The URL can be used to link to this page

Home My WebLink About91-1577 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1577A Date---1~' ~ / / - 9' / TVD~ ~~-------. ) ~~/' . ~ ~ MEC~L propertYOWnerSName:Jr 5J~~; (;,d~; ~L Job Address: -3 rrc l ~ ~ O/zr~ /' Legal Description: Sub.Div. Lot Blk. Zoning CI: / / - de; - ;LJ Description of wor~/;I( r~ - 00/ () d~ / 7/00 O()/() Energy Code Readout: rP;1~ f) c:/1/ I - d>-" Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: / L..r,:::r-z:; - o-t) , Fee: I:) O. ur) SIGNATUREV~~. ()~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # r~J ~~~ COMPANY ADDRESS TELEPHONE # (~~~(JC~ "I ~J ,k ( BUILDING)) PLUM$N.G.___ '-- ~ICAL - ~ICAL " Tp.Serv. Rough In Meter Can Const. 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 ~ (, 19.88) dollars shall be made for each ..IT d- d e. (/...J~ cry) (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. Thc payment of reinspection fees shall be made before any further permits will be issued to the pcrson owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT {'OJ.} f1VMl'b /.nY AU/LJJ€/lf ()F FUlll~1t ADDRESS 5720 G/J'lL- 13L.V~ SUIrE- '#1'/0 PHONE ;!J.s-7lt..-";]?ID OWNER Sr :5D ~r;,P!t C~tAc- CflUllUi JOB LOCATION S m M ~ 3 ?-?O d-. LOT SIZE -X> AREA SQ .n . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION . ,./ PARCEL 1.D.~F / I -- 2-(P - 2/- 00/0 >-/7 I 00 - 00 If) / WORK PROPOSED:____New Construction ----Addition ----Alteration ~Repair _Install _Sign/Temp. _Sign _Move _Demolish _Commercial _Indust. ~~F of Units ._~H _Swim. Pool (iPU~ ~ePUfCb1{f1.1r -Jther PROPOSED USE: _Single Family ~/F _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.~'* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING _ELE~ICAL _MEcj~ncAL _PL~'n[G TYPE OF CONSTRUCTION: $ /000.."0 Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY _Block _Frame _Steel _Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUILDER " 1 Signature ~~.- ~ , 6~ CONTRACTOR SECTION Company (;;I./7€R1'tJAHfl~ ,8,) Ill) 'iflJ> o~ ptIJ L/ ~ If State Cert. or Regist. iF CGGo'llbll City License Registration it '251 ****************************************** :::::::AN \ I X~ PLUMBER X Signature MECHANICAL ."\. I (" Signature / '. OTHER X Signature Company State Cert. or Regist. # City License Registration # ****************************************** Company State Cert. or Regist. # City License Registration # - ****************************************** Company State Cert. or Regist. # City License Registration # - ****************************************** Company State Cert. or Regist. # City License Registration # ****************************************** PERMIT OFFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restricti~ns" which may be lore res~rictive than City regulations. The undersigned assules responsibili~y 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 lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, b~th the owner and contractor lay be cited for a aisdeleanor violation under state law. If the ~wner or intended contractor are uncertain as to what licensing requirelents lay apply f~r the intended work, they are advised to c~ntact the City ~f 2ephyrhills Building Departlent, (813) 788-6611. . Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the ~wner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the c~ntractor 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 "Florida's C~nstruction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOle~ne other than the "owner', I certify that I have obtained a copy of the above described document and pr~mi5e in good faith to deliver it to the 'owner' prior to cOI.encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all w~rk will be done in co.pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cO.lenced 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 development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cDmpliance. Such agencies include bllt OIle not li.ited to: I Depart_ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treat.ent, Septic Tanks I US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood th~t a drainage plan addressing a 'colpensating volule' will be sublitted which is prepared by a prDfessional engineer registered in the State of Florida prior to per.it iss~ance. A pertit issued shall be construed to be a license to proceed with the work and not as authDrity to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit pr~vent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit iS511~d ~hall becole invalid unless the work authorized by such per.it is cOllenced within six months of issuance, Dr if work authorIzed by the perMit is suspended or abandoned for a period of six lonths after the tile the work is c~.menced. One 90 day e~t~~siOli 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 must be logged during each six lonth period, or the proiect will be considered ~bal~oned. 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~_~--- OWNER OR AGENT SIGNATURE1)~f2:__~_~____ CONTRACTOR )~Ul~ry t'ubilC, ~lale ul r1Ui' . MY COMMISSION EXPIRES___~~~~~~~~~~~~~~~____ MY COMMISSION J--------------------- . cy / d' .::~~:!~~ EXPIRES__~1S~~~59_~ID~lJ~ ;;~;:~:;~~i~~-------------