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Home My WebLink About91-1600 STATE OF FLORIDA City of Zephyrhills J/..zo.. 'e 6) Type of Permit ~ PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 _. Permit N~ 1600 f3 Date (~""20 ~ I ELE~ PLUM~ ME~L Property Owners Name: Sf J()(:;"$ltt UJrlloLIL ej-/LJJtLf~ Job Address: 31<{ 0'2- 5{i AV f Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work S -rUc...c 0 14-IJf/~ Estimated Cost: 400, 0 0 Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application v19 Fee: 20' SIGNATU@~/Jn COMPANY ADDRESS TELEPHONE II ~ . ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE II '34, 7 i-Itr2h( ~~~ STVCLl) BUILDING SLB Tub Set Water Sewer Final ELECTRICAL L Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp.Serv. Rough In Meter Ca Const. R Ie Pool Pre- eter Final Breakers Ducts Insl. Com pres r Final Driveway Relnspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of 'IR (f. T 99) dollars shall be made for each _:/rade t/6-'0lJ) (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 ~ 51 :;()!'t"pl 33?O~S-U. 'A-v~. etA t ~ p I, r . G h IIY (; L Rc~i ov y 0 ff/ (, e. Cf11h 0 L G ctu~~l PHONE . 7 J;).. - ;).. j /3 ADDRESS OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ WORK PROPOSED:____New Construction ____Addition ~lteration ~Repair ____Install ____sign/Temp. ____Sign _Nove ____Demolish PROPOSED USE: ____Single Family _M/F ____~~ of Uni ts _____M I H ____Commercial _Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING $IZE: x Square Fee t, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY F0R11S.** **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED _BUILDING $ 41J <1 J2Q Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.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 # ****************************************** BlJTLDER Si!!nature Company State Cert. or Regist. # City License Registration 0 ****************************************** ELECTRTCIAN Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAL OTHER ~ Signature w.~~ Company . L",Y'YY Cr ree"" '~ Uc..{.,O State Cert. or Regist. IF /-.5 IJ751J'f City License Regis trati?n IF 3 r7 APPLICATION APPROVED BY ****************************************** lA /{ d 1 }l!,iy - I , PERNIT OFFICER. ~ I . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restricti~ns" which ~ay be lore res\rictive than City regulations. The undersigned assules responsibilityfor cOlpliance with any applicable deed restrictions. 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may b& required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, b~th the Ollner and contractor ~ay be cited for a lisdeleanor violation under state laM. . If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply f~r the intended work, they are advised to contact the City of 2ephyrhills Building Department, [813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the c~ntractor(s) sign portions of the "Contractor Sections" of this application for which they will be resp~nsible. If y~u, as the ~wner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the work. If the c~ntractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled tCI 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 Law - H~leowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler 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 cDlmencement. 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 co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a perait to do work and installation as indicated. I certify that no work or installati~n has c~mmenced prior to issuance of a perlit and that all work will be perf~rmed 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 governmental agencies may apply to the intended work, and that it is my responsibility to identify what actic.ns I lust take to be in compliance. Such agencies include bllt ~j elicIt lillited to: f Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive L~nds, Water/Wastewater Treatment f 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 Treat~ent. Septic Tanks I US Environeental Protection Aqency - Asbestos abatement 1 also certify that, if fill material is to be used in Flc,c.d Zone "A" or "I\,etc.', it is understclod that a drainage plan addressing a "colpensating volume" will be submitted which is prepared by a professional engineer reqist~ied in the State of Florida prior to permit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official froft thereafter requiring a correction of errors in plans, construction, or violations of any c~de. Every permit issued :hall bec~le invalid unless the work authorized by such permit is co.~enced within six months of issuance, Dr if work auth~r]zed by the perlit is suspended or abandoned for a period of six lonths after the time the Mort is c~~menced. One 90 day e~le~5ioll of tile, lay be allowed for the per~it with fee charge of $15.00. The extensi~n shall be requested in writing to the Building Official. An approved inspectic.n i!lust be logged during each six lIIDnth period, or the prc.ject \~ill be ([Insidered tlballdoned. 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~~-~~~--- CONTRACTOR DATE_________~j~p-l-~J--------------- ~~~~~~c~~-,t -- SIGNATURE_~~1"\".t g ~--- OWNER OR AGENT ;;~;:~:;~:i~~~------------ Notary PubJi , State of lorida MY COMMISSION EXPIm~S_.__~~~~.o~_~.:.~:!:~~~_~~~~--- MY COMMISSION EXPIRES