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Home My WebLink About91-1885 ST ATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1.813-788-6611 Permit :N! 1885~ Type of Permit ~~ EL~ ~ M~CAL Property Owners Name: g4_ ~1?2t- lI/:h ~ Job Address: ?Ie; :2----- Date /IJ ~,;2. 9' - 9' / Legal Description: Sub.Div. Lot Blk. to Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Fee: oZO. 0lJ (. SIGNATUREH f1~ COMPANY _ ADDRESS TELEPHONE # Estimated Cost: ~;LS-: dD All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # 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 ($10.00) 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 PERl-lIT CITY OF ZEPHYRHILLS BUILDING DEPARntENT OWNER PHONE 788'28Zh APPLICANT ADDRESS LOT SIZE .so X J t.M AREA SQ. FT. 7000 BLOCK S SUBDIVISION(r10a~f-S F1/(S T A/J1J17Z:J/V o Q / 0 - () D6 0 0 - 0 J 0 0 WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _~love ____Demolish ____Commercial ____Indust. ____Swim.. Pool . _____M I H !}({l'Vt WA rather (fA~K.1:N6 PIW) ONLY PROPOSED USE: ~Single Family ~M/F ____t~ of units ____Restaurant & Health Department Approval BUILDING SIZE: ) .5 X 2 a , 300 Square Feet, Height RESIDENTIAL: COM1'lERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOmlS.H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ 2 '2.5'.00 Vriluation 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. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration 0 ****************************************** BUILDER Si!mature Company State Cert. or Regist. 0 City License Registration 0 ****************************************** ET ,EGTRT G1AN Signature Company State Cert. or Regist. U City License Registration # ****************************************** PLUMBER Signature Company ____ State Cert. or Regist. U City License Registration # ****************************************** MECHANICAT, Signature Company State Cert. or Regist. 0 City License Registration ff PTHER APPLICATION APPROVED BY ****************************************** ~ /1 a/V1~A~ ~I Q/\~)]""";'-""..:" -' .. i. ( . - ,- , PERIHT OFFICER. "'" CONDITIONS OF,PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The .undersigned understands that this perlit aay be subject to "deed restrictions' which ~ay be oor~ restr.ictive than City regulations. The undersigned assules responsibilitf;for. compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the own&r has hired a c~ntract~r ,~r contractors to undertake work, they aay be required t~ be licensed in accordance with state and local regulations. ' If the contractor is not licensed as required by law, both the o>>ner and contractor ~ay be cited for a misdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents Jay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 7BB-bb 11. 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 will be responsible. If you, as the owner sign as the contractor, you are indicating that y~u, 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 and is not entitled to per~itting privileges in tt,e 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 - Homeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so~e6ne other than the "owner", I certify that I have obtained a. cripy of the above described delcument ilnd pr('IT,ise in ge,od faith to deliver it to the 'owner' prior to cOI~encement. :1....';': i.' . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inf~rmation in this application is accurate and that all work will be done in co~pliance with all applicable laws regulating construction, 20ning, and land development. Application is hereby made to obtain a perlit to'do work and installction as indicated. I certify that no w~rk or installation has cOllcnced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws regulating construction, City codes, 20ning regulations, an~ land development regulations in the iurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply. to the intended work, and that it is .y responsibili ty te. identify tlhat actions I must take to be in compliance. Such age"cies include bid ~l e Iie,t I ini ted t~: ... I Departle~t of Envir~nlenial ReQul;tion - Cypress Fayheads, Hetland Areas and Environmentally Sensi lii'e L~ndsr Hater/Hastewater Treatment . Southwest Florida Hater. ManaQement District - Hells; Cypress Bayheads, Hetland Areas, Altering HatercOUfses . Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Hells, IJastewater Treatr.en~. Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if fill aatE:rial is to be used in Fltood Ze.ne "A' or "A,etc,', it is underste,(,d tI,.t a drainage plan addressing a 'compensating v~lule" Hill be subtitted Hhich is prepared by a professional engineer re0ist~red in the State of Florida prior to permit issuance. ~ A perait issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficiol froft thereafter requiring a ctorrection elf errors in plans; ce,nstructieln, e.r violations of any c[,de. Every per~it issul~d :hall becc'le invalid unless the wtork authtorized by such perlllit is ce'lIlllenced tlithin six aonths of issuance, tor if li[,d, allthr" I.ed by the perlit is suspended or abandoned for a periDd of six tonths after the tiae the >>ork is co~meneed. One 90 day e:le~sioll of tile, say be allDwed for the per~it with fee charge of $15.00. The extension shall be requested in wriling to the Building Official. An approved inspectie,n oust be IDgged during each six lIonth period, tor the project Iii 11 be c(,nsider!'d dbtil,d['lifd. 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 :~G:A::R~EED TO R~2;:~~_~_~~~:T I ::G::Tu::~~~~~~~E:~~~______________ ER ~~ENT CONTRACTOR DATE __L(l-:::-~L=-_!.j--------_._-----,------- DATE - - - -- --- --- - - - - - - -- - ---- - - - -- -- - --- NOTARY AS TO f'L '~/ /' J1 \\.\n~,. NOTARY AS TO OWNER OR AGENT~!Y~ ~~~~r~~~~~~..CONTRACTOR_____-___-_____-___--__---_-- ~~OMM1~S~~~"':"i PUBLIC \ll'btl: "' MY COMMISSION EXPIRE!~!~~~~____________-_-- MY COMMISSION EXPIRES__________________