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Home My WebLink About91-1567 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1567 )j Date /~'-- 6 r-7/ ELE~__ PL~ ME~L Property owners~ame: -.d.../ /j/) ~ Job Address: ,...5 t:;{ / ~ / / .4. Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of work--D&i f' /~~1"'~ 4- Energy Code Readout: ~f; 11~-9/- Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: d-~s'O . OU OCCUPATIONAL LICENSE # Fee: '3.-~ SIGN:A.TUR '):1/ ~c;..j'~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. :T'YVYl 0 C BU~:;=~' Ftr. Pre SLB Lintel FRM. Insul.CL WL ---........ -~ ~ c-- EL~ Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final ME~CAL ~ SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway Relnspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of.... (II0.QQ) dollars shall be made for each .,.. Tr~_d.e__ (/6-'?JO ) (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 JOJl-A/ 66~J ;:[(;}fH SoKoL / /711- 5;kEE'-;; uf?/!-leIf)//5~~ S<J KtJ L 3/=?.Fij~ APPLICANT ADDRESS LEGAL DESCRIPTION: LOT(S) q<t-Io LOT SIZE X AREA SQ. FT. BLOCK g~ SUBDIVISION elfV' cJf~'?cj?lIyelti lis I ' 2'I.P- Ln~ 1fJ~/ ~ JOB LOCATION PARCEL 1. D. 4F 11- 2- c,- 2-J WORK PROPOSED:____New Construction ----Addition ____Alteration ~epair ____Install ____Sign/Temp. PROPOSED USE: ~Single Family _Sign _Move _Demolish _M/F _4F of Uni ts ._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 REQUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING ..... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature Signature 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 # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. ... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they .ay 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 .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813l 788-bi,11. Further.ore, if the owner has hired a contractor Dr contractors, he is,jdvised 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 contractor that .ay be an indication that 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 been provided with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection Guide' prepared by the Florida Depart.ent 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 docu.ent and promise in good faith to deliver it to the "owner' prior to co..enceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a per.it 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 but ~re not li.ited to: I Depart.~t of EnvironaenltJ ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent * Southwest Florida Water KanaQelent District - Wells, Cypress Fayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways ~ I Depart.ent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks I US Environ.ental Protection AQency - Asbestos abatelent 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 "co.pensating volule" will be sublitted which is prepared by a professional engineer registered in the state of Florida prior to per.it issuance. A perlit 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 permit prevent the Building Offici~1 frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued ~haJl becole invalid unless the work authorized by such per.it is co.tenced within six .onths of issuance, or if work authorIzed by the perlit is suspended or abandoned for a period of six IDnths after the tile the work is co..enced. One 90 day extensioli 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 lust be logged during each six IDnth periDd, or the prDject will be cDnsidered abalidoned, 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". SIGNATURE____~ER~----------- SIGNATURE------CONTRACTOR-------------- DATE______~~-~_~J?~____________________ DATE MY COMMISS NOTARY AS TO CONTRACTOR_____________________________ COMMISSION EXPIRES__________________ III \~. ]'- ~- 'C -.."'- -'. '" I "'",(- ,_.~ .. L, 1-- ~-. L '''''~~J'-. ~r I . .. <-- ~ ,,0' "\-- v ~, '\- ~ ._ \/i ~.~ :)..... ( , .., --.." \ ". I '.J ( ., \ , <..... -.~ '. \. ,~..:..) ;t , , . --- ...'..... ......\. ,/ '. -------.,. ,,-r: ~t '~ ~ 16-- ~ 1 ~~~ ~~ /II "~"" --'~-~-~.~~-~.._.~.-..... ---'-,0..-. .~."~., _ .._" '-.- -.-.-..-...--.........---""'...."...., .-- " " ....--....--..- (, 6 I .) ! , ~-j.l r '. ./ ~~" ,,~'t'...... v- f '~'" .' '''':'' \" \ \ ,.:, ~~ , :1"'~ ~.-." ~ . ^"''\, ~ -'_1 ~ \, ''-t. '-..... \; ~ ~ ~ ."~_-.J t -I ,,> III I I j ~-L. 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