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Home My WebLink About91-1761 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813.788-6611 Permit N~ 1761-jJ Type of Permit ~--, Date J 7" C' ~1"- '--7) EL~L ~~'~ ME~AL Property Owners Name: 7 M ~' Job Address: '--~---' 9 ,--5 ~).,-, / ,7 )/1'1 / //--<:"h~ ~i1- Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Wor~ ,,~: < '-(:;>l L_~~,e /U2./-2/; Xl c /t7'\-k>J Energy Code Readout: u;t' V --J /Or'-t I q,- I .. . () Complete Plans, Specifications and Fee Must Accompany Application f3.v Estimated Cost: , I j l/ ~If / Fee: ,] . 07)" ' SIGNA TURE0l{.. 'i(1", /~Z,V~')Iv..:'{-f' :J (~L'C' (/ All work shal! be performed in accordance with the above and all City Codes and Ordinances, COMPANY ADDRESS TELEPHONE # OCCUPATIONAL LICENSE #,;) <( /'-~r, d' ii t::-kt t-/ -1 /" MA{~; ^- 1\ /,':&/ ),cby /CC1 (/'-PLd~BIN~~-' ~LECT,8_ICAL '-------, SlB Tub Set Water Sewer Final ME~AL '--" ~G 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 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 ZEPHYIDlILLS BUILDING DEPARTMENT APPLICANT Ruth Mine, Jeff or Brenda Mine ADDRESS 5933 19th Street Zephyrhills, FL 33540pHONE , 783-7253 OWNER Ruth Mine JOB LOCATION 5933 19th Street LOT SIZE_X AREA SQ. FT. 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 ~/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 _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL ~PLUMBIN'G $ Valuation of Mechanical Installation ... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. ff City License Registration # ****************************************** BUILDER Signature ELECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** Sirmature PLllliBER Bruce Carrigan Company Bruce Carrigan Plumbing d' (> ' //./, ') State Cert. or Regist. 4, RF-0038842 Signaturyl::J~.,..t::c" 41/:'c~eL---r(t("'Oc City License Registration # 29 ~. *****~*~********************************** Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ~~**********~j***********************~* /2~~ X, (.J /)/i' ).--. ) - ~ PERMIT OFFICER. ~' lM"" '1'~ -,,~.....=-_.._~~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions" which' ~ay be lore res~rictive than City regulations. The undersigned assules responsibility ,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 may 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 ~ay be cited for a misde.eanor violation under state laM. If the owner or intended contractor are uncertain as to Mhat licensing requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Departlent, (813) 78B-bblt. Furthermore, if the OMner 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 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 Mith a copy of "Florida's Construction Lien Law - HOleowner's Protection Suide" prepared by the Florida Departtent of Agriculture and Consumer 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 cOlmenceeent. 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 compliance with all applicable laMS regulating construction, zoning, and land developlent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOltenced prior to issuance of a pertit 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 governmental agencies may apply to the intended work, and that it is ,y responsibility to identify what actions I lust take to be in compliance. Such agencies include but ~le not lillited to: I Department of Envitonlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands, Water/Wastewater Treatment I Southwest Florida Water Mananelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks I US Environ_ental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.., it is understood th~t a drainage plan addressing a .colpensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit iss~ance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol3te, 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 issued ~ha)1 becole invalid unless the work authorized by such permit is cOI.enced within six months of issuance, or if wor~ authorIzed by the perlit is suspended Dr abandoned for a period of six lonths after the tile the worK is commenced. One 90 day e~tEnsioli of tile, may 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 ioggedduring ~a(h six tonth peTi~d, or the proj~ct 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~~ ---- CONTRACTOR NOTARY AS TO OWNER OR AGEN NOTARY __~_~~_~-1___---- ~--- DATE DATE_____ MY COMMISSION COMMISSIO E PIRES ~o ~R~PU,B,LIC. STATE-OFFLORIOj(.------ "IY <;U"il,II::;SION EXPIRES' IAN 28 199;{ SONOEO THRU NQTARy puaLI~ "'uNO"ERW'RITER':