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Home My WebLink About91-1632 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1632:P BUl'tt:>>Nu ELECT~ Date~7 - / t:}- 9' / ~ Go"VL-+->. ,r--A <3/ 9. .~.<:, 7J~ ~~ .a../ 6-7.,<;-0 ,; Type of Permit ~) MEC~L ~::P:::r~s:~~:~~;e~ ~:;;?lt; :0;1;l:fi Legal Description: SUb.Di~' /'~r;- Zoning CI: / / - d 6 - ;;J I ;- L -t 'O~~--4J~/; --?L~L, Lot Blk. /~ I Description of VVork ~~~, ~ L3~~ / /1 --4__ ..-J ft! .~-- ~/ /1"" . l ' --Z~ ~/ j~ L~a.f~ 7-1ts..'1/ ~L"J Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: A;//t- Fee' ~'~~ SIG~ATURE ,~ , COMPANY All work shal! be performed in accordance with the above and all City Codes and Ordinances. ADDRESS OCCUPATIONAL LICENSE # /~S-~~J ~/ I TELEPHONE # ~JtA~ 7?t~~~t'dIE ':::.. PLUMBltfG~ Ei _AL --- SLB --- Tp.Serv. Tub Set Rough In VVater Meter Can Sewer Const. Pole Final Pool Pre-Meter Final ME~AL - ~ING -------- 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 ta . 1.III.QQ) dollars shall be made for each _7r-~ de. r/.:j-; tJ7J) (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 OFZEPHYRHILLS BUILDING DEPARTMENT ~ ~ ... APPLICANT G' J1/X'I r< J CAvw/)--! ;:J;::{ .z -t2 P N iF<. Hlt..t.. ~. 35.7"3'/ PHONE 9' ') '1 q 'J.. "/ 6 ADDRESS t7~/ SO/V/1/V r OWNER J.? I j., I-. )1/ >' -e _ JOn LOCATION?'-/6 (? r::vLL I?J...V)) UJvrT F . LOT SIZE"':"""-X AREA SQ. FT. /1 - d- 6 /d) SUBDIVISION ?f~ ;) PARCEL 1. D .l~ ,'J/ ULOCK IJU LEGAL DESCRIPTION: LOT(S) WORK PROPOSED:_New Construction_Addition _Alteration / ;.-/ .s --y "<I _Repair _Install _Sign/Temp. _Sign _1'love _Demolish PROPOSED USE: _Single Family _M/F _l~ of Uni ts ._~I/II _Commercial ~Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t I Height RESIDENTIAL: COmlERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF DUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF DUILDING PLANS & (1) SET ENERGY FOIU1S.'~* **COPY OF CONTRACT REQUIRED, PERMTTS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL ~LU1-1BIN"G $ 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. 0 City License Rcr,istl'ation ;,~ ****************************************** mn LD ER ELECTRTCTAN Company State Cert. or Regist. 0 SipnBture City License Registration n *********************************~******** P.!.l]J1BER ~:; Company C . ~' ~ State Cert. or ReGi .!.~ " Si "na ture . ~.... ~**........ ~ ~:~ * ;;~~:~~: ,,:: ~~~;, ~:~;, ;,~~ " Signature Company State Cert. or Regist. 0 ,City License Registration {~ ****************************************** MECHAN1CAL Signature Comvany State Cert. or Rcgist. 0 City License Registration ~~ DTHER APPLl CA TION APPROVED BY. *7"''* :;**~::*~:::,: **:' * 'd, e, * *', '" '" PER}lIT OFFl CER . *'" ;, {' . , bONDITIONSOF PERMIT AFFIDAVIT A.': NOTICE OF DEED RESTRICTIONS ;'. . . lh. und'rsign~d unders\ands \ha\ this plr.it lay bl lubllC\ to .d~ed res\ricti~ns' which may b~ m~r~ res~ric\ive than City regulations. lhe und~rsigned a!SUles responslbi1i'y for co.pliance with any applicabl~ deed restrictions. . .:. '.: .\..,~.. ~ .,~, 't ~~.~.J.; E. UNL I CENSED CONTRACTORS ANP' 'CONTRACTOR RESPONS I B I LIT I ES If the o~ner has hired a contractor or contractors to und~rtake work, they may bi r~quired to be licensed in accordance with s~a\' and local r,gula\lons, If the contra~tor is not llcens~d as requir~d by law, b~th the OHn~r and contract~r ~ay be CIted for a lisde.eanor violation under state 1aK,', If the owner or intended contractor are uncertain as to what licensing requlrelents lay apply for the Intended work, they are advised to contact the City of Zephyrhllls Building Departeent, 18131 7BB-~~11. ,:." Furthlrlore, if the owner