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Home My WebLink About91-1634 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 163413 8\ . UILDING .. ~ Date ,)-' /0 - 7' / ~ ME~AL Legal Description: Lot Blk. Property Owners Name: Job Address: ,,3 f-' () Sub.Div. -:7~ . Zoning CI: --5~ - rS-;;2/ - c {1 LJ ~J Description of VVork A/ .d~1 <1- (/ .....q 6 - QUOOD - 00 /J Estimated Cost: ./ So c-J-f) o-iJ (pj Il :~:~~~~~fl ,~ COMPANY . Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application All work shal! be performed in accordance with the above and all City Codes and Ordinances. , ADDRESS OCCUPATIONAL LICENSE # d-7 / J;"At ~~~LEPHONE # (T a AJ! tIil- C, C BUILDI_r:G ., Ftr. Pre SLB Lintel FRM. Insul.CL VVL ~AL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final M~NICAL " Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of tell (tI9.QO) dollars shall be made for each _7 Y' ~ d.e.. (/ s: IJ7J ) (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. APPLICANT .. APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT OWNER Jon LOCATION AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ 35--;25 ~;) / -(x)&; O'~ 0C.l::JOcj- ex:> (l WORK PROPOSED:_New Construction____Addition ----Alteration _Sign/Temp. :~ign YH/ ell 1;56--' 09 -0 _Repair Anstall _~love _Demolish PROPOSED USE: _Single Family , ____M/F ____~~ of lIni ts ._~l/ Il _Commercial ~Indust, _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: ~~ X I; Square Fce t I Height RESIDENTIAL: Cmfr1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET. ENERGY FOR~IS. ,~* **COPY OF CONTRACT REQUIRED, .PF.RMTTS REQUESTED _BUILDING $ /-:S-oD, (~C""') Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _\-l.R.E.C. _MECHANICAL _PLUMBIN"G $ Valuation of Mechanical Installation GAS ROOFING SPECIA;:"TY TYPE OF CONSTRUCTION: _Block ____Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature CONTRACTOR SECTION any t te Cert. or Regist. n l.ty L'cense Registration!~ ~7 / ****************~~*~* ELECTRTCTAN Company State Cert. or Regist. 0 City License Registration a ****************************************** S i !:on:) ture Company State Cert. or Rcgist. Y City License Re~istration fl ****************************************** PLUMBER Signature Company State Cert. or Rcgist. 0 .City License Registration ~~ ****************************************** MECHANICAL Signature Company State Cert. or'Regist. 0 City License Registrationi~ OTHER Signature ****************************************** APPLICATION APPROVED BY. PERl-lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.': NOTICE OF DEED RESTRICTIONS ;'. ,.' Thl undrrsiqned understinds that thll plr.it I'Y bl lub~lct to 'dead restrictit,ns' whicH. &ay be aor~ rrs~rictive than City regulations, The undersigned assUIVI re.pon.lblll\~,f~~ cOMpliance with any applicable deed rastric~ion~, ". -:" ':.\ ,..- ".. , . . B. '1 ,~~..\, YNLICENSED CONTRACTORS A~D~~ONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may b~ required to be licensed in accordance with stlh and local regulations, If the contra~tor Is not llcensl!d as re,quirad by law, btoth the ouner and contracttor lIay be cited for a .isdeleanor violation under state law.', If the ownl!r or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, theY are advised .to contact the City of Zephyrhills ~uilding Departlent, lal31 788-6611. .. ','. Furtheraore, if the owner has hired a cDntraCtor_or contractors, he is advised to have the contractorlsl sign portions of the 'Contractor Sections' of this appllcatlDn for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for t~c work. If the contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed and is not entitled to pcr&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 bcen pro'vlded ."ith a copy of "Fle,rida's Cc,nstrucliC/n Lien ldll - Hc,aec/lIner's Pre,teclion Guide" prepared by the Fl~rida Depart.ent of Agriculture and Consumer Affdirs. If the applicdnt is SOleone other than the "C/Hner", I certify that I have Dbtained a copy of "the abC/ve described dDcu~ent and prC/li~e in good fdith to deliver it to the "Clwner" priClr to COilencement, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infDrmation in this applicatiDn is accurate and that all wC/rk will be dC/ne in cDftpliance Hith all applicable lalls regulating constructiDn, zoning, and land development. . J ", .