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Home My WebLink About91-1833 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ -. 1834- 8 DateJ ()- ? -q / ELECT,kAL PLUMI-'G MECH11CAL Property Owners Name: vY P Q Job Address: 5'7 ILl] ?fr''"' ~ Legal Description: Sub.Div. ,,Il,k ~ r Lot ZoningCI: :;-- ~....2/""'/Z.~ Description of Work ~ ~ ~~ Blk. Energy Code Readout: ----fJ .P 71 err t()-[lJ (i;J Complete Plans, Specifications and Fee Must Accompany Application '7f #- ~ Fee: -30 SIGNATURE COMPANY ADDRESS TELEPHONE # Estimated Cost: ../12 3'~ 0 All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # CAL SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Ins!. 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 when called. The payment of reinspection fees shall be madc before any further permits will be issued to the pcrson owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION ~y~ LEGAL DESCRIPTION: LOT(S) '7'/ BLOCK PARCEL l.D.t~ J~?- & "":A/~/2. ~d/ '17 PHONE ;?z:;tf'"~;'(.P s-- ? APPLICANT ADDRESS '. LOT SIZE_____X AREA SQ. FT. SUBDIVISION SIt. Yf-(L CX'-\'f,<" WORK PROPOSED:____New Construction ____Addition _Alteration _Repair ____Ins tall _Sign/Temp. ____Sign _Hove ____Demolish PROPOSED USE: ~Single Family ~/F _tt of Uni ts .._M/H _Commercial _Indust. _Swim. . Pool tYC:J~v Other _Restaurant & Health Department Approval BUILDING SIZE: f/2 X 3.s- , I 8~ Square Feet. /506 /1); F , 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 FO~lS.** **COPY OF CONTRACT REQUIRED. EERMTTS REOUESTED -A-BUILDING f23S-0 valuation of Total Construction _ELECTRICAL AMP Service Florida power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY 0'" . TYPE OF CONSTRUCTION: _Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~ONTRACTOR SECTION Company State Cert. or Regist. # City License Registration l~ "7. 5 ************************************* Sicrnature Company State Cert. or Regist. ff City License Registration l~ ~ ****************************************** ~ f.T.ECTRTCT AN Signature Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. tF City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. ff City License Registration ff pTHER APPLICATION APPROVED BY '~~~*"""".************* . ~<. PERMIT OFFICER. CONDITIONS: OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The.undersigned understands that this perlit lay be subject to "deed restrictiDns' which may be mDre restr.ictive than City regulations. The undersigned aSIUles responsibility~!or. coapliance with any applicable deed restr!ctions. '. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a cDntractor'or contractors to undertako work, they lay be required to be licensed in accordance with statt and local regulations. If the contractor is not licenled al required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state laK, If the owner or intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to cDntact the City Df 2ephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractDrs, he is advised to have the cDntractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the Dwner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the cDntractor 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 Kith a copy of 'Florida's Const~uction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone 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 coalencelent. ~ 1 .. .': E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby .ade to obtain a perlit to. do work and install~tion as indicated. I certify that no work or installation has co.menced prior to issuance of a perlit and that all work will be performed to Neet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I und~rstand that the regulations of other govern~ental agencies ~ay apply' t~ the intended work, and that it is IY responsibility tel identify what actions I lust take to be in compliance. Such agencies include b\lt ~l e Ii~t liltited to: .0#- I also certify that, if fill laterial is to be used in Hood Zone 'A' or 'A,etc,', it is understood t,,~t a drainage plan addressing a 'co.p~nsating volule' will be sublitted which is prepared by a professional engineer fegist~ied in the State of Florida prior to permit issuance. A perlit issued shall b~ 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 permit prevent the Building Official frOM thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit iss\l~d =hall beco.e invalid unless the work authorized by such permit is commenced within six months of issuance, or if ~ol.k autho~ lzed by the pertit is suspended or abandoned for a period of six lonths after the ti,e the "Drk is co~menced. One 90 day e:te~sio\l of tite, .ay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six tonth period, or the project will be considered aballdoned. 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 FINANCIN~, 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_C~E~~-~---------- SIGNATUREk~~-- DATE ____\.O:-d:::3.1-------.-.---------,------- DATE_______1Q=..2-:.~L----------------- NOTARY AS TO .~ .. - OWNER OR AGENT __~~-~~~-- ,. . NOTARY AS TO ~~~ CONTRACTOR____~~~~~~~~ MY COMMISSION EXPIRES:Jt! '(,~:.~Jj',,/ 'sUI O:lS,'?dfq ,:;~:^,~~g l~-'~~~~~~~~-- tippOI.:! !O a~"4S ':lnqnd A1I4vN " MY COMMISSION EXPIRES NrotY''7' 1""'~~:- "':r"",,-.""\-rt"'!1'I-"- t"11 r>"';l';-:r-;s"r.':l b