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Home My WebLink About91-1586 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1586 E Type of Permit BU~ ELECTRICA~J P~NG M~L Property Owners Name: '~2 2{~-d~ Job Address: '" ~O d _______~ .~__ Date 6' -/y- 9'1 Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work J / c -/~-~r errj~ (g-/7~1 t3~ . Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: /{//f Fee: All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # /--s'9 ~.;j ~;{_ COMPANY ADDRESS TELEPHONE # SUI[ ELECTRICAL Ftr. Pre SLS Lintel FRM. Insul.CL WL SLs Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Canst. 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 or1l r'll.ea) dollars shall be made for each.Kip: / r a.. .d. e.. //6": dtJ ) (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 Fr~5f- ('1063 E(tC f ADDRESS 55/C;- C:;Ufl/3;(vef OWNER ~--v-... f U v 7 ~ ((0 JOB LOCATION q;? C\:Z . (;.j {,,-S+ APPLICANT PHONE \7S~ 2- "';2& ( LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.4F WORK PROPOSED:____New Construction _Addition _Alteration ____Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family _M/F _# of Units __M/H ____Commercial _Indust, _Swim. Pool tJrr/e ~C 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 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 Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** Company ,rrv~ t a~~ -E'(~C- {- State Cert. or Regist. # City License Registration # I?:'i * ************************************ BUILDER PLUMBER Company State Cert. or Regist. # City License Registration # ************~*************k*************** 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 per.it lay be subject to "deed restrictions' whicfi .ay be lore res~rictive 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 Departlent, (B13) 7BI3-6611. Further.ore, 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 sign as contractor that lay be an indication that heis 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 - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the 'owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to COlmencelent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance 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 Dr installation has co.tenced prior to issuance of a permit 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 ~urisdiction. 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 tl.ISt take to be in cOlllpliance. Such agencies include bllt ~ie not lillited to: I Departlent of Envitonlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treatment. Septic Tanks I US Environlental Protection AQency - Asbestos abatement 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 'colpensating volule" will be submitted which is prepared by a professional engineer feqistEI~d in the State of Florida prior to penit issu.ance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issu~d 5hall becole invalid unless the work authorized by such permit is cDlmenced within six lonths of issuance, or if work authorized by the per.it is suspended or abandc,ned felr a peric,d of six lonths after the time the \fork is commenced. One 90 day e~tEnsioll of tile, aay be allowed for the permit with fee charge of $15,00. The extension shall be requested in writing to th~ Building Official. An approved inspection must be logged during each six month period, Dr the pro~ect 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 ~,C;RD ['AN? POST A, "NOTICE OF ENCEMENT". , . / 0 SIGNATURE____mL['~#4-r-- SIGNATURE '---... ~~.__-~'i--- ..-/ OWNER OR~f / . Y / :::::~-::~:-L~/u--/---7---:-/D NcA OO:N:TR-R~A:'~:O-R~__-~_~~./_~._~)-_9-L- /~_~-:-~~ ,/---~~_,: / OWNER OR' AGENT -f,L(./Ad.j-J!-- " ~... - . I--.L'-f':t:~~fv . / . ."'^ p",,;,. " of nm;d, . ""^ "bU'~~: MY COil"! SSlON EXP I RES'_",,~~.'!'~~J!' ~~"!!.lWL MY eOMM!,S I ~N EXP IRE :~'-"-'~c-"'-L~.i_J.:~