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Home My WebLink About91-1848 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 ~mit ~\ .~. PIDMalNG.. Property Owners Name: 6 ~ l Job Address: ,5' Y.... ={, z- (l'_~ v.......y;; MEC'HAmcAL Legal Description: Sub.Div. Lot Zoning CI: Description of Work Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 0 C;Z, () () Q . c;-i) '-" Fee: / ,/-S': ~ SIGNATU~-1L All work shal! be performed in accordance with the above and all City Codes and Ordinances. COMPANY ADDRESS PermitN'~ 1848-8 Date / () - /-..S ~-7 / Blk. 1/ try \\ ,10:- ) TELEPHONE # OCCUPATIONAL LICENSE # ~'I:J. &~ J;p~ ~ a:~~~~ ~~!~ ~ING ~ P~ ----: . EL~~ Ftr. SLB Tp.Serv. Pre SLB Tub Set Rough In Lintel Water Meter Can FRM. Sewer Const. Pole Insul.CL Final Pool W L Pre-Meter Final Driveway MEC~ICAL ~ 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 personownin, APPLICATION FOR PEmlIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER /)A-t/~~ T ~ ~,I <C~ C~ / :P (Pi t:: t. (A:f{': ~' r c:-" ~ I Uu A) L .; A A-I ~ t ........ JOB LOCATIONSr3j- GdLL- APPLICANT PHONE y3't' (C'&-~ ADDRESS -&o'-.C V4t'~ LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .l~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign _Move ____Demolish PROPOSED USE: ____Single Family _M/F _i~ of lIni ts ,__M/H ____Commercial _Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t I 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 $ 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 SECTI~ I ~ ,- Company ~tl-U{:' r ~ .. S~ { (:) .'.- State Cert. or Regist. i~ CJ (+Q (/-'O ~;, Ci ty License Regis tra t ion ii ;;;:! '-12... -- *************************************** ~ ELECTRICIAN Company State Cert. or Regist. ff City License Registration ff ****************************************** Signature Siunature Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAl. Signature Company State Cert. or Regist. ff (J City License Regis tration l~ i.....~***. DTHER APPLICATION APPROVED BY ~*** PERNIT OFFICER. ----- cJ1, JL/U}0 CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The undersigned understands that this perlit lay be subject to "deed restrictions' which &ay be lore restr,ictive than City regulations. The undersigned assules responsibility~for"colpliance with any applicable d~ed restrictions. 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr 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 law, both the OHner and contractor ~ay be cited for a .isdeleanor 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 Zephyrhills Building Departlent, (8131 788-bbl1. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the 'Contractor Sections' of this application for 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 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 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 - 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 obtained l copy of the above described document and promise in good faith to deliver it to the 'owner' prior to cO.lenceaent. I 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 development. Application is hereby lade to obtain a pertit to'do work and install~tion as indicated. I certify that no work or installation has co..enced prior to issuance of a perlit and that all work will be performed 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 lay apply' to the intended work, and that it is IY responsibili ty tel identify what actions I lust take to be in cOlllpliam:e. Such agencies include bill ~\ e JlCll I ilti ted to: .... I also certify that, if filllaterial is to be used in Hc.od Ze,ne "A" e,r 'A,etc.', it is underste,e,d that a drainage plan addressing a 'colpensating volute" will be sublitted which is prepared by a professional engineer feqist~ied in the State of Florida prior to permit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Offici.! frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit iSSII~d ~hall becole invalid unless the work authorized by such permit is cOlmenced within six months of issuance, or if work authol lzed by the perlit is suspended or abandoned for a period of six lonths after the ti,e the work is co~menced. One 90 day e=IE~5io" of tile, aay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in Hriting t~ th~ Building Official. An approved inspection must be logged during each six lonth period, or the project Hill be considered dbolJdooed. 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 0 AIN NANCING, CONSULT WITH YOUR. LENDER OR AN ATTORNEY BEFORE REC DING YO NOTICE OF COMMENCEMENT. JOBS YNDER $2,500 IN VALUE DO NOT SIGNATURE__ SIGNATURE~J -------- ---------,-------- CONTRAC OR :::::~~:-~~LC-17----~~-------------- :::::~-:rr--CZLu--------------~ OWNER OR AGENT~--~-~~--"- CONTRAC< - - ----~~~-~---- NOTARY PUBLIC STATE OF FLORIDA" TARY PUBLIC, TATE OF FLORIDA. . MY COMMISSION EXPIRES_!1:Y, G..QMMJ~QiEWlU~S...!JlI..v...j.1994!1y COMMISSI~.m~N EXPIRES: April 14, 1995.:,""_. BONDED THlU1NOTARY PUBLIC UNDERWRITERS. 1'*R\"1'tlIlt;1C"tlNDEItWmnm~