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Home My WebLink About91-1859 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1859;1 Type of Permit Date '~_ ~L ~ C:;;CHANIC0 Property Owners Name: ~1:t.. ~b Job Address: ,?f-7d-~_~1 __ SUb.DiY.Y~g xf~, _-;C A1/~) 11 H; /0 -/7- '1/ Legal Description: Lot Blk. Zoning Cl: Description of Work -4k ~--<.-t...V / Energy Code Readout: ~ Itl,,13Jf/ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 4;'/A- Fee: ,20. crv -+~ OV SIGNATURE tiauf:. ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #/0 7 ~,l 1z{:.. COMPANY ADDRESS TELEPHONE # AL G ING SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl/c-rt.4j( i5~~..f 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 wiII be issued to the person owning same. . , ~ . ." ." ~. APPLICATION FOR PEIDlIT CITY OF ZEPHYRHILLS BUILDING DEPARTl'lENT APPLICANT ~ 8, 'J 8-/ C ADDRESS / I\'( .5 /J )~$>r ,']6/ N 11 r?/ It -v),q "r; fj /' )-~ S JOB LOCATION j f 7;J 0 !/ /..vIe It/v C~~c~ PHONE gl':?'/ 9'fC /S7P? OWNER LOT SIZE X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Install ____Sign/Temp. _Sign _~Iove _Demolish PROPOSED USE: ---1.L's ingle Family ~M/F ____ ~F of Units " ~l/H _Commercial _Indust. ____Swim. Pool Other PARCEL I. D. ~~ _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1'lS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1'IS J* **COPY OF CONTRACT REQUIRED. j'ERMTTS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. ____MECHANICAL $ 7;71.5'0 ~ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame ____Steel v Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist, # City License Registration 0 ****************************************** nU1T.DER Sh'nature Company State Cert. or Regist. 0 City License Registration # ****************************************** ET.ECTRTCTAN Signature Company State Cert. or Regist. ~ City License Registration 0 ****************************************** PLUMBER MECHANICAT. Si;ature 1!I~y Company F p r )} / 4( ~ State Cert. or Regist. !!J:: l1~o tv' ~ . City License Registration l,~ ****** *********************************** L/q.? ;;0 Signature Company State Cert. or Regist) 0 City License Registration 1 OTHER APpLI CA TION APPROVED BY ;;t*~:;,*::*~" ';(jl; ~*';;;.:;'" * '* '*', ** " '* PERfIlT OFFI CER . . '\.' 0# CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Thv,undersigned understands that this per.it lay be sub5ect to "deed re5tricti~ns" which ~ay b~ ~~r~ restr,ictive than City regulations, The undersigned alsuaes re5pDnslbl11ty~for, cOlpliance with any applicabl~ deed restrictions. " B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OMn~r has hired a c~ntract~r .or contractors to undertake work, they may be required to be licensed in accordance with state and local regulati~ns. ' If the contractor is not licensed as required by law, both the owner and contractor ~ay be cited for a misdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent' (813) 789-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contract~r(s) 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 ~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 soe~6ne other than the "c.wner", I certify that I have e.btained a. cripy of the above described de.cument ilnd prorrli~e in good fai th to del iver it to the "c.wner" prior to Cc.I~ence~ent, -'1"'-:: " E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all ~or~ will be done in coapliance with all applicable laws regulating construction, zoning, and land developcent. Application is hereby ~ade to obtain a permit to'do work and install~tion as indicated. I certify that no worK or installation has cot1enced prior to issuance of a per.it and that all work will be performed to meet standards of all laws regulating construction, City codes, zc.ning regulati~ns, an~ land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies r,ay apply. to the intended worK, and that it is my responsibility tc. identify what actions I must taKe to be in compliance. Such agencies include but ~l e IiC,t li~ited to: . ~.. #' .> I Department of Environmental ReQulation - Cypress Bayheads, Hetland ~reas and Environmentally Sensi li,;e L~ndsJ Hater/Wastewater Treatment I Southwest Florida Hater.ManaQe~ent District - Wells; Cypress Bayheads, Hetland Areas, Altering Halercourses * Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health L Rehabilitative Services, Environ~ental Health Unit - Wells, Wilstewater Treat~en:, Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flc.od Ze.ne "A" e.r "A,etL', it is understc,c,d \I.;ll a drainage plan addressing a 'coJllp~nsating volute" will be submitted which is prepared by a professionill engineer regi5l~red in the State of Florida prior to permit issuance. A perlit issued shall be construed tc. be a license to proceed with the work and not as authDrity to viol~te, cancel alter, c.r set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a cc,rrection e,f errors in plans; ce.nstructie.n, e,r violations of any cc,de. Every per~it issul!d ohall becc'le invalid unless the weork auttlCorized by such permit is ce'llIlIenced within six months e.f issuance, c,r if HC'}}; a\!t1.c'l ),ed bi the per.it is suspended c.r abandoned for a period of six months after the tiJe the work is commenced. One qo day e=le~5ioll of tile, aay be alle,wed for the perlllit ~Iith fee charge c.f $15,00, The extensie,n shall be requested in l;riling tc. the BlIilding Official. An approved inspectie'n oust be le.gged during each six month period, e,r the prcoject liill be cc,nsidered abdlldc.ned. 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 Al.TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A II NOT I CE OF COMMENCEr1ENT". SIGNATUREL.,,~Jo-- "Jh, .v, ____ SIGNATUr'E _1/ IJ/. ~..... _. _ . -. ... ..-...-. W. --~--- OWNER OR AGE~ ~~9~~_ DATE__jJ2-L.LZL--:L.L----------- DATE___!..C2-I.LZ.l-y..L----------- NOTARY AS TO ~ ~J ~ /bl OWNER OR AGENT_~~~~~~~- " UB!:!.C, STATE OF FLORIDA. MY Cm1MI5SION EXPI~g~ll~lON EXpmw}: FCb~Bs. Uo.....DED UlRU Nm.'AP.'F'l"tltlL~llN6 ~~~~~~c~~R~gL~~ MY COMM I 55 ION OP I RE5_____.:._____.:.i.:'~-~~;- ' '1,,, "