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Home My WebLink About91-1806 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1806 P Date 9 - d ~ - <t / Type of Permit t3tm:&f.NG..._ _. ElE~ GUMBIN'~~ ME-~l Property Owners Name: Job Address: 'I tf < ? J: - A~ .J1A~ /7.:d -4!1 legal Description: Sub.Div. lot Blk. Zoning CI: Description of Work +~.-Lj.?--1 I~~ r;r- . Le &-<-t _)~c; Energy Code Readout: /0_1--4"1 ~ Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE # COMPANY ADDRESS TELEPHONE # / Estimated Cost: ~~4-- Fee: All work shal! be performed in accordance with the abOve and all City Codes and Ordinances, ~ - PLU~B:G-.5 . SlB Tub Set Water Sewer Final ElEC~l ~ ME~CAl ............ ~NG ----- Ftr. Pre SlB lintel FRM. Insul.Cl Wl Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final 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 wiII be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT D;t:);"I7# ~~I:/ /N'(/Ar;;;~ , ::::55 3 3~//-'C'<(. ~/h ~, . JOB LOCATION~l <6 :3 1?" LJ 1 <::;:\ .'"2 t:lLlS.- LOT SIZE_X PHONE ~/3 ,. 7rP- 9S'3b " AFlEA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.n WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~stall ____Sign/Temp. _Sign ____Hove ____Demolish _Commercial _Indust. _Swim., Pool .._M/H ~/'II(/t/e/( Other PROPOSED USE: ~Single Family _M/F _t~ of Uni ts _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. _W.R.E.C. ____MECHANICAL ~UMBING $ 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. ff City License Registration ff ****************************************** BUILDER MECHANICAL Company State Cert. or Regist. n City License Registration n ****************************************** ~ . Company ,/~C/~Akl ( yt V" State Cert. or Regist. 0 City License Regis tration l~ '5"bl") ****************************************** ELECTRTCTAN Signature Signature Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** OTHER Signature Company State Cert. or Regist. ff City License Registration n APPLICATION APPROVED BY ~**********~************************* /lA1A'A ~ r C../)A~, PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The ,undersigned understands that this perlit lay b~ subject to "deed restrictions' IIhich ~ay be aore restrictive than City regulations. The undersigned assules responsibilitf~for"colpliance with any applicable deed restrictions. ,.,' ,. , 8. UNLICENSED CONTRAcTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor ~r contractors to undertake work, ~hey ,ry be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the OHner and contractor ~ay be cited for a .isdeaeanor violation under state lall. If the [,"ner [lr ifltended contradH are uncertain as to what licensing require.ents lay apply for the intended llork, they are advised to contact the City of Zephyrhills Building Departlent, (813) 7BB-6611. Furtherlore, if the OHner 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 11111 be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wor~. 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 permitting 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 - HOleollner'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 l c~py of the above described document and promise in good faith to deliver it to the .0Hner. prior to co..encelent. ,,;'..-:' E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wor~ will be done in compliance with all applicable laws regulating construction, zoning, and land developlent. ' Application is hereby lade to obtain a per.it to'do work and install~tion as indicated. I certify that no work or installation has co..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. I also certify that I understand that the regulations of other govern~ental agencies ~ay apply'to the intended work, and that it is ay responsibility t[, identify what actions I lust take to be in compliance. Such agencies include b\\\ ~l e nc,t liaited to: .'" I also certify that, if fill aat!?Tial is to be used in Flood Zone "A" or "A,etc.', it is underste,c,d t!.~t a drainage plan addressing a .colpensating volute" will be subtitted which is prepared by a professional engineer reqist2ied in the state of Florida prior to permit issuance. A per.it issued shall be construed to be a license to proceed lIith the work and not as authority to yiol~te, cancel alter, or set aside any provisi[lns of the technical ([Ides, nor shall issuance of a permit prevent the Building Official fro' thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issll~d ;hall becole invalid unless the work authorized by such permit is c[lllenced llithin six months of issuance, or if wOl'k aut!.ol lzed by the perlit is suspended or abandoned fC'f a period elf s,ix tonths after the ti,lle the work is cOMenced. One 90 day e~\EiI5ioll of tile, lay be allowed for the pef~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectie,n f.lust be 1crgged during I!ach ~ix Ilonth period, or the project \'till be cc,nsidered abdlJde,ned. WARNING T6 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". DATE ________CZ__:__~_':.-:.--~~'-----------,------- ~~~~:Yo~5A~~NT__~_~~~----~--~- MY COMM 155 I ON EXP I~g'Y 'utlUc:, ~tll" of Ttortd'G My ~>)mmiSsronriPrre5t\prrn;1m:----- eond'3Q Thru Trot fain ..In,wrO(ll;;a Wu. DATE_____________z::--~-~-~~L-------- ~~~~:~C~~R~~_~--~~~~~------- 5IGNATURE_~~_~~~--~---------- OWNER OR AGENT SIGNATURE " EXPIN~!~~~J!~~~Jbd~-~- My Commission Expires Apirl 2, 199'1 Ilpn<io<l rhru rrp)' fgja. ll1WranOi<lIilGt MY COMM I 55 ION