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Home My WebLink About91-1655 1'18/ fliT I' STATE OF FLORIDA City of Zephyrhills ..---.. PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1655F' Date 7- /'l-7 / Type of Permit t:?- D ~G ~CT~~~ P~- M~. ~. ~. ~. "'~~11-~ Property Owners Name: _ _ _ /9 9'_ . _ <Jr ,~ Job Address: <:0:;;;> ..~ ~ __ ~ . Legal Description: Sub.Div. /0-.:2 (.,.--;;( / - 0 Ot:,O .- orY~ 0 D.- '7~D Blk. Zoning CI: Description of Work (J ,fi';;r-- cw-::t CY/.:5'~~) ~~ ~/7~~ &ir Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: A/4 ~- Fee: ~O' ~~~;:~~a./~f~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. /9_~ ~!iJdfr .~~"_50 /~ C/uLACC PL G ---- ELEC C L MECHANICAL ....,-- ADDRESS OCCUPATIONAL LICENSE # TELEPHONE # ~ ./' Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole POOl Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of~18.99) dollars shall be made for each *p. T r a. d e (/-6--tTlJ) (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 furlher permits will be issued to the person owning same. r APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT (U .., A --- APPLICANT \. _/' 7; 0~ t~~- ADDRESS /. OWNER ~J LtI~ ( ~ (/-i ~ . JOB LOCATION ~,::.5j- J (j- V ~-I/ ,_~ PHONE LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ / 0 - :;; /." - 2/- {) 060 - 00 0 v 0 - 7Pr) WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install ____Sign/Temp. ____Sign _~1ove ____Demolish PROPOSED USE: ____Single Family _M/F ____~~ of Units _____M / 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 FORI-IS. ** **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED ____MECHANICAL $ '2 I} . nlJ~ ~Ff< Cf/t?AMf! ~ervice $ V/ Florida PO\ver Corp. _\-l.R.E.C. ____BUILDING ~~ECTRICAL Valuation of Total Construction Valuation of Mechanical Installation ____PLUMBUfG GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature /' ELECTRTCTAN Company -M ),/{c ~;6 ' i ,/l - State Cert. or Regi t. iF Sipnature~/>~ 7ft ~ City License Registration" i9::< ~ *****************************************K PLUMBER Company State Cert. or Regist. 0 Signature City License Registration # ****************************************** Company State Cert. or Regist. # City License Registration # ***1t *~:*** **** ** ** ** *** 1:* * * *~,~, 1,* * ,', * * * 1:,~ * 1: ,', 1, MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ****~~~*x********************* ~. . "-. -_.-~,......." ; ..... PERI-lIT OFFICER. " CONDITIONS OF PERMIT AFFIDAVIT A: NOTICE OF DEED RESTRICTIONS' The undersigned understands that this permit lay be subject to "deed restricti~ns" whicn may be lore restrictive than City regulations. The undersigned assules responsibility.for compliance with any applicable deed restrictions. 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 is not licensed as required by law, b~th the owner and contractor lay be cited for a misdeleanor violation under state law, . If the owner or intended contractor are uncertain as to what licensing requirements aay apply f~r the intended work, they are advised to contact the City of Zephyrhills Building Departeent, IBI3) 7BB-6611. 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 ~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 te' 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 Departlent of Agriculture and Consumer Affairs. If the applicant is SOIEone other than the 'owner', I certify that I have obtained a copy of the above described document and pr~mise in good faith to deliver it to the MOllner' prior to cOlmencellent. . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in c05pliance with all applicable laws regulating construction, zoning, and land developllent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no llork or installation has c~.menced prior to issuance of a perlit and that all work will be perf~rmed t~ meet standards ~f 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 must take to be in compliance. Such agencies include bllt ~le not limited to: I Department of Envi,onmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatment I Southwest Florida Ilater ManaQetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Hatercourses I ArDY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environffiental Health Unit - H~lls, HasteHater Treat~e~t. Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fillllaterial is to be used in Flc.od Ze.ne "A" or "A,dc.", it is underste,e,d th3t a drainage plan addressing a 'colpensating volume' will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance, A perlit 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 Official fr~1 thereafter requiring a correction of errors in plans, construction, or violati~ns of any c~de. Every permit issued ;hall bec~le invalid unless the work authorized by such permit is cOI.enced within six months of issuance, Dr if 1I0rk authorlled by the perlit is suspended Dr abandoned for a period of six .onths after the time the work is c~ffirnenced. One 90 day e:tE~sioll 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 apllTo'led inspectie,n /'lust be le,ggedduring each six lIlonth period, e,r the pr~jed liill be cc,nsidered db.iidoned. 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". 2Q)Lcf-~- STATE: of: pL..-OP-U::::::>A SIGNATURE___~;~~:-T------------- btf~~i~~~-- DATE ____L~t-_l~-~-J--- ~~y-- Or-! DATE_______________________________________ NOTARY AS TO OWNER OR AGENT_____________________________ NOTARY AS T CONTRACTOR DONA T: MY COMMISSION EXPIRES ---------------------- MYN&~~I~USBION EXPIRES__________________ . . LIe, STATE OF FLORIDA My commiSSIon expires Jan. 28, 1995 Bonded thru Patterson - Becht Agency