIITING STAFF " " .. NOTiCE""". BOTH THE OWNER AND CONTRACTOR OF RECORD (License Holder) MUST READ AND SIGN THE REVERSE SIDE OF THIS APPL/CA TION PC93043032 CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DFFD RESTRICTIONS The undersigned understand that this permit may be subject to .deed restrictions" which may be more restrictive than County regulations. The undersigned assumes r86ponslblUty for complianc:e with any applicable deed restrictions. B. j.JNIICENSED CONTRACTORS AND CONTRACTOR RESPONSIBiliTIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed In accordance with state and local regula- tions. II the contractor 1& not licensed as required by Jaw, both the owner and contractor may be cited lor a misdemeanor violation under state law. If the owner or int8ndecl contractor are uncertaJn as to what 1icen6lng requirements may apply lor the Intended work. they are advl&ed to contact the Pasco County Building Divl&lon . Uoenslng Section at (813) 847-8009, Furthennore, If the owner has hired a contractor or contractors, he 1& advl&ed to have the conl1actor(s) sign portions 01 the .Contractor Block" 01 this application lor which they will be resp0n6lble. II you, as the owner sign as the contractor, you are Indicating that you. rather than the contractor, are r86ponslble lor the work. If the contractor wl&hes you to sign as contractor, that may be an Indication that he Ia not properly licensed and 1& not entitled to pennitting privileges In Pasco County. . C. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVFRV FEES The undersigned understand thai Transportation Impact Fees and Resource Recovery Fees may apply to the construction of new buildings. change 01 use In existing buildings. or expansion 01 existing buildings, as specllied In Pasco County Ordinance numbers 89-<17 and ~, as amended, The undersigned also understand that such lees as may be due will be idenlifl8d at the time 01 permitting. It Is 1ur1her understood that Transportation Impact Fees and R860urce Recovery Fees mJst be paid prior to receivltlg a .certiflCate 01 occupancy" or final power release, If the pro)ect does not Involve a certificate 01 oocupancy or final power release, the lees must be paid prior to pennltlssuance. Furthermore, II Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit Issuance, In accordance with applicable Pasco County Ordinances, D. CONSTRUCTION LIEN LAW (Chapter 713, Florida StabJtes, as amended) If valuation of work is $2500.00 or more, I certify that I, the applicant. have been provided with a copy of "Florida Construction Lien Law. Homeowner's Protection Guide" prepared by the Florida Department of AgriculbJre and Consumer Affairs, If the applicant is someone other than the .owner; I certify that I have obtained a copy of the above desaibed document and promise in good faith to deliver it to the .owner. prior to commencement. E. CONTRACTOR'SIOWNER'S AFFADA VIT I certify that all the inlormation in this application is aocurate and that all work will be clone in compliance with all applicable laws regulating construc- tion, zoning, and land development. Application is hereby made to obtain a permit to do work and Installation as indicated. I certify thal no work or installation has commended prior to issuance of a permit and that aU work will be performed to meet standards of all laws regulating constnJction, County codes, z~lng regulations, and land development regulations In the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it Is my responsibility to identify what actions I must take to be In compliance. Such agenc186 Include bu"are not limited to: o Denartment of Environmental Reoulation - Cypress Bayheads, WeUand Areas and Environmentally Sensitive Lands, WaterlWaStewater Treatment o Soulhwest Florida Water Manaoement District. Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses o Armv ("..oms of Enoineers . Seawalls, Docks, Navigable Waterways o Deoartmenl of Health & Rehabilitative Services Environmental Health Unit. Wells, Wastewater Treatment, Septic Tanks o US Environmental Protecti01 Aoencv - Asbestos abatement I understand that the following restrictions apply to the use of fill: o Use of fill is not allowed in Flood Zone "V" unless expressly pennitted. o If fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. o If fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. . o If fill material is to be used in any. area I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached pennit application. III am the AGENT FOR THE OWNER, I promise in good faith to infonn the owner of the pennitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violala, cancel, aller, or set aside any provision of the technical codes, nor shall issuance 01 a permit prevent the Building Official from thereafter requiring a correction of errors In plans, construction. or violations 01 any code. Every permit issued shall becOme invalid unless the work authorized by such permit is commenced within &ix months of permit issuance, or if work authorized by the pennit Is suspended or abandoned for a period of six months after the time the work is commenced. One or more extensions 01 time, lor periods not to exceed 90 days each, may be allowed lor the permit The extension shall be requested in writing to the Building otficIaI. An approved inspection must be logged during each six-month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERlY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A ORNEY BEFORE ORDING ;OUR NOTICE OF COMME.fEME~. /1 /7 7 SIGNATURE SIGNATURE ~~_/ CONTRACTOR r--~-::-;~.'r~<:'T7,1"":Z:~ .-'; ~~p~~&~IS:SION , .d DATE I () -- c; -- f J NOTARYAST~ ~ CONTRACTOR A",~ Qj:::J "-1 i ~\\ :: i' , MY COMMISSIO~. (~':'!. .' .^.:(;.i;..~:.~:.}.',L~,jRlDA EXPIRES . ,\1.,.. . . , . "':"':;;~;':;;~~::.:1f.~ 14.199~ DATE / () -' L{ r 5' r , NOTARYASTO~ ~b OWNER OR AGE , ~~::-::X:~.\C'.' ---=..-~ ,.