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Home My WebLink About91-1766 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813.788-6611 Permit :N'~ 1766L{ Type of Permit ..,------;=-::::---- ._-"~~ (,~ILD~NG Date ? - / [i - 9' / ~L ~G ME~S:;AL //jH- /rL/ //. Property Owners Name: [-& -L >:./ &L./L-:t.+V?'L- 'u 717 ')]<. Job Address: ,? 9 y,/) - Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work {!. ',~'hc'k Energy Code Readout: ~ ~~ , 10 ~fAf ~r Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 7'0 {." c.'f--i) OCCUPATIONAL LICENSE # /'l,J "~~~ Fee: cO2 (),' c:.J(j SIGNATURE~d~~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances, /f? I, -. 9fJ , /,-,~~, .<;:, ". 'A1.-<' i/ ~~ FC~~~~~~ Pre SLB Lintel FRM. Insul.CL WL /, L, ~G E~L -----, M~NICAL ~ SLB Tub Set Water Sewer Final 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 ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT PIJ.sCO F6/Vee: Co ADDRESS ~-f/ ~,,(/,/2-, &/,' 2 '/////J OWNER /'Ill, jJt!/"~ ~~)./V~,L JOB LOCATION .39~V.2 9~// ~I/~ PHONE LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install PARCEL 1. D .1~ ____sign/Temp. ____Sign _Move ____Demolish ____Commercial ____Indust. ____Swim. Pool .____M / H Fctt/ ttC' Other PROPOSED USE: ____Single Family ____M/F ____1~ of lIni ts ____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 FORllS.** **COPY OF CONTRACT REQUIRED. PRRMITS REOUESTED -.JLBUILDING $ 4/)~. 0 0 Valuation of Total Construction ____ELECTRICAL AMP Service ___Florida Po\\'er Corp. _H.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBIN'G .... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company fJA~co ,cc~C~ (!,CI , State Cert. or Regist. !~ City License Regis tra tion it /9.;2, sfJ.e C' J ****************************************** BUTLDER Signature Company State Cert. or Regist. n City License Registration n ****************************************** ELECTRICIAN Company State Cert. or Regist. ~ City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist, 0 City License Registration # ****************************************** MECHANICAl. Signature OTHER Signature Company State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY ~*******~*:************************ 7A1.f1Aq //I~'0:r ~ . ~ PERMIT OFFICER. .'-------' ,----,-,-,- ,- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS: The und~rsigned understands that this perlit may be subject to "deed restrictions" whicn' ~ay be more 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 wory., 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 o~ner and contractor ~ay be cited for a .isdeleanor violation under state law. , If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (B13l 7BIHbll. 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 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 vf 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[lnstruction Lien Law - Homeowner's Protection Guide. prepared by the Florida Department 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 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 ~lop.ent. Application is hereby .ade to obtain a perlit to do worK ~ installation as indicated. I certify that no work or installation has com.enced prior to issuance of a pertit and that all work Hill be performed to roeet standards of all laws regulating cc1nstructi[ln, City c(,des, zoning regulations, aou land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies IDay apply to the intended ~ork, and that itBl~ .y responsibility to identify what actic.lls I lIIust take to bl! in compliance. Such agencies include but "1 e IiCll liilited to: I Department 01 Envir'onllental R~ulattOTI - f1prl':!!i~ B~l;e,.,rs, ~'dland ArC!as and Envirflnllientally Sensitil'e lands, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Army CorDS of EnQineers - Seawalls, DOCKS, Navigable Waterways I Departaent of Health ~ Rehabilitative Services. Environ~ental Health Unit - W~'lls, Wastewater Treat~e~t. Septic Tanks I US Environmental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Fl[lod Zone "A" or "A,etc.', it is understood tl."t a drainage plan addressing a .colpensating volu.l!" ~ill be submitted which is prepared by a professional engineer regist~led in the State of Florida prior to permit issuance. A per.it 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 per'mit prevent the Building Official fro! thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ihall becole invalid unless the work authorized by such permit is co.menced within six months of issuance, or if 1I0rk authorized by the perait is suspended Dr abandoned for a period of six .onths after the tilte the >>ory. is commenced. One 90 day e:tE~sioll 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 ~ust be logged 'during each six lonth period, or the project lIill be considered abalidoned. 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___~~~l -" SIGNATURE~_LL2~----- OWNER OR AGENT ' CONTRACTOR ~~~:-----~~-~-~_?~----------f;l:--- ------- DATE______~__ _~~~t--- ------------ /NOT;;Ry.,.AS TO ~ tNOTARY AS TO ____~, CONTRafTOR-'- '-"'1r- ' , ~. ::NER OR AG NT :~~~~~~_~_~___~__~__ _~_ MY co::'~' -:: :-~~::~~~_~~~________ i~::':.'7'A~~t P':j~'!.:lrf" ~"i'i ':";:;; \'-t:, '-," :,'....11j.-~v ,I.::': 2 :Si'J;,. b,''':;:~;~~'_; i-f:.;_~~) :',":'~~',~'~i' Ptz.~~;,:: STi,T'G ('11 l'LCRm~, , '; :,:G~~'BJ-~,_S~ J~~l!C 2~,5: ~?~s._ I,.:' __"', yf1'q:ni ~"iJD.L\C lJ~l!)!:RwJ;;R,,-rLn.S. i:~(r:D::~'~J ir::..'J ....d d_~" r ..-, u A x x ;{ ;{XXXXX;CC{X;{. ;(XX E X F I E S N T C I E N G A O....,-,.._'-.._m'........_...'.."'m"....'..._,..,"'_..,-'-'_.......,.., x x x A x r_m.._'_'_'-..-....-....-"-'__..__..m___"__"-"-'-'-j 0"-''''-''-') ( ;{ I I ~{j II ;{ X X X X X X X ~_'_"m_'''__'o....m.._' ) 0 I HOUSE I ' I I I,_""_......,__,..."...................m...."_"'.'....m'....'_'.,,,..,_".._..,_.1 ""'0 i I I I I I I I I J ..........0 [] METER