HomeMy WebLinkAbout91-1190
STATE OF FLORIDA
City of Zephyrhills
Type of Permit
BUILl5lrJ~ __ ~AL
PASCO COUNTY
BUILDING DEPARTMENT
1-813- 788-6611
dO ' 0-0
PL~G ~CHANI~
permitN~ 1190 )1.
Date J - / I - 7' /
Property Owners Name: }J1 ~~
Job Address: ~.s-3 '-/ _- ~---
Sub.Div. '/ ~ T 111-1-? Lot
ML. ~#-'
C. 7... 4' c!'- P c>-<J!
Legal Description:
7..s.
Blk.
Zoning CI:
Description of Work
y~
--3" S- ~
---
Energy Code Readout:
~I~.h~ /- '2</-otl;BdJ
Complete Plans, Specifications and Fee Must Accompany Application
Fee: 86 '~
SIGNATURE ..c? ~ ~
COMPANY
ADDRESS
TELEPHONE #
Estimated Cost: 3 / 0 /; o-v
,
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE # 9' I A-/ L
/
BUILD
Tp.Serv.
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
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.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
'/,-- oh' j 1-hcei.S
~ASCO COUNTY BUILDING PERMIT APPLICATIONC-{ r' .....,.,
_ OFFICE USE ONLY
OCCUPANCY
NEW PORT RICHEY
(813) 847-8126
NO. OF UNITS
LAND 0' LAKES
TYPE OF CONST. I II III IV V VI
(813) 996-2203
FIRE DISTRICT
DADE CITY
APPLICATION MUST BE TYPED OR PRINTED IN INE.
(904) 521-4206
I MAX ROTHENBURS
OWNER S NAME 4534 CItAItTEIl STftE~~:~ l.~
JOB LOCATION 1 ' SUBDIVISION 1J (tl.lt--u. s fU-.
Sli T~ R.JJ S~ BLQf3~DDLOT'~ROJEC~Tf TAZi.' LOT SIZE X
'. "It!f: ~ CHAl<' STREE. ZEPHYRHILLS-:=-T3S41J
OWNER'S PRESENT ADDRESS ",ITY / STATE ZTP
BUILDING CONS'l.'Rff~ ~ :AGER JR. AIR CONTROL SYSTEM SW ST II CAC 035496
SIGNATURE ~~ COMP ID tt (ci);l.'S'
PRESENT ADDRESS 1612 SEABOARD ST FORT MYERS TELEPHONE II 541-7600
~QUAL CHANGE-OUT OF 3.5 TON STRAIGHT COOL PACKAGE UNIT
DESCRIPTION OF WORK
LIVING AREA PATIO GARAGE ENTRY
NO. OF BEDROOMS NO. OF BATHROOMS TYPE OF CONST: BLOCK
TOTAL UNDER ROOF
FRAME OTHER
Nfu~, YEAR, AND SIZE OF MOBILE HOME
WORK CODE IJ e C- PLANS FEE
TOTAL VALUATION $3101. 00
REC.fl FOR PLANS FEE PD
TOTAL BLDG. FEE
PLANS FEE
- - - - - - - - - - - - - - - - - - - - - - - - - -
ELECTRI C CONTR. NAME
SIGNATURE
POWER CO.
ST. II
COMPUTER ID. fl
TOTAL ELECTRIC FEE
STATE /I
COMPUTER ID. II
TOTAL MECHANICAL FEE
ST. fl
COMPUTER ID. /I
SAWPOLE
AMPS
MECHANICAL CONTR. NAME
SIGNATURE
NEW ALTERATION
PLUMBING CONTR. NAME
SIGNATURE
FIXTURES SEPTIC/I_____ SEWER
ANY OTHER TYPE CONTRACTOR'S NAME
SIGNATURE
2ie&
VALUATION
WATER
TOTAL PLUMBING FEE
ST. II
COMPUTER ID. /I TOTAL FEE
TOTAL RADON FEE
OTHER FEES
TOTAL PERMIT APPLICATION FEE
WELL
FLOOD PL
SETBACKS
COMMTh'TS
2(j? qrz
BFE
ZONE
j>/J (' kft b~ //# ~ /,7,./A1A/~.e r::7/V ./-
CONTROL il
FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING
TWICE FOR IMPROVEMENTS TO THE PROPERTY.
SEE REVERSE SIDE FOR CONDITIONS OF PERMIT. PLEASE READ AND SIGN BOTH SIDES. FOR PERMIT
VALUATIONS OVER $2,500, A NOTICE OF COMMENCEMENT SHOULD BE FILED. OWNER MUST COMPLETE
RECORDING OF NOTICE OF COMMENCEMENT MIl) .POST WITH BUILDING PEP.MIT(S) PRIOR TO FIRST IN-
SPECTION ON SITE.
