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Home My WebLink About91-1563 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1563b ~ ~LD~ ) EL~L propertyQWne:sN::e: t--l;;;i _ ?:91r- , Job Address: ~.-.?.- / J .' -- __-----"- 4- /) , (i Sub.Div. )Jl 0~ f~.tt Date l{ - 71- <:J' / PL~ M~CAL Legal Description: Lot 7 Blk. --.::5-- Zoning CI: Description of Work -JZA /-rL ~~~~ ( Energy Code Readout: ~ /J"NI Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: d 0 () . Gi"[) OCCUPATIONAL LICENSE # Fee: ,-;L Q . Crz) X SIGNATu;;~^~h/JI, t , COMPANv!! ~ -"--- ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. <..'J..4./Yt..C/\ //-BUiLDING--~ ~ ./j Ftr. ---.------- Pre SLB '=>- -)- "11 r!{ ~-.J Lintel FRM. Insul.CL WL EL~L Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ME~NICAL "-" Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of11 (I Ii 66) dollars shall be made for each '-./r li-.J e (/6': tfo ) (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. .A 1:. ',J~ :Pi I.. ,. (;1 ~tl v,.f ,., Cf f ~ "1 i'-( 7';:;-; r-/ :;,... \. _:;-...._.. ._.c~\ I I - I I . ----.-..'-~-., 't ~ t I "1 ;~ " I I l \ , I f I \ \ , \ ..,~_"H""_';"__'" _...~..-.,..-J '., .or h /"- i -[- ~-=~l~,'---"l ---f I \ 1'---." \ . I t14 \ 1 \ ! 1 \ ~ J...,...,._.......'~....._....~.:....:.""f_~-'"' _ .'l._..j )- I, \ 'L] \ ' I \ \ i .. I t l l f ......~,.....-,.,"""r'~~....,.,->-' .~.... :~! ., L . r V) eCK) t L01 i, ----I /'Y" {)f-{( "{Xl .' 1 ()-r~ 1iJl/ " If all f.,' APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT LEGAL DESCRIPTION: LOT(S) J Or{ 1tI1_. i' K!+ '( C;E;iG'E~ Ro RA ~ {1./7.7TE , C1Yl: s+ cr {viiI-if ~ ~2.b PHONE ~ APPLICANT <I -, '7 / ADDRESS cj ( /.j b OWNER S CH1/A->( JOB LOCATION L( 11 2 LOT SIZE~X /'itJ AREA SQ.FT.t too --- ---S SUBDIVISION 111~/ fi 70'S BLOCK PARCEL 1. D. 4F WORK PROPOSED:~New Construction ____Addition ----Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish ____Commercial ____Indust. ____Swim. Pool ,____M/ H f;/f([;/[; Other PROPOSED USE: ____Single Family ____M/F ____4F of Uni ts BUILDING SIZE: ____Restaurant & Health Department Approval 1~2,o ,,:> X , Square Feet, 300 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 LBUILDING $ 200 Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY C'O !fief(, E1E~Other TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature Sie:nature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAT. Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY *:*1*********~***********************,*** I f1A.t A'~ t7 J) Afy, ") ~ ' PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assutes 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 tay 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 lay be cited for a tisdeteanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requiretents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls) 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 tay be an indication that he is not properly licensed and is not entitled to perlitting 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 - Hoteowner's Protection Guide. prepared by the Florida Departaent of Agriculture and Consuaer Affairs. If the applicant is soteone other than the "owner., I certify that I have obtained a copy of the above described docuaent and promise in good faith to deliver it to the .owner" prior to cOlienceaent. 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 cotpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cottenced prior to issuance of a pertit and that all worK will be performed to leet 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 governlental agencies lay 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 are not limited to: I Departtent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treataent I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departtent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatlent. Septic Tanks I US Environtental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a .coapensating volume" will be sub.itted which is prepared by a professional engineer registEred in the State of Florida prior to permit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~hall beco.e invalid unless the worK authorized by such pertit is cottenced within six lonths of issuance, e,r if work authCtllZed by the per.it is suspended or abandoned for a period of six tonths after the tite the worK is commenced. One 90 day e~tEnsioli of tile, lay 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 eust be logged during each six tonth period, or the project will be considered dbdildoned, 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 COMI~ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATUREiJ~~)t_~~~~~___________ 1-~- fWNER'R AGENT DATE b -,- 1/ ~ 7' I ______L______________________~~------- /?7 / ~ .''/ NOTARY AS TO /' ~. "--2-/~ OWNER OR AGENT~r1~~~---~;r_:------- fipWry publlc. State of"Flor'da at Large MY COMM I SS I ON EXP 1~~'--._--------'J.f>..c..14.-1.9.91 Bon'> "i ch:'-i n . .c;"" f. v "Brokerage SIGNATURE aw/f/FI( CONTRACTOR DATE___________________________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES__________________