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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. ( · II 1),,;1 C,j'j I I', j';,., (u ["1 c\.~ ','!iJ'IiUU:, ",."./n .,.,'". II l~t,I'li' "1\~[l(f,CL2~\~ihl\1), A' \JI':DFF"CD D,/;,...IYl[~5,Lt21.:110il1ILD.. II Q.() '2 J - /" t - c::: I J r" , r~ I .' 11 ' II ?H)r\i,'I'~>, ,~f.., I co..... t;:{t;..l::.J,~ t.=- L...J hOOFlhiU J LPd!UV</'''l{.;T[I:::1 "--7' ,I I! Pd~jLH<F(:;:::)....~ P.f:l.Lf.,21~{L.Ls,..rL.-.-~1 [~J Cf,)fif'CI\4i!':,:\' I..! F iU Tr({\~;;tl !1 !i I'. 'j" , '" 'I' ' 179'2.. 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'.' . ........... ....". ..,.....-.. .. .., .... "-0.'" _ ".. __ ... .. .... ..~. ... n_......_......... . ....._ ._.... .. ............. .._. _...... ...... _ .. .--"...... . ....-....... ....-..........-.-...-.. -....-.----...-......-......-.-....-----........--...... ... -- r J 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~