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Home My WebLink About91-1814 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813- 788-6611 /" - (~~ T~pe..DLPermit ~ E~'L ~-" Date 181~ ~ .., 9 ~.;j{)- / Permit )f~ MECJ:j ^ NIGAL --.. Property Owners Name: Job Address: o/)~ ~j,;{P.f/ r~-& ~~- I - dt ,-q />c (-$- Legal Description: Sub.Div. Zoning CI: Description of Work 4 / 711. Energy Code Readout: Lot Blk. i<-)~? W/LA7~L_ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ t so iJ' AU work shal! be performed in accordance with the above and aU City Codes and Ordinances. OCCUPATIONAL LICENSE # BUILDING Ftr. Pre SLB Lintel FRM. Insul.CL WL Driveway Fee: ~~ ~ j) a-. SIGNATUREt/.......l""c;/t7, /.v4 COMPANY ADDRESS TELEPHONE # // , ...... T erv. oughln Meter Can Canst. Pole POOl Pre-Meter Final / Breakers Ducts Ins I. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SJO.OO) doIlars shaIl be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection caIled 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. 0;3 ~d t J/, . P/M IIf" HOUSE I o o 1----------1 GARAGE 9 o T H. o A V E. o METER~ ---------1 .L-________________________________________________~ P/M EASEMENT ART STOWELL 23 RD. ST. 6 FT. WOOD FENCE $1500.00 . P/M . P/M ~.. ..... APPLICATION FOR PERMIT CITY OFZEPHYRHILLS ~BUILDING DEPARTMENT ADDRESS fJl1~~o ;:6/1/ (;~ t.,Lz.j-~ /'tV'A s7, eo. APPLICANT PHONE OWNER /1-~ r s r v t.J 1:. '-- L JOB LOCATION S-~~l &.3IG-1l! s/1 LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D .l~ WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____I'Iove _Demolish _Commercial ____Indust. _Swim. Pool __1'1/11 1"E,de: ~ Other PROPOSED USE: _Single Family _M/F _l~ of Uni ts _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMl'1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORtIS. H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING S/,s-OO,00 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _"l.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PUJMBIN"G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company PI/Sev ,ct€,J(;e eo,. State Cert. or Regist. 0 City License Registration !! Sr'E-t! /9 L ****************************************** BUILDER ELECTRTCTAN Company State Cert. or Regist. Q City License Registration 0 ****************************************** Si!mature Company State Cert. or Regist. ~ City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. i! ,City License Registration # *************************************~**** MECHANICAL Signature Company State Cert. or Regist. 0 City License Registr~tiorr 0 OTHER Signature APPLICATION APPROVED BY, PERl-lIT OFFICER. .. .. . ~ CONDITIONS OF PERMIT AFFIDAVIT A": NOTICE OF DEED RESTRICTIONS:, , The undersigned understands that this per.it lay be subject to "deed restrictie,ns' which ~ay be ~ore res~rictive than City regulations. The undersigned assules responsibili~Y"fo~ compliance with any applicable deed restrictions. ......"." ,..... ' . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may b& required t,o be licensed in accordance with state and local regulations. If the contractor 15 not licensed as required by law, be,th the O\fner and contracte,r ~ay be cited for a .isdeaeanor violation under state law. , If the ollner or intended contractor arE uncertain as to what licensing requiruents laY apply fe.r the intended work, they are advised to ce,ntact the City e,f Zephyrhills Building Deparlunt, (BI3) 7BB-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the ce,ntractor(sl sign portions of the .Contractor Sections. of this application for which they lIill be responsible. If you, as the ollner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the lIork. If the contractor lIishes 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 Ce,nstruction Lien Law - Ho~eowner's Protection Guide. prepared by the Florida Departlent 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 document and promise in good faith tD deliver it to the .0Hner. prior to cOimencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work Mill be done in co~pliance lIith all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a penit to do HorK and installaticln as indicated. I certify that no HClrk or installation has com~enced prior to issuance of a perlit 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 governmental agencies may apply to the intended Mork, and that it is my responsibility to identify llhat actions I must take to be in cclmpliance. Such agencies include bllt ~le IIC'\ liilited to: I Department of Envi(on~ental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensj\iv~ L~nds, H~ter/Wa~tehit~r Treatment I Southllest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Hetland ~r~as, Altering HaterCQCfSes I Ar~y C~ros of EnQineers - SeaMalls, D~cks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environmental Health Unit - W~lls: Wastewater Treat~en~. Septic Tanks I US Envir~no~ntal Protecti~n ~Qency - Asbestos abatement I also certify that, if fill material is to be used in Fle,od ZClne .~. or 'A,etc.', i l is understclcld tl.,l a drainage plan addressing a .colpensating volu~e. will be sublitted which is prepared by a professional ~ngineer regisl~ied in the State of Florida priclr to perllii t issu,ance. A per~it issued shall be construed to be a license to proceed with the w~r~ and nvt as authvrity to violjte, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Ev~ry per~it iS5U~d ~hall becole invalid unless the work authorized by such permit is com~enced llithin six months of issuance, vr if work auth~rlzed by the perlit is suspended Dr abandDned for a period of six looths after the time th~ ~ork is commenc~d. One 90 day ~:te~5ioll Df tile, may be allowed for the per~it llith fee charge of ~15.00. The extension shall be requested in writing tCI the Building Official. An approved inspectie,n !!lust be lelggedduring each six Mnth period, or the prcljed liill be ct,nsidered dD,;udclr,ed. 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 NO~E OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO R~E~~OR~/Pfl\f~/pr~: A "NOT I CE OF COMMENCEMENT". /;/~//-t: /~ / ...--/ SIGNATURE __ _ ~~ __ ~ / <-~ S I GNATUnE __~_WJWj--l--_n___- , O~NER ~ AGENT . CmnRACTOR DATE_______1~_~~:-~L---------------------- DATE__~::~~_~~(-------------------- MY COr'IM I 5S I Or~ '- -~---- NOTARY AS TO ~"). J. ' ') OWNER OR AGENT __ __ _ ,.:::ti.t~---- , Notary Public, State of Rorida MY COMM I 55 I ON EX P I RESMy-(V'.I...ission--Expires-May-1it;-f99~ Bonded Th,u Troy Fain ~ Insurance Inc. NOTARY AS TO CONTRP.CTOi{ .. ES Notary Public, State of Florida My Commlssio; E;P~; -May -2"1:1993 Bond.d Th.u Troy Fain' Insul.nc. Inc,.