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Home My WebLink About91-1574 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 permitN9 15748 Date 67 -/o--cp'/ PLU~ MEC~L propertyOwnersNam: J1l'r ?/~OA>~ Job Address: ~5 -;..s"3 - _6;ex ~ ELECTRIOAL Legal Description: Sub_Div. Lot Blk. Zoning CI: /-- /l Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Fee: ~ SIGNA'T~' -- COMPANY _- ADDRESS TELEPHONE II /Kf7 Estimated Cost: !? () O. aD All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # G:J...../J'y"..>.L---l- . CUlLDIN~) tr._ Pre SLB Lintel FRM. Insul.CL WL PL~ ---- E~ --- M~ICAL ~ Tp_Serv. Rough In Meter Can Canst Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of' I IT I 80) dollars shall be made for each~. IT a...cl e_ (/~: d7J ) (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 ADDRESS ;/'/ / if /& ;p ~7 E'~#~ .7;7;:, 9yr;~ . PHONE APPLICANT ~v- OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) '2.& .- ;) / BLOCK SUBDIVISION " / PARCEL I.D.# // (!) 0 1'0 - / 'f,({} 0 -- () j I WORK PROPOSED:____New Construction ____Addition ~lteration V-- Repair _Install ____sign/Temp. ____Sign _Move _Demolish PROPOSED USE: ____Single Family _M/F _4F 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. ~UILDING ~RM~TS REOUESTED $ I Jr() 0 . () (/) ~ ~Go~ Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation ____PLUMBIN'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel f ; /1--- - . -,t.,/'/ /.'::.. Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER SiQ:nature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature OTHER Signature Company State Cert. or Regist. # City License Registration # **********************************'******* PERMIT OFFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und~rsigned understands that this perait aay be subject to "deed restrictions" whicfi lay be lore restrictive than City regulatIons. The undersigned aSSUle! 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 .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent (813) 788-6611. ' Furthertore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 si~n as contractor that aaY 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 Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the .owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the .owner' prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade 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 pertit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land developlent 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 cOilpliance. Such agencies include but <lie not li.ited to: I Departient of Environ_ental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departaent of Health ~ Rehabilitative Services. Environaental Health Unit - W~lls, Wastewater Treatlent, Septic Tanks I US Environaental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr 'A,etc.., it is understood that a drainage plan addressing a .colpensating volule. will be sublitted which is prepared by a professional engineer reqisteied in the State of Florida prior to per_it issuance. A pertit 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 frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issu~d ~hall becole invalid unless the work authorized by such pertit is cotlenced within six lonths 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 cOlmenced. One 90 day e~tensiOll of tile, lay be allowed for the permit with fee (harge 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 aballdoned. 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 yo RECORD AND POST A "NOTICE OF COMMENCEMENT". -~-. / ~~ . SIGNAT~~~~)7___________ SIGNATURE------CONTRACTOR-------------- DA TE.__._____(L:._~lj~____________________ DATE NOTARY AS TO //:{ /1A1 .. ~ ~) NOTARY AS TO OWNER OR AGENT~~~~~~- CONTRACTOR_____________________________ MY COMMISSION EXPIRES_lIje~-guauc..-S.LA1I-QLE'=.P~IE~Y COMMISSION EXPIRE~AA""~I6t-8l'Al=E-~ FLeR'DA My commission ey,p:res Jan. 28, 1 J J' My co"""b"it", expires Jan. 28, Er95 Bonded thru Patterson - Becht Agency ..flo.lded Uuu f "H",:;vtl. l:,u"J.1 ',"",W_y