The URL can be used to link to this page

Home My WebLink About91-1735 STATE OF FLORIDA City of Zephyrhills -~-- ~~At. PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 ? " cz) __sC. ----------~~ ---,------~ ~NG ~'~AL' Permit .N'~ 1735 It! Type of Permit (l 1 /__ C"/ / Date ./.r: -' "x L ,/ L Properly owners) N~me: !-it 'P-7f~ A Job Address: 0 R f" ~ .1-. ~ C.e-P--L- Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work A>/L (:A-~"tL-CU> -' ~c-L~T ./ I Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: J ._5 ? C). c-f.) / OCCUPA TIONAL LICENSE # / 7 /I/c.: (~J," Fee: .i C7 . SIGNATURE COMPANY ADDRESS TELEPHONE # rtL t..-~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~CAL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final . "/-' ~ ,~H:I -lfid'~~~V '. .'--- -.---.00 /' (, MECHANIC~ -------- ,- --SliiIDiNG-- ~NG - Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of II) dollars shall be made for each_."/rd-d e (/-::5- tTtJ )' (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 PERl'lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB LOCATION fl-7Kv~S 0fZ()U~ HQM~ .3 g- g- .~ 0, S-l-"/' J1/J IL CH I P fl-IK I~~ 3'8f5"3 ., .t--,t-t{ 11 Ve. 7Y'tf'- $) If ~- APPLICANT PHONE ADDRESS OWNER LOT SlZE_X AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) /1), f.o2 \ PARCEL I.D.j~ 00 J 0 BLOCK SUBDIVISION ILf~OO ~ 00 70 ~lteration _Repair JIns tall WORK PROPOSED:_New Construction ____Addition ____Sign/Temp. ____Sign _Hove _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 FORHS.** **COPY OF CONTRACT REQUIRED. Ef.RM1TS REOUESTED _BUILDING $ valuation of Total Construction ____ELECTRICAL -p-MECHANICAL ____PLUMBING AMP Service Florida power Corp. _W.R.E.C. $ 2370 o~ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel _Other FINISHED FLOOR ELEVATIONS: FT. Signature Il*************,**************************** - / n ) ~ONTRACTPR ~ECTTON bt/:b1 IJL~ Company L rr- , State Cert. or Regist. ~ city License Registration 1 Il j lJ....... .......:::::::......... ,,,' ,"",,"",' N ft y . State Cert. or Regist. 6 City License Registration 6 ~................:::::::.......**...*..*" ~~ v . ~ State Cert. or Regist. ~ City License Registration 6 ****************************************** illl1T.DER ~ f,T.ECTR1C1AN ::::::':re Signature MECHANICAl'''LiEfL-vt- ~Company 8,,>>100J.502 'L ~T /l State Cert. or Regist. 41 ~ 9 Signature " ~ CitY License Registration 'I J 7 ****************'******* -I< id, '* -I< -I<i, -{, * .:, * * * *,,:* * -{, i" (//n ~ Company fL/F State Cert. or Regist. 6. City License Registration ~ QTHER Signature .~*..*......~,......**..*.**.*..**..*.*, :::;z?a-~v'~ ><1 o/V,~"- '", ,"1- " vd<'. . .<l :~i ,r,~.Gd."...:) tit PERMIT OFFICER. APPLICATION APPROVED BY --~------.,~~ -, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~.und~rsign~d understands that this perlit lay b~ subject to "deed restricti~ns" which may be m~re restr.ictive than City regulations. Th~ undersigned assules responslbl11tY;for co.pliance 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. 11 the contractor is not licensed as required by law, both the owner and contractor IlaY be cited for a lisde.eanor violation under state IaN. If the ollner or intended contract~r are uncertain as to what licensing requireDents may apply f~r the intended work, they are advised to contact the City ~f Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the c~ntract~r(s) sign portions of the 'Contractor Sections' of this application for Ilhich they will be responsible. If y~u, as the ~wner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the w~rk. If the contractor wishes you to sign as contract~r that lay be an indication that he is not properly licensed and is not entitled t~ pertitting 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 C~nstructi~n Lien Lall - HOleollner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the 'ollner", I certify that I have obtained I c6py of the above described document and promise in good faith to deliver it to the "oNner" prior to cOlmencement. '-j .,-': , . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work Ilill be done in cOlpliance Ilith all applicable laws regulating construction, zoning, and land developlent. . Application is hereby lade to obtain a per.it to'do work and install~tion as indicated. I certify that no Ilork or installation has cOltenced prior to issuance of a perlit and that all work Ilill be performed to meet standards of all laNS regulating construction, City codes, zoning regulations, and land development requlati~ns in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended ~ork, and that it is .y responsibility to identify ~hat actions I lust take to be in compliance. Such agencies include bllt ~le not lilited to: . <II.... I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi live Lands, Water/Wastewater Treatment f SouthNest Florida Water ManaQement District - Wells,' Cypress Bayheads, Wetland Areas, Altering Hatercourses I Aray Corps af EnQineers - Sea~alls, Docks, Navigable Waterways I Departaent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, liastewater Treat~en~. Septic Tanks I US Environ!ental Protection AQency - Asbestos abatement I also certify that, if fill aaterial is to be used in Frood Zone "A" or "A,etc.', it is understc,~d tt.~l a drainage plan addressing a 'compensating volule" Hill be sublitted which is prepared by a professional engineer regisl2ied in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the ~ork 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 fr~1 thereafter requiring a correction of errors in plans; construction, ~r violations of any code. Every permit iSSlled ,hall becole invalid unless the work authorized by such permit is commenced within six months of issuance, or if H01'k authDrJzed by the per.it is suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e~tE~sioll of tile, lay be allolled for the permit Ilith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered dbjl~Dned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS JO 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". SlGNATURE_~~------------- SlGNATUR~TOR------ DATE-a~;L~--r7--~-"l'?.~~~- --------- DATE__X_:_~..z-~-_'t-~----_---_---_--__ NOTARY AS'TO ).u: . ,~~ ,/ NOTARY AS TO OWNER OR AGE _~~~~~~~~~~ ,.~CONT~ACTOR_____________________________ MY COMMISSION GIDR8MM~E _ MY COMMISSION EXPIRES__________________ SbIte of FIori":.OWN .., CIIIiL u,. Sept 12. J993