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Home My WebLink About91-1597 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1597 E Property Owners Name: )j!/ ~ Job Address: t / 3~5- ?'" ~ # SubD;v ;Zk Zoning CI: ,;:J.. - d 6 - d / -S--c:J Description of Work /J! r.rv--f? A1~ /l/l~ <7 ~ " Type of Permit - --.", BU1~ ~~/ PL~ Date.-t:; - ,;l 0- r / ME~L Legal Description: Lot Blk. Energy Code Readout: ~ Co - 2-1 -r I f?n.f Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: r# / A All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE II~ JJlJcl ;;hi- .-- BlJlLUING PL~ SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM_ Insul.CL WL Driveway Fee' B- ()". O7J SIG~ATURE1J(~- ~~ ~ COMPANY U ADDRESS TELEPHONE # ~S ME~L Tp.Serv. Rough In Breakers Meter Can Ducts Insl. Const. Pole Compressor Pool Final Pre-Meter Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge oLL .111.60) dollars shall be made for each sip:jy 6.-d.e. (/'0-' OV) (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 m/ m~ Gj fS R '"'::rdf -Y.!I ~. ~(?AA' <; f;/?)' J<tj LO/ ~'}- O~K<;,\tle PHONE APPLICANT ADDRESS OWNER LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) PARCEL 1. D.lF ~ - .;;l t:, - .;2../ - ~--O BLOCK SUBDIVISION WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair _Install ____Sign/Temp. ____Sign _Move _Demolish PROPOSED USE: ____Single Family _M/F ____IF of Units __N/H Md~fE ' ~ 0/r ____Commercial ____Indust. _Swim. Pool )/(I? ",cOther - ____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.** **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 0'" 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 :::::::::AFl'~<A~ . Company ':1 0 ~d,r:Jyv E)r {!-f} I C~ State Cert: or Regist. 1F -A"a..._...__ City License Registration 1~ ~5R' ** ************************************** Company State Cert. or Regist. # City License Registration # . ****************************************** PLUMBER Signature Company State Cert. or Regist. ~F City License Registration # . ****************************************** MECHANICAT. 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 pertit tay b~ subject to "deed r~stricti~ns" which may be lore res~rictive than City regulations. The undersigned assutes 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, both the owner and contractor ~ay be cited for a tisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. . Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 permitting 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 LaM - HOleowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is S~IE~ne 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 cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all Mork will be done in coapliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has c~.menced prior to issuance of a pertit and that all work will be perf~rmed to meet standards of all laMS regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bIll ale not li.ited to: I Departlent of Environlental 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 I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treatment. Septic Tanks I US Environtental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is underst~od that a drainage plan addressing a "colpensating volule" Mill be subtitted which is prepared by a professional engineer reqist~red in the State of Florida prior to perlit iss~ance. A pereit 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~1 thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~hall bec~le invalid unless the work authorized by such per.it is cO.lenced within six aonths of issuance, or if work authoflzed by the permit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~t~nsio1\ 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 month period, or the project will be considered ~ba\~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 SIGNATURE ---------------------------------- OWNER OR AGENT DATE DATE ----------------------------------- --------------------------------------- MY COMMISSION EXPIRES NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------ NOTARY AS TO OWNER OR AGENT_____________________________ ----------------------