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Home My WebLink About91-1860 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPAR'TMENT 1-813-788-6611 Permit N~ 1860P Type of Permit Date /0 - / r - 7' / B~. ELE~ GLU~ ME~ c::rr () ,~ Property Owners Name: ./{~.J ~~-"L-- Job Address: 6,:}, [) ~- - ./ h ~- Legal Description: Sub.Div. Lot Blk. Zoning CI: ~ 1"' Description of Work .. ~(j ~z ~~-Z;V1 .uuJ;A / Energy Code Readout: ~ /6-~"--9/~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: /~A OCCUPATIONAL LICENSE # Fee: ;). O. u-v ~ SIGNATURE~)' ... . . COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~'L-.. QUMBI~ SLB Tub Set Water Sewer Final E~L '-, M~t'lICAL ~ ~ Ftr. Pre SLB Lintel FRM. Insul.CL WL 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 (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 PEru-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTl'1ENT APPLICANT .-rh 1) ~ fj- f: j~ & A t/ s-' I t,-Ph ,Jf OWNER 'f ~-~ ',J?1 L~;1, ADDRESS PHONE 7 c;r? "-9 ~7 JOB LOCATION f,'J...fl J / J>>t.ft- LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.~~ W/>;r:;:, ~...I~ j~~~ WORK PROPOSED:____New Construction ____Addition ____Alteration _Repair I~nstall ____Sign/Temp. PROPOSED USE: ~ngle Family _Sign _~love ____Demolish _M/F ____~~ of Uni ts , _____M / II _Commercial _Indust. _Swim., poo 1 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 FORHS.** **COPY OF CONTRACT REQUIRED. pERMTTS REOUESTED _BUILDING $ Vriluation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation -' _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. *********~******************************** Signature CONTRACTOR 0ECTION Company State Cert. or Regist, iF City License Registration 0 ****************************************** nmLDER Si!!nature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** ELECTRTCTAN Signature Company State Cert. or Regist, # City License Registration 0 ****************************************** , PLUMBER Signature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** MECHANICAT. Signature Company State Cert. or Regist. 0 City License Registration ff DTHER APPLICATION APPROVED BY ~~;~.:~.;~.~.;...~.****'******* PERI-lIT OFFICER. CONDITIONS. OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS - The.undersigned understands that this perlit lay be subject to "deed restricti~ns' Hhi~h ~ay be oore restr.ictive than City regulations. The undersigned assumes responsibllity~for. compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the owner has hired a contractor or contractors to undertake wort, .they may be required to be licensed in accordance with state and local regulations. If the contractor il not licensed as required by law, both the o>>ner and contractor nay be cited for a misdeleanor violation under state law, If the ~wner Dr intended contractor are uncertain as to what licensing require.ents may apply for the intended work, they are advised to contact the City of Zephyrhills ~uilding Departsent, (813) 7Bll-bb II . Furtherlore, if the owner has hired a contractor or contract~rs, 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 w~rk. If the contractor wishes you to sign as contractor that ftay be an indication that he is not pr~perly 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 provi'ded with a copy of "Florida's Construction Lien Law - Homeowner's Protection Guide' prepared by the Fl~rida Department of Agriculture and Consuler Affairs. If the applicant is sOloone other than the "owner', I certify that I have (.btained a. cDPy of the above described de,cument and pre,rr,ise in ge,od faith to deliver it to the 'owner' prior to co.mencement, :1....;-.- I. ,.' E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work Mill be done in coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to Dbtain a perlit to. do work and install~tion as indicated. I certify that no work or installation has commenced prior to issuance of a perlit and that all work Mill be performed to roeet standards of all laMS regulating construction, City codes, zoning regulations, an~ land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies ~ay apply. to the intended work, and that it is IY responsibility t(1 identify what actions I JIlust take to be in compliance. Such agencies include bid :oj e Iie,t liaited to: I Departle~t Df Envir~nlental ReQul;tion - Cypress Bayheads, Hetland Areas and Environmentally Sensi tiv~ L~ndsJ Water/Wastewater 1reat.ent . Southwest Florida Hater. ManaQement District - Hells; Cypress Bayheads, Hetland Areas, Altering Hatercourses I Arty Corps .of EnQineers - SeaMalls, Docks, Navigable Waterways I Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~, Septic Tanks f US Environ~ental Protection AQency - Asbestos abatement I also certify that, if fill lIatc-rial is to be used in Hc,od Ze,ne "A" CtT 'A,etc,', it is underste,e,j \ldt a drainage plan addressing a 'coJllpensating volule' Hill be sublitted which is prepared by a prc,fessional er,gineer reqisl2i"d in the state of Florida prior to permit issuance. A pereit issued shall be construed to be a license to proceed with the Mork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficiol frol thereafter requiring a ce,rrection e.f errors in plans; c(,nstructie,n, e,r violations of any coue, Every per~it iS5U\!d ::hall be~('1€ invalid unless the we,rk authorized by such permit is c(,nenced within six Ilonths (of issuance, e,r if )ie,d: al,the" ],ed bi the per.it is suspended or abandoned for a period (of six lonths after the tiJe the wDrk is commenced. One 90 day e=tE~5joll of tise, aay be allowed for the per~it Hith fee charge of $15,00, The extension shall be requested in writing tD th~ Building Official. An approved inspectie,n oust be le,gged during each six month period, e,r the pre,ject Iii II be ce'nsider~d ilbdl,de.r,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 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~~~-- SIGNATURE__~-_----------------- OWNER OR AGENT CONTRACTOR :::::~--~-~~~~:~;;~-;;-~----- OWNER OR AGENT_~~~-~~!;~~ \'1 V , p . xpireS Jan. ,,"'-', My commiSSIon e Becht AgencY MY COMMISSION EXPIR~2~~~~~~~~~~~~--------- DATE ----------------------------------- NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES " ------------------ ;1J/ - CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER .. 'Z1YrL I L1ivz- JOB LOCATION Ii, ~ O~~ - /,6 --D- PARCEL I. D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T S I E N D G 20' FRONT PROPERTY LINE ;! /~~~ c/O ;0 7:' ,/ A/V>A-r~ .~ PERMIT f':U~F{EP LLcf_O-_'? ,'" ,"" :->' ,... \....: {"'. ~-!. d-, / -- i::S . ~',; .._..~~'.. ./1.1 [3u~;c>nJ :r." --~-_.--- -\ ..,4 .---- ! i \ / I I I ~~-J I ',' .,J ' -- t:J:Jry J ...J / ( FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0 I 1 0' FRONT PROPERTY LINE