The URL can be used to link to this page

Home My WebLink About91-1576 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 157611 T;Y ~NG -' .~~ Property Owners Name: 7f trV'J:;;!b-- ~A_ Job Address: --.s 6 d... Date ~. -/1 -9/ ME~L Legal Description: Sub.Div. Lot Blk. ZoningCI: / d-- -db -;JJ - ~~' ~ - ~~ ~.M<9 U s_ "" DescriPtionofWor':- ~~ ..-dL (1 ~ ~ t~ Energy Code Readout: 1~J3/J"9/ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 6 7~-- ~ OCCUPATIONAL LICENSE #3/:;? ~.a..d/ Fee: ~ CJ ~ cro SIGNATURE p..Ld-f c! ~:,_/~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. LUMBING L MEC~AL , r. Pre SLB lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of l.ft ,!.v.~) dollars shall be made for each JiIiip. /"r'd.- c:t e ).f:.: 00 (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 OPZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~~l' 0f/o!/1 . ADDRESS ,?lQ3 ~,c;1:Y i}a// OWNER /!/,,/fN ~~~i/VCE"R JOB LOCATION ,-:2;1/ $~~c A 27- & PHONE ?" /'eJ 6'...P? 7 LOT SIZE ?t> X lit AREA SQ. FT. , .. LEGAL DESCRIPTION: LOT(S) -7 -J BLOCK SUBDIVISION PARCEL 1. D, ~F l.< -olt -,~ / ,. oo~.R /? t), 00 no3,D WORK PROPOSED:____New Construction ~ddition ----Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ~Single Family ____Commercial. ~/F ____~~ of Uni ts .-M/H ____Indust, ____Swim. Pool Other ____Restaurant & Health Department Approval . f' I X :If ~l ,~ Square Feet, CjttJd / ~uel Height 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. ' BUILDING SIZE: RESIDENTIAL: COMMERCIAL : ____BUILDING PERMITS REOUESTED ~ J7~~ Valuation of Total Construction $ ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation ____PLUMB I N"G .... GAS ROOFING SPECIALTY ~,V(PFTE .Other . TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel FINISHED FLOOR ELEVATIONS: FT, ****************************************** /P C /"IJ _ ...,/.(/ CONTRACTOR SECTI..QN/,' ':) I / / BUlLDER (-:1#1(/ c \. -4t;/ut" b Company ft1~J//tI //q/ /d6-R Jtt 0 ~ - State Cert. or Regist. IF t'"fC O~I y// Signature 'If (" / ~A'.-.;f!// City License Registration ~F ~[:g ****************************************** SiQ:nature Company State Cert. or Regist. # City License Registration # ****************************************** ET.ECTRTCTAN Company State Cert. or R~gist. # City License Registration # ****************************************** PLUMBER Signature MECHANICAL Company State Cert, or Regist. # City License Registration # ****************************************** 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 perlit lay be subject to 'deed restrictions" whicfi. lay be lore res~rictive than City regulations. The undersigned aSSUlel re5~oniibili'y for cOlpliance with any applicable deed restrictions, . -,' " B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake Mork, they lay 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 tay be cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing requirelents tay apply for the intended Nork, theY are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign ~ortions 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 lay 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 'FIorida's Construction Lien LaH - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOle one 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 Hill be done in COlpliance Hith all applicable laMS regulating construction, zoning, and land developaent. Application is hereby aade to obtain a perlit to do work and installation as indicated, I certify that no Nork or installation has COllenced prior to issuance of a pertit and that all work will be perfor~ed to leet standards of all laMS regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction, 1 also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include bllt ~\e not li.ited to: I Depart.ent of Environmental Reaulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatlent t Southwest Florida Water "anaaelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Wattrcourses t Arty Corps of Enaineers - SeaMalls, Docks, Navigable Waterways t Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - W~lls, Wastewater Treatlent. Septic Tanks I US Environ.ental Protection Aaency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood th~t a drainage plan addressing a "cotpensating volule" will be sublitted "hich is prepared by a professi~nal engineer reqistered in the State of Florida prior to permit iss~ance. A perlit issued shall be construed to be a license to proceed with the Mork and not as authority t~ vi~l~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issuud ;hall becole invalid unless the work authorized by such perlit is cOltenced within six tonths of issuance, or if work auth~flzed by the perlit is suspended or abandoned for a period of silt lonths after the tile the IIbrk is comlllenced. One 90 day e~\Hlsiol\ 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 tonth period, or the project will be considered i:lballdoned. 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". MY COMMISSION EXPIRES . --------~~ifc----- . StIIla d FIorI. at ..... My ClmlIIsImI--= July 5.1994 .. SIGNATURE f1^.u_~~~~_____ ~ONTRACTOR DATE~_~t17"_L~~__--------:- NOTARY AS TO ~ . / .ft CONTRACTOR_~;I~~~ MY COMMISSION EXPIRES NOT ARY-PUSU C,-S'f"r7TE-O,?'"FLO R; 0; My c0mmissior1 ('1";::-/:<~ ,I in. ~":':" l')(J5 8ond8J thrG F' :J~ ~~ l~~ r\3~_T~CY SIGNATURE__~E~~-------- DATE__~~~-j~7-~~j{~--------------- NOTARY AS TO 1....// /)) / OWNER OR AGENT_~~~--~-~-~-- ,,, . ~ ~ !/b I t /J st~1 ,!?€E(A Isf PO,f# ~~/tf'~.R -E- 10/~ ItJ ' ~ ~ ~. J;(t~ '~ II 3(/ , 11 i It' I I.~ i ....~ r o?7~' II E . '. \ \ \-. . __c. ".c~~f. \, -~"------ [. I i r t, ~ \-( t : r" (~ r;,~ t;.,. C - "Iv J'. 01" I f- .)f / f)/ 1'. It: ~R/j -<: ~t~ ~ aD lo~ ( : +-,~ Ex /5 fr /.; 1 'ltl-f G t ~' ,~ -> ~1 ~l ~ J.p/~ ~J ~ . ..... i'~ ~I I: '.RP' L'oN1dfL :: ~ ': P K Hlf;.._~_ -:i...J t.: - - --= -:- - -- -- II~ ,/ ~ ..)f,4~ /' +Gt'l. ?'YI6'~IVPI/I~ "00 I' ;111 S- ~'Dd...s 1)"/ ?/.4- ~ t~ (. ". /lE-", h ',?ors/()/-Ed +;// o c . ~,