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Home My WebLink About91-1884 STATE OF FLORIDA City of Zephyrhills 6 (). CiD Type of Permit ~ PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 188413 Date,/{? '-DL6--Y/ ~. PLUM8TNa---- ME~... Property Owners Name: Job Address: ~ Legal Description: Sub.Div. ~ ~ : ~n __~/~ ::"r: hbr,7 Ad A<~ d Blk. - Lot Zoning CI: _ Description of wor~ ~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE # --S Fee: ~ 0 - SIGNATURE COMPANY ADDRESS TELEPHONE # ?lJ;l!4- Estimated Cost: f;J... J? (), 00 All work shal! be performed in accordance with the above and all City Codes and Ordinances. ,~ 1(/{"A~ C BUILD~ Ftr. Pre SLB Lintel FRM. Insul.CL WL ~ --- EtEc.:lRICAL ~ M~ICAL " SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Canst. 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. .' APPLICANT ADDRESS (' L :7. ",J( . ~. ,.,1=.' PHONE OWNER " .~: y'; . ~.~'?' . j '. LOT SIZE x AREA SQ.FT. BLOCK SUBDIVISION PARCEL I.D.a WORK PROPOSED:____Nc\v Construction ____Addition ~Alterntion ____Repair ____Install ____Sign/Temp. ----,:Sign _~Iove ____Demolish PROPOSED USE: ~Single Family ~/F _f~ of Units ,._tl/l! _Commercial ---,:-Indust. _Swim. Pool Other _Restaurant & IIealth.Department Approval BUILDING SIZE: x Square Fcc t, Height RESIDENTIAL: COMHERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS.** ATTACII (3) SETS. OJ? BUILDING PLANS & (1) SET ENERGY J?ORNS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED v/ _BUILDING s 9; 2 /0 ( 0\) Valuation of Total Construction _ELECTRICAL AHP Service' Florida Power Corp. _\-l.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation .. .. _PLUMBING GAS ROOFING SPECIALTY '" TYPE OF CONSTRUCTION: _Block ____Frame _Steel ,Other FINISHED FLOOR ELEVATIONS: Signature ~CONTRACTOR SECTION Company State Cert. 0 Rcgist. lj City License Registration U **************u********~***~***~* ~ ELECTRTCTAN Company Stote Cert. or Rcgist. U City License Registration U ****************************************** Si!?'nature Company . . State Cert. or Rcgist. 0 City License Registration il ****************************************** .PLUMBER Signature Company State Cert. or Regist. U City License Registration 0 ****************************************** MECHANICAL Signature Signature Company State Cert. or Rcgist. iI__ City License Registration fI OTHER APPLICATION APPROVEO DY~~"~'::;:~;:"~"*'***""" PERl-lIT OFFICER. CO~DITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th',undvrslgned understands lhat this perllt uy bl lub)ect io "deed restrldie,ns' I'!hich l'Iay b~ oe,re restr,idive than City regulations. The undersigned aS5UICI rnpDnslb~H\f.:for,.collpl\ance IIlth any applicoble deed restridions. , "lot. " UNLICENSED CONTRACTORS AND CONTRACTOR RESPQNSIRILITI~S B. , If the owner has hired a contractor .~r contractors to undertake Hork, 'they nay be required lo be licensed in accordance with stale and local regulations. ' If the,contractor is not licensed as required by lall, both the ouner and contractDr ~ay be cited for a Disdeneanor violation under state law. If the owner Dr intended contractor are uncertain as lo what licensing require.ents ~ay apply for the intended Hork, they are advised to contact the City of 2cphyrhills ~uilding Departlent, (8131 788-6611. Furthermore, if the OHner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for Hhich they Hill be responsible. If you, as the owner sign as the contractDr, you are indicating that you, rather than the contractor, are responsible for the Hork. If the cDntractor wishes you to sign as contracte,r that aay be an indicaticon that he is not pre,perly licensed and is riot entitled te, perlllitting privileges in tt,e City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORID~ ST~TUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien LaM - Ho~eoMneros Protection Guide" prepared by the Florida D~partlent of Agriculture and Consumer Affairs. If the ~pplicant is sote6ne other than the "oHner', I certify that I have obtained ~ c~py of the above described document and promise in good faith to deliver it \0 the 'owner" prior to cOI~ence~ent. : 1. .