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Home My WebLink About91-1585 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 158sJt1 Type of Permit Date c~. - / y- ? / B1JlLDII'4G ~ PL~ MECHANICAL Property Owners Name: ~ J ~ Q~4-"-' Job Address: 3 ~ 7 o:?" - 9..;z;;( (l"'r--1<- 0) , .M ... ..ec:'-k. cLu74J Legal Description: Sub.Div. Lot Blk, ZoningCI: ~ 715 ' ~ Descripti of Work /. 1 ~ rO-'~JV1a-~' _~c ~RZ<~ ~ /"~?:J Energy Code Readout: ~ q - '3lJ. q I ~ Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE # 9...7 *- ;;~, ~ '1 ,- Fee: 0'" ,--,:>, 07) SIGNATUR~U b?"';v~ COMPANr ADDRESS TELEPHONE # Estimated Cost: !3tTZJ,ui) All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~~. ~ ------- ~E ELE AL ~ '~+~ . '-ME~HANICA- Ftr. 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 1_ _ltlll.M) dollars shall be made for each e..ip. -r y do- d e_ (/ ~-: tID ) (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 APPLICANT ""/'9 v ,t:" h7;1!? ~ #r 6 + /9 / c. ~/?01-0 13Ro~ J'r ~~"/r/"33tf~7PHONE J II; /L>J?~ / f)/h9AZ,h.. / ? r-'/ ):l v€- ~b~- 3 >0 0 ADDRESS OWNER f}t?~I'1/tf/ e 4/.R/;JvJl ~.2//Z JOB LOCATION 3.8 ?~3 LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. 4F WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ~Single Family _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 REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL VMECHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ ..~ /300 .- Valuation of Mechanical Installation _PLUMBING GAS /: _Block ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ELECTRICIAN Company State Cert. or Regist. # City License Registration 4F ****************************************** Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Signature _______ Company k"vrh?4r> State Cert. or Regist. # City License Registration ****************************************** 1//(:5 r .I? / ( C,l!1 Co J,I / .;2;2 ~ # c.:;:JCO~~d.,;z/ #'91 MECHANICAL OTHER Company State Cert. or Regist. # City License Registration # Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. .~..,.,. .. '. ": .... ~,. .0 .,.:: . "';;' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to .dp.~d restrictions" which lay be lore restrictive than City regulations. The undersigned assules 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 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 lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813} 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 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 ~ND UTILTTY 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 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 cOI.ence.ent. 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 developeent, Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a perlit 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 coepliance. Such agencies include but ~je 1i0t lilited to: . Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treat.ent f Southwest Florida Water ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks . US Environ.ental Protection Anenc'r..;-Asbeslosanieltent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood tll~t a drainage plan addressing a "colpensating volule" will be subtitted 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 perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid unless the work authorized by such pertit is cottenced within six months of issuance, or if work authorIzed by the periit is suspended or abandoned for a period of six tonths after the tile the work is co.menced. One 90 day e~ttnsioB 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 I!ach six tonth period, or the prclject will be C[lnsidered ilbdlld(lfied. 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 Ne\D TO ~ECORD AND POS~ A "NOTICE OF COMMENCEMENT". SIGNATUR~~~,P'.j:.~~___ SIGNATURE 1l..~t!:--!2..~- OWNER OR AGENT ~~ CONTRACTOR DAT~_'LtL__~ l- Jg~d_ ---------- NOTARY AS TO O. ~ NOTARY AS OWNER OR AGENT~--~-__-_ _ __ CONTRACTO MY COMMISSION EXPIRES______________________ MY COMMISSION DATE 6- /?-/- ,/ ----------~----------------------- __ ____ _LiJ~ Nvt;:ry Pu!!![c, S;,'te n! ~!Or!l!ll p .to.wl~~~1"i~..j~~.;.I+._l1l93 uunded Thr~ '/o!cstcrn SJ~ety CUfllpan'/ SUSIE MARIE CALLOWAY, NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXPIRES 4I9tW ~ I ~ r: >E'" c -.o..Y Z itlroi 4( 11 \;) ~i~ij c II: W w J \) l~iIE! U CD :; :IE ..-, II: :;) ~15,,':Qt; W Z ~~ ~.>lll: III w Z ~ U !'i i ~'iI w 0 lA:ilii~ w 0 CD j > () !I!~!::!!b III ~ !J 4( J > , \, ~ ~ l-g ; i ~ x 0 cnCD .... .j. J :~li=~o 0 J!"ull"!~ I! 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