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Home My WebLink About91-1669 STATE OF FLORIDA City of Zephyrhills // /1/'1 C^./ Type of Permit -~ C~ PASCO COUNTY BUILDING DEPARTMENT 1,813-788-6611 Permit N~ 1669~ Date 7-,2;/ ---c;/ ( E:~. ~. ~ Property Owners Name: . ~ ~ Job Address: 6/o:J~ ~ _ - - ~. Legal Description: SUb.DtlJ ~ -s~ ./ Lot Zoning CI: Description of Work Blk. Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated cost~ I; /ft) f) , .!:?2 ~ -~ Fee: I ,~..5 .~ SIGNATURE'/ </~AJlf fiG1J4 COMPANY All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # {] .6 (.~Z) .2 t 0 .(/ // (;?:~1 t!la;.J (mJ<- ~JtIJ~'~ ~~I~G .//"P~NG / .-:L~ Ftr. SLB Tp.Serv, Pre SLB Tub Set Rough In Lintel Water Meter Can FRM. Sewer Const. Pole Insul.CL Final Pool W L Pre-Meter Final ADDRESS TELEPHONE # ~CAL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of tf" (II ~) dollars shall be made for each ..,. /Y" d- d-e ()S-. 07J) (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. CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. c .--.)~ JL/.l 00{I[ 'I " /0 :--l I \ 'I .----- ( I \--------J 0' UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (yd~ e L Sl > ~ ,..,e>~ tP~') J : I\'c. 'xl /~;lJ ~"'/-"''fP ij .-k1~J..tL)''''' FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 10' p E R X 0 I 10' P S 10' 0 T 1 0' S I E N 0 G 20' FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' la' la' EXISTING la' PROPOSED 20'SGL FAH 30'DUPLEX 1 A' FRONT PROPERTY LINE ... APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ADDRESS b:1 $5 J ; "v:1V~T Sf" OWNER I/l R -t yYl r? S H 14--'; (i. ; tV S 5 /I f11 1.5- PHONE 78;$<-3 /i18' LEGAL DESCRIPTION: LOT(S) BLOCK LOT SIZE_X AREA SQ, FT, :Lcro SUBDIVISION () It l{ 5 ,d e JOB LOCATION PARCEL 1. D ,l~ WORK PROPOSED:_New Construction ____Addition ~lteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family _M/F _l~ of Uni ts .____M / H ____Commercial ____Indust. _Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, 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 FORJIS,** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ~BUILDING $ I 7 tt>O. J J Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp, _W.R,E,C, ____MECHANICAL $ Valuation of Mechanical Installation _PLUMBnfG GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company __ . State Cert, or Regist, If e,g (!'i;7c:2b077 City License Registration iF ,!2f?Cj ****************************************** ELECTRTCIAN Company State Cert. or Regist, # City License Registration 0 ****************************************** Si!!nature Company State Cert. or Regist, # City License Re~istration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert, or Regist, # City License Registration # *rn;1;;;::'~::is:ft**, ***:' **.*** OTHER Signature APPLICATION APPROVED BY PERMIT OFFICER, .------- CONDITIONS OF PERMIT AFFIDAVIT A; NOTICE OF DEED RESTRICTIONS. The und~rsigned und~rstands that this perlit lay b! subj~ct to "de~d restrictions. which may be lore restrictive than City r~gulations. Th~ undersigned assules r!5ponsibility,fof co.plianc~ with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If th~ owner has hired a contractor or contractors to undertake wor~, they may be required to be licensed in accordance with state and local regulations. If thl! contractor is not licensed as re,quired by law, be.th the Dlmer and contractor illY bl! cited for a aisdeleanor violation under state law. 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 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 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 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 - HOleowner's Protection Guide" prepared by the Florida Departaent 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 document and promise in good faith to deliver it to the "owner' prior to cOlmencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that 1 understand that the regulations of other governmental agencies may apply to the intended work, and that it is flY responsibility tel identify what actions I must ta~e to be in ct1lllpliance. Such agencies include bllt ~l e )wt lillited to: I Department of Environllental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Coros of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wflls, Hastewater Treatment. Septic Tanks I US Environaental Protection AQency - Asbestos abatement 1 also certify that, if filllaterial is to be used in Fle,od Zone .A. Of .A,etc.', it is understc,c,d th~t a drainage plan addressing a .colpensating volume" will be sublitted which is prepared by a professional engineer regist~red in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the wor~ and not as auth~rity to violjte, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Oificial frol thereafter requiring a correction of errors in plans, construction, or violations of any code, Every permit issued .hall becole invalid unless the work authorized by such permit is COllenced within six months of issuance, or if work authorlzed by the perlit is suspended or abandoned fOf a period of six lonths after the time the uor~ is commenced. One 90 day e~te~siDII of tile, Jay be allowed for the permit with fee charge of ~15.00. The extension shall be requested in writing t~ the Building Official, An approved inspection ~ust be logged during each six month period, or the project will be considered ~bil~oned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAVING 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". SIGNATUREi'7__: "-~~~-~----- ~OWNER OR AGENT DATE_____________~_~~~[_~_~j_____________ SIGNATURE~-~~~---- CONTRACTOR DATE_______~~~_~:_~~---------------- NOTARY AS TO I /J (' / OWNER OR AGE~~--~~-~---- MY COMMISSION EXPIRES____~:i~:~~_______ ~~~~~~C~;R~-a.~- L-/ MY COMMISSION EXPIRES___~Ljf-:...?-C--