HomeMy WebLinkAbout91-1846
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~ 1846A
Typ,eo!__ .
~ E~.. P~
Property Owners Name: ~~i:;~ f
Job Address: ,,5 /,2/ =---.L-"L/...<L...,
.
Legal Description: Sub.Div.
Date / () - / I 9' I
M~CAL
a~
Lot
Blk.
Zoning CI:
Description of Work
JIAA
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
OCCUPATIONAL LICENSE # 7 7 ,fj..u~fJ 0~t
Fee:
'/ -~
Estimated Cost: 7 JS . &"l-V
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
TELEPHONE #
cf!~~ .~
_ BUILD1~~/ . .
Ftr. trJl
Pre SLB /o~/.t)-'JI
Lintel
FRM.
Insul.CL
WL
'~G
--------------
E~AL
-----
M~ICAL
~
SLB
Tub Set
Water
Sewer
Final
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
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.
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT JlR .~ ~~ .
ADDRESS 3fI'2.I~ &",..-s4uE,~"".~HONE ?8"L..- ~3~'
07~~
OWNER
LOT SIZE_X
-
BLOCK ~ SUBDIVISION
I "2- - '2- ~ - L..(
"D "!>O 0(:1 '500 - 00 bO
AREA SQ. FT.
JOB LOCATION
.
LEGAL DESCRIPTION: LOT(S)
PARCEL 1. D. #
(!tr) - .... . .~.......
WORK PROPOSED: ~~w Construction _Addition _Alteration _Repair ~nstall
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: _Single Family _M/F _~~ of Units ,._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
$J~5~
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 ____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR S~., __....~ ."\.
Company ~iIIJ~Q.. ~...-..
State Cert. or Regist. #
City License Registration # ~- ~
********************************** ~
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
Company
State Cert. or Regist. #
City License Registration #
******************************************
PLlrMRER
Signature
Company
State Cert. or Regist. #
City License Registration # -
* * * * * * * * * * * * * * * * * * * * * ** * * * * ** * * *,~ * * * * * * * * *
MECHANICAL
Signat.ure
Company
State Cert. or Regist. #
City License Registration # ~
01'HER
Signature
APPLICATION APPROVED BY
~*********~**************************
t1 M R' A ~ --",.I) L'J" " , .
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Th! undersigned understands that this perlit la~,be subject to "deed re..rictions. which lay be lore restr,ictive than City
regulations. Thlunde,T5igned USUliS rtlP~I)l1ilit,Y-:f~ co.,uV1c~..itihny applicabl! cleedns~ri~tions. .~
,~,:"" :: .. ". '. .'.... ..,.,. . .. '.' . ," *' ';,
B. UNL ICENS~D '1:-oNTRACTORS QND Cf}a.lT1'tAC?JR,:'~i,Sp.o~~. I~B..l: ~~lE.r ~,..;.
.' . ~,. .......
If the owner has hired a contractor or contractors to undertake work, they lay b!required to b! lic!nsed in a~c~~an~! with
state and local regulations. If the contractor is not licensed as required by lair, both'the ownera'nd.C!"On\TKtor.lilY be
cited for a lisd!l!anor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
requirelents lay apply for the inttnded work, they are advi~ed to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furthenore, if the owner has hffed a contractor or con'tractors, he ,is .advised to have the contractor Is) sign portions of the
.Contractor Se~ti.ons. of this application for which they will be responsible. If you, as the c.wn!T sign as the contractor,
you are indicatiiig 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 entitl!d to permittlng~rivileges 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 Const~uction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOle6ne other than the
'owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
.owner' prior to COllencelent.
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 laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a penit to do llork and inshlliltion as -indfeafed; I (~rt;'tt that no work or
installation has cOllenced prior to issuance of a penH and that all work will be performed t..leet 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 lay apply'to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include ~It ile not li.ited to:
. J
I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatlent
f 50uthllest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks
I US Environlental Protection AQency - Asbestos abatelent
~ .....,- ~ .
t -at'!1I..i'ertifyl1l,a.t."'I1f~f~1 laterl~__.i~..t.~~ ~d.il! Hood Zc.ne .A" or 'A,etc.', it is understc.c.d thilt a drainage plan
addressing a 'colpensating volute" wiT'} De.~~tte~~"hich is prepared by a professional engineer regist~ied in the State of
.1Joddi p.trt.i't~.tt permit issuance. '
... ... _ ... - ~ ... ,,;.- ..!...~ .,.,..".'" .~~.. ~,'.... ~,,' "-
A per.it issued shall be construed to be a license to proceed with the lIork arid nc.t as authc,rity to vi[ll~ter cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frot thereafter
requiring a correction of errors in plans; construction, or violations of any code. Every perlit issued ~hdll becole invalid
unless the work authorized by such permit is COllenced within six lonths of issuance, or if work authDl lIed by the permit is
suspended or abandoned for a period of six lonths after the tiJe the work is co~menced. One 90 day e~tEnsiou of tile, lay be
allowed for the permit with fee charge of $15.00. The extension shall be requested in writing tD the Building Official. An
approved inspection lust be logged during each six lonth period, Dr the project will be considered dbdHdoned.
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
DO NOT NEED TO RECORD AND POST A "NOTICE OF MEN EMENT".
SIGNATlJRE__~-~~N~-
DA TE_._~ftlL_fL------------------'-------
NOTARY AS To2: '
OWNER OR AGE ___~~~~~--~-
MY COMMISSIO EXPIRES______________________
CONTRACTOR
DATE __ !Z-L.L-?-L------..-----------
NOTARY AS ~ ' "\- I
CONTRACTOR ~~~
MY COMMISS N EXPIRES__________________
NOTARY PUBLIC. STATE OF FLORIDA.
MY COMMISSION EXPIRES: MAY 17.1992.
l!!ONDEO THRU NOTARY PUBLIC UNDERWRITERS.
NOTARY PUBLIC. STATE OF FLORIDA.
NH COMMISSION EXPIRES: MAY 17. 1992.
BONDED THRU NOTARY PUBLIC UNDERWRITER9~