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Home My WebLink About91-1838 ST ATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1838 )1 Date / () -- 7 - 7' I Type of Permit =-SUILDING . cLt:GTRICAL p~ ~A~ Property Owners Name: _.t~ ~ (f~ ~ Job Address: '3 6 Y 'II -~ ~ jJ. Legal Description: Sub.Div. Lot Blk. Zoning CI: J - <'Q b .- c2/ Description of worJ if " t-O .~ JP ~ Energy Code Readout: e""'#Ili,, .I,;)-IIJI Complete Plans, Specifications and Fee Must Accompany Application Fee: 3 0 'if ~ SIGNATLJR' t.tU / COMPANY ADDRESS TELEPHONE II Estimated Cost: J tTth.:J. 0-0 ..../ All work shall be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE II / tJ ? n'~f# ' MECH~N~CA - Breakers Ducts Insl. Compressor Final '/i?e: /7/5- 8 , ~ SlB Tub Set Water Sewer Final ~l Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ba:J(OlNG Ftr. Pre SlB lintel FRM. Insul.CL Wl Driveway Relnspectlons: When extra inspection trips are necessary due to 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. APPLJ:CATJ:ON FOR PERf-l:tT CITY OF ZEPHYRHILLS BUILDING DEPARTr'lENT OWNER PHONE ~ . APPLICANT ADDRESS " AREA SQ. FT. JOB LOCATION LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.l~ WORK PROPOSED:____New Construction _Addition ____Alteration _Repair _Install _Sign/Temp. _Sign _~love ____Demolish PROPOSED USE: ____Single Family ~/F _l~ of Units ,._M/H _Commercial -..:-Indust. _Swim. Pool Other ,3,- ::2b -;2/ /Q o _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COMNERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS. ** **COPY OF CONTRACT REQUIRED. ~ERMITS REOUESTED _BUILDING $ valuation of Total Construction Florida Power Corp. _W.R.E.C. _ELECTRICAL ~CHANICAL AMP Service $ --5/ () ~ O. {)i) Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~ONTRACTOR SECTTON Company State Cert. or Rcgist. 0 City License Registration 1 ****************************************** Inn LD ER Si!!nature Company State Cert. or Regist. n City License Registration n ****************************************** f,T.ECTRTCTAN ,PLUMBER Company State Cert. or Regist. 0 Signature City License Registration i~ ****************************************** MeCllANlCAI~ Company . . . State Cert. or Regist. 0 Signature . 1-', City License Regis tration i~ ****************************************** Signature Company State Cert. or Regist. 0 City License Registration 0 PTHER APPLICATION APPROVED BY ****************************************** . ;? a N1~ J. c:z{j J7 A A1\/1j , ,-' PERHIT OFFICER. CONDITIONS;OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS ", The,undersigned understands that this per.it aay be subject \0 "deed restrictions' which ~ay b~ ~ore restr.ictive than City regulations. The undersigned aSSUIU!S responsibl1itY~'for",colpliance with any applicable d~~d restrictions. . 'IP' . B. UNL I CENSED CONTRACTORS AND '.' CONTRACTOR RESPOl\lS I B I LIT I ES If the owner has hired a c~ntractor ~r 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 I.w, both the OHner and contractor ftay be cited for a misdeMeanor violation under state laM.: If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended Mork, they are advised to contact the City of Zephyrhills Building Department, 18131 788-bbll. :",'; Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ sign portions of the 'Contractor Sections' of this application for which they Mill 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 p!!r~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 C~nstruction Lien L.w - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. 'If the applicant is SOleCne other than the 'owner', I certify that I have e.btained a, co"py of the above described de'cu~!!nt "nd pre'~li:!! in ge,od faith to deliver it to the '~wner' prior to COI~ence~ent. ~ l';' ~.::. : I. ; ! . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inf~rmation in this application is accurate and that all worr. will be done in compliance with all applicable laws regulating construction, zoning, and land development. . ' Application is hereby ~ade to obtain a per.it to'do ~ork and install~tion as indicated. I certify that no work or installation has commenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws regulating constructie,n, City n.des, zoning regulatie.ns, and land development regul.tie,ns in the jurisdictie,n. I also certify that I understand that the regulations of other govern~ental agencies ~ay apply' to the intended work, and that it is .y responsibility to identify \lhat actions I lIust take to be in compliance. Such age:lcies include bill ~le not liaited to: ~ . I Departle~t of Envir~nmental Reoulation - cypr~ss Bayheads, Hetland Areas and Environmentally Sensitive Lands, Hater/Hastewater Treatment I Southwest Florida Water ManaQement District - Hells; Cypress Bayheads, Hetland Areas, Altering Hatercourses I Aray Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health L Rehabilitative Services. Environmental Health Unit - Wells, Uastewater Treat~en~. Septic Tanks t US Environaental Protection AQenc~ - Asbestos abatement I also certify that, if fill laterial is to be used in Fl"c,od Ze,ne "A" or 'A,eic.', it is underst(,(,d t\,~t a drainage plan addressing a 'coapensating volule' will be sublitted which is prepared by a professional engineer ieyist~,ed in the State of Florida prior io permit issuance. A pereit issued shall be construed to be a license to proceed with the work and noi 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 fro~ thereafter requiring a ce.rredion e.f errors in plans; constructic,n, e.r violations of any ce,de. Every per~it iS511~d :hall beee,me invalid unless the work authori1ed by such perllit is cOIJftenced within six months of issllance, or if HOl'k authol Ized by the permit is suspended or abandoned feor a period e.f six lonths after the ti.'le the \lorr. is ce,Menced. One 90 day c.~\"ilsioli of tile, /Jay be allowed for the permit with fee charge of $15.00. The extension shall be requested in \lriting to the Building Dfficial. An approved Inspectie,n oust be le,gged during each six month period, or the prc.ject Iii II be ce,nsider!?d iJbdl.de,ned. WARNING TO OWNE~: 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 ------------------------------ CONTRACTOR SIGNATURE ---------------------------------- OWNER OR AGENT DATE___________________________________ DATE --------------------------------.------- NOTARY AS TO . OWNER OR AGENT______________~____________~- MY COMMISSION EXPIRES______________________ NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES ------------------