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Home My WebLink About91-1770 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813.788-6611 Permit N~ 1770E Type of Permit ~'- - ""--., B~i-Q!!~G ~RIC~~ Property Owners Name: ~c iY1 79' "? r) ) Job Address: ,_) -5 C>'-- / ~G ~ze~ , .{Z~ Legal Description: Sub.Div. Date~;I- / () - ?/ ME~L a~ Lot Blk. Zoning CI: Description of Work (1LfLc:L ~L7fx>tL Energy Code Readout: /'-..3-91 U- Complete Plans, Specifications and Fee Must Accompany Application Fee: i~ OrO() SIGNATUREJ J~ COMPANY ADDRESS OCCUPATIONAL LICENSE # 67 /]fj:Z<<<,~(d... TELEPHONE # ~l-d cf~l 'C ELECTRICAL -:- Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final 71/J4Jci~ 9-/~ -?I 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. Estimated Cost: ~/A All work shal! be performed in accordance with the above and all City Codes and Ordinances. ----smLI5ING_, PL~G Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway -1 I ~ M~CAL ---- Breakers Ducts Insl. Compressor Final APPLICATION FOR PERl-lIT CITY OF ZEPIIYroIILLS BUILDING DEPARniENT APPL'ICANT DoL'^' II\.:-.f --r;:-:z..v\I2/fiJ ADDRESS 3~ I~: U~YJJ~II"~1n Av~,'<2~~; lL5 OWNER .1)~ V\ S V\.; J e If' JOB LOCATION 3 q 3;2 0 ~<)D~ Ave.., , PHONE 7f'Y 3??9 , " LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~~ (I) (){)() - CC)qOO -(!)o J...b' _Sign/Temp. _Sign _Alte~ationl _Repaij ~Install C9U-t:s ,'0... (!) vtLeTS _Hove _Demolish WORK PROPOSED:_New Construction _Addition PROPOSED USE: ~Single Family ~M/F _~~ of lIni 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. 1:-1: **COPY OF CONTRACT REQUIRED. ~ERMTTS REOUESTED _BUILDING ~ELECTRICAL _MECHANICAL $ v~luation of Total Construction AMP Service Florida power Corp. _H.R.E.C. $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY .... . TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~ONTRACTOR 0ECTION Company State Cert. or Regist. 0 City License Registration 0 ****************************************** nmLDER :T:::lt:".~ Company p..v>V'i < (;:;U\t:"J,j, THe. : _ _ _ _ '. S ~a te Cert. or ":" is t. ." =-~~ Ot,O 7 J?fl' I' ry ~ f C1ty L1cense RegJ,strClt1on,ft 1:17 ............................*.,.*.*****. Signature Company State Cert. or Regist. 6 City License RegistrCltion a ****************************************** PLUMBER Signature Company StAtP Cert. or Regist. 0 City License Registration 0 ****************************************** MECHANICAL Signature Company State Cert. or Regist. 0 City License Registration 0 pTHER APPLICATION APPROVED BY ~, / :*********~~********':***************** "'q .-,,{l Q/) fV'" . PERHIT OFFICER. CONDITIONS~O~,PERMIT AFFIDAVIT NOTICE OF DEED RESTRICTIONS A. .', " The,undersigned understands that this perlit aay be sub~ect to "deed restricti~ns" which ~ay be ~ore restr.ictive than City regulation!>. The undersigned nsules responsibility:;for;,coapliance with any appl icable deed restrictions. , _,.,t'... " _ '. t, E. UNL ICENSEDCONTRACTORS AND CONTRACTORRESPONS I B IL I'T I ES , . If the owner has hired a contractor Dr contractors to undertake work, 'they lay be required to be licensed in accordance with state and loc~l regulations. If the contractor il not licensed as required by law, both the own~r and contractor ~ay be cited for a Ilsde.eanor violation under state laH'i,If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended Hork, they are advised to contact the City, of Zephyrhills Building Departlent (813) 78B-66ll. ' , '" ' Furtherlore, if the owner has hired a contractor Dr 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 yc.u, 'as, the c.wner sign as the ceontractor, 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 1hat 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 Hith 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 SOlec.ne other than the 'oHner" , I certify that I have obtained a, copy of,the above described dc,culIlent and prc'~lise in ge,od faith to deliver it to the "owner' prior to co..encement. : l. .: ,:.~;;. ~. ~ ; :' . 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 per.it t~' do Mork and install~tion as indicated. I certify that no work or installation has cOI.enced prior to issuance of a perlit 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 governmental agencies ~ay apply'to the intended work, and that it is IY responsibility to identify what actions I must take to be in compliance. Such agencies include bill ill e ne,t lillited to: . ".~ . . n~part=ent of tnviron~ental Req~l~~iQ~ - Cypress Bayheads, Wetland nreas and EnvirDnmentally Sensi tive Lands, \later IWastellater Ir ea till,en~ . Southwest Florida Water'Mananement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I nrlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Hastewater Treat~en~. Septic Tanks I US EnvironDental Protection AQenct - Asbestos abatement I also certify that, if filllaterial is to be used in He.od Ze.ne "n" Dr "A,etc,', it is underste,e,d t!.~t a drainage plan addressing a 'coapensating volule" will be sublitted which is prepared by a professional engineer regist~red in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the WDrk and not as authority to violite, cancel alter, or set aside'any pre,visic.ns of the, technical codes,lIor shall issuance of a permi t prevent the Bui lding Official fn." thereafter reqUIring a'corredion e.f errors in 'plans; con~truction, e,r violations of a~y ce,de. Every perillit issll~,j :hall bece,le invalid unless the w"H,authe,rized by such permit is couenced within six "onths of issuance, e,r' if liClr'k 'atlthc,!) zed by the perli t is suspended or abandoned feor a period of Sill lonths after the t);IIe the Ilork is (['KI,menced. One 90 day e~t"i.si~1I of tille, aay be aIle.wed fer the per",it with fee charge of U5.00, The extensie,n shall be requested in.lirHinl) t(o the BtJjlding Official. An approved inspectie,n ",ust be lc,gged during each six month period, e,r the prcojeclliill be c(,nsidered db.;llde'i1i:d. <, 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 OETAIN 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". SIGNATUR~~~~~------- SIGNATURE_~~---- DATE_~__~~7"-~,L-~----_._------ DATE___~__~dP1:c_li2cLq_g_L____------ ~e~~~YD~SA~~NT~~~~~-"- ~~~~~~C~~~'~C"""'~l- MY COMMISSION EXPIFl-ES - ' "U MY COMMISSION EXPIRES::'~~'~:'::<':'- ..:..:.~Hut ,.._.-,..,..----------------- My (,::'?':'F'::,U':': t;:;::rcs'1ui'} .:l r;,~g-4'" Bu!-, JeJ Thfll Trpi rein - ln~\"ironc:e Inc.