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Home My WebLink About91-1644 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 ~. PL~_ Permit N~ 1644if Date 7 - /:J -. 7' / ME~CAL Property Owners Name: ~u -/'-<] -.J- ~L~ ~ Z', __ /"'--- Job Address: ~:zr ,::.i ') - _5-6 ..:~ cJ - / '7 ~~ 4- Legal Description: Sub.Div. Zoning CI: 7? ~ - Description of Work ..e~~-<-41- -;j p Lot Blk. Jd-Y~ /~!-r A' ~tL 7-19p Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: / c~ 7 '-~ ': Jf.) / All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ~~ / A~lj} (;1 t 4C 1, Fee: ,.;} ~5~~ ULJ SIGNATURE ~..i/iu:.-. /lJ. ~ COMPANY ADDRESS TELEPHONE # ~-1~~ c- BUILDI ~. ____ Ftr. Pre SLB Lintel FRM. Insul.CL WL ~BING -------- SLB Tub Set Water Sewer Final Driveway EL'EerBICAL --------- Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ME~ICAL , Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of 1__ (!SIO.@Q) dollars shall be made for each ~.7Y'd-de. (/...s-;t1D) (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. S b 30 /1 ;7;1 5fi!/uq- :/x / Z / ~.ec,c A"' bQ;7Ii .>7lC1/C 77p"/ ~ /"'YC )i'=0v-_"",",~ f:-y../s 17 N 6 ~ 7f"~ '1 tJ,-yt..1'- - -- ../ - - - o U P{)~ rJ . VI tOT) __ Jfj.. -f ,p.ytU,I b 5 Vypo . . {1Jfl.-. 1h r $1 J ----- - - ,- , /) 0Uf3l.f:., Z X /0 1'. T 5 J {)([:. 13~ 131 rSntlf;; ffPtJ5~ ~ i ~ /2- '/ It:: K I S'T/Iv'b A -5C.':" ~ 5 €(i. I> (Jpti" (r. --.---- - - -. - . /JoiJe uz; '2-'1./0 f~ 'r: B~ 2. - 5> vPP/Jf!.45 ~ (5,.1 C' 2-;'8 P. T pa; c 1'....- fo I S rs I {;,tf 0, C ". 5. f.oT /I~ . . D~~/,jG IV' fo/TTUl-' .4'L --- .... APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT (Jjf./J'1hn/'tJ ,e//1t'Y ADDRESS 5"720 G 8VL lSWtJ OIJ. ~ Zh:!Jn rrNr/ry.q-N JOB LOCATION 5 b30 /9 17+ S7f!R-€-r tJ eST f/:z. LEGAL DESCRIPTION: LOT(S)~~ ~ II OWNER (~~flNtb ~ tJrW 5L171/E- /'10 PHONE g;. 3 '~72 2 --79 tJo S~2 7 20 J7j- 5:7: z-./-fJu5 ;,/ /t.r G 2~1f/LL-.s, LOT SIZE x AREA SQ. FT . BLOCK }/(J SUBDIVISION Z-!f/LLS O.cR.. Ilg/16. 0/65 PARCEL 1. D .l~ / /Repair _Install WORK PROPOSED:____New Construction ____Addition ----Alteration ____Sign/Temp. ____Sign ~Iove ____Demolish ____Commercial ____Indust. l~ of Uni ts NIl! - -"- ~-,.._------ _Swim. POO~ I?qJ~~, Approval " ------- PROPOSED USE: _Single Family _M/F RESIDENTIAL: CO!'ll-1ERCIAL : ATTACH (2) PLOT PLANS 2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS. ,~* **COPY OF CONTRACT REQUIRED, ment BUILDING SIZE: ____Restaurant & I I ?? X /2 , Square Feet, Height IUILDING PERMITS REQUESTED $ /2q5-- Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _\-l.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBHl'G GAS ROOFING SPECIAl.TY TYPE OF CONSTRUCTION: _Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SF~ON . ~ Company NrJUV/POt?Mt:i:~""7f1./G ~ ~ .~ /P ~ State Cert. or Regist. 1. G . /1 ~ILJ ~. tf;C>tJ.. City License Regis tra tion ii #"2 t;;/ ****************************************** nUILDER ELECTRICIAN Company State Cert. or Regist. # City License Registration 0 ****************************************** Si!mature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** MECHANICAL Signature Company State Cert. or Regist. 0 City License Registration 0 OTHER Signature APPLICATION APPROVED BY ~~********~*************************** 'II t,'t.-~.(...d ,7..A,...l1.--3--- ~ PERl-lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.'. NOT I CE: OF DEED RESTR I CT IONS:. . The undersign~d understands that this per.it .ay bl subject to "d~ed restrictic,ns" which may b~ &or~ restrictive than City regulations. The undersigned assules re5ponsibili~y.fo~ co~pliance with any applicabl~ d~ed restriction~. ... ."\ , "'.. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may b~ required to be licensed in accordance with state and local regulations. If the contractor il not licensed as required by law, both the OMn~r and contractor ~ay be cited for a lisdeleanor violation under state laM, . If the owner 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 Departeent, (813) 788-6611. Furtherlore, if the OMner has hired I contractor or contractors, he is advised to have lhe contractor(s) sign portions of lhe 'Contractor Sections' of this application for Mhich 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. Jf lhe cc,nlraclor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entilled 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 provid~d .ith 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 soeeone other than the 'owner", I certify that I have obtained a copy of the above described docuffient and prollEe in good faith to deliver it to the 'owner' prior to cOimencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ Hill be d~ne in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work Dr installation has com!enced prior to issuance of a perlit and that all work will be performed to roeet 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 lay apply to the intended worK, and that it is IIY responsibility to identify what actions I lust take to be in cc,mpliance. Such agencies include bllt ~le m,t li,lited to: I Department of Envi~onaental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Hetland Areas, Altering ~atercourses I Armv Corns of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services, Environlental Health Unit - H~115, Hastewater Treal~En~, Septic TanKS I US Environ~ental Protection AQenc{ - Asbestos abatement I also certify that, if fill lIaterial is to be used in Flc,od Zone "A' Dr "A,etc.', it is understc,c,d th,t a drainage plan addressing a 'colpensating volu~e' will be submitted which is prepared by a profes5i~nal engineer regist~red in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Oificial frc'~ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall hecDle invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorIzed by the perlit is suspended Dr abandoned for a period of six lonths after the time the Mort is co~menced. One 90 day e~le~5jDII of tile, lay be allowed for the per~jt with fee charge of ~15.00. The extensiDn shall be requested in Mriting to the Building Official. An approved inspectic,n r.ust be le,ggedduring each six Mnth period, or the project \1ill be cc,nsidered dbaiidc';led. 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 COMMENCEMENT". SIGNATURE1::?:.:~.J::!.~~-- SI GNATURE1/A--PJ.-J8~------- OWNER OR AGENT CONTRACTOR DATE__~_=-~~-:-~~~------------------- DATE___~~~~~~-------- -~ ~~~~~YO~SA~~NT __~g~~~~C~~R~_-------------- ------------ MY COMMISSION EXPIRES ------------------ MY COMMISSION EXPIRES______________________