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Home My WebLink About91-1683 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 16838 Type of Permit C~~E~ . 7:' Date ;?-, -? / - '/ P~~ ME~AL ) J ") , /J Property Owners Name: a f Yf' ~C::~_A_ Job Address:S'=-,? / y. - / / d 4 Legal Description: Sub.Div. Lot 1/ -../- / ~ Blk. / 7 () Zoning CI: /) - cJ- (;-;)../ Description of Work / OX / <F- x1 ~ ./6 Energy Code Readout: Cff~C;1 Y8 ~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: '-? G~'J .. C/V OCCUPATIONAL LICENSE # Fee: 02 (). v~ ..' ./ SIGNATU~~~~--<'f~~/ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. (j1rJVu2_/) ,/ --'MD I N G -------.. ------) E:::::= ' FIr. -G~ Pre SLB '6- -91 Lintel FRM. Insul.CL WL ~~BING ~ E~AL --. ME~ICAL ..........., SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Ins!. Compressor Final Driveway Relnspect/ons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of I (51~) dollars shall be made for each .. Tra d e. (/..s-: d?J ) (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. "'~l::~~~e-J'::~;:;"3::~:;(-~~:;,_':~r~~r;~:~~~'#t"--~'" .' " . . "7 ~ :. I ...; ,I ,'--- '" PHONE ?fg, "c:</Oj APPLICANT .:- (, ,. ADDRESS OWNER JOB LOCATION ~ l' (9 3/ LOT SIZE be" x/ '1'0 AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) I! --i /.2.- PARCEL 1. D . if ,/ i_ d 6- d- / BLOCKI }O SUBDIVISION WORK PROPOSED:~New construction ----Addition ----Alteration ____Repair ~lnstall _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: ____Single Family _M/F _4~ of Units __M/H _commercial _Indust, _Swim. Pool 5'1.. 11- B 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 FORMS.** **COPY OF CONTRACT REQUIRED. ~F,RMITS REOUESTED ~BUILDING _ELECTRICAL C/e' $ 700;--- Valuation of Total Construction AMP Service Florida power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBnG GAS ROOFING SPECIALTY ..... . TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~ONTRACTOR SECTION Company State Cert. or Regist. ~ City License Registration U *********************************** SiO'nature Company State Cert. or Regist. ~ City License Registration # ****************************************** BI.F.CTRT CI AN Signature Company State Cert. or Regist. # City License Registration # ****************************************** }'LllMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL QTHER Signatureftt $~:/-t: Company State Cert. or Regist. # City License Registration # ****************************************** PERMIT OFFICER. APPLICATION APPROVED BY -- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - The undersigned understands that this perlit lay be subject to "deed restricti~ns" which may be more restr.ictive than City regulations. The undersigned assules responsibilitf:for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractpr is not licensed as required by law, both the owner and contractor lay be cited for a .isde.eanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing require.ents lay apply f~r the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the c~ntractorls) 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 c~ntractor wishes y~u to sign as contractor that aay be an indication that he is not properly licensed and is not entitled t~ permitting privileges in the City ~f 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 - H~leowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is soae6ne other than the "owner", I certify that I have obtained a copy of the above described d~cu.ent and promise in good faith to deliver it to the "owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all "~rk will be done in c~.pliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do work and install~ti~n as ind'icated. I certify that no work or installation has cO.lenced prior to issuance of a perlit and that all work will be perf~rmed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulati~ns in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies lay apply'to the intended work, and that it is IY responsibility tel identify what actions I aust take to be in cOlpliance. Such agencies include bllt ~le not lilited to: . .;.tI-- I Departaent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive ldnds, Water/Wastewater Treatment f Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering WatercDurses f Armv Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Treatment. Septic Tanks I US Environmental Protection AQencv - Asbestos abatement I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understo~d tllot a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engin~er regist~ied in the State of Florida prior to perait issuance. A perait issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter requiring a correction ~f errors in plans; construction, or violations of any code. Every permit issued ~hall becole invalid unless the work authorized by such permit is coa.enced within six months of issuance, or if work authorIzed by the per.it is suspended or abandoned for a period of six lonths after the tile the work is co~menced. One 90 day e~t~~sioli of tile, .ay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six tonth period, or the project will be c~nsidered dbdlidoned. 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 ~ITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED. TO RECDRD AND PDST A "NOTICE DF CDMME~~.~~.N' ~' J2- ~/ ;j c?lJ/~~~ SIGNATURE_r;;?L~__~.!.:iL_______ SIGNATURE_~g,~________________ WNER OR AGENT CONTRACTOR DATE_________~_Ly-_-~it-~q-~~-.------- DATE____________~j~__~~t-j~q-L--- NOTARY AS TO . t:k~ . NOTARY AS TO ~ rJ (1~~ ~ OWNER OR AGENT__~~~~~~~- CONT~ACTOR---------~~--------~~=~--- MY COMMISSION EXPIRES NOTARY PUBLlC. STATE OF FLORlO.(. MY COMMISSION EXPIRES__________________ IWT" C'CTM'llI"IS'Sl C711l" 'EXl"Tm;!!;; f.rtro:~. I 994. aONO<;D 'fHRU NOTARY puaLIC UNDERWRITERS. NOTARY PUBLIC. STATE OF FLORIDA'. MY COMMISSION EXPIRES: AUG. 25. 1994. aOND.a;;c THRU NOTARY PUtlLIC UNO.E;RWRJTERStl