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Home My WebLink About91-1798 STATE OF FLORIDA City of Zephyrhills 00 10. Ty e of Permit PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1798 B Date (1-ZLf- q I ELECTRICAL PLUMBING MECHANICAL Property Owners Name: J~rtl-i CI1rJi:- Job Address: G,o 1./ /? ~~tb' 2-l-01~C>-oO 0 va -0'=>0 D Legal Description: Sub.Div.' Lot Blk. Zoning CI: Description of Work Sf ~LLI\J (Z..~I.$(<~ Energy Code Readout: bw>-~VI2.-~ ~r;; Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: {tJO () All work shall be performed in accordance with 'he above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ()A(/O Fee: ~ SIGNATU~~Uf COMPANY ADDRESS TELEPHONE # !trlPO~ Z,~2 ~<; /7 ~ 7.' I 'A~ __ / "\ ) /./ ./ PLUMBING SLB Tub Set Water Sewer Final BUILDING Fl{. PreSLB _ . Lintel FRM. Insul.CL WL Driveway ELECTRICAL MECHANICAL Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final 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. : .:,~.. ~(.,kl::.l:.N (-{QOM ~ .~". . ::' . ., '- " ", ' ~/ ",~ " I?)({\( ex. lereen mesb ,~ :"." 4'-8" Max. clear span screen door .}.;: :" . y: . :'l\" . B I' CON C VG;t;;..~ ,3 L...:> c.JC C).}..II /-Ie/1 1...+. .-_.-~.- late " . 3. X 12" X .026"~' . AlUl:L. roof , 3" 2" X 2" X .040" Alum. beam :/. ,.... I!~ . '..l}~.".': .t:.),~ (<:, . ..I l'. .~. ~. ~tq: ..~'. (, . ~~;.~'~, ..: /1... ~:I.(.1 ?-. ;.fl,.~;t.~ .....~i. ~. ,::.' ~:~~t-~ . {,.... ~j,I... ~{" I I;,.....;. . h;.:,; f:':: (- ~:?:. :~...;,....' ::~.,.. :i'r,::- . ~t... .' 5' 5' 4' 10" ~ max. o.c.. 7' 6" aiQ. noOI door PI..\." palliD& - 2" X 2" X .040" . Alum. post .-', ::~1., ':t. ~,., r ,~ . . ~.~ f.:~ ..':11 . . 4' to" ~c:.. ~I~ '..... jf:,: 2"x 2" X .040" ~~~ /. Cba.1r raU 1" X 2" X .040" 1'2500 p.a.!. eonc. - -- I '. I . /---~---- ~/ ~(i.ting structure ~ 8 " Z!2.-fH ylllflLL S BUILDING PERMIT APPLICATION CENTRAL PER~ITTING OFFICES: .............. ................ .......................................... ~~~~~::~ ~~:~ :~i~j JU~~;~llU~L ':::::::: :::: ::::::::::: :::::. :NO::;O!!:UNrrSi::.~~~~___ .;;;:; .............................. :f~. R~S,W!0~:. .~~>:':.. ~~W :::::::,,: ..;;;: .;;; .. ..... ................. .................... .......... ............................................................ ....... ............. . . ..... .... J~F$.; tON$rr~@:1 oHi:::. I::..i:i.::: ~ ~ 1;::' l~.'::v':. YI::: ........... .......... ........... ... . . . . . . . . . . . . . . . . . ............................. ....... ........................... - ~. 1(r:'~-;~'l dO' La K e s lHIS APPLICAlION MUSl BE TYPED OR PRINTED IN INK -------------------------------------------------------------------------------------------------.----------------------- G I ~~~~:~~A ~~~~; ==~q=~!~==Z~~f~===~~1!;!=~~?t[:.Ei=!}1Y-~~~~~ V~ ~IO~:..~~~ ~l.~=&l~====_______ '"" PARCEL IDII: S T R SUB BU, LOT PROJECT II:"":::':"::: TAZ ~:::~~", LOT SIZE X OWNER'S PRESEN1-ADDRESS; f:-=~=~~===~~~___========____ CiTY-~~~~t~~~jj~:::::-- STATE~~~~_(_ ZIP _~~~~:r 0::: L:.:: Z ~ I FEE SIMPLE TITLEHOLDER'S NAME (if other than owner): __________________________________________.________________ ADDRESS (if applIcable): ___________________________________ CITY _______________________ STATE: ____ ZIP __________ ------------------------------------------------------------------------------------------------_.~---------------------- t3 I DlSCRI PT I ON OF- WORK: _:2:<;..":::::.:.'!::.f..__~e.~~_s..______.::.~'!_~;?_____________________________._______________________ ~ LI V 1 NG AREA: __________ PA TI 0: GARAGE: EN TR Y : TO r AL UNDER ROOF: __.LfJ:_ II BEDROOMS: .. BATHROOMS: . TYPE CDrSTRUCTION: 0 BLOCI~ 0 FRAME 0 OTHER: z '-" ~ I IF ~OBILE HOME OR RV: MAKE c... YEAR SIZE ----------------------- .... ....................................................... ....................................................... ...................................................... ....................................................... ...................................................... --------- ::!::j::j::: ~~~~:i~!L::::ii: ::::: :::i: :::' ..... E3 I WORK CODE: JJJjj::. PLANS ON FILE?: 0 NO U) VA~UATION: s__~_~_~_~_____ ....................................................................... o YES :::mt+PA~D.::F.~$::f~~HF:UJ>;"LU1:: :: ~~ R ~:!