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Home My WebLink About91-1594 STATE OF FLORIDA City of Zephyrhills 0"0 .tO~ Type of Permit ~~ PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1594 ~ Date (~-/<6-9 ( EL~ p~_. ME~ Property Owners Name: S-r: JO~1Z-pH '3 ){ ~ 0 t... 5" #t flv. Ut!'IHOL/v CJ-IuffJI Job Address: Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work ~f\ I rt/tJ6 T~O t.,J{tUDOW (,)J?~/A165 , C' f~.. '(YVv ,Y ; I Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE # I) 2..0 c, c/ Fee:' ~ SIGNATURE 0../ t-<-~~ COMPANY ~ I ADDRESS TELEPHONE # Estimated Cost: 30D. u 0 All work shal! be performed in accordance with the above and all City Codes and Ordinances. LA'Zf Ii-4I 'ft! Y Tp.Serv. Rough In Meter Can Const. P e Pool Pre- Fin L Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final ,.: '-' Breakers Ducts In Compr sor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of tc (1i10.00) dollars shall be made for each f;Iip. Ira.. d e. (/>6-, c.7V) (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 JOB LOCATION E 7 g-c2 -;;<. '8-' / .3 APPLICANT ADDRESS OWNER LEGAL DESCRIPTION: LOT(S) -?l~ BLOCK LOT SIZE_X AREA SQ. FT. SUBDIVISION PARCEL 1. D. ~F WORK PROPOSED:____New Construction ~ddition ~lteration ~ Repair ____Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family _M/F ____~~ 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 FORNS.'u **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ~ BUILDING $ ...100 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. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ELECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** Sillnature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature OTHER Company State Cert. or Regist. # City License Registration # _ ****************************************** ~~:i:n~e~Regt:E- ~ City License Registration # II MECHANICAL Signature Signature APPLICATI~N APPROVED BY ** i;;~***if *15*** * ******* **~: * * ** * *'*1, * .~ ~ PERNIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" whicfi may be lore restrictive than City regulations. The undersigned aS5Ules responsibility fo~ 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 tisdeleanor violation under state law. If the owner or intended con~ractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to c~ntact the City of Zephyrhills Building Departaent, (813) 788-6611. Furtherlore, if the owner has hired a contractDr or contractors, he is advised to have the contractorts) 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 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 Pr~tection Guide' prepared by the Florida Departtent 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 d~cuaent and promise in good faith to deliver it to the 'owner' prior to cotlencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in cOlpliance 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.aenced prior to issuance of a perlit 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. 1 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 must take to be in cOlllpliance. Such agencies include bill. ~ie Iiot liaited to: I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ~entally Sensitive Lands, Water/Wastewater Treattent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - W~lls, Wastewater Treatment. Septic Tanks I US Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it iss~ance. 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 permit prevent the Building Official fr~1 thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every permit issued 5hall bec~le invalid unless the work authorized by such perait is coa.enced within six months of issuance, or if work authDrlzed by the perlit is suspended or abandoned f~r a period of six lonths after the tile the wDrk is commenced. One 90 day e~t~nsioll of tile, lay be allowed for the perm~t with fee charge of $15.00. The extensiDn shall be requested in writing to the Building Official. An approved inspection lust be logged during each six month period, or the project 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~~~_~__~~-------- ~ CONTRAC~- DATE_-&/: 0___.Lfi~~_- ~ NOTARY AS 0 . ~~ CONTRACTO %o!ary ~bli;.~ta~ or- Jr:.~(} MY EOMMISSION EXPIRES____~..~o~~:..~~_~e.E!.:, ~ui... SIGNATURE_~~ OWNER OR AGENT ~~__tJ:J?~--------- MY COMMISSION