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Home My WebLink About91-1599 ST ATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 permitN~ 159~ Type of Permit ~ ~1."GTAIC^L ~ propertyown.rSNamec..tfH'~J1i-$/-:(- &.-y.~ (i.f, ~ ' Job Address: _5 "'.:P 'Y _ _~_'~.? j)/L Legal Description: Sub.Div. Zoning CI: 3 - L? (, - ,2<,- J d- - {;; ( j /7 . j //~ /! Description of Work A -;> Avl ""...--/ ~ ",,;--A. ~',-t Date {/ - :;2. (J- ;1 / MECl"IMllCAL Lot Blk. 1 ! 1 c~-u~'.A 0 Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ,f/A All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # :2 lfi- CIS (- Fee: ,!>-{). cr-i) SIGNATURER -r-4: //2/f. c' ~~;t COMPANY / ADDRESS TELEPHONE # iJ1L(/~~ , ~JILDING=---, Ftr. Pre SLB Lintel FRM_ Insul.CL WL "'I ,1 (fi - Ju , PLUM~ SLB Tub Set Water Sewer Final Driveway E~AL -----. M~ICAL '- Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of t_u (110.66) dollars shall be made for each_:/)"~c:l e. (/-5-:tJi)) (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 Mr("nnnpll ("nnRtrnrtinn f'n Tnr ADDRESS 77471 SR ~4 WPRlpy f'n~ppl Fl - ~~~4~ PHONE Rl ~_q7-~_4q77 OWNER ~ilvpr n;:lkR ~nlf ;:Inn f'nnntry f'1nn Tnr JOB LOCATION ~hR4 1 f'111nnnllRP Dr LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION Si 1 ver Oaks PARCEL I.D.~F .3 - (;l 6 ~ ;;Z / --, ) rl - 0 WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move X-Demolish __M/H PROPOSED USE: _Single Family _M/F ____~F of Uni ts ____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.** **COPY OF CONTRACT REQUIRED. PRRMTTS REOUESTED ____BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installa.tion .~ GAS ROOFING SPECIALTY _PLUMBING TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Const. Co. Inc. Company State Cert. or Regist. jF CBC037941 City License Registration IF ;) 7 P' ****************************************** Sil?:nature Company State Cert. or Regist. IF City License Registration IF ****************************************** f,LECTRTCTAN Signature Company State Cert. or Regist. IF City License Registration IF ****************************************** fLlTMBER Signature Company State Cert. or Regist. # City License Registration 1/ ****************************************** ~ECHANICA1. Signature Company State Cert. or Regist. IF City License Registration # OTHER ****************************************** PERMIT OFFICER. APPLICATION APPROVED BY A. NOTICE OF DEED RESTRICTIONS CONDITIONS OF PERMIT AFFIDAVIT The undersigned understinds that this perlit lay be subject to "deed restrictions" which may be tore restrictive than City regulations. The undersigned assules responsibility for cotpliance 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 lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills Building Departlent, (813) 788-661 L Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsJ 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 .ay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. D. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES 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 Consumer Affairs. If the applicant is soteone 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 cOlmencetent. 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 cOlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced 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 developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay 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 but ale llOt litited to: I Departlent of Envir~nlen.t1 ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treattent I Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a 'colpensating volume" will be sublitted which is prepared by a professional engineer registervd in the State of Florida prior to perlit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issu~d ~hall becole invalid unless the work authorized by such perlit is cO'lenced within six lonths of issuance, or if work authorIzed by the per.it is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~t€nSiOii 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 abaiidoned. 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". SIGNATUR~~~___ --COFCTOR DATE____~:~~~5t(____________________ ~g~~=~lS TO //;~ /nJ:' ~ ;~~lroiOOi II re,-State iT-Aoriili MY COMMISSION EXPIRIMr Commission E1:pims Oct. 9', 1,994 Bon"2'ed "ThTu '"'1'i:oy ram ~ns ura-;;-,=e 1;;- SIGNATURE~~~___~___Y~~!-_~...___ OWNER OR AGENT DATE______~lf[~J-----------------_________ NOTARY AS TO ~/ L.~. _) ~~.~. . OWNER OR AGEN ~ ~__ ___ !ltary PIC, tate 0 It MY COMMISSION EXPIRE~Y Commission Expires Oct. 9, 1994 -- 8o-;;-Jedfh;U1r~'"1ain~rnsura"":"~ lilC.---