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Home My WebLink About91-1891 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 189'i=? Type of Permit ~ E~L ~ ME~L Properly Owners Name: _ ~J,i<!::~ Job Address: J<J /~ ~ ),0 .A~ Date ,/0 -3tJ -7/ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work, .A...o"J-e/L- -'I ~/ ~_i2Ar.l Energy Code Readout: }[>"8).. q / ~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~//A ~ / Fee: ;2 (j - o-u SIGNATURE t:2;~ ~ COMPANY ADDRESS TELEPHONE # --- All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #;2 7 / L Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Tub Set Water Sewer 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. ~ APPL'ICAT'ION FOR PER1'IIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT Ii. (~ J6t.2 N p4YJ / C I:.;-~ JOB LOCATION LS7/53p/l;")::: " .. P !cl):/' 6//;' ';" , '. . ADDRESS , / . ;Yz (..f ,!/ ( ,7:'1/. ..j)4 4:. /~.... . <-- / ":7"7; PHONE O/~'7'" QI- os/(}c OWNER lJte , LOT SIZE x AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) PARCEL 1. D. If Z..eph7'~ /(e/~/4r<j J BLOCK SUBDIVISION ;? 13 _'i h:t I,~CJ LC' f 4 B / k.. C:, WORK PROPOSED:____New Construction ____Addition ____Alteration ~epair ____Install _Sign/Temp. _Sign _~l:)ve ____Demolish PROPOSED USE: / Single Family ~M/F ____If of Units . _____M/H ____Commercial _Indust. _Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t , Height RESIDENTIAL: COMl'lERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. ** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL VPLill1BING $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. * ****** *1:*.************** *1,* 1,,~ ** * ,'r~' i:~, ,', i, * i, *~, CONTRACTOR SECTION Company State Cert. or Regist. U City License Registration 0 ****************************************** BUTLDER Signature ELECTRICIAN Company State Cert. or Regist. 0 City License Registration 0 ****************************************** Si!!nature PLUMBER /J . C . SignaturetZ'tt fJ'I~?u 617 ~~"""..A'.../~ Company State Cert. or Regist. 0 City License Registration 0 ****************************************** :;2.7 Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAl. Signature Company State Cert. or Regist. 0 City License Registration 0 OTHER Signature APPLICATION APPROVED BY ***********~*************************** :o/d.11N~ . OA.<JW- " PERI-lIT OFFICER. . ,. '> CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . Th~.und~rsign~d und~rstands that this perlit lay be subj~ct to "deed restrictions" which ~ay be ~ore restr.ictive than City regulation,. Th~ undersign~d asSUles re5ponsibility~for. cOMpliance with any applicable deed restrictions. . , " E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the owner has hired a contractor or contractors to undertake Hork, .they lay be required to be licensed in accordance with ,tate and local regulations. If the contractor is not licensed as required by law, both the OHncr and contractor nay b~ cited for a misdeleanor violation under state law. If the OHner or intended contractor are uncertain as to what licensing requirelents Day apply for the intended work, they are advised to contact the City of ZephyrhilJs ~uilding Departaent, (813) 788-bbll. Furthermore, 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 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 ~nd 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 - HODeoHner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is soteone other than the "OHner", I certify that 1 have c,btained a. CDPY of the above described dClcument and pn'rr,i~e in g(,od faith to deliver it to th~ "oHner" prior to cOI~enceDent. ;1"',:: E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all worK Mill be d0ne in coapliance Mith all applicable laMS regulating construction, zoning, and land development. Application is hereby !ade to obtain a permit to'do Mork and install~tion as indicated. I certify that no H0rk or installation has cOI~enced prior to issuanc~ of a perlit and that all work will be perfor~ed to roeet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdictiDn. I also certify that 1 understand that the regulations of other governmental agencies ~ay apply. to the intended Mork, and that it is IY responsibility tc. identify what actions I must take to be in compliance. Such agencies include bid ",e llC.t liaited to: . ~.#'_... I DepartlPnt (If EnvironlDenta\ ReQulation - Cypress Bayheads, lIetland Arpas and Envireonmentally Sensi tive L~ndsf Water/Wastewater Treatment I SouthHPst Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering HatercDurses I Any C(lfPS .of EnQineers - Seatla\1s, Docks, Navigable WatErways I ~epartlent eof Health L Rehabilitative Services, Environmental Health Unit - Wells, WasteMater Treat~en~. Septic Tanks I US Environaental Protectieon AQency - Asbestos abatement also certify that, if fill material is to be used in Flc.od ZClne "A" C.f "A,etc,", it is underst(,e,d U.,t a drainage plan addressing a 'colpensating volute" will be sublitted which is prepared by a professional engineer regist~red in the State of Florida prior to perlit issuance. A p"'" i,,"" ,b.ll b, "",',",' " b, . I""" " p""" ,"h 'h, ",' "d ,., .. ,"'h"i', " ,i,I,'" "",1 ,II", " set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro! thereafter ,'.""", . """'i,, " "",. i' pl.,.; """"""', ., ,i.l."'" .f ." ,.d.. ""I ,.,.i' i..,., ,h.ll b,"" i".lid unless the we,rk auth(,rized by such permit is cC.Jllllenced tlithin six lIlonths e.f issuance, or if \i(,rK alithe.. J,cd by' the perlit is ,",p"d., " ""d".d 10; . p,,,.d ,I ". ..,th' ,n" th, ".. th, "", i, ",..,,,d. ,,, or, d', ",,,.,;,,, ,f "", "Y b. allo~ed for the per~it Mith fee charge of $15.00. The extension shall be requested in Hriling to the Building Official. An approved inspectie.n /!lust be logged during each six lonth period, e,r the pn.jl:ct liill be ee,nsidered dbcilIG('f,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". SIGNATURE_~NTRA~- DATE__~_~--~~7-lSl9_~--- ~~~~~~C~;R~~_~;'~- MY COMMISSION EXPI~~IDID_u~_m~r~--- SIGNATURE__~N~-~---------- DATE_~---~7-~~.9.-'--,------- NOTARY AS TO ~' OWNER OR AGENT -- :Nota Pub .c, state-of Florida MY COMMISSION EXPIRES_~:~~_~_!~~~::~!:~----