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Home My WebLink About91-1830 STATE OF FLORIDA City of Zephyrhills ELEC~ PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PLUM~ ME~ Permit N~ 1830B Type of Permit @N~) Date /0-3-"1 J Property Owners Name: Job Address: 3'b7Ho Jot' ~ Y~N 2ta:rL 2ND 'ft\!, Legal Description: . p. ~ l P b 5'-1 "u.. iff 6L.cdL Zo4 Sub.Div. II-lh-U 00 10 2oi-f DO tJD(lC Lot Blk. Zoning CI: Description of Work G MAh-C. " 01) I T7 0"...1 Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: tit 50 0 Fee: 00.00 SIGNATURE aL IrIf!~(/1./ / / COMPANY/' ADDRESS TELEPHONE # All work shall be performed in accordance with the above and all City Codes and Ordinances. OCCUPA T10NAL LICENSE # 6 LJN'1? yL OlNl\ltZtL BUILDING Ftr. . f{J.-2'8-116J1 Pre SLB I f Li n te I 7!::::i FRM. //-/7,"1/ Insul.CL . WL G AL L SLB Tub Set Water Sewer Final Tp.Serv. Rough I Meter an Cons . Pole Pool Pre-Meter Final Breakers Ducts Insl Compres or 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. Thc paymcnt of rcinspcction fccs shall be madc bcforc any further permits will bc issued to the person owning same. APPLICATION FOR PER}IIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS OJ N f) ,A t/ F OWNER ,/ tJ J.I N I J, P A. tV" Z, G ~ JOB LOCATION 3 c;;-? l?- d IV D 4 j/ F ~r 0 II- ~') ,~ '/ /~ ,J I PAl\/?-clP ~ ~ 14 () PHONE 7 YJY.- ;)7 s- / 1;L, APPLICANT A t_v C/ F 13 ,~C' <'--1(- j:JEl ;viEc tV LOT SIZE_X AREA SQ.FT.I~-r{7'-'/-/ttJTH- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION Z-EPJ./ '(If filL- L S PARCEL 1. D. t~ /'0 B> J P 6- .')4- fI. h I- tP r f}L.. OL /'<. t).., Oq. WORK PROPOSED :_New Construction ~ddition _Alteration ____Repair ____Install _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ~Single Family ~/F ____t~ of Uni ts ,._M/H _Commercial ____Indust. ____Swim. Pool Sr~ If ,4 ~ E Other _Restaurant & Health Department Approval BUILDING SIZE: , , ) ILf X 3 'I' , Square Fee t, '-1'7 {. R i 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 FORNS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ '-I S~ 0 0 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 ~rame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION BUILDER 110(-1. N cr. P A AJ "2 C:. R.. (JU./IJ EI.( Company ;J iJ 0 'iD . State Cert. or Regist. iF Signature "'7'A'1 C~f~~Q~ City License Registration IF .' (/ **** *****************1,*1,*1,****-1' ,',"i' ,', -1:1: ,':1: ,', * ELECTRICIAN IY 0 II) ~ Company State Cert. or Regist. ff Signature City License Registration ff ****************************************** Signature tV (;) IV ~ Company State Cert. or Regist. ~ City License Registration ff ****************************************** PLUMBER Signature IV t) I'f C Company State Cert. or Regist. IF City License Registration # ****************************************** 7;j ']J/0 Company L ti-.~ (/ iW (;1../V\.~?l._.""'L/' State Cert. or Reg;fst. IF City Li~nse Registration H MECHANICAL Signature APPLICATION APPROVED BY ******~*:f************~****************** LA ) ~j L:--- 4. wy PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The.undersigned understands that this pertit tay bi subject to "deed restrictions" which ~ay b~ more restr.ictive than City regulations. The undersigned iSSUles responsibility;for co.pliance with any applicable d~cd restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the owner has hired i contractor or contractors to undertake work, they lay 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 tisde.eanor violation under state laH. If the owner or