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Home My WebLink About91-1624 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 162lf Type of Permit Date ;7_ J- 9/ ~-:-.~~~~~~\ BUILDINli--- EL~ ~ M~L propertyowners~a:e: f;;l1; ,1120 Job Address: /....s $1', Legal Description: Sub.Div. Lot Blk. Zoning CI: , Description of VVork ~;~-L Energy Code Readout: _ '7<1-Z-?n (~L~ c+ 7- ~ 1-7/ .~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: /If/?4 Fee ~ ~ SIG~ATURE~ "^" ~~ COMPANY ADDRESS All work shal! be performed in accordance with the above and all City Codes and Ordinances. 'U-O+~ OCCUPATIONAL LICENSE #.5~ /.' (j ~~' PLUMBI ~ '~~ SLB Tp.Serv. Tub Set Rough In VVater Meter Can Sewer Const. Pole Final Pool Pre-Meter Final TELEPHONE # ~.~ ME~ICAL "" Ftr. Pre SLB Lintel FRM. Insul.CL VVL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ~ (S I 0' 00) dollars shall be made for each tap.Tr & d e 1/_"") -:- IJt) ) (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 OWNER })~N 'I. ~?f1 G: oiJ( DA~w't..n' \n 'l ,{ L~ ;:r we ~LVV ~Arvt\ PHONE APPLICANT ADDRESS JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D .IF WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _!'love _Demolish PROPOSED USE: _Single Family _M/F _H of Units __H/1I _Commercial _Indust, _swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COMt1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORI-IS. >~* **COPY OF CONTRACT REQUIRED, PERMITS REQtJESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _\-l.R.E.C. _MECHANICAL '~PLUMBnrG $ Valuation of Mechanical Installation 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 ~~ ****************************************** BUILDER r'\ Company State Cert. or Regist. 0 City License Registration 0 ****************************************** . Company /.~ lJ1 ~/l4 State Cert. or Regis(,t. !.~ City License Registration # ***************************************** El.ECTRTCTAN Si!!nature ~ o c.J 0 6...!;'-R' ')- C 7 Signature Signature Company State Cert. or Regist. 0 .City License Registration 4~ *************************************~**** MECHANICAl. Signature Company State Cert. or Regist. 0 City License Registration 0 OTHER APPLICATION APPROVED BY ~~~**~****************~*****..*~~~~~~~...~ )f~ ;gr(!A~~ . O:HHOO PERI-tIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A", NOTICE OF DEED RESTRICTIONS:. . The undersign~d understands that this perlit lay be subject to 'deed restrictie,ns" ~hich ~ay be more restrictive than City regulations, The undersigned assules respon5lbili~y fo~ compliance with any applicable deed restrictions, ,... " E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required t.o be licensed in accordance with s~ate and local regulations. If the contractor 11 ntlt licensed as required by law, be,th the ollner and contracte,r ~ay bl' clted for a lisdeleanor violation under state law. . If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, th~y are advised to contact the City of Zephyrhills Building Departeent, (813) 788-6611. Furtherlore, If the owner has hired a contractor or contractors, he is advised-to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the o~ner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. 1f the cc,ntractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to 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 tlf 'Florida's Cc,nstruction Lien Law - Homeowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is SOIEone other than the 'owner', I certify that I have obtain~d a copy of the above d~scribed document and promise in good faith to deliver it to the 'owner' prior to cOimencement, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work Mill be done in co~pliance with all applicable laws regulating construction, zoning, and land d~velopment. Application is hereby lade tCI obtain a penit to do work and installaticln as indicated. I certify that no wClrk or installation has co&~enced prior to issuance of a perlit and that all wor!: Hill be performed to roeet standards of all laws regulating construction, City cod~s, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governm~ntal agencies may apply to the intended Hork, and that it is lilY responsibility to id~ntify what actions I lIlusttal:e to be in cC'lIIpliance. Such agencies include bllt ~I e nr,t liilited to: I Department of Envi,on~~ntal ReQulation - Cypress Bayheads, W~tland Areas and Environmentally Sensi live Lands, Water/Wastewater Tr~atlllent I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering HaterCQUfSeS I Army CorDs of Enoineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treat~!n:. Septic Tanks I US Environoental Protection AQency - Asbestos abatement I also certify that, if fill lIaterial is to be used in Flclod Zc,ne "A" or "I\,etc.' ,it is undeTstcoc,d t:.~t a drainage plan addressing a 'colpensating volume' will be subaitted which is prepared by a prc,fessional engineer regist~ied in the State of Florida prior to permit issu~nce, A perlllit issued shall be construed to be a license to proceed with the wor!: 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 fro~ thereafter requiring a correction clf ernrs in plans, cClnstructic,n, or violations of any c{,de. Every perili t iSSlled ;hall bece'le inval id unless the wtlrk authorized by such permit is ttllllmented within six months of issuance, or if work authorIzed by the perlit is suspended or abandoned fcor a period of six lonths after the time the \lork is COl.\ffienced. One 9(; day l'~\",,5ic'lI of tile, Jay be allowed for the permit Hith fee charge of $15,00, The extension shall be requested in writing to the Building Official. An apprtlved inspectie,n !!lust be lc,ggedduring each six lIlonth peril:td, CoT the pr{oj~ct Hill be ((oflsiderf?d dbondc,ned. 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__________________________________ SIGNATURE~~~~ OWNER OR AGENT - CONTRACTOR --~~-~-~~~_\_------------------- DATE --------------------------------------- NOTARY AS TO OWNER OR AGENT ----------------------------- MY COMMISSION EXPIRES ----------------------