HomeMy WebLinkAbout91-1697
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit Jf~
1697~
Type of Permit
'~DING --
Date Y', (
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EL~~~IC~t_, (~
MEC'~AL
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Properly Owners Nam~: ,.t~ ""9~'" :?
Job Address:..')"j "7 d - . " , :; .
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
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Description of Work .-t.:,-/" 4rt'/1
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7'
Energy Code Readout:
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Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
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Fee:- l/"I.( L'
SIGNA;rURE ~;{,((-~_/
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COMPANY
ADDRESS
TELEPHONE #
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All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
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OCCUPATIONAL LICENSE It,-'Y ~.I'::_ "d" V)li!,
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I;, i:~ /oj'./.. c ~ ,! (
PLUMBIN(:"'"
SLB
Tub Set
Water
Sewer
Final
~RICAL
.........."'-.....
M~NICAL
-......"
~--
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Tp,Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the folIowing reasons, a charge of t (III r:Q~)
dollars shall be made for each tIIip: Trd-<:i.e (/..s.... cJ7J)
(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.
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
FINNEGAN
ADDRESS
'1147 qt-], ':::t-rppt-
X Zephyr]';ll!':
PHONE 782=1421
OWNER
Same
~.
Same
LOT SIZE_X
AREA SQ. FT.
JOB LOCATION
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.#
WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
_M/F
____i~ of Uni ts
,____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 FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
____BUILDING
$
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
~PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company
State Cert. or Regist. #
City License Registration # ,
******************************************
BlrILDER
Signature
Silnlature
Company
State Cert. or Regist. #
City License Registration #
******************************************
ELECTRTCTAN
Signatur
'\"
Company Bruce Carr;g,qn Pl11V1biug
State Cert. or Regist. 1~ RF-001RR42
City License Registration iF~9
************************************
Company
State Cert. or Regist. iF
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY
*****************************************~
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PERMIT OFFICER.
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions. which may be sore restr.ictive than City
regulations. The undersigned assules re5pon5ibilitv~'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 contractor is not licehsed as required by law, both the owner and contractor lay be
cited for a lisdeleanor 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 Departtent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 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 coPV of 'Florida's Construction Lien Law - HOleowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sotet.ne other than the
'owner", I certify that I have obtained a copy of the above described doculent 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 work will be done in coapliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do Mork and install~tion as indicated. I certify that no work or
installation has COltenced prior to issuance of a perlit 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 I understand that the regulations of other governlental agencies ~ay apply'to the intended work, and that it is
IV responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include ~It ale no~ li.i~ed to:
. J
f Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Hreas and Environmentally 5ensi~ive lands,
Water/Wastewater Treat.ent
f Southwest Florida Water' "anaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar_v Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Depart_ent of Heal~h ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat;ent. Septic Tanks
f US Environ_ental Protection AQency - Asbestos abate.ent
I also certify that, if fillaaterial is to be used in Flc,od Zone "A" or "A,etc.", it is understc,c,d thilt if drainage plan
addressing a 'colpensating volute" will be sublitted which is prepared by a professional engineer fegist~ied in the State of
Florida prior to perlit issuance.
A perlit 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 of errors in plans, construction, or violations of any code. Every pertit issued ;hall becole invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if WDI'k authoflzed by the pertit is
suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e~t~nsioH of tile, lay 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 lonth period, or the project will be considered dbdlldoned.
~;ARNING 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 COMMENC ENT"';j) ,
SIGNATURE_~b-~ SIGNAT ' NTR -TO-~
OWNER OR AGENT Cl ' If'~ /'
DATE______8_=-j~-~~H-------------------- DATE__~L/ii~-------------
NOTARY AS 10 ~17J)~lilO ~g~~:~c*~rD~ 75 11 ~
OWNER DR AGENT -~ :-;:-rf. .. MY COMMIS::::=~J~:::C~--_-, --_y-_-_.-_-_-I_~_~----(q---q-J--
MY COMMISSION EXPA~~~U~~~~~O~L~~~~~4.- (
MY COMMISSION uPI:RiS: MAR:-3. .
60NDI<D THRU NOTARV PUBLIC UHDERW'UTERB.