has hired a contractor_or contractors, he is advised ,to have the contractor(s) sign portions of the 'Contractor S,c\ions' of this application for which they will be responsible. ,Jf y~u, as the ~wner sign as the c~n\ractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to p~r&itting privileges In the City of Zephyrhjlls, 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 Constructi~n Lien LaM - HomeoMner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consum~r Affairs, If the applicant is SODe(.ne other than the 'owner', I certify that I have obtain~d a copy of-the above described document and pro~i5e in good faith to deliver it t~ the 'owner' prior to cOlmencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all Hork Mill be done in co~pliance Mith all applicable laMS regulating construction, zoning, and land developDent. Application is hereby lade to obtain a ~er~it to'do Kork and installation as indicated. I certify that no work or Installation has co&~enced prior to issuance of a per.it and that all worl: Hill be p~rformed to ~eet standards of all l.ws regulating cclnstrudicln, City cc.des, zoning regulatil.lOs, and land d~velopl1lent requlatic,ns in the )urisdictic.n. I also certify that I understand that the regulations o~ other governaental agencies may apply to the intended work, and that it is IY responsibility tCI identify IIhat actions llllust'tate to be in compliance. Such agencies include bllt ~IE Ii"l li'1ited to: I Department of EnviroMental Rellulation - Cypress Bayheads, Hetland Areas and Er:virc,nmentally Sensitive L~nds, Water/Wastellater Treatlllent f Southwest Florida Water ManaQelent District - Wells, Cypress Dayheads, Hetland Areas, Altering Haterc~crses f ArDY Coros of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environmental Health Unit - 1I~lls, Wastewater Treat~en:. Septic Tants I US Environoental Protection AQencl - Asbestos abateaent. I alsr. certify that, if fill material is to'be used in Flc.od Zc,ne "A' or "A,dc.', it is understc,od thol a drainage plan addressing a 'cr.lpensating volUle' will be sub.itted which is prepared by a professional engineer rEqist~rEd in the State of Florida prior to permit issu.ance, A perait issued shall be construed to be a license to proceed with the work 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 c~rrectir.n of errors in plans, construction, or violations of any cDde. Every per~it issued shall beCDle invalid unless the work authori1ed by such permit is commenced within six months of issuance, or if Hork authorlied by the perlit Is suspended Dr abandDned f[,r a peric,d of six lonths after the tillle the u~rk is c(.Menced. One 90 day (o~\E;I~ioll (If tile, lay be allowed for the per~it Mith fee charge of ~15,OO, The extension shall be requested in uriting tD the Building Official. An approved Inspectic.n l!Iust be lc.gged'during each six month period, clr the prc,ject Iii 11 be ([,nsidered "ballot.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 LEND OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JdBS U DER $2,500 IN VALUE DD NOT NEED TD RECORD AND PDST A "NDTlCE DF COMMfNCEM T'~., /J / SIGNATURE__ ~- - Yf.. cf'7';;;. SIGNATunE_~ ~-:'="--- VO~OR AGf;ff'UMr~ . cmnnACT~- DATE_____:;z{~~J'!:--------c--------------- DATE______~~~-------------------- /" ~~~~~~c~~n~~u"-)A,'c~----- .../ / . ' ~ / -- MY COMMISSION EXPIREg . NOT ARv- ruBe 1c - SiirE OF FLORl6L MY COMMISSion E)~r JULY 29.1994 BONDED THRU GENER~L INS. UNO NOTARY A5 TO \J' ;l;~~h Jt m.JNER OR AGENT /JI(itL~7f ~~~-------- TARY PUBLIC StATE OF FLORIDA MY COMM 155 ION EXP IRE5_~..co.I4MISSIOti..E)u>_J.Ul..'i~...19.24 BONDED THRU GENERAL INS. UNO.