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Home My WebLink About91-1614 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 1614-~ Date /tv;:J -:},- r / Permit X~ Type~Tit BUILiG P7G ME(NICAL Property Owners Name: D {J I.I~] l/I:5~ \ M tt IA. % (' Job Address: U ..., ~ 3 ~. ~~---" ~L Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work ~~ ~~~- Crrfp &/_zp;l; Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE # ~. t?t) Fee: ~~ SIGNATURE /2~t;).. COMPANY ADDRESS TELEPHONE # ~~ Estimated Cost: ;;#- All work shal! be performed in ac rdance with the above and all City Codes and Ordinances. SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp. rv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of.... If' e 69) dollars shall be made for each...,:t-r... d e... (/6-:' t:JV) (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. ADDRESS .- APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILD~fG DEPARTMENT 'I E l.~(~~~l~Y' APPLICANT OWNER Jon LOCATION "--- LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.f~ WORK PROPOSED:_New Construction~Addition _Alteration ____-Repair ~lnstall _Sign/Temp. _Sign __l'love _Demolish PROPOSED USE: _Single Family _M/F _~~ of Units __HI H ____Commercial --'-':"'-1 nd us t . _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fce t, Height RESIDENTIAL: CmmERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORI'IS.H **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED _BUILDING -K-ELECTRICAL $ Valuation of Total Construction / s d AMP Service ~ Florida Pmver Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLlJMBIN"G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company . State Cert. or Regist. 0 City License Registration ~~ ****************************************** rHnLDER Si!!nature Company 0 W j1) f:..K' State Cert. or Regist. 0 City License Registration n ****************************************** ELECTRTCTAN Signature Company State Cert. or .Regist. ~ City License Registration 0 ****************************************** PLmmER Signature Company State Cert. or Regist. 0 .City License Registration ~~ ****************************************** HECHAN1CAL .oTHER Signature Company State Cert. or Regist. 0 City License Registration 0 APPLICATION APPROVED BY ~ ~~.'* tlJ.,J.;.....;._..J..._.._....._.,J.... ..ft ft' ~. ft ........................ ~ .. ~ PERl-lIT OFFICER. --"Ill. . CONDITIONS. OF PERMIT AFFIDAVIT A.': NOT T CE OF DEED RESTR I CT IONS ;.. . . Th, und,rsignQd und,rstinds that this perlit lay be subject to "d~Qd r~5tricti~ns' which ~ay b~ mor~ r~strictiv~ than City regulations. Th, und~rsigned assules responslbili'~,fo~ co.pliance with any applicabl~ d~Qd r~striction~. .:. 1.:0\' ," "'.. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES ;-'"".: If the own~r has hired a c~ntractor or contractors to undQrtako wor~, they may b& r~quir~d t.~ be licensed in accordanc~ with stat, and local r,gulati~ns. If the contractor il not IlcenlQd as requlrQd by law, both th~ o"n~r and contractor nay be cited for a sisde.eanor violation under state law,', If the owner ~r intended c~ntract~r are uncertain as to what licensing require_ents lay apply f~r the intended work, they are advised to contact the City of Z~phyrhills Building Oeparte~nt, (8131 7B8-6611. ,. .,',' Furtherlore, If the owner has hired a contractor or contractors, he il advised to havQ the c~ntract~r(sl sign porti~ns ~f the "Contrlc~or Sections' of this application for which they will b~ responsible. If you, as th~ ~wn~r sign IS the contractor, y~u are indicating that you, rather than the contractor, are rcsp~nsible for the w~rk. If th~ c~ntract~r wishes you to sign as c~ntractor that lay be an indication that he is not pr~perly licensed and is not entitled to per&itting privileges in the City ~f 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 provid~d ~ith a cjpy of "Florida's Construction Lien Law - HOJeowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If th~ applicant is s~ee~ne other than the "owner', I certify that I ~ave obtained a copy of'the above described document and pr~~i5~ in good faith to deliver it to the 'owner' prior to cottenceftent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 certify that all the inforftation in this application is accurate and that a11 ~ork ~ill be done in co~pliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a ,erlit to do Mork and installation as indic~ted. I certify that n~ work Dr instal1atieln has te,uenced prior to issuance o,f a per.it and that all ,",c.rl: will be perfe.rli\ed te. !lieel standards elf all laws regulating c~nstruction, City c~des, zoning regulations, and land development requlatjons In the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies ~ay apply to the intended work, and that it is /lY responsibility to identify IIhat actions I /lust.take to be in crlmpliance. Such agencies include but ~le Ii~.t Ij~ited to: I Departlent of EnvironQental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive L~nds, Hater/Wastellater Treatment I S~ulhwest Florida ~Iater HanaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Ha!ercourses I ArDY CorDs of Enoineers - Seawalls, Docks, Navigable Waterways I Depart_en! of Health L Rehabilitative Services. Environ~ental Health Unil - W~lls, Wastewater Treat~!n~, Septic Tanks I US Environ~ental Protection nQency - Asbestos abatement I also tertify that, if fill Jlaterial is to'be used in Flood ZClne "n" or "I\,etc.', it is underste.e,d tJ.~t a drairlage plan addressing a 'colpensating volule" will be subaitted which is prepared by a pr~fessional engineer reqi5t~red in the State of Florida priCoT to perlli t issu,ancl:'. A per~It issued shall be constru~d to be a license to proceed with the wDrk and nDt as authority to yiol~te, can~el alter, or set aside any provisie,r.s of the technic.al codes, nor shall issuance of a pl~rll\it prevent the Building Official fre." thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every p~r~it issued 5hall becole invalid unless the work authorized by such permit is CO.lenced within six months of issuance, or if uork authorl%ed by the perlit is suspended or aband~ned f[.r a perir.d of six IDnths after the tillle the lIork j's [(.,~lI\enced. One 90 day .:~I~;I=ie'" elf tile, Jlay be all~lIed for the per~it with fee charge of ~15.00. The extension shall be requested in writing to the Building Official. An approved inspectieln I)ust be lrlgged .during each six 1I0nth period, CoT the project ~ill be C(.r,sider"d tib.;iiGe,i1ed. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING rWICE 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~_ OWNER 0 AGENT-~IGNATURE____--CONTRACTOR-------------- :::::~_~:~:Cl_S:J-~_---~--~-;~~-:-- :::::~-::-~:--------------------------- OWNER OR AGENT~_~~~~-~ CONTRACTOR_____________________________ / MY COMM 155 I ON E'{IJI:(lII'lq(ffiPUBLIC, STATE Q.E..EJ..nRl,O.L ''MY-tbM~piRES: APRIL 16, i993.-- BON,DED THRU NOTARY PUBLIC UNDERWRITERS./ MY C6MMI5SION EXPIRES ------------------ ....-.,