The URL can be used to link to this page

Home My WebLink About91-1793 STATE OF FLORIDA City of ZephyrhilIs PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit Nf! 1793E Date .9-/ J2' -? / Type of Permit BU~ ~CTRIC~ ~ ME~AL Properly Owners Name: ~~Al.. ~~ . Job Address: J '1 0 ,(;;l. if ~ rJL (f a~ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work. ~~ ./11-1'" ~:. 0 -~ JlA- /~'L Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: A;/~ Fee: SIGN'ATURE COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances_ OCCUPATIONAL LICENSE # ~NG ~ SLB Tub Set Water Sewer Final ~ ELEC:~ Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final ME~AL ........... ~ 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 (SIO.OO) 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 ADDRESS PHONE 7B'~) ~- GAS 5 OWNER ......,.; /..... f-;,r:" :s \ -..j . N' '~L~' .-.:::. . I t-'.:, 'r~' I--- " JOB LOCATION 510 '.ill ~ ~...i(UC/..vC. A<.J~ 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 ____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 _BUILDING $ -X-ELECTRICAL ZLJO _MECHANICAL $ ..- _PLUMBING Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. Valuation of Mechanical Installation GAS ROOFIHG SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. ff City License Registration 0 ****************************************** BUILDER Signature Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** ELECTRTCTAN Company State Cert. or Regist. # City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. ~F City License Registration 0 ****************************************** MECHANICAL Signature Signature / Company State Cert. or Regist. 0 City License Registration 0 OTHER APPLICATIO PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . Th, ,und.rlign'd und,rltand5 that this pertit lay be lub~ect to "deed rI5tricti~nJ' which .ay b~ lor. restr,ictiv. than City regulationl. The undersign,d aSluaes responsibility::for,colpliancl with any applicable deed reltrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the own~r has hired a tontractor~r contractors to undertake Mork, 'they lay be required to be licensed in accordance with state and local regulations. If the contractor il not licensed as required by law, both the owner and contractor ftay be cited for a lisde.eanor violation under state law. If the owner or intended contract~r are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, !BI3) 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 lay be an indication that he is not properly licensed and is not entitled to per&itting 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 1, the applicant, have been provided with a copy of "Florida's Const~uction lien law - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOlet.ne other than the "owner", I certify that 1 have obtained a ctipy of the above described doculent and promise in good faith to deliver it to the 'owner" prior to cOllencelent, " I ", .~: '. 1 ; 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 compliance with all applicable laws regulating construction, zoning, and land developaent. . Application is hereby aade to obtain a perlit to'do work and install~tion as indicated. 1 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 laMS regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that 1 understand that the regulations of other governQental agencies ~ay apply to the intended work, and that it is IY responsibili ty to identify what actions 1 lUSt take to be in cOlilpliance. Such agencies include bl1t ~l e Hell I ili ted to: .'" 1 also certify that, if filllaterial is to be used in Flood Zone "A' or "A,etc.', it is understelc,d t"~l a drainage plan addressing a 'colpensating volulile" will be sublitted which is prepared by a professional engineer re~i5t~ied in the State of Florida prior to perlit issuance. A perlit 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 Offici.1 frot thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit iSSl1~d :hall becole invalid unless the work authorized by such per.it is co.tenced within six months of issuance, or if wOl'k authollzed by the pertit is suspended or abandoned for a period of six lonths after the tiJe the work is co~menced. One 90 day e~tto5ioll of tile, lay be allowed for the per~it with fee charge of fI5.00. The extension shall be requested in writing lo the Building Official. An approved inspectic.n aust be logged during each six lonth period, or the prcojed will be cc.nsidered ilbol,de.ned. 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 _~-- DATE___3 -~!d2;~:--------~---~---------- ~~~~:YO~SA~~NT_~~~- MY COMMt SS ION EXP IRE~ ~;-"""-'l,,:2::::~-'",,"- ,.:, ',',,: .' 1 ": ''--, : ~ '- . , SIGNATURE______________________________ CONTRACTOR DATE___________________________________ NOTARY AS TO CONTRACTOR ----------------------------- MY COMMISSION EXPIRES " ------------------