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HomeMy WebLinkAbout91-1601 ST ATE OF FLORIDA City of Zephyrhills PASCO COUNTY PermitN~ 1601 !J BUILDING DEPARTMENT 0:7 S.O 1-813-788-6611 r . :;L{J. t7D ~' Type of Permit . . C/ L/ ~Ig) ~ ~.' MECHANICAL Property Owners ~ame: ~~./ ~L ~ ti;-:1ft-S2.7~.h/l ;;10 "'~ Job Address: ~ .3 c,L -/ ~ /? 2:;{ ~ Legal Description: Sub.Div. Lot Blk. Date (; .- rJ/ - '1 / Zoning CI: ;1/ ~ 1!i!:l' / / ' 0 0 /. 0 - / '7 'I - ~ 0 ' Description of Work VZ A 6< L" ,z,A-, </ /I 'J" <' < :- E/7.D C+ 7-12--1 I ~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: / () J cr-co. o-r:J Fee: 1~3 7 f[) / ()v I~ t OCCUPATIONAL LICENSE # 77 &JJ (.~. SIGNATURE COMPANY ADDRESS TELEPHONE # """- All work shal! be performed in accordance with the above and all City Codes and Ordinances. " ~~ BUI~I~ 0UMBIN:-: . ~ECTRICA~J" ME~I~ Ftr. SLB""77';--.I Tp.Serv. ~ 7:? L Pre SLB Tub Se\ -2-'11 ~ Rough In~ -'} -1/ ~ Breakers Lintel Water Meter Can Oucts Insl. FRM.V'1'-l-11 ~ Sewer Const. Pole Compressor Insul.CL . Final Pool Final WL Pre-Meter Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of l_~ el. 0 00) dollars shall be made for each ~:-rr..:).de. 'l6:- 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. o,-.."~I -lr-- -1- ---- 1__ -- -- m .0 ,- 'tA ( ::. l\) ;\101 I iN I ;::: I ~ ]~ .i' I I i -,I-- g~-o " 00 l' .-\ o ., .'l\ ;: I\) "-l I\) , ... I \ ~ ~ . ~ I\) I, ~ 14'~ .-,( .- , ,I\) ,'" - - II o " lA . PR~P05eD CHANGes cf!AN~e flY ST/I/,f5 . 2 3 ~ I"~ 0'- S 'I Z2 ~-.3;~ ---------, 6'~-O" 2'-6'" .3'-9" . ..-I C ) ~ .-.6' ~ .... Q- "t:'"CA .. ' >' ~ f:~ '" =:i- ~ 2~-9. 0 0 0'. it to I 1 i I l I IN RC'}) rOR. 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I I i '-- APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 5b-l-S~o OWNER ~ \l- JOB LOCATION 53'2..-L(8~ S , 1 BLOC~SUBDIVISION '2\-'Ll:,-\\ -OOl.D WORK PROPOSED:____New Construction AREA SQ. FT. ~I 'D. ~Y _ \ -"1 Y - DC - 0 I ., , 0 ----Addition ~teration ~Repair ____Install LEGAL DESCRIPTION: LOT(S) PARCEL 1. D. ~F _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~~ 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 FORtIS. ** **COPY OF CONTRACT REQUIRED. pERMITS REQUESTED ~BUILDING . rID $ fa ~ 00 D /" Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBH1G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTT~ ' .. - ') Company ?\V~,1.. CC:;~ ~\ fAJc....\l ~ State Cert. or Regist. # City License Registration ~ ****************************************** Company S're ( \.'0- \;\ ~ \ '(J {1 +... s. p v State Cert. or Regist. IF ()-:J':,~7'f City License Registration il ,) ********************************** Signature Company State Cert. or Regist. ii ft t=' ~ LIt ~ ~.3' '# City License Registration il If ~ ~ ****************************************** Signature Company State Cert. or Regist. # City License Registration ~ ********************************~********* MECHANICAL Signature Company State Cert. or Regist. 0 City License Registration # OTHER ****************************************** PERNIT OFFICER. ';J",N)J;'L,l~A;ION APPROVED BY -4....~, +\''<\.~~~.';'1 ,;' \. ,'" ~~",,~~,:,- ... "'1' _"~ ,,:Of:',... ',..',J 'iI~.. r l.~S ',." ~ J' . ~ -, ~~~': I ';..it'.t......fl, .~. ,... ,) " . 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 restrictive than City regulations. The undersigned assules responsibilitJ.for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licen$ed as required by law, b~th the ollner and contractor ~ay be cited for a .isdeleanor 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 nepartlent, (813) 788-6611. Furtherlore, if the owner has hired a r~ntractor or contractors, he is advised to have t~e c~ntractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If y~u, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wor~. If the ce,ntractor wishes y~u to sign as contract~r that lay be an indication that he is not properly licensed and is not entitled te, per~itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTESJ 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 Consumer Affairs. If the applicant is SDleDne 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 cOlmencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information 1n this application is accurate and that all \lor~ will be done in co~pliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and. installation as indicated. ] certify that no work Dr installati~n has comlenced prior to issuance of a perlit and that all w~rk will be performed to ~eet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that] understand that the regulations of other governmental agencies may apply to the intended work, and that it is .y responsibility to identify what actions I lust take to be in compliance. Such agl<ncies include bllt ~ie not lii1ited to: I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive L~nd5, Water/Wastewater Treatment . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses . ArDY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health ~ Rehabilitative Services, Environffiental Health Unit - Hells, WasteHater Treat~ent, Septic Tanks I US Environmental Protection AQency - Asbestos abatement 1 also certify that, if fil1l1aterial is to be used in FICtOd Zc,ne "A" or "A,etc.',.it is underste,e,d tll~t a drainage plan addressing a 'colpensating volume" Hill be sublitted which is prepared by a professie,nal engineer fegist~(ed in the State of Florida prior to permit issu~nce. A perlit 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 fro. thereafter requiring a correction of errors in plans, construction, or violatiDns of any code. Every permit issued ;hall bec~.e invalid unless the work authorized by such per.it is co.~enced within six months of issuance, or if Hork authorlzed by the perlit is suspended or abandoned for a period of six lonths after the time the lIork is commenced. One 90 day e:te~5jDII of tile, aay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspecti~n oust be logged .during each six month period, or the project lIill be considered ibal~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. J BS U R $2J500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO M NET". ". SIGNATURE_~~_~~~~lt~~~-------------- SI ",Ji ~. OW R QR AG~T - '.11 ~. ~-F~~//~. DATE______4_:~~:~j_______________________ DATE______~~~~~~__________________ NOTARY AS TO fl 0 LJ /J/J OWNER OR AGE~~--L)~--~- -...... .... "'...... MY COMMISSION EXPIRES_~~~~~~~~l~-- CTOR ~g~~~~c~~_e___~-- ~ ....., ...... .... " ...... MY COMMISSION EXPIRES~~~.J~