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Home My WebLink About91-1825 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Type of Permit - Permit N~ 1825 Date / () -.2- --? ( ~G U"''''''IIAI HeAL Job Address: Legal Description: Blk. Zoning CI: Description of Work -r;:-t- (:, <A--f;;'<1 Energy Code Readout: ~ \0)- \f)" 6t l ewdr Complete Plans, speciti:~n/d Fee Must AccompanYF AePeP.licalion ...,,,,, ..~ Estimated Cost: ~ ~ c... '-..Y ( All work shal! be performed in accordance with the above and all City Codes and Ordinances. SIGNATURE COMPANY JlII1~JC - -=S-ta <3 ~ PLUM ADDRESS TELEPHONE # OCCUPATIONAL LICENSE # _ I::~CAL -- Mf~A~ Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final 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 whcn called. Thc payment of reinspection fccs shall be madc beforc any further permits will be issued to the person owning same. APPLICATION FOR PERl-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT 1);T <;:; / rlf , ADDRESS 33/0 /b//or..K tAA/# OWNER ;;.f!l~/ ~ c6~ . f ~ JOB LOCATION 37f.J1'} jI3AI3J::;A~'1 LfIOO I . 2~#t//S. PHONE 173- 71?'r- ?'53,/;, 2fP1#'16 LOT SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~CCi/ PARCEL 1. D. t~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ____Single Family ____M/F _t~ of Uni ts , .____M I 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 FOR1'lS.** **COPY OF CONTRACT REQUIRED. pERMITS REOlJESTED ____BUILDING $ 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. ****************************************** Signature ~ONTRACTOR SECTION Company State Cert. or Regist. 0 City License Registration 0 ****************************************** }3tJTLDER Signature Company State Cert. or Regist. # City License Registration # ****************************************** ET .ECTRT CT AN Signature Company . r;;;~/' 11'/'/9'A//C#Y nrJl'I-(77 State Cert. or Regist. l City License Registration 41 5'60 ****************************************** Signature Company State Cert. or Regist. # City License Registration 0 ****************************************** MECHAN1CAL OTHER Signature Company State Cert. or Regist. 0 City License Registration ff ****************************************** PERl-lIT OFFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may b~ more restr.ictive than City regulations. The undersigned aSSUles responsibility;for cOlpliance with any applicable de~d restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractor5 to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a .isdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhi.lls Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorts) sign portions of the 'Contractor Sections" of this application for which they will 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 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 provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is sOle6ne 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 "owner" prior to cOlmencelent. "i ,," E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby laDe to obtain a pertit to.do work and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a permit and that all work will be performed to ~eet 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 ~ay apply to the intended work, and that it is my responsibility tel identify what actions I lIust take to be in compliance. Such agencies include bllt ~le n(,t Jiaited to: . J I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi live landsr Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses I Arty Corps af EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls, Wastewater Trl!at~en~. Septic Tanks I US EnvirDnaental ProtectiDn AQenc~ - Asbestos abatement I also certify that, if filllaterial is to be used in Flood Zone "1\" or "A,etc,", it is understo(,d t1,~t a drainage plan addressing a 'colpensating volu.e" will be sublitted which is prepared by a professional engineer fe~ist~(ed in the State of Florida prior to permit issuance. 1\ pertit issued shall be construed to be a license to proceed with the work and not as authority to viol~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; construction, Dr violations of any code. Every permit issll~d :hall becole invalid unless the work authorized by such permit is commenced within six lIonths of issuance, or if wOI.k autho, lled by the perlit is suspended or abandoned for a period of six lonths after the ti,e the work is co~menced, One 90 day e~tt~Sioll of tile, aay be allowed for .th~ permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectie,n l!Iust be logged during each six tIlonth period, e.r the prc,ject wi I I be c(.nsidered <lbillld(,ned. 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 COMMENCE ~~~~:YO~SA~~NT___L~~~_~--_~.-~.~-~--- . ~\C;itdd'---- . . ~t!l'C ('1 f % MY COMMISSIO~E~~~~;~!~n~'~~--------- D, (omroisS\on ~ . .>ll.In'~IOo"" ~. ... .1 ...~ 1\\111,(0)' rO ~n- DATE____~~~-2~2:~-------------------- ~~~~:~C~~R~~_-.k--~~------ ....... MY COMMISSION EXPJ.pj:'~e bUt Statlof"'"'' ~b~~~~--~~--r.~r1,~'t~-- . . n ExpIres ",plf , 11\'1 (ont\1lISSIO r . . 10,.'"0'. Inc. IllnGo" ,\\111'(0)' ",n ----------- SIGNATURE~~~~~~~--------- ~~NER OR AGENT DA TE___jl2.::"-d~..Lq9.i.------------_._------ SIGNATURE