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Home My WebLink About91-1802 STATE OF FLORIDA City of Zephyrhills Type of Permit PASCO COUNTY BUILDING DEPARTMENT .-1-813-788-6611 '-?:- ,) PermitN~ 1802P Date C;) -021-<7' I BUilDING E lE(~.TaIeA l ~CAol ( P~MBI~~ ~~:P:~:r~s:~ers Name: 17)7;;:; rJL};!;!ztljWA legal Description: Sub.Div. lot ,_co Blk. Zoning CI: Description of Work (', [/Z/V~~~.~~ "'--""" :- , I r ./ - q;., ~.! / ~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: A//-7 Fee: JU)'O~ ~ SIGNATU~a.-, {. , . COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. ---- OCCUPATIONAL LICENSE # ~ BUilDING '"\, ( 0 i~71J1 PLUMBING SlB Tub Set Water Sewer Final ~-- .F ElEg:r.RtCAl ~rv. Rough In Meter Can Const. 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 folIowing reasons, a charge of ten ($ 10.(0) dolIars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection calIed 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. ." .. ~ \ \ \ '1.001:.- ['; t- ,_ f---- 7... 0 1\.1[' [) ;.. .. --"-1-- ~"- '" .. ._.~~,,=- -,~----_."-- -'.....,...." .,"---..,- -~_.- ......... 12-~, , i i I / i ! i I I 1'ct-ll en / I i I I / / ~' / / APPLICATION FOR PER}lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER ,4n1bs L. De/h/U()6t~, !P2-44 !/tJIvTlA!G7V1J Drt 'Z~yih(~(, H _ I t\lYH?/~ L, 'b/jb/Jjl~;::; JOB LOCATION <)11n1t: f't-C, A(l.DV6 ?5.~PHONE -;<1.3- } ~q 7 APPLICANT ADDRESS " LOT SIZE_X AREA SQ. FT. /11000 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~F WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _t'-love ____Demolish PROPOSED USE: ~Single Family ____M/F ____iF 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.** **COPY OF CONTRACT REQUIRED. pERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _MECHANICAL bLUMBING $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration n ****************************************** BUILDER Signature Company State Cert. or Regist. n City License Registration 0 ****************************************** ELEGTRTGTAN Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration n ****************************************** MECHANICAl. :::::t~bhVP4 ,/ ~~~~~..::::::;:::::;:::::;:::: /1 APPLICATION APPROVED BY' ,~.p..-!..~. \,..:i (.t.Y1" A{ kue/J...d('-........ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The,und,rsiQned understands that this perlit lay be subject to "deed restrictions" which may b~ a~re restr,ictive than City regulations. The undersigned assules re5ponsibility~for. cOlpliance with any applicable deed restrictions. j" . ~ 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI8ILITIES If the owner has hired a contractor or contractors to undertake llork, they lay be required t~ be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and c~ntractor ftay be cited for a .isdeleanor violation under state lall. If the owner or intended contractor are uncErtain as to what licensing requirelents lay apply for the intended llork, they are advised to contact the City of Zephyrhills Building Departlent, (BI3) 78B-6611. Furtherlore, 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 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 aay 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 I, the applicant, have been provided llith 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 sOleone other than the .owner., I certify that I have obtained a, copy of the above described document and promise in good faith to deliver it to the .oNner. prior to cOltenCelent. 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 lIith all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a per.it to'do Mork and install~tion as indicated. I certify that no Hork or installation has cOllenced prior to issuance of a perlit and that all work Hill be performed to meet standards of all laws 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 fiay apply'to the intended work, and that it is my responsibility to identify what actions I lust take to be in compliance. Such agencies include bIll ~le not li_ited to: . "..".. I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive ldnds, Water/WasteHater Treatment * Southwest Florida Water'ManaQetent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses t Army Corps af EnQineers - Seawalls, Docks, Navigable Waterways t Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~e~~, Septic Tanks t US Environaental Protection AQenct - Asbestos abatement I also certify that, if filllaterial is to be used in Hood Ze,ne "A. elr "A,etc,', it is underste,c,d tide a drainage plan addressing a "coMpensating volume" will be sublitted llhich is prepared by a professional engin~er regist2red 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 n~t as authority to yi~l~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official frol thereafter requiring a correction of errors in plans; constructi~n, or violations of any code. Every permit issu~d shall becole invalid unless the work authorized by such permit is cOlmenced within six months of issuance, or if work authDI lzed by the perlit is suspended or abandoned for a period of six lonths after the tile the uork is co~menced. One 90 day e=tE~sioll of tile, lay be allowed for the per~it with fee charge of ~15.00. The extension shall be requested in writing to the Building Official. An approved inspection aust be logged during each six month period, or the project Hill be considered dbdl,doned. 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". SIGN~~~------- SIGNATURE------CONTRACTOR-------------- DATE___q:-.l1:.:9j-------------------,------- ~~~~:y o~S A~~N~__rl1!~~ MY COMMISSION EXPIRES NOTARY P{ffi1:rc:-m'i'f"oF'FLORIOA-:.----- MY COMMISSION EXPIRES: APRIL 16, 1991. BONDED THRU NOTARY PUBL.IC UNOERWRIT&.R.... DATE ----------------------------------- NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES " ------------------