The URL can be used to link to this page

Home My WebLink About91-1759 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 17591: 9- h- ~/ Type of Permit B~CELECTRIC~~ M~ Property Owners Na~e: 1~ ~ Job Address: ?" i?' / ~ Date Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work ~ L.,A- 1 .A" A.A/?' ~ 1 J /tJ 0 A-H? Energy Code Readout: \ q"q.4' Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: IV /.tf Fee: OCCUPATIONAL LICENSE #/.};-9 ~f-~. SIGNA1"URE COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. BUILDING BING ICAL P[ SLB Tub Set Water Sewer Final Tp, e ;----- Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Reinspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB LOCATION LOT SIZE_____X AREA SQ. FT. LEGAL DESCRIPTION: LOT (S) BLOCK / '/ SUBDIVISION PARCEL I,D.~~ / '/- ;;;~ -~2/ - '00/ U '-,. Iyo 0 - C> 0 7 0 ." 1 j2 / (, L, t:- ~ / ) ~ (j 1.< P /r ~ , / .' --..... - he' 'I :22 ~ ;/ ~=3s:39 PHONE ? ~F <72/ </ r APPLICANT ADDRESS OWNER ~ WORK PROPOSED:_New Construction ----Addition ----Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/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 FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _ELECTRICAL (DO valuat~Total Construction AMP Service Florida Power Corp. _____W.R.E.C. _BUILDING $ _MECHANICAL $ Valuation of Mechanical Installation _PLUMBIN'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ......***:::::::**~*;c<~~ ~~~ I State Cert. or Regist. # City License Registration l~ /~ . * ************************************ BUILDER Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert, or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ***************~*********************** "-;t[ V ...-<~ o~, PERMIT OFFICER. c, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject to "deed restrictions" which &ay be lore res~rictive than City regulations. The undersigned assules responsibili'y 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 licensed as required by law, both the owner and contractor lay be cited for a aisdeleanor 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 Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) 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 aay be an indication that he is not properly licensed and is not entitled to perlitting 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 Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner', I certify that I have obtained a copy of the above described document 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 cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOltenced prior to issuance of a perait and that all work Hill be performed to leet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions! lust take to be in compliance. Such agencies include bllt ~le not li~ited to: I Department of Environ_ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treat.ent f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environ_ental Health Unit - Wells, Wastewater Treatlent. Septic Tanks I US Environlental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood th~t a drainage plan addressing a "colpensating volute" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perait issu,ancf. A pertit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frot thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ~haJI becole invalid unless the work authorized by such perait is co..enced within six tonths of issuance, or if work authDflzed by the perlit is suspended or abandoned for a period of six lonths after the time the Kork is commenced. One 90 day e~tEnsioB of tile, may be allowed for the permit with fee charge of $15.00, The extension shall be requested in Hriting to the Building Official. An approved inspection must be logged during each six month period, or the project Hill be considered abandoned. 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 "NOT I CE OF C~NCEME~T'" SIGNATURE.fi)~__Q_~~~ SIGNATURE__ -~ 1:/;!," \) OWNE~OR~ENT CONTRACTO ;r~ DATE________~:~__~_~_~~______ _______ DATE_______~--~_-~~--------~--~-- / / ,/ / NOTARY AS T~ 11 t,. / / / / CONTRACT~R_~~~T~~~~~ MY COMMISSION EXPI/~s~tafY PU~it._St~e_qf.flDtida_ ~'I.:Comm. EXp. Mar. 17. 1995 NOTARY AS TO ~~ )1 O~'NER OR AGENT --/LL4!!1./,L; _ _ / '14otary Public: MY COMMISSION EXPIRE~::"-,-_~~~'E.1!!,.kll-":I';~~~--