~. ~ ~:. ". ' ; E. CONTRACTORoS/OWNER'S AFFIDAVIT I certify that all the infor~ation in this application is accurate and that all Hork Hill be done in co~pliance with all applicable laHs regulating construction, 20ning, and land development. '. . Application is hereby ~ade to obtain a permit to'do work and installeti~n as indicated. I certify that no work or installation has co~~enced prior to issuance of a perlit and that all work will be perfor~ed to ~eet standards of all laws regulating construction, City codes, zoning regulations, anrl land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agenties ~ay apply. to the intended Mort, and that it is IY responsibility te. identify \1hat adions I lIlust take to be in compliance. Such C\ge:lcies irlclude bill ,,1 e ne,t linited to: I DeDarhe~lt eof Envir~nmental ReQul:tion - Cypr~s5 Bayheads, \/etland Areas and En'liTC<nmentally Sensi tiv~ L~ndsf ~ater/~a5tewater 1reatment . Southwest Florida ~ater."anaQe~ent District - Hells; Cypress Bayheads, Hetland Areas, Altering Watercourses I ArlY CorDS ~f EnQineers - SeaHalls, Docks, Navigable Haterways I Departlent of Health L Rehabilitative Services, Environmental Health Unit - Yells, UasteHater Treat~en~, Septic Tanks t US Environeental Protection AQenci - Asbestos abatement also certify that, if fill aatl:'rial is to be used in Hc<od Zeone "A" elr 'A,etc.', it is undNste,e,d \I,,,t a drainage plan addressing a 'co~pensating volume" Hill be sublitted Hhich is prepared by a professional engineer regist~red in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a lice~se to proceed with the Hork and not as authority to violite, cancel alter, or set aside any provisions of the technical cDdes, nor shall issuance of a permit prevent the Building Offici~l fro~ thereafter requiring a ((,rredion e.f errors in plans; c[onstruction, [or violations of any ((,de. (very per~il iS511d ;t,all beCHe invllid unless the welrk authe,r\1ed by such permit is c[oJlllenced Hithin six I'lonths elf issllance, e,r if \iHr: a\!tj,(" J,~d bi the per.it is suspended or abarodclnerl fH a period [of six lonths after the tbe the Ifork is [('Men([,d, Orle 9(. day ['.;\",,5iDII Df tilC, aay be allowed for the per~it Hith fee charge of $15.00, The extension shall be reqllested in Ifriling to the Building Official. An approved inspectie,n oust be lc,gged during each six month periOd, tor the pre,ject Ifill be c('f1sidN!:d abdlIGe'i,ed. WARNING TO OWNER: YOUR FAILURE TO RECORD ~ NOTICE OF COMMENCEMENT MAY RESULT I N YOUR PAY I NG TW I CE FOR I MPROVEMENTS TO YOUf~ PROPERTY. I F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEI'IDE OR N ATTOBNEY BEFORE RECORD G ~OUR NOTICE OF COMMENCEMENT. JOO UN ER $2~O IN VALUE DO NOT NE~/ ~C~/11~0 P, T A "NOTICE OF COMME 'fEM Nr";;/~ /A', SIGNATURlY':" - "t..~.."""----"---- . --~~ I '; 0", E OR AGENT . C N'filACTOR ;;~;:~~;~~~~~:2~ ;;~;;~~~~:~?~~~~~~ STATE OF FLORIDA _ _, NOTARY PUBLIC, STJI,TE or MY COMM I SS ION EXP I RESWv'~~"~~~L~~don..z.!l,1995 MY COMm 5S I ON EXP, REo~~.,';'a,*~,"U""~H= tiO; , Patterson. Becht Age NOTARY PUBLIC, STATE OF, FLORIDA My commission expires 'Jan. 28, 1995 Bonded thru. Patterson - aecht Agency ,J