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Home My WebLink About91-1720 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1,813-788-6611 PermitN~ 172if7=/ Date-L1:d- ~ J J - 9' j Type of Permit ,-BUILDING --.----..,....-- ELECmteAL ~N~) .", ,I Property Owners Name: -A!t:Lfyl3.1: '~ Job Address: 0 / -.S- s; - ~'~"k' . e.... t Legal Description: SUb.DiV.a~l.i..-L--L:L, MECH~ Lot Blk. Zoning CI: j/ / Description of Work pvd-4-A ,>1 ~?7-L- _ .,e(.. '- __/<1 / .;/1 { ~. / #,,/-'j .,~ / Complete Plans, Specifications and Fee Must Accompany Application 152) -~ Energy Code Readout: Estimated Cost: 4': . /;If- .~L; / All work shal! be performed in accordance with the above and all City Codes and Ordinances, :~:~ATU~ (-J!v~A2 &1r COMPANY ADDRESS TELEPHONE # r ---.. ' OCCUPATIONAL LICENSE #, <) -7 f~ It"",' ;:'Je- a~,~ A d~ -----~ /./ PLUMBING "\ -) SLB Tub Set Water Sewer Final E[ ICAL MECHAN~CA1>-.. 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 ot ) dollars shall be made for each ..f yo a. d..e (/ --5- 0 0 ) (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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ?~JI e~'C; bjtI R- P ,U,( m h iA) h ADDRESS 0 _ 3 3' /J10~tS/ <") /312 ,~t' M PHONE OWNER !>if.. II ct n k I 'A . b/ ~S5 7Rl- 2_ S:Lt; JOB LOCATION )", ^i11l eT LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. iF WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____Hove ____Demolish PROPOSED USE: ____Single Family ____M/F ____iF of Units .____M I 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.** A TT ACH (3) SETS OF BUILDING PLANS & (1) SET EN ERGY FORI-iS. *-1: **COPY OF CONTRACT REQUIRED. PF.RMTTS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _\-l.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBH[G 0'" GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Sif!nature Company State Cert. or Regist. n City License Registration # ****************************************** ELECTRICIAN ~IUMBF.R 2i . Company ML<; gd/ll{ e{:( ~1/;&i: c ~ State Cert. or Reg"t. " 00 Signature(:; 'Ad 2{ hJ.. City License Registwtion " .'07 . ****************************************** Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAL OTHER Signature Company State Cert. or Regist. ~ City License Registration 1 APPLICATION APPROVED BY ~c:::;~.~:~::~::*....*~.*.****.**** PERMIT OFFICER. iii CONDITIONS OF PERMIT AFFIDAVIT A; NOTICE OF DEED RESTRICTIONS. The undersigned understands that this per.it lay be subject to "deed restricti~ns' which may be more restrictive than City regulations. The undersigned assules responsibilitY,fo~ 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 may be required to be licensed in accordance with state and local regulations. If the contractor il not licensed as required by law, both the owner and contractor lay be cited for a lisdemeanor violation under state law. , If the owner or intended contract~r are uncertain as to what licensing requirements lay apply for the intended work, they are advised to c~ntact the City of Zephyrhills Building Depart.ent, (B13l 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 ye,u, 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 - HOleowner's Protection Guide' prepared by the Florida Deparhent of Agriculture and Consumer Affairs. If the applicant is se,aEe,ne other than the 'owner', I certify that I have obtained a copy of the above described document and proIDise 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 lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOIDmenced prior to issuance of a perlit and that all work will be p~rformed to roeet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that 1 und~rstand that the regulations of other governmental agencies IDay apply to the intended work, and that it is ay responsibility te. identify what actions I JIIust take to be in compliance. Such agencies include bllt ~i e IiC,t liilited to: I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - W~I]s, Wastewater Treat~e~t, Septic Tanks I US Environmental Protection AQency - Asbestos abatement 1 also certify that, if fill lIaterial is to be used in Flc.od Zc,ne "A" or 'A,etc.', it is understc,[,d tlt,t a drainage plan addressing a 'colpensating volume' will be sub.itted which is prepared by a professional engineer regist~red in the State of Florida prior to permit issuance. A permit 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 permit issu~d ihall become invalid unless the work authorized by such permit is COlllenced within six months of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day e:tE~5iDII of tile, lay be allowed for the per~it with fee charge of $15.00. The extensiDn shall be requested in writing to the Building Official. An approved inspection roust be logged during each six month period, or the project will be considered dbalidoned. 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". SIGNATURE~~~ . c~m~ ~T~ DATE_________~;LJI~~-~~------------ --------~~----- SIGNATURE~~~~~_---- OWN~ ~/~LT DATE______________~-lI~~~------------- ~~~~:yO~SA~~N~-~~~-_-- MY COMMISSION~~:~~____~~_~~~:f_~_______ NOTARY AS CONTRACTO MY COMMI ExrIRES____~!~=~t:____