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HomeMy WebLinkAbout91-1670 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 :~rd~j &-;t.f3,-~ ~ Complete Plans, Specifications and Fee Must Accompany Application Type of Permit ./ :).0__ k~EC~ ~_.."....o.~_.~ ~"G B~' Job Address: Legal Description: Sub,Div. Zoning CI: J~~~'(1_l{k Description of Work Energy Code Readout: PermitN~ 1670 /~' Date 7- ,2'/-7:1 ~. Blk. U~~,-,</l. ~/JQJ~) PLUMB~'/. . (.~ ELECTRIC~ M~AL ..,/' - Tp.Serv, Rough In ~ Meter Can Const. Pole POOl Pre-Meter Final Driveway <#-fJiCJ:- . ~Jt 7-210--1/ ~ Relnspectlons: When extra inspection trips are necessary due to anyone the following reasons, a charge of t~.. ,JJil,9Q) dollars shall be made for each _. n4-de {(S07J) (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. Estimated Cost: All work shal! be performed in accordance with the above and all City Codes and Ordinances. E(loOOCJb05 OCCUPATIONAL LICENSE # (2/7 d...tJ7: BUI~G'- ../ Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final -~ ,#<; Fee: r ~ 0' - . SIGNATUREl/,$.,~ Z./U4../ COMPANY ADDRESS TELEPHONE # Breakers Ducts Insl. Compressor Final TAMPAPOWEB@ TAMPAPOWER CORP, 5313 Johns Road Tampa, Florida 33634 (813) 884-5000 July 22, 1991 City of Zephyrhills Zephyrhills, Florida Re: Authorization to Pickup and Submit Permits To Whom It May Concern: Effective July 22, 1991 the following TAMPAPOWER employees are authorized to pickup and submit permits in behalf of TAMPAPOWER CORPORATION. those names listed below shall be the ONLY employees of TAMPAPOWER to pull permits, therefore, please delete any other names that you may have currently on file. Bill Barry Bob Bless David Ellis 030-44-9284 295-36-5925 266-74-6410 If you have any questions or need additional information, please do not hesitate to call me. Sincerely, ~. Terri A. LOP~ TL/PJ Sworn to and subscribed before me this July 22, 1991. IA L JORDAK , '~<,(';, :1", u.., PATr.!C f Florida ' -, I~," <" State 0 199\ ' ,'- 'r, r,1" ?~mm. hp, Oct. 20, __ COMMERCIAL. INDUSTRIAL Electrical Service, Conscruction, Maintenance, Engineering and Communications r APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT TAMPAPOWER CORPORATION ADDRESS 5313 Johns Road, Tampa, Florida 33634 PHONE (813) 884-5000 OWNER RHt~<' Pi8~~ JOB LOCATION 1859 Ft. King Rd.. Zephyrhi11s, F1, LOT SIZE_____X AREA SQ,FT, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .l~ WORK PROPOSED:____New Construction ____Addition ----Alteration ~Repair ____Install _Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____l~ 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 FORJIS,** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction -LELECTRICAL 200 AMP Service x Florida Power Corp, _____W,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, ff City License Registration 0 ****************************************** BUILDER Signature ::::::::~ Company TAMPAPOWER CORPQRATION , - w K! f~' S~ate ?ert. or R~gist, .lfr EC 0000665 r:r '~ Clty Llcense Reg1.strat1.on ifr ***** ************************************ Company State Cert. or Regist, 0 City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ********************************~********* MECHA.NICAL Signature OTHER Signature iF APPLICATION APPROVED BY PEEHIT OFFICER, ~. CONDITIONS OF PERMIT AFFIDAVIT A; NOTICE OF DEED RESTRICTIONS. The undersigned understands that this pertit lay be subject to "deed restrictic,ns" whicn may be more res~rictive than City regulations. The undersigned assules responsibility,for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the 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 the contractor is not licensed as required by law, both the owner and contractor lay be cited for a .isdeleanor 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 Departmentr (813) 788-6il It. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 wor~. 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 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 Department of Agriculture and Consumer Affairs, If the applicant is so.eone 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 I certify that all the information in this application is accurate and that all work will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby aade to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a pertit and that all wor~ 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 I understand that the regulations of other governmental agencies IDay apply to the intended work, and that it is IY responsibility to identify what actions I lust ta~e to be in compliance. Such agencies include bllt ale nDt li~ited to: I Department of Envi~on.ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands, "ater/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Hells, HasteHater Treat~ent. Septic Tanks I US Environlental Protection AQency - Asb~stos abatement I also c~rtify that, if fill aaterial is to be us~d in Flood ZClne "A" Of "A,ete.' ,it is understc,c.d t!.~t a drainage plan addressing a "colpensating volume" will be sublitted which is prepared by a professivnal engineer reqist2ied in the state of Florida prior to permit iss~ance. A per~it issued shall be construed to be a license to proceed with the wor~ and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frOM thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit iS5U~d ;hall becole invalid unless the work authorized by such permit is cOllenced within six months of issuance, or if Mork authoflled by the perlit is suspended or abandoned for a period of six tonths after the time the Mor~ is cvmmenced, One 90 day e:tE~sioll of tile, say 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 inspectic.n l!Iust be IClgged during each six IIlOnth period, or the project Ili 11 be cc,nsidered dbaiidclned. 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 / ~"'T A II NOT I CE OF COMMENCEMENT II . 1, ~ SI GNATURE__kSif _ / _:---------- S 1 GNATUR -------- ~~ ----------- OWNER OR ENT . em T~AeTOR DATE__________~_~--~j[r-L~qt'--------- ~~~~:yO~SA~~NT----~--~~- MY COMMISSION EXPIRES__~~~L~-:~~-------- DATE_Jyl~-~l~-L~~L--------------------- NOTARY AS TO ~~ CONTRACTOR_~~- ~-- MY COMMISSION EXPIRES r~'-~ !Ct. . " pl\Tr'Ct.t\ L. JORDAN i St::tc of Florida I: 11'1 CComlO, [xp, Oct. 20, 199\ . .', _..411"'-