CONTRACTOR AGElIT/OWNER SIGNATtlIlE ~ ~~
(READ & SIGN SE SIDE
pe:-njt:cci: I
. G c:'
DATE r /- 1/
"w A R N I N G"
T 0
PROPERTY
OWNERS
If you have hired a contractor to do the work, do not sign the installation list. The
homeowner's signature on the installation list indicates tnat he or she is thr party res-
ponsible for the work, If the contractor obtains the permit, the contractor s signature
on the installation list indicates his responsibility for the work. If the contractor s
work is defective, the County will require corrective action by the party who took out the
permit and signed the installation list. Furthermore, if the contractor is not licensed
as required by law, the homeowner can be violating state law by permitting an unlicensed
person to do this work, The penalty for the violation is a m1sdemeanor, For your pro-
tection, make the contractor si~n the installation list. If the contractor wishes you to
sign it, that is a good indicat10n that he is not qualified or licensed to do the work.
Since you or your contractor have applied for a building permit for work to be done on
property owned by you, you should be aware of the following:
Any person who furnishes labor (a contractor, subcontractor, or laborer) or
supplies materials for repairs, improvements, or new construction may be enti-
tled to a lien against your property if he is not paid in full by your contrac-
tor, even though you have pa1d the contractor in full.
In order for your payments to your contractor to be "proper payments", there are certain
steps you may take in accordance with Florida's Mechanics Lien Law, Although these steps
are optional, they may afford you some protection.
1, Before any work is begun by you or your contractor, file a No-cice of COlOmencement
with the Clerk of the Circuit Court. Florida Statutes, Section 713,13, specifies
the information required on the Notice of Commencement,
2. Before you file the Notice of Commencement, be sure to check with your construction
moneylender, as premature filing may affect your loan,
3. Post a certified copy of the Notice of Commencement in a conspicuous place on the
front of the pro~erty where the work will take place, The notice must be ~osted
before any work 1S started, but not more than thirty (30) days before work 1S be-
gun.
4. Upon completion of the work, require a sworn statement (affidavit) from your con-
tractor which states that he has paid all bills for labor and materials or lists
those oersons or firms which have not been paid and the amount due each. Require
this atfidavit before making final payment to your contractor.
For added protection, you may request that your contractor furnish you with a performance
and/or payment bond. You or your contractor on your behalf can obtain a bond through most
general lines insurance agents. While the cost of the bond will be borne by the owner, it
provides the most complete protection available against the possibility of having to pay
twice.
NOTICE OF DEED RESTRICTIONS
This permit may be subject; to "Deeu Restrictions" which are more restrictive than County
regulations. The perm1t holder assumes responsibility for compliance with any applicable
deed restrictions.
CONDITIONS OF PERMIT
A. 103.6.1 Permit Intent. A permit issued shall be construed to be a 11cense to'prol;eeu
with the work ana-nnt as authority to violate, cancel, alter, or set aside any of the
provisions of the technical codes, nor shall issuance of a permit prevent the Building
Official from thereafter requiring a correction of errors in plans, construc::.ion, or
violations of this Code. Every permit issued shall become 1nvalid unless the work
authorized by such permit is commenced within six months after its issuance, or if the
work authorized by such permit is suspended or abandoned for a period of six months
after the time the work is commenced. One or more extensions of time, for periods not
more than 90 da}'s each, may be allowed for the permit. The extension snaIl be re-
quested in "'rit1ng to the Building Official. An approved inspection must be logged
during each six-month period, or the project will be considered abandoned.
In consideration of the granting of this permit, I do hereby agree that all work performed
shall be in accordance with all plans and other information submitted herewith, and said
work shall conform with all requirements of applicable Federal and State laws, such as
Florida Department of Environmental Regulation, Tampa (cypress bayheads, wetland areas,
and environmentally protected lands); Southwest Florida Water Management District,
Brooksville (altering ~atercourses); Army Corps of Engineers, Tampa (seawalls, docks, and
canal work); and Pasco County Codes and Regulations.
This permit will be revoked if any misrepresentation or false statement is made on the
application or plans on which approval of the permit has been made. The mere issuance of
this permit creates no vested r1ghts on the permittee.
It shall be the responsibility of the plumbing contractor to follow the Safe Drinking
Water Act and must also comply with Section 1210,1.4, Standard Plumbing Code, 1988.
I certify that I have complied with all applicable Federal, State, and County laws and
regulations pertaining to asbestos removal and notification requirements,
Pursuant to Pasco County Ordinance No. 89-07 and Resolution No. 89-197, effective Septem-
~~~e; 1 ~el:~~~, ';~~ 1~~," a~~~~J~h~ Cab~~i.erud~'~~,ll ~iD i;:;l~\he C~~~~~~~:l~e~~v~I~;u~~~~~s~~nt if~~
prior to a Certificate of Occupancy or final power release,
If fill material is to be used in Flood Zone "A" or "A1-A30", it is understood that a
drainage ~lan and compensating volume will be addressed and a plan suhmitted from an en-
gineer pr10r to the issuance of this permit,
I HEREBY AGREE TO THE ABOVE CONDITIONS,
SIGNATURE
or O~'ER OR AGENT ~lt - vllt/~
/_C:/1_q,
DATE
~ermit:ce(2)