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Home My WebLink About91-1844 STATE OF FLORIDA City of Zephyrhills II-{-; o-v T it -~ BUILDING PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 18448 :20 .' crv Date /0 - 7- 9/ ~ MECH~ Properly Owners Name: . -YJ'~& ~1!fJ Job Address: (? ,r- /3-.5 - ~ _ . ~ Legal Description: Sub.Div. Lot Blk. Zoning CI: / / - c2? - d- / - 0 0/ 0 - /..i,---7 0 0 --. 0 / Y 0 Descripllon of Work" ~ /l.,d Cf " Energy Code Readout: ,93 r ~/~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ,~-d e--cJ, o-c / OCCUPATIONAL LICENSE # Fee: b~ SIGNA'TURE~ ' COMPANY ADDRESS TELEPHONE # ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances, Ftr. Pre SLB Lintel FRM./2-....j".,q, Insul.CL WL SLB Tub Set Water Sewer Final NICAL Rough In 2,- Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Relnspections: 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. \,... .....- ~ j \ : .-'t... -1 i,~ ,.t, f\ .... i .t..l ! -I Jr'. . or<.' j " i ~.. --i-~ ~ t::'- - ~'f') - ~ -e, ,~ ~ j':'). ~j C+. <:; c::' f) -- ;."__,",~_t;..~~"""" , t? r~l '.fl.' d~').-. / /Yf:~ . .--=.'..\" \.!) C' \~ '::J "........... .....'-~-_..._-_.__., 0J '~ ..... :2 ""~ ....... It, ,r::, P_0/ ,,- . 0/' /i/~ ./ -r 01.9 1/::/ '~'~'( -=.;;:----- -G)t.~,.I' ---- "-::>', ,j' 1".,' of ~~ ..' ""- / C\ ;,~" 7i" f,...l 'r.......... ... "'- .------" ,f <: ,,~ -;"'... 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'~ ,_ J\ .~~ \ I i "r . ;~ .. .....,.,,~ ~ i' r\j i--- i;: -~-- .~ \ C;( <) 60 V; U.-..Q -.::::. ~ .....'3 ill '-- y-~ ~ (1 -...... ?-' -- I ..I C:':":' ~- -Z " iU .. ~ ~ \U U .>:;'0 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ADDRESS ~-56 ! -? ? J~?:f' /;1 >' E' . . OWNER ,~~~t/ JOB LOCATION,../ / . ~t!r1/ e. PHONE 'J ,..., -") 9", l."""-~'L"I! ....'f/:,). .' ~ - D -=- " LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION /~', PARCEL I.D.ff WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install _Sign/Temp. PROPOSED USE: ~Single Family ____Sign _l'love _Demolish _Commercial _Indust. ____Swim. Pool ,._M/H G A iR A (;; e. Other , ____M/F _f~ of Uni ts ____Restaurant BUILDING SIZE: . ~C> X II, , & Health Department Approval 1'1 ,P,i": i(Y: j Square Feet, 11 (/!P / /2 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. -LBUILDING PERMITS REOUESTED '2) 1 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 Company State Cert. or Regist. # City License Registration n ****************************************** BUILDER Signature SilZnature Company State Cert. or Regist. n City License Registration n ****************************************** ELECTRICIAN Company State Cert. or Regist. 41 City License Registration n ****************************************** ,PLUMBER Signature Company State Cert. or Regist. n City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. 0 City License Registration n OTHER Signature APPLICATION APPROVEO BY ~~.~.;:~*~~:~...~.**.**.*..*.* PEmUT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The ,undersigned understands that this perlit lay be sublett to "deed restrictions. which &ay be more restrJctive than City regulations. The undersigned assules responsibilitf~!or"colpliance with any applicable deed restr!ctlons. B. ~NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor~r contractors to undertake work, they lay be required to be licensed In accordance with stlt, and local regulations. If the contrlctor is not licensed IS requ(red by law, both the owner and contractor lay be cited for a lisde.eanor 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 Zephyrhllls Building Departlent, tBl3l 78B-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the 'Contractor Sections' of this application fDr 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 Hork. 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 - Ho.eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleCne other than the 'owner", I certify that I have obtained a, copy of the above described de,cUlllent and pre,[,ise in good faith to deliver it to the .owner' prior to co..encelent. ~ 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 cOlpliance with all applicable ldws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a pertit to'do work and install~tion as indicated. I certify that no work or installation has cOI.enced prior to issuance of a perlit and that all Hork 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 govern~ental agencies may apply' to the intended work, and that it is ,y responsibility to identify what actions I must take to be in c[tlllpliam:e. Such agencies include bllt ~le !\Clt limited to: .... I Departle~t of Envir~n.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, W~ter!WasteHater Treatment I Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Cr,rps ,of EnQineers - Sea\1alls, Dtltks, Navigable Ilatenlays I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Ilaste\1ater Treat~err~, Septic Tanks I US Envirtlnaental Protectitln AQencI - Asbestos abatement I also certify that, if fill aaterial is to be used in Flbod Zone "A" or "A,etc.', it is understood tll~t a drainage plan addressing a 'colpensating volute" will be sublitted which is prepared by a professional engineer regist~ied in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed \'lith the wtlrk and not as authority to violate, cancel alter, or set aside any provisions tlf the technical codes, nor shall issuance of a per~it prevent the Building Official fro. thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issu~d ~hall become invalid unless the work authorized by such permit is commenced within six months tlf issuance, or if work autho( lied by the per.it is suspended or abandoned for a period Df six lonths after the ti~e the wDrk is commenced. One 90 day e=tE~sio" of tile, lay be allowed for the perlit with fee charge Df $15.00. lhe extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six lonth period, or the project Hill be considered dbaudoned. 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". - tQ-~- OWN R AGENT DATE__L~;LjgL--qL------- --------- NOTARY rxt TO / l ~. ' /7'1 OWNER OR AGENT~~~~--- "".-' Notary hiiZStat;;rRorlifa--' MY COMMISSION EXPIRES~JQ~~~~!!~~~-~~_~]!~3 MY COMMISSION EXPIRES__________________ . ~nd.d Thru TroY Fain. Insurance Inc. SIGNATURE SIGNATURE______________________________ CONTRACTOR DATE ----------------------------------- NOTARY AS TO CONTRACTOR___________------------------ "