intended contractor are uncertain as to what licensing ,."i,...nt, "y npply I,r the int.nd.d ",t, th.y .,. ad,i,.d t, "nt.,t the City ,j Z.phyrhi!!' ',ildin, D.p.rt..nt, !B!" 788-6611. Furtheraore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl sign portions of the "Contractor Sections' of this application for which they Hill be responsible. If you, as the owner sign as the contractor, yn' .,. indi,.tin, th.t y", rath.r than th. ".tra,t,r, .r. ,.,p,n,ihl. j" the "~,to !I th, "nt",t,r .i,h., y" t, ,i,n 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) 1 certify that 1, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection Guide. prepared by the Florida Departtent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the "owner., I certify that 1 have obtained a. copy of the above described document and pro~ise in good faith to deliver it to the .owner' prior to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 certify that all the information in this application is accurate and that all work Hill be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perait 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 laMS regulating construction, City cod~s, zoning regulati~ns, and land development regulations in the jurisdiction. I also ,.rtily that I ,nd"".nd that the ,.g,lati,., ,I ,th., g".rn.,nt.1 ag,.,i" n,. .,ply t, Ih. in',nd,d .,rk, .nd th.t it i' ,y ,,'pon' i bi Ii t Y to idon \i j Y .h. t ,,\i on' I ,"' t tat, " b, in coop Ii ,,". S" h .'so, i" i "CJ ,d' b'" '" ,,,. Ii. it.d to: 0#- I Departle~t of Envir~nmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Landsr Water/Wastewater Treatment f Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses f Arav C(lrps 'of EnQineers - SeaMalls, Docks, Navigable Waterways . D.,a,t..nt ,f "..Ith ~ B,h.hilit.ti,' S.r,i"', En,i"n..nt.1 ",.Ith Unit - W,ll', W.,t,..t" I".t.,n\. S.,.i' T'nk' I US Environmental Protection AQenc~ - Asbestos abatement I also certify that, if fill material is to be used in Flr.od Z(,ne "A" (IT "A,etc.'r it is underste,(,d tl.~t a drainage plan addr."in, . '"."n,.ti., "I'." .ill b. "h.itt.d .hi,h i, p,.p.,.d by . pr,j,,'i,n.! ,,,,in,.' r"i"",d in 'h. St.t. ,j Florida prior to per.it issuance. A p.r.it i",.d ,h.ll h, ".,'",d t, b. , Ii,..,. t, p",..d .ith the .,rk ,nd n,t ., a,'h,ri'y t, ,i,!"', ,'n"I .It.,, " set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official fro~ thereafter r."i,in, . "rr"ti,n ,j ."", in pl.n'. "."",tl,n, " ,i,l.ti,n, ,j an, "d" ,,',y p.r.i' i"'" .h.ll h.,... in,.lid unless the work authorized by such permit is coamenced within six ~onths of issuancer or if Ho\.k authol Ized by the per.it is ~"..d,d ,c ,h.nd,n.d I., a p"i,d ,I ,i. .,nth, aft.' the t,.. 'h, ",t i, "",n"d. 0'." d., .,....i'. ,j 'i.., .ay h. allowed for the permit with fee charge of $15.00. The extension shall be requested in Hriiing to the Building Official. An approved inspection ~ust be logged during each six month period, or the project will be considered abalJdoned. 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". SIGNATURE___L.U~~JZ~-------- SIGNATUR~...._ ' -~ ~~~---- . .. OWN OR AGEN .. e?)';iTR'ACTOR?'- i/ DATE . October 3 1991 DATE October 3 1991 ________________:J_____________.__'_______ --- --------.!--- -- -------- - --- ------ ~~~~~Y o~S A~~~-.:q,.Jl&2~ ~~~~~~C~~R~~Q MY COMM I 5S ION EXP I~::~~~~~~~rL- MY COMM 155 ION EXP I RE"',;~~;:~~O'~~-S!~! .9LFLO'", ':V!"y"'~~~ .- !171, ,-,vlIlI",SSlon expires t 2 1 " . \ t"flj PatVrsr,\j ,"Becht Meriel ,. . I t" c. , 99 ,. . nl Pattrr""I' ^ Becht Af!f>n"