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Home My WebLink About91-1815 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Permit )f~ 1815/1 BUILDING DEPARTMENT 1-813-788-6611 /(04JU BUlL ELECTRICAL P~~ ~A~ Properly Owners N.mr;?~ 1/.R !l-rLk Job Address: f:, 0 3S I d-- ~(J Type of Permit ~tJ. trO Date ,9-St:J-7/ , Legal Description: Sub.Div. Lot Blk. Zoning CI: a-l1;, J 1/C ~ Description of Work Ll.A/1 Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: Lj d.. / t77 ' crv '" :~~~A:R~a~ ~-:~ --- COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # If? lIC &ni... ~~~~/ _ . ELEC~RIeAt:2/D Tp.Serv . Rough In Meter Can Const. Pole Pool Pre-Meter Final ~~ =-~_.. -...- t:JU I tDtNG Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due 10 anyone of the following reasons, a charge of ten ($10.00) 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 PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT APPLICANT am . ~~1!t ADDRESS (LJ u.3 5' / ~~ VV .Sf ~ Q OWNER '-~~ C. JOB LOCATION '~~7r~ PHONE ,?J~;)~3?hO LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~j WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install ____Sign/Temp. PROPOSED USE: ~Single Family ____Sign _I'Iove _Demolish _M/F ____~j of Uni ts .____r-I/ II _Commercial ____Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Pee t, Height RESIDENTIAL: COill1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PORI'IS.** **COPY OF CONTRACT REQUIRED. PERM1TS REOUESTED _BUILDING ~LECTRICAL ~ECHANICAL $ Valuation of Total ,Construction AMP Service Florida Power Corp. _H.R.E.C. $ ~dtJO,OCJ Valuation of Mechanical Installation _PLUMBIN'G GAS ROOFING SPECIAl.TY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration f~ ****************************************** BUILDER Signature ELECT"T CT6M C;;;J.~-I>-B-.>LL_~.1 /':'d }rompany '?1.pt<.<tAk f t'd >".! r'~h;" ) &u.~.~.,) :::::: ..~ nr-~~tate Cert. or Re~st'l" COo 'Z-lloS;- . '" ure X~ ' City License Registration,(i! \0 ~**********************************U***L Company State Cert. or Regist. # City License Registration fl ****************************************** PLUMBER Signature Signa tureX (]tCt--L;t:1YX~ ~. (?A.4J.-j!-1.~-0 Company (!A-d,tl~~,Ic~,/ U State Cert. or Regist. 0 City License Registration il ****************************************** ~CJ '/J'J 00 /9907 r-IECHANICAL OTHER Company State Cert. or Regist. n City License Registration r Signature APPLICATION APPROVED BY, .......* **... * * * ****~ **** *.... * * 1, * l' J. J. i' .'. J. J. J_.... .'. .'. J, J. J. .'. J! ~: PAJ ~A ",' -y' :HH PERl-lIT OFFICER. CONDIT.IONS OF PERMIT AFFIDAVIT A.': NOT I cE: OF DE:E:D RE:STR I cT IONS:, , Th. und.rsigned understinds that this per.it lay be subject to "deed restrictions' ~hich ~ay be more res,rictive than City regulations. The undersigned assules responsibili~Y,fo~ compliance with any applicable deed restrictions. ." ...\" ..\. 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ~"ner has hired a c~ntractor or contractors to undertake work, they may be required to be licensed in accordance with sta\I and local regulatl~ns. If the contractor i5 not licensed as required by lall, both the Ollner and contractor ~ay be cited for a .isdelean~r violation under state law. , If the owner or intended contractor arE uncertain as t~ what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (813) 7BB-6611. Furtheraore, if the owner has hired a contractor or contract~rs, he is advised to have the contractor(s) sign portions ~f the 'Contractor Sections. of this application for which they Hill be resp~nsible. 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 lIishes you to sign as contractor that lay 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 provid~d ~ith a copy of .Florida's Construction Lien Law - Hoee~wner's PrDtection Guide. prepared by the Florida DEpartment of Agriculture and Consumer Affairs, If the applicant is soeeone other than the .ollner., I certify that I have obtained a copy of "the above described document and pro.i~e in good faith to deliver it to the .owner. prior to COlaencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infurmation in this application is accurate and that all wor~ will be done in co~pliance lIith all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no 1I0rt or installation has co&!enced prior to issuance of a per.it and that all wor\: will be performEd to roeet standards of all laws regulating construction, City codes, zoning regulations, and land development regulati{,ns in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply t{. the intended work, and that it is flY responsibility to identify what actions I must ta\:e to be in cOlllpliance. Such agencies include bill ~ie )jot liilited to: I Department of Envi,onmental ReQulation - Cypress Bayheads, Hetland Areas, and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Hater ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Watercourses I Ar~y Coros of Enqineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environ~ental Health Unit - W~lls, Wastewater Treat~!n~. Septic Tanks f US Environaental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Fle,od Zone 'A' or "A,etc.', it is underste.{.d thot a drainage plan addressing a 'colpensating volu~e. will be sub.itted which is prepared by a professional engineer regist~ied in the State of Florida prieor to permit issu,ance. A per~it issued shall be construed to be a license to proceed ~ith the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, 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 issued shall becole invalid unless the work authorized by such permit is COllftenced within six months of issuance, Dr if work authorIzed by the perlit is suspended or abandoned for a period of six lonths after the time the ~ork is co~menced, One 90 day e:le~5joil of tile, lIay be alloHed for the per~it with fee charge of $15.00. The extension shall be requested in "riting to the Building Official. An approved inspedie.n /:lust be le'ggedduring each six IlOnth period, eor the project Hi II be (C.nsidered dbaiidofled. 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". 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