The URL can be used to link to this page

Home My WebLink About91-1639 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N'~ 1639 /..- Type of Permit ~ 0LECfAr~ PL~G ME~ prop.rIYOwn.rSNam~: .~~ (~ ' Job Address: .S u.3 c;) , _ - ~~ Date 7- / ;;2-'9/ Legal Description: Sub,Div. Lot Blk. Zoning CI: ~ Description of Work -!f/J....-p-r.;' 2 ~/ ?A--X .,~ Energy Code Readout: u.~ 7-17:1/ ~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: I A//)"{ ./ I Fee: ~C). ~ SIGNATURE~ AA _ COMPANY ADDRESS TELEPHONE # cfr~"~~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #3f-/ !---liJ C-~-- ~ 1 'iAf , p,~~ t' .~ "- ~~~ Tp. , Rough In Meter Can Const. Pole Pool Pre-Meter Final M~NICAL ~. " BUILUlNG--- PLU~ING ------ Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of L (II A "I) dollars shall be made for each __./r~d-e. (/~-: O?J ) (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 Jon LOCATION J~f f)jdoJ 0 5D 30 ~,;L .... c;~~. . 01='[[ If- Js /:0;J' .::rh (] qL . ., CJ -3 d 1,/:2. 9.,- -&--f PHONE APPLICANT ADDRESS OWNER LOT SIZE_X AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .l~ WORK PROPOSED:____New Construction ____Addition ----Alteration ~Repair ____Install ____Sign/Temp. ____Sign _Hove _Demolish PROPOSED USE: ____Single Family _M/F ____l~ of Uni ts ._l-1/H _Commercial ____Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1-IS.'~* **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED _BUILDING v-iLECTRICAL Valuation of Total Construction r>< Florida PO\"er Corp. - _H.R.E.C. _MECHANICAL $ tiY~MP $ Service Valuation of Mechanical Installation _PLlH'lBIN"G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. Y City License Registration # ****************************************** BUILDER Signature ::::::::: Acl:~ u~~...m~:;~;;~~:m~~~~~~J,: ~:k a'Y- Company State Cert. or Regist. ~ City License Registration J ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration # ********************************~****~**** MECHANICAL Signature OTHER Company State Cert. or Regist. 0 City License Registration 0 Signature APPLICATION APPROVED BY *:jj!a:::::6*~*;~~;:'**'*'~************ PER1-lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.-: NOTICE OF DEED RESTRICTIONS:, , Thr undrrsign~d undrrstinds that this perlit lay be subject to .d~~d restrictions' which ~ay b~ mor~ res~rictiv~ than City rrgulations. Thr und~rsigned assules re5ponsibili~Y,fo~ compliance with any applicabl~ d~~d r~strictions. ,- ....., .-'''' 8. UNLICENSED CONTRACTORS A~D CONTRACTOR RESPONSIBILITIES If thr owner has hirrd a contractor Dr contractors to undertak~ wor~, they may be r~quired to be licensed in accordance with statt and local regulations. If the contractor il not licensed as required by law, both th~ OHner and contractor nay be cited for a lisdemeanor violation under state law.', If the owner or intend~d contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills ~uilding Departeent, (B131 7911-6611. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the cc,ntractor!s) 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 wor~. If the cc,ntractor wishes you to sign as contractor that aay be an indication that he is not properly licensed and is not entitled tc, 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 of 'Florida's Construction Lien Law - Homeowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is soteone other than the .owner', I certify that I have ~btained a copy of the above described d~cuffient and proffii~e in good faith to deliver it to the 'owner. prior to cOI~encement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the informati~n in this application is accurate and that all Mork will be done in c~~pliance with all applicable laws regulating c~nstructi~n, zoning, and land developaent. Application is hereby ~ade to obtain a perait to do work and installation as indicat~d. I certify that no w~rk or installati~n has co~!enced prior to issuance of a perait and that all wor~ will be performed to ~eet standards of all laws regulating constructi~n, City c~des, z~ning regulations, and land development regulati~ns in the jurisdicti~n. I 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 lihat actions I must tar.e to be in ec,mpliance. Such agencies include but ~ie not li'lited to: I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive L~nds, Hater/Wasteliater Treatment I Southwest Florida Hater ManaQement District - Wells, Cypress Dayheads, Hetland Areas, Altering Haterc~urses I Ar~y Coros of Enoineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services, Environ~ental Health Unit - W~lls, Wastewater Treat~en~. Septic Tanks I US Environ~ental Protection AQency - Asbestos abatement I also certify that, if fillllat~rial is to be used in Flc,od Zone "A" or 'A,etc.', it is understc,c,d thot a drainage plan addressing a 'colpensating volu~e. will be subtitted which is prepared by a professional engineer regist~,ed in the State of Florida priH to pHllli t issu.ancl:. A per~it issued shall be construed to be a license to proceed with the wor~ and not as authority to vi~ljte, cancel alter, or set aside any provisi~ns of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a correction of errors in plans, con5tructi~n, or violations of any code. Every permit issued ;hall becole invalid unless the work authorized by such permit is cOllmenced within six months of i5suan[~, or if 1Iork authorlzed by the perlit is suspended or abandoned for a period of six lonths after the time the Hor~ is co~men[ed. One 90 day e:te~5iD'1 of tiae, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in "riling to the Building Official. An apjlroved inspedie,n !!lust bl! lc'ggedduring each six month period, (or the prc,jl:ct Hill be ((,nsidi?T!!d dbaiid(or.~d. 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. J08S UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE ~GENT-------~----- SIGNATURE DATE_______ ~~zi"'----------------------- ~~~~~yO~SA~~NT~~~ MY COMMISSION EXPIRES____~~_12~~~~--- - "'"l efTRACTOR' DATE________~~~ NOTARY AS TO :/..:1_ '-:L:J P /1 ._ CONTRACTOR_~~-~~ MY COMMISSION EXPIRES__~~_?~