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Home My WebLink About91-1888 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1888/1 PL~ Date.-..L' 0 ~ (;).. 9' - 7,/ Blk. Zoning CI: Description of Work , (!) - 5' oJ q) ~& Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ S - ~~. 0-0 Fee: 1~-- oY SIG~ATURE dcv~ cjJ~ All work shal! be performed in accordance with Ihe above and all City Codes and Ordinances. COMPANY ADDRESS TELEPHONE # OCCUPATIONAL LICENSE # h.3 PL SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ~ BUILDING G Ftr. Pre SLB lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due 10 anyone of the following reasons, a charge of ten (SIO.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 PER!'lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER .J2. iJll,j J-t}-~~J..fJ.-"'(]; Fi-JJ~:~NE (8/]/ I~YY-- 2 ?-;JP APPLICANT ADDRESS '. BLOCK 77-0 LOT SIZE_____X AREA SQ. FT. SUBDIVISION ~ ~ /"'1 If!:.. JOB LOCATION LEGAL DESCRIPTION: LOT(S) PARCEL I,D,~~ WORK PROPOSED:____New Construction ----Addition ____Alter.tion ____Repair ____Install / D - ;} (,;, - J-/ - I _Sign/Temp. _Sign _Hove _Demolish PROPOSED USE: ____Single Family _M/F _i~ of Uni ts ._M/H _commercial _Indust. _swim. Pool 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 FOR}lS.;'* **COPY OF CONTRACT REQUIRED. ~F.RM1TS RF.OUESTEll _BUILDING VELECTRICAL /MECHANICAL $ Valuation of Total Construction AMP Service Florida power Corp. _____W.R.E,C. $ j'i2f-Od Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** PONTRACTOR SECTION Company State Cert. or Regist. iF_ City License Registration a ****************************************** lliJ1LDER Signature Company State Cert. or Regist. a City License Registration ****************************************** E -S 0(1000 (P( jF t.f l.f ! Signature Company State Cert. or Regist. iF City License Registration j~ ****************************************** EUlMRF.R Signature Company State cere. or Regist. 1F C iJ-c v -"] 11 ~ >- City License Registration # '3 ********************************** Signature APPLICATION APPROVED BY ~:;:;~~;~.~~.....~...**.**.*... Company State Cert. or Regist. a City License Registration a QTHF.R PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The.undersigned understands that this perlit 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. 8. 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 aisde.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 2ephyrhi]ls Building Departlent, 18131 788-6611. Furthersore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 work. If the contractor wishes you to sign as contractor that say be an indication that he is not properly licensed"and is not entitled to periitting 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 - Ho.eowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the 'owner., 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 cO.lencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby aade to obtain a per.it to do work and installction as indicated. I certify that no work or installation has co.tenced prior to issuance of a perlit and that all work will be performed to meet standards of all laMS regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bIll ile not lilited to: . , I Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY CC1rps -of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~ent. Septic Tanks I US Environlental Protection AQency - Asbestos abatement I also redify that, if fill .aterial is to be used in FIC.od Zone "A" or "A,etc,', it is understc,(,d tl.,t a drainage plan addressing a 'compensating volute' will be sublitted which is prepared by a professional engineer regist2ied in the State of Florida prior to permit issuance. A permit 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 per~it prevent the Building Official fro. thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit issllvd :hall becole invalid unless the work authorized by such permit is coamenced within six months of issuance, or if wo,.k authol lzed by the perlit is suspended or abandoned for a period of six .onths after the tiJe the work is commenced, One 90 day e:tensioll of tile, aay be allowed for the permit with fee rharge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six tonth period, or the project will be considered dbdl,doned. 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". SIGNAT"~~ZA'- (k__ _ CONTRAC~'~ /' DATE___~~t~f,~_~~~_(2~~~___----- kJ 'ji~ r1~ SIGNATURE~ ~_~~_~~~_________ OWN R OR AGENT DATE_.J.~c.LL.L__g4.J.2.9-L--------------- C) NOTARY I'4S TO ,,~ / . n ~/ / .' OWNER OR AGENTt~~..::_~2':.._' ~ ~:..:..~~&,,- Notary Pu lie. State of FIortdcr MY COMMISSION EXPIRES~~~~~~~L~!~~J!~~j4 Iondod lhru T,oy flIin _Inlu,on" Ine. ~CL /7. NOTARY AS T ~ '! L'/.. / CONTRACTOR..: _' _~~.i.=:::_~__~1::~-~..!!:.:::~{ " Hotary Public, 'Stat. of Florida MY COMMISSION EXPIRE~~lu@~~R~~j~~JJ,199. __ Ionded lh,u Troy flIio -lnw,oocoll\lio .-