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Home My WebLink About91-1602 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1.813-788-6611 Permit N~ 1602/] Type of Permit .~ ~ ~TRIC"1'tUMQIMr;_ Property Owners Name: r;}-4f ~ 4 J11 ~ Job Address:~~'h / 0- / d. :d $, Legal Description: Sub.Div. /':) /2: u Date f,; -J.- 'I - 9 / ME~AL Lot Blk. ZoningCI: // ~~ - d.-~O 0/ 0 - /" (.) ,_-5"00 Description of Work ".r- X / u / ~f) Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: &c'7) - c:7() All work shal! be performed in accordance with Ihe above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ("~/\. ~D1N~ Ftr. Pre SLB Lintel FRM. Insul.CL WL ~ - SLB Tub Set Water Sewer Final Driveway Fee: ;L.(), (.~ SIGNATURE ~ COMPANY ADDRESS TELEPHONE # ~ \Li~ ~AL ----- ~HANICAL ~. Breakers Ducts Insl. Compressor Final Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Relnspectlons: When extra inspection trips are necessary due 10 anyone of the folIowing reasons, a charge of te.. I1.':".2K.) do lIars shall be made for each t;IIip./ r do- d. e (js:cJ7J) (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. _.._~ -~ ' '._ '... '-... i...., ,. _._ '. . , ../' ./' .,,/ -- ~1/ ~~ )0 ) i-Ttl sT. - - Hoc..,~r sfJed -{] ~ 'x 10 FT E 5+N ) Sf{ w - I ~ I 1I//flY APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ...........t.J4&"S )t1oA'13t- 5""9/(1 t) )C_s/J;; -U A/~ J~HfS Tv\oA6L JOB LOCATION f:6)() 1<=1+11 S PHONE 7ft) - S h / 7 / ADDRESS OWNER LEGAL DESCRIPTION: LOT(S) .".1 :~ BLOCK LOT sIZE..:SiLX Ic)\] J\REA SQ. FT. SUBDIVISION C ~H loOl>\) PARCEL I. D. ~F II -q (Q - "-~ I - 00 /0 - / (,) .~-=') L) - 013 D WORK PROPOSED: ~ New Construction ____Addition ----Alteration ____Repair ____Install ____sign/Temp. ____Sign _Hove _Demolish PROPOSED USE: ____Single Family _M/F ____~~ of Uni ts _____1'1/ H ____Commercial ____Indust. _Swim. Pool Other ____Restaurant & Health Department Approval- BUILDING SIZE: <X X /() , ~o Square Feet, ct Height RESIDENTIAL: COM1'1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS. ** **COPY OF CONTRACT REQUIRED. PERMTTS REQUESTED ____BUILDING tv/A ELECTRICAL 1liLMECHANICAL JLPLlJHBIN"G $ ciou Valuation.of Total Construction AMP Service Florida Power Corp. _H.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIAl.TY TYPE OF CONSTRUCTION: _Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. IF City License Registration ~J ****************************************** BUILDER Si!!nature Company State Cert. or Regist. # City License Registration 0 ****************************************** E1.ECTRICIAN Signature Company State Cert. or Regist. ~! City License Registration 1 ****************************************** PLUMBER Signature Company State Cert. or Regist. I! City License Registration 0 ******************~*********************** l-IECHANICAL OTHER Signature Company State Cert. or Regist. 0 City License Registration a APPLICATION APPROVED BY *********************************~**~***** '-;1/ a AlA"AJ -<f //1 A\" cr PERl-lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.'. NOT I CE OF DEED RESTR I CT IONS:. . The undersignad understands that this perlit lay be subject to "deed restrictiDns" which- ~ay b~ mDr~ restrictive than City regulations. The undersigned aSSUI1!5 re5ponsibility.fo~ co.pliance with any applicable deed restriction~. .., ,..\', . \, , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the o"ner has hired a contractor or contractors to undertake wor~, they may b~ rl!quir~d to be licensed in accordance with state and local regulations. If the contractor i5 not licensed as required by Jaw, both the ONner and contractor nay be cited for a .isdeaeanor violation under state law. . If the owner or intended c~ntract~r are uncertain as to what licensing requirelents lay apply f~r the intended work, they are advised to contact the City of Zephyrhills 8uilding Departtent, lB131 78B-bbll. Furtheraore, 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 c~ntractor, you are indicating that you, rather than the contractor, are responsible for the w~r~. If the contractor "ishes y~u to sign as contractor that lay be an indication that he is not pr~perly licensed and is not entitled t~ per~itting 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 - Hoaeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is soeeone other than the "owner", I certify that I have obtained a copy of.the above described docuIDent and prolise in good faith to deliver it to the "owner" prior to co.mencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all Hork Hill be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby sade to obtain a perlit to do Mork and installation as indicated. I certify that no work or installati~n has commenced prior to issuance of a perlit and that all work will be performed te, roe~t standards ~f all laws regulating construction, City c~d~s, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply to the intended ~ork, and that it is IIY responsibility to identify what actions I lUSt take to b~ in ce,mpliance. Such agencies ir,clude bill ~le nc,lli'lited to: I Depart.ent of Envitonmental ReQulation - Cypress Bayheads, H~tland Areas and Environmentally Sensi liv~ lands, Hater/Wastewater Treatm~nt I Southwest Florida Hater ManaQe!ent District - Hells, Cypress Dayheads, Hetland Areas, Altering Watercourses I ArDY CorDs of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of H~alth L Rehabilitative Services. Environ~ental Health Unit - He1ls, HasteNater Treat~en:. Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Ze,ne "A" or "(\,etc.', it is underste,(,d tt.~l a drainage plan addressing a "colpensating volu~e" will be sub.itted which is prepared by a professional engineer reqislcied in the State of Florida prior to permit iss~ance. A per~it issued shall be construed to be a license to proceed with the wor~ 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 fro~ thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every per0it isslled ihall be(~le invalid unless the work authorized by such permit is cOII~enced within six months of issuance, or if Hork authorJied by the pertit is suspended or abandoned for a period of six lonths after the time the Hor~ is commenced. One 90 day e~te~5ioll of tile, lay be allo"ed for the per~it with fee charge of $15.00. The extension shall be requested in Hriting to the Building Official. An apprt)ved inspectie,n i!lust be le'ggedduring each six IIlDnth period, CoT the project liill be (C,nsidered dbaiide,r,ed. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATU~~L.:.~-i(~_ik_~~---A SIGNATURE OWNER OR AGENT 'Pt;1l-~:e~ lo/M-fG . DATE ___t?$(fL:- .--------------------------- ------------------------------ CONTRACTOR DATE ----------------------------------- NOTARY AS 10 ~J1Wj)rlYLIlIJ.) OWNER OR AGENT__ _ _ ~~~~~----- MY COMMISSION EXPIRES_~Ci~Jft~--------- NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES__________________