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Home My WebLink About91-1862 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1862,13 Date / 0 -;2/ - 9" I Type of Permit ~S) ElEc1RIGAl Pl~~ M~__ Property Owners Nam~]~~r~ Job Address: <..??7 7'/ / /1- C~e.e. Legal Description: Sub.Div. Lot Blk. Zoning Cl: d- - ;;L (, .. d.-/ - / ~ 0 Description of WO;::Jtt~.A'....A A <I . 7 ~7 ~ I r ..aJLJ-<<LQ ~1 h-1 ~~rjY- I Complete Plans, Specifications and Fee Must Accompany Application 11.-0 I II r '" Energy Code Readout: Fee: d-- () - c::::;-u SIGNATURE (j( cr,~ --Lu:at~ COMPANY ADDRESS TELEPHONE # Estimated Cost: ? t7 - (-;-0 All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # BUILDING' PL --J:l1 (~ SLB Tub Set Water Sewer Final G ME Ftr. Pre SLB Lintel FRM. '-~II-I-'1l Insul.CL WL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts In51. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the foIlowing reasons, a charge of ten (SIO.oo) dollars shaIl be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection caIled for (d) Work not ready for inspection when caIled. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PEIDlIT CITY OF ZEPHYRHILLS _ &UlUJING DEPARTMENT ;1~J / APPLICANT " /)f'/t-.. /' ---!-' ' ADDRESS a 1?1 - ~~ J) < , I~ <L-vf. ~ PHONE 1 yJ - .1--- f/ Y 3 OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.~~ J - ;;2 b - b2-/ - I/J - 0 WORK PROPOSED:____New Construction i~A~dition ____Alteration ~Repair ____Install ____Sign/Temp. ____Sign _Hove ____Demolish PROPOSED USE: 1L-single Family _M/F ____~~ of Units ,_____M/H ____commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: 5? xJ:L , . Square Feet, ,J ~i-t, 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 FORt1S,** **COPY OF CONTRACT REQUIRED, pERMITS REOtJESTED ~. ____BUILDING $ ;l>cHJ'cJ-() 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. ****************************************** ~ONTRACTOR 0ECTION Company State Cert. or Rcgist. ~ City License Registration a ****************************************** nUILDER Signature SiO'nature Company State Cert. or Regist. a City License Registration 11 ****************************************** f.T ,E\,TR1 \,1 AN Signature Company State Cert. or Regist. a City License Registration 11 ****************************************** PLUMBER Signature Company State Cert. or Regist. a City License Registration # ****************************************** MECHANICAT. OTHER it] A IV\ () /I.. Signature Company State Cert. or Regist. a City License Registration a APPLICATION APPROVED BY ***************~~************************ )11'"f /j1 .If l' . 5\: J/l_.d'>~ r , PERMIT OFnCER. .. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The undersigned understands that this per.it lay be subject to "deed restrictions' which may be more restr.ictive than City regulations. The undersigned assules responsibility;for,.colpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES 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 owner and contractor ~ay be cited for a tisde.eanor 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 Depart_ent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they "ill 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 aay be an indication that he is not properly licensed and is not entitled tCI 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 - HOleo"ner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is so.e6ne other than the 'o"ner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the 'owner' prior to cOIDence.ent, 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 cOlpliance with all applicable laws regulating construction, zoning, and land developaent, Application is hereby aade to obtain a perlit to'do Mork and install~tion as indicated. I certify that no work or installation has cOltenced prior to issuance of a per.it and that all work "ill be performed to ~eet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governlental agencies ~ay apply. to the intended ~ork, and thai it is IY responsibility tc, identify "hat actions I lust take to be in cOlllpliance. Such agl?f1cil?s include bill ~l e nc,l liltited to: .... I also certify that, if fill latl?rial is to be used in Flood Zc,ne "A" or 'A,eic.', it is understc.c.d l!.~l a drainage plan addressing a 'colpensating volullle' will be sub.itted which is prepared by a professional engineer regist2ied in the State of Florida prior to pertit issuance, A perlllit issued shall be construed to be a license to proceed with ihe work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frolll thereafter requiring a correction of errors in plans; construction, or violations of any code. Every per~it isslled ~hall becose invalid unless the work authorized by such permit is c[tllenced within six 1Il0nths of issuance, or if HOlk aut!.DI J1ed by the perlit is suspended or abandoned for a period of six lonths after the ti~e the wDrk is co~menced. One 90 day e=tE~sioll of tile, lay be allowed for the per~it with fee charge of ~15,OO. The extension shall be requested in wriling to the Building Official. An approved inspection aust be logged during each six tonth period, or the project Hill be considered abil~oned. 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 ;, NUT I CE OF COm1ENCEr1ENT". SIGNATURE__(j_~_~~------ OWNER OR AGENT SIGNATURE ------------------------------ CONTRACTOR DATE____)i--.e.-~-f-)i---!::.~-~-Q!! /2 NuTARY AS TO '--l. j. OWNER OR AGENT___~~ NOTARY PUBLIC. STATE OF FLORIDJ:~ MY COMMISSION EXPIRE!!!IY COMMISSION EXPIRES: APRIL 2t.199%J1Y 8ORDEQ"'I'KR'O"R~m"rn.Ollae_mm1:AJiIlIift"_ AJ,Iyi'l-eaR. Id f".)ci:> &~~ F10N j,--, ,_. t}~er :21/ 199/ ' DATE ----------------------------------- NOTARY AS TO CONTRACTOR_____________________________ COMMISSION EXPIRES " ------------------