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Home My WebLink About91-1775 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1775P Type of Permit Date Cj -//-71 BUI,L,OtNG ~ ELECTRICAL .~_......- ~_.~---.. c;E~UMBIN~. ~-~CAL ~~ 2:?~6~1 - '> . Property Owners Name: , i;:; ;: ~~ Job Address: ...6 Legal Description: Sub.Div, Lot Blk. Zoning CI: Description of Work I ~ a/ul<j; . .~ . ) q. ,7<~~ ' ../ 9--1fl; <,'. 1/ I '~'~~<.~1. 7 (:f}-ulAA-~'n1.c./ Energy Code Readout: q-/1 ~ 8;) Complete Plans, Specifications and Fee Must Accompany Application .J' P<J :~:~?:uR:: ~~Lr2/n,t COMPANY ADDRESS TELEPHONE # Estimated Cost: All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # (",. SLB Tub Set Water Sewer Final ~' BlJl~G ........- Ftr. Pre SlB lintel FRM. Insul.CL WL 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. r (7 ; f.j- 13 ' APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT J. D /S -;) UAJ A1 / LL~f( ADDRESS S/Lf/ <6 J--'(" 51 PHONE 7 <6<6' -1~ '1'1 L6/~ 'I:"i- Mr'!fr- ,e OWNER iJ eq 1'\ JOB LOCATION ,r;rlf-I ~-fH S r LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. i~ ~lteration _Repair _Install WORK PROPOSED:____New Construction ____Addition ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____~~ of Uni ts .____H I II ____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 FOR}lS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _\-l.R.E.C. ____HECijt.NICAL $PLUMBItfG TYPE OF CONSTRUCTION: ____Block $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ET.ECTRTCTAN Company State Cert. or Regist. # City License Registration n ****************************************** Signature ~~:~:n~ert(1!1:~L. ~ (f0,~rl~ City License Registration iF ,')7 ****************************************** Signature Company State Cert. or Regist. iF City License Registration 1 ****************************************** MECHANICAL Signature Signature OTHER APPLICATION APPROVED BY OFFICER. II CONDITIONS OF PERMIT AFFIDAVIT A .' NOT I CE OF DEED RESTR I CT IONS The undersigned understands that this per.it lay be subject to "deed restricti~ns" which may be lore res~rictive than City regulations. The undersigned aSSUtes responsibilitY,fo~ cOMpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner 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 lay be cited for a MisdeMeanor violation under state law. , If the owner or intended contract~r are uncertain as to what licensing requireMents lay apply for the intended work, they are advised to c~ntact the City of Zephyrhills Building Department, (813) 788-6611. Furtheraore, if the owner has hired a contractDr or contractors, he is advised to have the c~ntractor(s) ,sign portions of the 'Contractor Sections' of this application f~r which they will be responsible. Jf you, as the owner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the w~rk. If the contract~r wishes y~u to sign as c~ntractor that aay be an indicati~n that he is not properly licensed and is not entitled tel permitting privileges in the City ~f 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 pTovided with a copy of "Florida's Construction Lien Law - H~.eowner's Pr~tection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is so.e~ne other than the 'owner', I certify that I have obtained a copy of the above described d~cuIDent and pr~mise in g~od faith to deliver it to the 'owner' prior to cOIIDencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 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 development. Application is hereby aade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOI~enced 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. 1 also certify that I understand that the regulations of other governmental agencies llIay apply to the intended work, and that it is IY responsibility to identify what actic1ns 1 lust take to be in compliance. Such agencies include bill ~i e not liilited to: I Department of Envitonmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi live L~nds, Water/Wastewater Treatment I Southwest Florida Water ManaQeaent District - Wells, Cypress Dayheads, Wetland Areas, Altering Watercourses I ArlY CorDS of EnQineers - Seawalls, Docks, Navigable Waterways I Depart_ent of Health ~ Rehabilitative Services. Environmental Health Unit - H~'lls, Hastewater Treat~E~~. Septic Tanks I US Environoental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flood lone "A" or "A,etc.', it is understood tbat a drainage plan addressing a 'cotpensating volute' will be sublitted which is prepared by a professional engineer regisl~red in the State of Florida prior to perlit issu,ance. A per.it issued shall be construed to be a license to procee~ with the work and not as authority to vioI~te, cancel aller, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued ;hall becole invalid unless the work authorized by such permit is cO/llenced within six llIonths of issuance, or if Hork authorIzed by the pertit is suspended or abandoned for a period of six tonths after the time the uork is commenced. One 90 day e~te~5jDII of tile, aay 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 must be logged during each six 1lI0nth period, or the project will be considered ~bal~oned. 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 PDST A "NOTICE OF COMMENCEMENT". SIGNATURE~~~ ~~~-~- . ~~~R DATE_______~~~~--------------- ~g~~~~c~~~-g-~-- MY COMMI k.wN EXP I RES_2.:!"'L:.9..L------- " ~~~.'Q(~ SIGNATU~~~ER-OR:AGENT------------- DATE______________27~~~r~--------------- NOTARY AS TOZ;t: /1 nL OWNER OR AGENT __ - -~~-~~---- MY COMMISSIO XPIRES_______2.:I..L":.-fL-------