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Home My WebLink About91-1640 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1640'& Type of Pe Date_.?- / d- - 7'/ ELEC~ PLU~ ME~L J 71 /1 I /).J Property Owners Name: ~/<,.'-L/l. LII d L t<-ce..~ . Job Address: 7 (J 02.~- \~,Hr /i.L';(J ")?y Legal Description: Sub,Div. Lot Blk. Zoning CI: ----;-) ./l ~, /, Description of Work " //_ C/ _ ~ Energy Code Readout: rl'Z:;, "1/~ J rD~ ~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: / (., -5 ~L') . c/D ./ OCCUPATIONAL LICENSE # ..5-~-;;?~", C-x-L r ? (j d~7 ~__ Ftr. Pre SLB Lintel FRM. Insul.CL WL Fee: 626-. (7Uf7f-~ SIGNATURE ~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. - SLB Tub Set Water Sewer Final EL~ICAL ~ ME~CAL ~ Tp.Serv. Rough In Meter Can Const. Pole POOl Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due 10 anyone of the following reasons" a charge of tlIn IS I ....( dollars shall be made for each_.ly-~de. (i:j";" CTll) (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 OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS PHONE OWNER JOB LOCATION '7. 0 ~S - ::r=""",,- Ic~ . LEGAL DESCRIPTION: LOT(S) CJ BLOCK LOT SIZE____X AREA SQ. FT. SUBDIVISION / / V-;:~pair _Install PARCEL I.D.# WORK PROPOSED:_New Construction _Addition ----Alteration _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _4~ of Units __M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : $ (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** OF CONTRACT REQUIRED. 1: (_<C7' PERMITS RROUESTED ~ ------Valuation of Total Construction AMP Service Florida Power Corp. / _ELECTRICAL _W.R.E.C. _MECHANICAL $ _PLUMBING GAS Valuation of Mechanical Installat.ion V 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 ELECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLUMBER Company State Cert. or Regist. # City License Registration # ****************************************** Signature MECHANICAL Company State Cert. or Regist. # City License Registration # ****************************************** Signat\lre OTHER Signature Company State Cert. or Regist. # City License Registration # ****************************************** APPLICATION APPROVED BY . ~~~ PERMIT OFFICER. ".'~'" ,!. ~ ", ''''''.\II'!'1,l";..ti; ~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions. which may be lore restrictive than City regulations. The undersigned assumes responsibility for cOlpllante with any ,applicable dee6 restrictions. , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be requiret to b~ licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner. or. inte~ded contractor are. unc~rtain as to what licensing requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, IB13} 78B-6611. Furtheraore, 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 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 aay be an indication that he is not properly licensed and is not entitled to 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 - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cO'lenceaent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby tade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has COllenced prior to issuance of a perlit and that all work will be perforled to meet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I aust take to be in cDlllpliance. Such agencies include but ~le nelt li.ited to: . Departlent of Environlental Renulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Aray Corps Df Ennineers - Seawalls, Docks, Navigable Waterways f Departaent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatment, Septic Tanks f US Environlental Protection Anency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "colpensating volute" will be sublitted which is prepared by a professional engineer register~d in the State of Florida prior to pertit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to vioiate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici~l fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued ~hall becose invalid unless the work authorized by such pertit is cot.enced within six tonths of issuance, or if work authorIzed by the pertit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~t€nsioil of tile, may be allowed for the perait with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six to nth period, or the project will be considered abaildoned. 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 COMMENC . ENT . --~------ OR AGENT DATE____~ _~~ __~~----------~-------- NOTARY AS TO () ~J/t?L OWNER OR AGENT _ ~Z:::;/~~--- MY COMMISSION EXPIRES tifiI"Qt1 hblic, Statl of norida -.rtciiliiliioiIxpiii'Vcf.-v;-t9M lend.. thru Tr"1 FalllolllM_'" SIGNATURE NOTARY AS CONTRACTOR ~~-~~---------~---- --Zf~~ MY COMMISSION EXPIRES~~D~~1994 ........ Th... Troy Fain. 'n,",anee Inc.