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Home My WebLink About91-1593 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1593 13- Date-,;' -1%--9/ Type of Permit dO . cYD ~~~ Property Owners Name' ~" M" ~- Job Address: (:; / 5" b (-d..~.t...J2...-c) \3roMBltJG MECHANIL.Ab- Legal Description: Sub.Div. 17Arf-~ ) ,/ Lot Blk. Zoning CI: ,;2 - d - Description of Work /~ . eJ-/ -.s- - C :z; ,/hJ} A- ") A;/ Energy Code Readout: ~k ,,2-0'<; { ~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: _/VA- :~~~A~Y t()ot~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #1..5-; !I/tUt t~t... JPe / ~-S-J- )j ME~ICAL ---... \. ~"~ ~ t!fJ'r cELECTRICA~ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Pi..~G SLB Tub Set Water Sewer Final ~ Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of tl C' U .80) dollars shall be made for each trI/ifJ.-T r d. cl -e- f.! -.5-, cTD ) (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 (J? J Ar--rA ~A , C r2 01;' ADDRESS PHONE OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~~ WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair ____Install _Sign/Temp. _Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/P _~~ 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. 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 lF ****************************************** BlJTLDER Company State Cert. or Regist. # City License Registration l~ 1?7 * ************************************ Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature State Cert. or Regist. # City License Registration # ****************************************** r."1Tln~nv - - ~.~...' -~--'" MECHANICAL OTHER Signature Company State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY ************~************************* '-/111 ~-<d t.?/lA'/vr) " PERNIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.' NOTICE OF DEED RESTRICTIONS The und~rsigned understa~ds that this pertit tay be subject to "deed restricti~ns" whicn. lay be lore res~rictive than City regulatlons. The underslgned 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 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 ~ay be cited for a lisdeteanor 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, (813) 788-6611. 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 ~wner 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 .ay 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 - HOleowner'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 cOliencement. 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 develop.ent. Application is hereby lade to obtain a pertit 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 ~f 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 govern.ental agencies may apply to the intended work, and that it is ty responsibility to identify what actions I lust take to be in cOlllpliance. Such agencies include bllt Lll e not liaited to: f Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds, Water/Wastewater Treatlent f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treatment, Septic Tanks f 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 that a drainage plan addressing a .colpensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to perlit iss~ance. A periit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fr~. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit iS5\1~d ~hall becole invalid unless the work authorized by such per.it is co..enced within six months of issuance, Dr if work authorIzed by the per.it is suspended or abandoned for a peric.d of six tonths after the tile the work is commenced. One 90 day e~t,;nsi~li 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 lonth period, Dr the project will be considered abilidoned. 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 "NUT 1 CE OF CO/"iMENCEMENT". SIGNATURE SIGNATURE OWNER OR AGENT CONTRACTOR DATE_______________________________________ DATE___________________________________ NOTARY AS TO OWNER OR AGENT_____________________________ NOTARY AS TO CONTRACTOR_____________________________ MY 80MMISSION EXPIRES MY COMMISSION EXPIRES______________________