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Home My WebLink About91-1857 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1857r Type of Permit Date / 0 ~ / b - 9'/ '.~.E~ C:u~:i') MECH,..!;~~L Property Owners Name:C. ~ Job Address: ;;, '10 .J.: M ."''"'- - - Legal Description: Sub.Div. JJ/l- . Lot Blk. Zoning CI: Description of Work \~PVl d~L~~ --t14;t;;,~ Energy Code Readout: ~ //-2.(>'" Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: A//A / Fee: ;( () ~ SIGNATURE t"ty~ /t(~ COMPANY ADDRESS TELEPHONE # All work shall be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE # / d-!:>- Bl ING ICAL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.oo) 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. APPLICATION FOR PER1"tIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER .~ APPLICANT C<- . PHONE 7Pf~-d(f F ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION AREA SQ. FT. s: ({,Ie,-- ~~j\ LOT SIZE_X JOB LOCATION PARCEL 1. D. ~~ WORK PROPOSED:____New Construction ____Addition ____Alterntion ____Repair ____Install ____Sign/Temp. _Sign _~love ____Demolish ____Commercial ____Indust. ____Swim.. poo 1 ,__M/H :;;{JTlJ;J~/ ~~ PROPOSED USE: ~Single Family ~M/F ____~~ of Uni ts ____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 FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fOR~IS, H **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. ____MECHANICAL $ "k-PLUMBING TYPE OF CONSTRUCTION: Valuation of Mechanical Installation ~ GAS ROOFING SPECIALTY ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ** ** ** f'*f:*'*** ******** ** * * f,*1,,~ * 1, *,',~, ,': 1: {: ,': -I: -I: * .:: Signature ~ONTRACTOR 0ECTION Company State Cert. or Regist. # City License Registration" ****************************************** JHnLDF.R Signature Company State Cert. or Regist. n City License Registration" ****************************************** f . Company ~ ((vvvJt ~.,d.; P!'A./O'Yl,: . ~ a. State Gert. or Regisi!. i..\<";Ca ~"l f;f y _~ _~ ~flli City License Registration!~ I"<-S- .. ****************************************** f,T,F.CTRIC1 AN Si!?'nature PLUMRF.R Signature Company State Cert. or Regist. 0 City License Registration n ****************************************** MECHANICAL Signature Company State Cert. or Regist. 0 City License Ftegistration a pTHER APPLICATION APPROVED BY ~**********~************************* ~ .< (j- ...R/\AII", 1 ' , ' PElliltT OFFICER. CONDITIONS OF P~RMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS lhe,undersigned understands that this per.lt I.Y b. lubJect io "deed restrlcti~ns" which ~ay be ~ore restr,ictive than City regulations. The undersigned assumes responslblllt~:for"colpllance with any applicable deed rostrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the owner 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 law, both the OHner and contractor nay be cited for a misdeneanor violation under state laH, If the owner or intended contractc.r are uncertain as to what licensing requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departaent, (813) 788-6611. FurtherDore, if the owner has hired a contractor or contractors, he is advised to have the cc,ntractor(s) sign portions of the 'Contractor Sections' of this application for Hhich they Hill be responsible. If y~u, as the owner sign as the c~ntractor, you are ,indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that Day 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 Hith a copy of "Florida's Construction Lien Law - Ho~eowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the applicant is sOleone other than the 'oHner", I certify that I have obtained a c~py of the above described document and promise in good faith to deliver it to th~ 'o"n~r' prior to cOllencelent, " 'I '. . -; ~ '. j'" . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all Mork will be done in coapliance with all applicabl~ laHs regulating construction, zoning, and land development, Application is h~reby lade to obtain a permit to'do Hork and install~tion as indicated. I certify that no work or installation has cOltenced prior to issuance of a p~rlit and that all work Hill be performed t~ meet standards of all laws regulating construction, City codes, zoning regulatiDns, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply. to the intended work, and that it is DY responsibility tCI identify what actions I JIlust take to be in compliance. Such agencies include bill ~l e IIC.t liaited to: . Departm~~t of Envir~n~ental ReQul:tion - Cypress Bayheads, H~tland Areas and Environmentally Sensitive L~nd5r Hater/Wastewater Treaiment . Southwest Florida Hater ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Hatercourses f Ar.y Corps ~f EnQineers - SeaHalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, IJastellater Treatr.en~. Septic Tanks f US Environmental Protection AQency - Asbestos abatement I also certify that, if filllaterial is to be used in Hc,od ZClne 'A" clr "A,etc.'r it is understc.c,d tll,1 a drainage plan addressing a 'compensating volule" will be sublitted which is prepared by a professional engineer regist~red 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 vioJ3te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Officiol fro~ thereafter requiring a correction of errors in plans; construction, Dr violations of any code. Every per~it issl10d ~hall beCOle invalid unless the work authorized by such permit is cc,uenced within six ~onth5 of issuance, (,r if liC,rk autl,c" ],ed by the per.it is suspended or abandoned for a period of six lonths after the tiJe the Hork is c~mmenced. One 90 day e:lf~5iDII of tiae, aay be allowed for the per~it Hith fee (harge of $15.00. The extension shall be requested in Mriling to the Building Official. An approved inspecticln i!lust be logged during each six month period, Dr the project Hi II be ((,nsidered dbdl,dc.;,ed. 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 . TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE R ORD NG YOUR NOTICE OF COMMENCEMENT. JO UNDER $21500 IN VALUE DO NOT N ED T RECORD AND POST A "NOTICE OF COMMfNC MENr". SIGNATURE _~------------ SIGNATURE ~~---------- OWNER OR AGENT CONTRACTOR DATE _-Od.L t- 'L------------------- DATE__tJd "r?L----- -------- N ARY urlUC'STATE~F' mUDA. li~ NOTARY AS TO . M cOi>9TE;~~::).:.\iJ.~~~!):<Ej: cgu:;t 25, 199.i. . NOTARY AS TO \ , m-lNER DR AGENTB D' o-~H ., R' CONTRACTOR___________________ -----~----- _ ~-----1\~i';~r"C".~-......,.-"""~~~ A" NOTA.?....? F,.{.;~:~~~::-\;,~'~.,P7"S (.)'!i7 ~.IfHrI::Jlll.. r~r/,,:':'~!::7 . , .,,;,~;"~}.Z:5,)995," MY C;;;!C:Vi"c,r '"~lie, 25, 1995. MY COMM I S5 I ON EX P I RES ~::~'.:::':.::.:::..:::..::::.':-------.:!:':'.::::~hl1ER"'Y COMM I S5 I ON EX P I ~8J.!:'::~r.:.:~2,~:.:.'.E:::.:..0.:::lE~!::.~Evi!u:n:Rs.