The URL can be used to link to this page

Home My WebLink About91-1636 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1636 P ~lNG EL~ 0LUM~I~ ME~AL Date 7 - / / - <7 1 Type of Permit ? Property Owners Name:"- ~A..4 /Yl../ ,? 4 Job Address: S- 7 )<-.5- / a U 6/~<17;~~ /1; ;% ;(CJAA~ ~~J?J?dt \) Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of VVork ~~~'-E'/\ --L;~ ~' /- . A f t:2.--n~ Energy Code Readout: Crf).J;.. 7-/~ -1/ &;t; Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: <<Ik All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # ~r ~, ~A~ !LUMBING ...-/ ' SLB Tub Set VVater Sewer Final EL~CAL ~ MEC~AL ~ Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul.CL VVL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge 01"11. I (0) dollars shall be made for each .. T ra.. de (/<.j~ OD) (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 APPLICANT ADDRESS S 'i C/, 3 OWNER ,F;IJI\X: f" S 10+11 S1-t< Err f5 i...;<Jr 1(-5;-; AI % D U~ 10 fO I!uL ~ PHONE K ~ALr'y' JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D, tt WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install ~Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ---.J1/ F ____tt of Uni ts ,---.J1/ H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. H **COPY OF CONTRACT REQUIRED, PERMITS REQUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL /;LUMBUiG $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel ,Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. ff City License Registration ff ****************************************** BUILDER Signature ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ***;;:;** ~************************** , Company State Cert. or Regist. H RF-063~3Y~ City License Registration # J1 *************************************** Signature MECHANICAL Company State Cert. or Regist. ff City License Registration # , ****************************************** Signature OTHER Company State Cert. or Regist. ff City License Registration # Signature APPLICATION APPROVED BY .... PER.'ilT OFFICER. CZ::;;z~t';ZY;:;:::.S~,~7~':;-~:t!!'9. "W'" ...~,.........,,-.,._-,"" ~- -'-"'-~--'--~---- -51/ q ,~""k CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 1he undersigned understands that this perlit lay be subject to "deed restrictiDns" which lay be lore restrictive than City regulations, The undersigned assules responsibility,.for cOlpliance with any applicable deed restrictions, B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations, If the contractor is not licensed as required by law, bDth the owner and contractor ~ay be cited for a .isdeleanor violation under state law, If the Dwner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (BI3) 7BB-b611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor!sl sign portions of the .Contractor Sections" of this application 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 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 tD permitting 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 - Homeowner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs, If the applicant is SDIEone Dther than the "owner", I certify that I have Dbtained a copy of the above described dDcument and promise in good faith to deliver it to the .owner. prior to cO.lencelent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all ~Drk will be done in cD5pliance with all applicable laMS regulating construction, ZDning, and land develop.ent, Application is hereby .ade to obtain a per.it to do work and installatiDn as indicated. I certify that no Mork or installatiDn has cOllenced prior to issuance of a perlit and that all work will be perfDrmed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction, I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt tile not limited to: I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater 1reatment I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~e~t. Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,., it is understood that a drainage plan addressing a "co.pensating volume" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to permit issu,ance. A perlit issued shall be construed to be a license to proceed with the work and not as authori.ty to viol~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 of errors in plans, construction, or violations of any code. Every permit issued ~haJI becole invalid unless the work ~uthorized by such permit is co..enced within six lonths of issuance, or if Mork authDrlzed by the per.it is suspended or abandoned for a period of six tonths after the time the work is commenced. One 90 day e~tEnsio\i of tile, lay be allowed for the permit Kith fee charge of $15,00, The extension shall be requested in writing to the Building Official. An approved inspectit,n I!lust be It,ggedduring b,c.h si~ iilonth periL'o, or the prt1ject will be ((,nsidered aD';\idoned, 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 0 IN VALUE DD NOT NEED TO RECDRD AND POST A "NDTlCE DF CDMMEN ~/, SIGNATUR~~45~~~~--------- ~ T-A;{~~~:=-- DATE______~~-O--:z~------------------- DATE____~~~~--------------- NOTARY AS TO ....:: \)k~ LnAn"'^-' NOTARY AS T~J' /7Y:1~ OWNER DR AGENTs:.ID""':'m<~:--------- CONTRACTOR _~__~L-L;l?~(Z------ MY COMMISSION EXPIREs~~~l~--------- MY COMMISSION EXPIRES____---~~~f~---