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Home My WebLink About91-1649 STATE OF FLORIDA City of Zephyrhills Date 1649~ 7- /S 5'/ ./ ~~eot Permit PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ (~ ~iCAL PLUMBtNG -- MEC~--'- Property Owners Name: jC ~ ~ 'fi ~~f2 ~ Job Address: \., . '3.? /f ' ~ ' Legal Description: Sub.Div. Lot Blk. ~:::~p~~nofWo~_ 9:;~:~~ ~/f~ W~ EI1&'gy Cad. R..dual: ~/iI~- ~ ) ~_ Complete Plans, Specifications :-::=-:ccompany Application c:;J jj:;J I Estimated Cost: -# ~ "-.!:; i) [)' -~ All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE #.<:::6- , BUILDING ~._' ~ SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Driveway g:r:., Fee: ,g,O~. SIGNATURE" _. ~~ COMPANY ADDRESS TELEPHONE # EL5PRfCAr---- ..-- ~1~lliAL --.. Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Reinspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of tIll rr' A 90)- dollars shall be made for each ~. Ira de.. (/-.5--' t7?)) (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. -,/ k , , , , . , '\ ',- - -- -. - ~ - , ~- - - - - ~ \ \ - --~- - - - -1 \ \0 \ ~~l\l\J' UC!)~~ , \ , - '- \ , ~t~ --\- t _.L -. - - - -', - - - . $R..~ I1S~ C.U " ~D ~ . Fe R..', .:Ie'? Q.~.s 'KQ. S TAU{<. ~v\ l N~\J~o1"'f's \)R.v~ ~\~~s S ~ f\\J~. ?e.~h,-\lGhiLlS.. ~: ~ fr rJd 'i=2, <;he\!\ cneT~L C%J\v~R. r;:~ ~~~ . "",\..,..,-..-~... - .~-... ,_.....-..,..-. \ \. 111 ~ -J - , '~ - - I \ ._ ~~,J ''r\F\v' ,< oJ'" ~ r\Ci~ .j .....J Q: :> i "--.j I~ ~ - I APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ADDRESS PHONE OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.l~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign ____Nove ____Demolish PROPOSED USE: ____Single Family ____M/F _l~ of lIni ts ._1'1/H _Commercial _Indust. ____Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COill1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORtIS. ,~* **COPY OF CONTRACT REQUIRED, PERMITS REQUESTED ____BUILDING ) ,~ $ ,,~_t;;Oo Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBIN'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. 0 City License Registration ~J ****************************************** Company State Cert. or Regist. 0 City License Registration 0 ****************************************** Company State Cert. or Regist. # City License Registration 0 ****************************************** Company State Cert. or Regist. 0 City License Registration 1 **** *,:,:* **** **** ******1: -I: * * "'7*'{ -I, ,',,~ * * * ,~-I, -I, ,',-1: ~j~~TffJtTftL lJe~ompany f/rIl~ I? Sj~if /fIi.TIJ( . State Cert. or Regis t. iF Ii ..s 60 ;t'l rs 8 City License Registration iF .5(P:1 ::5?E<!/I1/.T'I ** ** * * * ** * *** * *** R~ *~\ ~ * f:~1~ *~1~-I: " {, * ,',,', -1:-1: -I:>": C) 0 22" ~ R S -00003 PERNIT OFFICER. APPLICATION APPROVED BY CONDIT~ONS OF PERMIT AFFIDAVIT A", NOT I CE OF DEED RESTR I CT IONS:. . The undersi9n~d understinds that this perlit lay be subject to "d~ed restrictions' which' may be more res~rictive than City regulations. The undersigned assules responsiblli,y.fo~ co~pliance with any applicable deed restrictions. ,,,,..,", ,...... . , E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may bi requIred to be licensed in accordance with state and local regulations. If the contractor 15 not licensed as required by law, both the OMner and contractor ~ay be cited for a lisdeaeanor violation under state law, If the owner or intended contracte,r are uncertain as to what licensing requirelents lay apply for the intended work, theY are advised to contact the City of Zephyrhills 8uilding Departeent, (813) 7139-66 II. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the ce,ntractorts) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the e,wner 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 to 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 - Hoaeowner's Protection Guide' prepared by the Florida Departlllent of Agriculture and Consumer Affairs. If the appl ieant is se'IEe,ne other than the 'owner', I certify that I have obtained a copy of-the above described document and promise in good f~ith to deliver it to the .owner' prior to COi~ence~ent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a perlit to do work and installation as indicated. I certify that no wClrk or installation has co&~enced prior to issuance of a perlit and that all work will be performed to &eet standards of all 1.W5 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 my responsibility to identify \1hat actions I must take to be in compliance. Such agencies include bllt ~le liCot li.lited to: f Depart~ent of Envi~on~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensj\iv~ L~nds, water/Wastewater Treatment f Southwest Florida ~ater ManaQelent District - ~ells, Cypres" Dayheads, Hetland ~rea5, Altering Ha\ercoufses f Army CorDS of Enoineers - Seawalls, Docks, Navigable Waterways f Departlent Df Health L Rehabilitative Services. Environmental Health Unit - Wells, Waste"ater Treat~en~. Septic Tanks f US Environoental Protection AQenci - Asbestos abatement I also certify that, if fill aat!?rial is to be used in Flc.od ZDne "A' or ',~,etc.', it is understc,e,d Udt a drainage plan addressing a 'colpensating volume" will be submitted which is prepared by a professional engineer regisl2fed in the State of Florida prior ~o perait issuance, A perlit issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pl~rmit prevent the Building Official fro~ thereafter requiring a cc.rrectic.n c,f errc,rs in plans, cc,nstructic,n, or violations c,f any code. Every pNmit iss\ll'd ohall bece'le invalid unless the work authorized by such permit is commenced within six months c.f iss\lance, or if \Iork authorized by the perlit is suspended or abandoned for a period of six lonths after the time the work is co~menced. One 90 day e=te~5ioll of tile, aay be allowed for the per~it with fee charge of ~15.00. The extension shall be requested in writing to the Building Official. An approved inspectie,n i!lust be lc.ggedduring each six month periOd, {lr the prc,ject Hill be ([,nsidered iibaliGt,r,rd. 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". SIGNATQ~Q~~--- CmHRACTOR SIG DATE_:=l~_~~~-~~----------------------- DATE__~_~~_S_~~~----------~------ NOTARY AS ~ NOTARY AS TO ::N:"::S:~N ~~~~~ ::N:::::::~::-~::~:::~~~~~~~~~~~~~~~~~~