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Home My WebLink About91-1832 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813- 788-6611 Permit :N~ -, 1833 -/r) E~AL Date 10 - 7- 9 I Type of Permit ~LDING PL~G Property Owners Name: Job Address: Legal Description: S{arf2 i5 Lot Blk. Zoning CI: Description of Work Energy Code Readout: f.. \'1.,., q;l lleAAJ Aje Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE # It?' ..p 0 1.) Fee. ............. 2- S- - '"22 SIG~ATURE~.- COMPANY e_ ~ _ ADDRESS TELEPHONE # Estimated Cost: J/2Je;~ pP-- All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~ Breakers Ducts Ins!. Compressor Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Sl: Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($ 10.(0) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Rcpairs or corrections not made when inspection called for (d) Work not ready for inspection when called. Thc paymcnt of reinspcction fccs shall be madc bcfore any further permits will be issued to the person owning same. APPLICATION FOR PEIDlIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT FIRST BAPTIST CHURCH' ADDRESS ~R~()() flt-h AvpnllP PHONE 782-5574 OWNER '. JOB LOCATION LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. 1~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ~Single Family ~/F ____t~ of Uni ts ,._M/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 FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL LMECHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ d/L~jJJ'J Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. ff City License Registration n ****************************************** BlJ1LDER Signature Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** ELECTRICIAN Signature Company State Cert. or Regist. ff City License Registration 0 ****************************************** MECHANICA~? ?c~ PLUMBER Signature /? 'J "' I /j.. /l ..J '-r' ~ Company t :/tAl.-iI-~-(vt'.ttAJ! U-lA~ l :h71.A-U_,(..t}7cL'//'(d" State Cert. or Regist. 11 R/1j7/99.37 City License Registration # ~ ****************************************** Company State Cert. or Regist. 0 City License Registration # OTHER Signature APPLICATION APPROVED BY ~:~.~;;:;:~;:**~*.*********** PERMIT OFFICER. .. .. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The.undersigned understands that this per.it lay be subject to "deed restricti~ns' which may be more restr.ictive than City regulations. The undersigned assules responsibility~for. compliance with any applicable deed restrictions. . , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor 'Dr contractor5 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 owner and contractor eay be cited for a lisde.eanor violation under state law., If the owner or intended contractor are uncertain as to what licensing require.ents lay apply f~r the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813) 788-6611. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the c~ntractorls) sign portions of the 'Contractor Sections" of this application for which they will be responsible. If y~u, as the ~wner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the w~rk. If the c~ntractor wishes you to sign as contractor that say be an indication that he is not properly licensed and is not entitled t~ 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 C~nstruction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is SOleDne other than the "owner", I certify that 1 have obtained a. c6py of the above described document and pr~IDise in g~od faith to deliver it to the "owner" prior to co..encelent. . 'i . ~ .~:. l'.~ E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all w~rk will be d~ne in c~.pliance with all applicable laws regulating c~nstructi~n, zoning, and land developlent. Application is hereby lade to obtain a persit to. do work and install~tion as indicated. I certify that no work or installation has cottenced prior to issuance of a perlit and that all work will be performed t~ ~eet standards of all laws regulating construction, City c~des, zoning regulati&ns, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governuental agencies ~ay apply. to the intended wor~, and that it is IY responsibility tc. identify what actions I lust take to be in compliance. Such agl?ncies include bill ~le nt.llilllited to: . J.r I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water. ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I Any Cc,rps ,of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks I US Environaental Protecti~n AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Hc,od Zone "A" or "A,etc.', it is understc,(,d tl,.t a drainage plan addressing a 'colpensating volullle" will be sublitted which is prepared by a pr~fessional engineer regist~ied in the State of Florida prior to permit issuance. A per.it issued shall be construed to be a license to proceed with the wor~ and not as authority to viol~te, cancel alter, or set aside any provisi~ns of the technical c~des, nor shall issuance of a permit prl?vent the Building Official fr~1 thereafter requiring a correction ~f errors in plans; construction, Dr violations of any c~de. Every permit iss\l~d ;hall becole invalid unless the work authorized by such permit is c~lIlenced within six months of issuance, or if wOl.k authDflzed by the per.it is suspended or abandoned for a period ~f six ~onths after the tiJe the work is commenced. One 90 day e:le~5io" of tile, lay be all~wed for the per~it with fee charge of $15.00. The extensi~n shall be requested in writing to the Building Official. An approved inspectic.n llIust be lc,gged during each six Ilonth period, or the prc.jed liill be considered ilbal,dc.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 COMMENCEMENT". SIGNATURE_.9~-l~----- SIGNATU OWNER OR AGENT U ACT DATE____~-itl'}L_---------- DATE__~-]-IJj~L------ NOTARY AS TO' . ,'~--- () ~OTARY AS 11. _A J - ,~ OWNER OR AGE ~_~CONTRACTOR_ -~ .Notary Public, State of Florid" Notary public, state of Florida MY COMMISSION EXPIREs_~~~m~E~~~uW~~~.~~~~~~ MY COMMISSION EXPIRE~~~~~~~]~~~~~~92