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Home My WebLink About91-1753 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Type of Permit ~ GGR~ ~ Property Owners Name: } ~ 111* Job Address: ..s-I ~ / - ~ . Legal Description: Sub.Div. Permit N~ 1753 LZ Date ?-tS'-7/ ME~ Lot Blk. Zoning CI: DescriPtionofwork,~ff D1 ~ ~ r4.""le <z....t' ~ ~~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Applica Estimated Cost: .z A- All work shal! be performed in acco ance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE #:2. ui ~. 'st:m.u 1/4 0 PL~ - Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway Fee: .:L 0 ~ c}l) SIGNATUREq~ ~ ~~/- COMPANY ADDRESS TELEPHONE # ~~h 0LECTRI~ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final MECH~ ....... Breakers Ducts Insl. Compressor Final Reinspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($ 10.(0) dollars shall be made for each trip. (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. APPLI.CATI0N FOR PEmlIT CITY OF ZEPIlYIDnLLS BUILDING DEPARTHENT APPLICANT ,-1 E ~ f\J M I Us:;.. ~ ... ~ .-1;',.' .:~ ;. ADDRESS .5' J t..i I ~ Ii ST') 'Z.t= P .J..f y:# )/1 1/.... / t::- / PHONE (~'J 3)'7 R :z. - f 1'10 '. OWNER ,SAM ~ JOB LOCATION dAMF- LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~~ WORK PROPOSED:____New Construction --:.-Addition -LAlteration _Repair _Install ____Sign/Temp. _Sign _Hove ____Demolish PROPOSED USE: ~Single Family ..:-J1/ F -~~ 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 FORl'1S. ** **COPY OF CONTRACT REQUIRED. ff.RMTTS REOUESTED _BUILDING $ Valuation of Total Construction ~ELECTRICAL AMP Service' Florida power Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** ~ONTRACTOR ~ECTION Company State Cert. or RCf,ist. iF ..c:.If ~//;?J' City License Registration a ****************************************** nUTT,DER Signature El.ECTRTCTAN ./-ht/bA'ew P,;?/P-;-'?"' Company AA/7)v ?/P.4TT State Cert. or Regist. II SiDnature City License Registration a ****************************************** F-IFcTRIL. #.-..:2 Signature Company State Cert. or Regist. a City License Registration II ****************************************** PLUMBER Signature Company State Cert, or Regist. a City License Registration # ****************************************** MECHANICAl. Signature Company State Cert. or Regist, a City License Registration iF pTHER APPLICATION APPROVED BY ~~~:~:;;:~**********'" PEronT OFFICER. CONDITIONSO~.P~RMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The.undersigned understands that this perlit lay be sublect to "deed restrictions' which ~ay be DOr!! restr,ictive than City regulations. The undersigned a5SU!!1!5 responsibilitf;for;colpliance lIith any appl icabl!! deed r!!strictions. " ... ,,,,' . , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the owner has hired a contractor or contractors to undertake 1I0rk, 'they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as requir!!d by law, both the OHner and contractor lay be cited for a .isdeaeanor violation under state laK.; If the owner or intended contractor are uncertain as to IIhat licensing requirelents lay apply for the intended Kork, they are advised to contact the City of 2!!phyrhills Building Departaent, (813) 788-6611. ' , ", Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorts) sign portions of the 'Contractor Sections' of this application for which they lIill 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 aay be an indication that he is not properly licensed ~nd is not entitled to per~itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713y FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided Kith a copy of "Florida's Construction Lien Lall - HOleollner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is soeeone other than the "oKner", I certify that I have c,btained a, cDPy of the above described dClculllent and pf(,rr,ise in Qe,od faith to deliver it to the "owner" prior to cOI~encement. : '. .~ .::~. ". I : .' 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 coapliance with all applicable laws regulating construction, zoning, and land development. . ' Application is hereby lade to obtain a perlit to'do MorK and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a pertit and that all work will be performed to ~eet standards of all laws regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies ~ay apply'to the intended work, and that it is IY responsibility te, identify Hhat actions I Illust take to be in compliance. Such ager,cies include bill "I e liot limited to: #' I Departle~t of Envir~nmental ReQulation - Cypress Bayheads, W~tland ~reas and Environmentally Sensi \iv~ L3nds, Water/Wastewater Treatment I Southwest Florida ~ater' ManaQement District - Wells; Cypress Bayheads, Wetland ~reas, Altering Hatercourses I ArlV Corps ~f EnQineers - SeaKalls, DOCKS, Navigable Waterways I Departlent of Health ~ Rehabilitative Servi~es. Environmental Health Unit - ~ells, ~asteHater Treat~en~, Septic Tanks f US Environmental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flc10d Ze,ne "A" or '~,etc.', it is underste,e,d \1"t a drainage plan addressing a 'colpensating volu!!e" Hill be subtitted Hhich is prepared by a professional engineer fegist~led 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 Offici~l frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every per~it iSSlled shall beco.e invalid unless the work authe.rized by such penit is colUlenced Hithin six lIlonths (of issuance, e,r if He'lf; authe" },ed by the perlit is suspended or abandoned for a period of six lonths after the ti3e the work is commenced, One 90 day e:le~5ioli of tile, lay be allowed for the per~it with fee charge of ~15.00. The extension shall be requested in I1riting to tho Building Official. An approved inspection ~ust be logged during eachrsix lonth period, Dr the project l1ill be considered dbil,doned. !. 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~~-(}~-~~~~~------ O~R OR AGENT SIGNATUR~-kL4 CONTRACTOR DATE --------------------------------.------- DATE 9-S--9/ - ---------------------~--=-----:;r- ~~~~~~C~~R=~_~--~~----- NOTARY AS TO OWNER OR AGENT_____________~_____________~_ MY COMMISSION EXPIRES______________________ "' , MY COMM I"SRd.pl~y!],~~(fcEi...,.TH--------------- MY C ' ,..... '" OF FLORIDA. OMMISSION EXPIRES: Jan. 2S 1995 BONDED THRU NOTARY PUBLIC UNDERWRITERs.