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Home My WebLink About91-1886 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Type of Permit Ca;;;;.D~ EL~ ~ ME~CAL Property Owners Name: ~ ~~A4r Job Address: .5.3 '/ / _ (j- ~_ _~ Legal Description: Sub.Div. Lot Permit:N'~ 18868 Date / tJ - cL 9' - 7' / Blk. Zoning CI: Description of Work ~ ~~~ 51' / Energy Code Readout: 1 ~A~ 0 If Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: rJ (~. 01) All work shall be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # Fee: cZOtl'CJCJ '?-v.. ,f) SIGNATURE!'I }12-1.11 ._' <- COMPANY ADDRESS TELEPHONE # /0 ((V/!Aj)~ /~ C ~L~0 Ftr. Pre SLB Lintel FRM. Insul.CL WL ~NG -------. SLB Tub Set Water Sewer Final Driveway EL~ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final --.. ME~AL ---.. Breakers Ducts Ins I. Compressor Final 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. . ';:;:"";:,.;':;1 "t';'.(f ;\.~. .:..1" . "',. -.... , /;) - cl t; - ;)/ -:- 0 Cl Y 0 - ()' O.~ (5 0- 0 C) 6 D ~ .-'''' FIR ~, E:SEMENT ~- -:, 5-89043'45"-2: ~ 16324' i ..~I. LOT - .6 , 9 / C, I.. / 14.5.113 _ .. 5-89043' '" S"-E ~~ 24' ~.~ ~I a. v 26.7' z o F <t Cl Z :::> o u. . I "'I Q. ~ r-: ,., 2.6' .~ :-" <Z':!' / / ;; ~":. APPLICATION FOR PERI-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ::::S~/:?<iA-(l~. ~~ Jon LOCATION ::S-:01 / . -. -: PHONE LOT SIZE X M~EA SQ. FT . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ ) 'J. - ;) (, - :2./ - 0 u Y CJ - () 0 S c:/ cD - 0 00 0 WORK PROPOSED:~New Construction ____Addition ____Alteration _Repair ____Install ____Sign/Temp. ____Sign _~love ____Demolish ____Commercial _Indust. ____i~ of Uni ts ,_____M/H ____Swim.. Pool ~~,~ Other PROPOSED USE: ~Single Family _M/F ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COMHERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED V---BUILDING $:ZOCJ~~ Valuation 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. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. lj City License Registration # ****************************************** BUILDER Signature Si!!nature Company State Cert. or Regist. 0 City License Registration # ****************************************** ELECTRTCIAN Company State Cert. or Regist. {! City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHAN1CA1. Signature OTHEE '/1t11!):lf ]I AA- 1- A ,0<')-<>-l ~ Signature 7h,,~ /2 IhAf/lW01JcI Company State Cert. or Regist. 0 City License Registration 0 APPLICATION APPROVED ~********~*************************** 13Y ;J~J tI/l.-f./}/t) .. :. PERl-l1T OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The.undersigned understands that this perlit lay bi subject to 'deed restrictions" which ~ay b~ ~or~ restrictive than City regulations. The undersigned assules responslblllty~for. COMpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor .~r contractors to undertake work, .they may be r~quired to 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 nay be cited for a lisdemeanor violation under state law., If the owner Dr 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 ~uilding Departlent, (8131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the c(,ntractortsl sign portions of the 'Contractor Seclions' 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 aay be an indication that he is not properly licensed and 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 - HOleowner's Protection Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the "owner", I certify that 1 have obtained l c~py of the above described document and promis~ in good faith to deliver it to the "owner" prior to cO'lencement. ;1'..:: " E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all ~ork will he done in co~pliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be performed to roeet standards of all laws regulating construction, City codes, zoning regulations, an~ land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies ~ay apply. to the intended work, and that it is IY responsibility tc, identify what actions I must take to be in compliance. Such agencies include bill ~le Ii(,tlil!ited to: I Depart.e~t of Envir~nmenial ReQul;tion - Cypress Bayheads, Hetland ~reas and Environmentally Sensi tive L~nds, Water/Wastewater Treatment . Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Hetland Areas, Altering HatereOUfses I Ar_y Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways I Depart_ent of Health ~ Rehabilitative Services. Environmental Health Unit - ~ells, IJasteHater Tredt~en~. Septic Tanks I US Envircon/lental Protection AQency - Asbestos abatement I also certify that, if fill lIlaterial is to be used in Flt,od Zone "A' (.r "A,de,', it is underst(,(,d th,l a drainage plan addressing a 'colpensating volume' will be subtitted which is prepared by is professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to viol3te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Officiil frol thereafter requiring a correction of errors in plans; construction, or violations of any code. Every per~it iS5u~j ~hall becole invalid unless the w(.rk auth(.rized by such permit is cC'Julenced within six llIonths of issuance, (,r if H(,d: autl,c" J,ed b)' the perlit is suspended or abandoned for a period of six lonths after the ti~e the Hork is cO~ffienced. One 90 day e:le~sjoll of tile, ~ay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in Hriling to the Building Official. An approved inspecti(,n oust be Ic,gged during each six month period, clr the project Hill be ce,nsidered dbol,d(",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 Al"TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SI GNATUREJJ!ttt!~Lg_.lI.4.~~.J._- .---~NER OR AGENT SIGNATURE ------------------------------ CONTRACTOR DATE___~~:-;(j(~--~~------~-~---- "------- NOTARY AS TO ~ " OWNER OR AS~~It!!!.C3::2-_':- MY COMMISSION EXPH1E~OTARY PUBLIC STATE 0" nORmA !'!'\'"""eot'I!'Its'S rotr!XP';""1Ult.- ~ ;t~~ BONDED THRU GENERAL INS. UNO. DATE ----------------------------------- NOTARY AS TO _ _CONTRACTOR----------------------------- MY COMMISSION EXPIRES " ------------------