\..' Application is hereby lade tD obtain a ~erli~' t~'do work andinstallatiDn as indicdied. I certify that no wDrt or installation has co&~enced prior to issuance of a pertit and that all work will be perfor~ed to ~ect standards of all laws regulating constructiDn, City cDdes, zDning regulations, and land development regulations in the jurisdictiDn, I also certify that I understand that the regulations.o~ other govern.entai agencies may apply to the intended work, and that it is .y responsibility to identify what actions I.lIst'take to be in compliance. Such agencies include but ~\e m,lli.,ited to: I Departlent of Envi(onmental RCQulation - Cypress Bayheads, Hetland nreas and EnvirDnmentally Sensj\iv~ L3nds, Hater/Wastewater Treatlent . SDuthwest Florida Watcr ManaQelent District - Wells, Cypress Dayheads, Hetland Arcas, Altering Watercourses I Army Coros of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - W~lls, Wastel\ater Treal~En~. Septic Tanks I US EnvirDnoental Protection AQency - Asbestos abatement. I also certify that, if fill uterial is to'be used in Fle'od Ze,ne "A" or "A,etc,", it is understc,[,d tll~t a drainage plan addressing a "colpensating volule" Hill be sublitled which is preparcd by a prC/fcssiondl engineer reqist~ied in the State of Florida prior to permit issu.ancc. , . A perlit issued shall be construed to be a license to procecd with the l\Drk and not as authC/rity to viDI~te, cancel alter, or set aside any provisions of thc technical cDdes, nor shall issuance Df a permit prevent the Building Official frC/ft thereafter requiring a correction of errors in plans, cDnstruction, or vi~latiDns of any code. Every per~it issued shall beco.e invalid unless the work authDrized by such permit is tOlmenced Hithin six ~Dnths of issuance, or if uOlk authoflied by the per.it is suspended or abandt,ned fClr a peric,d of six lonths after the time thl! \fork is ce'f.\rnenced. One 90 day C,'~h:i,sioll eof tile, say be allowed for the per~it with fee charge of $15,00, The extension shall be requested in "riting tc/ the Building Official. An approved inspedic.n r..ust be }cogged during each six Mnth periDd, (of the pre,jed \lill be u,nsidl?red dbd\idc'i,~d. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUH 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';':~GENT------~~----- SIGNATUR~o~c~---- :::::~_:~_~::=jj]~<i~# -J!- CONTRACTOR _~~~~~- 1:~~ . ~.... ,/' 'Notary c MY CO ISSION if~,89a~~i_ ~a~t~_----- tIItJ Comm' sion Expires: o r 28. 1992 DATE.-.-------.--~:.LC2-~:tL--------:----~.-.. ' NOTARV AS TO~.. ;' g mlNEROR AGENT ?'~.J't~?f1--- __~--~ ,Zz. / Notary F! lie MY COMMISSION E PIR StateofFI daatLarge -----~~fflmrsSloot:x~res:--- December 28. 1992 ..... ~ I I I , . ~ ~ (J:J ~rc~~ ll~t; I " tI,-_m' r- --~ ,~- ---I L'// ('''::.=-: ~ 1 '-1 ~-l I:=~_.J ! (' " \ Cd) ~ ~,-=] Y-:J L--,/ r-"-l (~ \jf /(~ f@ ~=!) ffi r:.=~l ~~J ((=--~ , \.. ')1 \'.:.:::: r -----.-. " - --.", /(~\. ' Ii ,I l'-,:'_ (( ~'([J I ' ., -, L r------- \::::;c> ---. ; !l -: o --- / @J '>S) '-S) l L'- --...... ~'~~,."."'-_::--~ ,-~-- ~(~ i I i I .m--~------l I I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ t;~ ~ ~ ~(j GV> ~~. J'C ~ ~~t.:) .~~ <....3 , Lw ~ ~ ~~ t--.... ~ C\( ~ ~;:s VS ~ l(~ ~~ 'f;~ <::J . - / VaIHO'.:I'VdINV~ 0 . ~ . .0:) N~IS :)gV ()) .3 <0 U ><. <D - w... \ . 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