~ 1::!: ~:::::: U:!: U:!! UUUUJJ:: ~:! dUD.:. c: ~ u . BONDING COMPANY: ADDRESS: i)AJ/t- ----------------------------------------------------------------- CITY STATE ZIP ~ '-" ;; . ARCHITECl/ENGINEER: _~~~_~_____________________________________________________ ADDRESS: CiTV STATE ZIP c:: ~ = b . MORTGAGE LENDER: ADDRESS: '"j)-JA- ----------------------------------------------------------------- CITV STATE c:: C E-< v < 0::: Z o u JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT" TOTAL PERMITTING FEES: t * t * NOTICE * * * * BOTH THE OWNER AND CONTRACTOR OF RECORD (License Holder) MUST READ AND SIGN THE REVERSE SIDE OF THIS APPLICATION ------------------------------------------------------------------------------------------------------------------------- A~L PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE AND WILL NOT BE ACCEPTED BY CENTRAL PERMITTING STAFF J' ~w CONDITIONS OF PERMIT AFFIDAVIT A. NOTIC -:. The undersig ,u~-fland ttlat 't~i5 peMit be subject to "deed restrictlons" which may be rore restri cti ve than County regul Ulf~i.' The,uFlOersi ponslbility for compliance Wlttl any applicable deed restrictions. B. UNL I b~::" CdNmACT~' CONTRACTOR RESPONS I B I LIT I ES If the own~.ttashirM;.J:~'Contf'..e-::"~' actors to undertake work, they may be requ1red to be I1censed in accordance with state and local regulations. If the contractor IS not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or 1ntended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Division - Licensing Section at (813) 847-8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor Block" of th1S 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 w1shes you to sl9n as contractor1 that may be an indicatlon that he 1S not properly licensed and 1S not entitled to permitting priVileges in Pasco county. C. TRANSPORTATION IMPACT, UTILITIES IMPACT, AND RESOURCE RECOVERY FEES The undersigned understand that Transportation Impact Fees and Resource Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance numbers 89-07 and 90-04 as amended. The unders1gned also understand that such fees as may be due will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a 'certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance, in accordance with applicable Pasco County Ordinances. D. CONSTRUCTION LIEN LAW (Chapter 71;:" Florida Statues, as amenoed) I certify that II the applicant, have been provided with a copy of "Florida's Construction Lien Law - HO$eowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above deSCribed docWllent and promise in good faith to deliver it to the .owner" prior to commencement. 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 laws regulating construct1on, zon1ng, and land development. Application is hereby made to obtain a per~it to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be perfor~ed to meet standards of all laws regulating construction, County 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 my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: o Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment o Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses o Army Corps of Engineers - Seawalls, Docks, Navigable Waterways o Department of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks o US Environmental Protection Agency - Asbestos abatement I also certify that, if fill ~aterial is to be used in Flood Zone "A" or "AI-A30", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. I understand that a separate permit may be required for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, AIR CONDITIONING, OR OTHER INSTALLATIONS not specifically included in this application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buildlng Officlal from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One or more extensions of time, for periods not to exceed 90 days each may be allowed for the permit. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six-month period, or the project will be considered abandoned. 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. SIGNATURE a", d ./ SIGNI\TURE Oa.u, tJ- ~ ~~R-O~---- ~~-~~~TR~~-- DATE __1.:_'c2J.:_cti.__ D~~TE -..i:d.2:'~~___ NOn~RY ~~S TO~ /) (l~ OWNER OR AGENT _ _______~~~ MY COMMISSIO E XF' I REf3 __~-:1.~::_~~_ NOTARY AS T~ A 0~ CONTRACTOR . ____~~ I''IV COMM I S8 I . E: x F' I F:~E S __ _ ~L~ _-J:..-C:..