HomeMy WebLinkAbout91-1799
ST ATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
17998
Date 9-dJ 71- 9>/
ICAL ~ M~~AL
Property Owners Name: ~./.J'A.J<?_ AI. tUA--l~
/.4 IIA~
Job Address:
3 ~'1 'f 9 -
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI: 7
Description of wo;; ~ .A<?i
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: 2 r '/.<...... eTO
Fee:
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
ADDRE
OCCUPATIONAL LICENSE # 1/,/' ? ~1 ~ ' TELEPHONE #
SLB
Tub Set
Water
Sewer
Final
'~CAL
~
Tp.Serv.
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
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.(0)
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 PEIDlIT
CITY OF ZEPIIYRlnLLS
I ^ I ) BUILDING DE HENl
:::~:::Nl~~~ tl-~JeflA6~,;, '
PHONE
18 z- _~"J;;o/L
~.
OWNER
'.
Jon LocmON 38 <JL{:t I $r4JtS LOT SIZE
E I-a- 0 ~
LEGAL DESCRIPTION: LOT(S) \0 ,1 BLOCK Zoo SUBDIVISION Z\-l
x
AREA SQ. FT.
PARCEL 1. D. ~~
WORK PROPOSED:____New Construction ____Addition ____Alteration ~epair --=::Install
.. I ( - '2.lo -'2.. ( -' 00 l 0
'2.0(:)00
MB\ -54
-0\\0
____Sign/Temp. ____Sign _Hove ____Demolish
PROPOSED USE: ~ingle Family ~M/F _~~ of Units ,._M/H
_Commercial
_Indust.
_Swim.. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t,
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 FomlS .1:"1:
**COPY OF CONTRACT REQUIRED.
Ef,RMTTS REOUESTED
/
_BUILDING
$
2Scfs-OE
valuation of Total Construction
____ELECTRICAL
AMP Service'
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
~Ir;; r;
jl 'f? -- ~
Company
State Cert. or Regist. n
City License Registration j~
******************************************
Signature
Company
State Cert. or Regist. 0
City License Registration ff
******************************************
, PLlTMRER
Signature
Company
State Cert. or Regist. 0
City License Registration #
****************************************t*
MECHANICAl.
Signature
Comp~ny
State Cert. or Regist. O.
City License Registration U
.oTHER
-
-:
~~:::~.~~;:~;......~****~****..*'
PERtlIT OFFICER.
APPLICATION APPROVED BY
'Iti.<'~~~
CONDITIONS;OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The ,undersigned understands that this perait aay be sub3ect io "deed restrictions"-~hich ~ay be Dore restr1ctive tban City
regulations. The ,undersigned nsullles responsibi~it~~.~or;"co.plhnce with any applicable deed restrictions.
8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to underta~e work, 'they aay be required to be li~ensed:in accordance lIith
state and local regulations. If the contractor is not licensed as required by lall, both the Ollner and contractor ~ay be
cited for a .isdeaeanor violation under state lall.. If the OHner or intended contractor are uncErtain as to IIhat licensing
requirelents lay apply fe'~ the intended Hork, they are advised to contact' the City of Zephyrhills Building Departlent, (BI3)
78B-6611. " , ,',"
Furtheraore, if the ollner 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 Hill be responsible. If you, as the ollner sign-as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor IItshes you to sign
as contractor that aay be an indication that he is not properly licensed ~nd 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 I, the applicant, have been provided with a copy of "Florida's Construction Lien LaH - HOleollner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the
"oHner., I certify that I have obtained l c~py of the above described document and proffii~e in good faith to deliver it to the
ROHner. prior to cOI~encement.
: \, '~~~:~., ~. I : :
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all worr. Hill be done in compliance Hith all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby ~ade to obtain a perlit to'do work and install~tion as indicated. I certify that no 1I0rk or
installation has COllenced prior to issuance of a perlit and that all work lIill be performed to ~eet standards of all lalls
regulating construction, City 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 Hork, and that it is
IY responsibility te, identify lihat actions I Illust take to be in compliance. Such age:lcies include bill ,'1 e liCit li~ited to:
. '
I Department of Environmental ReQulation - Cypress Bayheads, U~tland ~reas and Environmentally Sensi live L30dsr
Water/WasteHater Treatment
I Southwest Florida Hater' ManaQe~ent District - Wells; Cypress Bayheads, Hetland ~reas, Altering Watercourses
I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Uaterways
I Departaent of Health L Rehabilitative Services. Environmental Health Unit - Yells, Yastewater Trcat~en~. Septic Tanks
I US Environaental Protection AQenci - Asbestos abatement
1 also certify that, if fill .aterial is to be used in Flc.od fe,ne "A" or "A,dc.', it is understoc,d \11~t a drainage plan
addressing a 'colpensating volullle. will 'be sublitted which is'P\epare~ by a professional engineer regist~led in the State of
Florida prior to permit issuance.
A perlit 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 prcovisic,ns of the technical c:c,des, nor shall issuance of a permit prevent the [{uilding Official fre," thereafter
requiring a cc,rrection e.f errors in plans; c:onstruction, or violations c.f any code. Every pcr~it iSSUed "hall bccc.le invalid
unless the work authe,rized by such penH is ce'lllllenced within six 1lI0nths of issuance, or if lIC.if; autj,[q ),ed by the perlit is
suspended Dr abandoned for a period of six lonths after the t;~e the Hork is co~menced. One 90 day e:le~sioli of tile, lay be
allOHed for the per~it with fee charge of $15.00. The extension shall be requested in llriting to th~ Building Official. An
approved inspeclic,n /!lust be le,gged during each six lIIonth period, or the project wi II be (C.nsidered abcil,deoiled.
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 N VALUE
DO NOT NEED TO RECORD AND pOST A "NOTICE OF COMMENCEMENT".
SI~~~:N~~'~~ SIGNATURE~TRACTOR--- ----------
DATE ___tl...3.E..L'l.L------------------------ DATE___~~~LCf.L----- ---------------
NOTARY AS To9: ' NOTARY AS~ /71,...,/,..",l
DWNER OR AGE J ~~--I3/ltSl?UCONTRACTO - .-~.-~~
MY COMMISSION PIRES______________________ MY COMMIS N EXPIRES~__________________
'NOTARY PUBtlC. STA.TE 'O'P. ~ '
"IY CO,"IM:SSiON EXPIRES: MAY 17.1992..
~Oi\IOEO THRU NOTARY PuSL.IC UNDERWRITERS.
NOTARY puanc, STATE M' FJ:ORIDAl
MY GVlvlWISSION EXPIRES: MAY 17. 19lfZa
aONDl-:O l'tiNU NotARY FUSUC UNDERWRITERS;;!
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F'{.IUi." ~~'~;I,I(;,r::.Ch C(lI\~;:-r r~UCT 1 Cll~ CO.
RESIDENTIAL ~ COMMERCIAL
t.
F\f~'q i s;t~r'eu bLlll d 1 I'll) Crm t t'a.e ten'
ReGistered RootinQ Contractor
REi 0032524.....
Be 0056763
832 South HIghway 98, Dade Clty, Florida. ,33525
Phone ~ (904)567-8580
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