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Home My WebLink About91-1847 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N'~ 184713 BUILDING ELEC'rRrcttt- ~ Date /tJ - /~:;- - 9 I M~AL Property Owners Name:i1~ ~ .1:1, Job Address: 3 7 - ~ ~ Legal Description: Sub.Div. Zoning CI: Description of Work ) A At;tre~ Lot Blk. ~ ...i'~I/l ",i{ ~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: Y tJ b. t";{) All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # Fee: ~O, OJ) SIGNATURE '1'-, lc.'id~ ,;/;jii.A.tZ COMPANY ADDRESS TELEPHONE # ~dY Ftr. Pre SLB Lintel FRM. Insul.CL WL Driveway \0 - \ ')... q l ~ ~ ~, SLB Tub Set Water Sewer Final E~L Tp.Serv. ~~, Rough In ' Meter Can Const. Pole Pool Pre-Meter Final M ECI~ANU<.AL " Breakers Ducts Insl. Compressor Final 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 PERl'lIT CITY OF ZEPHYRlULLS BUILDING DEPARTl'1ENT OWNER j-y'qNZ- ja yll( 3 '7 (1 I .z.. :f it; 1[;./ c /~/VI J/ 213 t/f;" f-I; PHONE f{'':.f"- / .S'. -7' 7 APPLICANT ADDRESS JOB LOCATION ,) -; 'j I -2.. (ji-Y: ~ Ill-, ~, LOT SIZE .<)'-L/ X / (, L; AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .l~ iJ~ ~ditio~lteration _Repair _Install WORK PROPOSED:_New Construction _Sign/Temp. _Sign _~love _Demolish PROPOSED USE: ____Single Family -.:...-M/F _i~ of Units ,._M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COH1'1ERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'lS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.-H **COPY OF CONTRACT REQUIRED. ~F.RMTTS REOUESTED ~BUILDING $ 1/ ()zJ . tJ7) 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. * **** *-i, *-i'*'************* * * -i,* 1,,~ -i, -i, * ,', ,', ,',of, -I, ,', *." *." Signature CONTRACTOR SECTION Company State Cert. or Regist. U City License Registration 0 ****************************************** BUTT.DER Si!?nature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** ET .ECTRT CT AN Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** MECHANICAL OTHER ~ Signature '~C.c/2. /}tJ~ Company State Cert. or Regist. 0 City License Registration 0 APPLICATION APPROVED BY ~;;:;'2f:~~:;:;;:;:"**"***'****'** PERMIT OFFICER. CONDITIONS of,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The,undersigned understands that this perlit lay bl subject to 'deed restrictions' ~hich ~ay b~ ~ore restr,ictive than City regulations. The undersigned assumes responslbllitf;for, compliance with any applicabl~ decd restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the own~r has hired a contractor ,or 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 la~l both thc OHner and contractor ~ay be cited for a Disdeaeanor violation under state law., If the owner or intended contractor are uncertain as to what licensing requirelents may apply for the intended work, they are advised to contact the City of Zcphyrhills ~uilding Departlent, (813) 788-b611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractortsl sign portions of the 'Contractor Sections' of this application for which they will be rcsponsible. If you, as the e,wncr sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the ce'ntractor wishes you to sign as contractor that lay be an indication that he is not properly licensed ~nd 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 Depart.ent of Agriculture and Consumer Affairs. If the applicant is sOleCne other than the 'owner', I certify that I have e,btained a, copy of the above described de,cument ilnd promise in ge,od faith to deliver it to the 'owner' prior to cOlmencement. ~ 1 ': '_: 7, '. . . .' 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 developDent. Application is hereby Dade to obtain a pertit to'do Mork and install~tion as indicated. I certify that no work or installation has commenced prior to issuance of a per.it and that all work will be perfor~ed to meet standards of all laMS regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governlental agencies milY apply'to the intended work, and that it is ay responsibility te, identify Hhat actions I lust take to be in compliance. Such agencies include bllt ~le n(,tli~ited to: ... I Departle~t of Envir~nmental ReQul:tion - Cypress Bayheadsr Hetland Areas and Environmentally Sensi tive lands, Water/Wastewater Treatlent I Southwest Florida Water ManaQeDent District - Wells; Cypress Bayheads, Hetland Areas, Altering Watercourses I Arty Corps ~f EnQineers - Sea~alls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells, Hastewater Treatr.e~~. Septic Tanks f US Environaental Protection AQency - Asbestos abatement I also certify that, if fill lIaterial is to be used in Fli:,od Z(,ne "A" e,r "I'l,etc,', it is underste,e,d ll,~l a drainage plan addressing a 'colpensating volume' will be submitted which is prepared by a professional engineer regist2red in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Officii1 fro~ thereafter requiring a c(,rrection e,f errors in plans; c(,nstructie,n, e,r violations of any c(,de. [yery per~it iS511t'd =~Jall bece'le invalid unless the work authorized by such permit is ce.uenced within six l!Ionths of issuance, (,r if lie'l f; aull,C'il,ed bi the perlit is suspended or abandoned for a period of six lonths after the tiJe the HDrt is commenced. Onc 90 day e:tensiOl\ Df tile, ~ay be allowed for the per~it with fee charge of $15.00. The extension shall be requ~5ted in "riling to the Building Official. An approved inspection oust be logged during each six month period, or the project will be considered dbdl,dDned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1"Y. 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__~~_--~~------- OWNER OR AGENT SIGNATURE ------------------------------ CONTRACTOR DATE ___JQ:-1s.:-9-~-----~-------.------- NOTARY AS TO ~~.. ~ OWNER OR AGENT__~-_- - - -~- C AT OF FLORIDA. MY COMMISSION Ex~~i~~~~--~~~~~~~~~~~-- .,oNO'lD THRU NOTARY pUBLIC DATE ----------------------------------- NOTARY AS TO CoNTRACToR_____________________________ MY COMMISSION EXPIRES__________________