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Home My WebLink About91-1892 ST A TE OF FLORIDA City of Zephyrhills /' PASCO COUNTY BUILDING DEPARTMENT 1.813-788-6611 Permit N~ 1892,8 /f) - ,:to- c/ I .' ;20 Type of Permit ~ Date EL~AL p~. ~ Legal Description: Blk. Property Owners Name: Job Address: Sub.Div. Zoning CI: Description of Work Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application .I ~ Estimated Cost: r 7~ c- e>?~~ t. :~:~ATu:;r~ j'2A1P, , --,~ COMPANY(;/ ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. .-/' OCCUPATIONAL LICENSE # ~ -' BUILDING ELECT M Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final 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 wilI be issued to the person owning same. ~ ~ ~ ~ \ 4: \!) ~ ~ <) , \-- ------ i \ ~ '41 -::> -1 cLa: \~ .---- '-1-- ! ---- - - - I I \ I " \ ! I ~ \,' ~-=~:-_~__ll...___ c:L \~ ----- . '. 2~~ ctr .. ~ ~ ~ &I=..-.......-- ----_._----- -"---. ___ _'_'_'. _..e._ \)c:., ~ '- ~ ~ J' ::r- .v _1' -:J- ~ ~ - -S ~. cr' ~~ ~ ~<t -ro _~ c --.9 · --n---- : Ii, \. ,,\! ! '- ' \. .. i "'" " : 1- ,-~~~J - - -----~... . t i \. I JJ " \,.. \.. L '- '- '\ il .... II ~- ,\. \ J \ ' '~' " ~ \. ~ " '. \ " ... -" \. \'" ..... \ \ t ~ \' '- , , ------L.-J-' ,'" \ ! I i '", I " j i '\ \ " " , --i-I--- 11,' '.' - m' I' \ ,,' ;: -~-J~L.~" " ' J - , ----'"> '" ~ ~ .3 ~ '" '" ~ \t) ~ ~ r := ~ -.o~ ~8 .1 " \lJ )- <C. .J Q ~ ~ -9~ Y . ~ llJ ~ \- OJ IJ ~ ~ ."::!- () <Jd ~ ~ 1:. ~ \- ~ ~ ,0 ~ \f) (:) <i: LiI ~ A ~ C lI..l .:t:. ..J '><: ~ .J ~ '2 ~ cc.A ~ 6 o ti ~ ill WJ ~ ~ \J) - >< C- LEGAL DESCRIPTION: LOT(S) APPLICATION FOR PE~IIT CITY OF ZEPHYRHILLS LDING DEPARTMENT APPLICANT PHONE 7l!;<-g?06- ADDRESS OWNER JOB LOCATION LOT SIZE_X AREA SQ.FT. BLOCK SUBDIVISION PAR C EL I. D . l~ WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ____Install _Sign/Temp. ____Sign _Hove _Demolish ____Commercial ____Indust. ____Swim. Pool () . .____M / H ~~~'~'~:J Other X:t:~ PROPOSED USE: ~Single Family ~/F ____l~ of Uni ts ____Restaurant & Health Department Approval BUILDING SIZE: ~x /~, Square Fee t , 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 FORl'IS"H **COPY OF CONTRACT REQUIRED. ____BUILDING 13:X tro $~'-&o' pERMITS REOUESTED valuation 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. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. Q City License Registration Q ****************************************** Signature Company State Cert. or Regist. Q City License Registration Q ****************************************** Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. ii City License Registration # ****************************************** MECHANICAl. Signature Company State Cert. or Regist. n City License Registration ff OTHER ****************************************** PERl-lIT OFFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The .undersigned understands that this per_it lay be subject to "deed restricti~ns" which may b~ more restr.ictive than City regulation5. The undersigned assules responsibility:for, co_pliance with any applicable deed restrictions. B. 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 tisde.eanor violation under state law. If the OHner or intended contract~r are uncertain as to what licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart_ent, (B131 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the 'Contractor Sections' of this application for which they will be responsible. If" y~u, 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 y~u to sign as contractor that may 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 provi'ded with a copy of "Florida's Construction Lien Law - Ho_eowner's Protection Guide" prepared by the Florida Depart_ent of Agriculture and Consuler Affairs. If the applicant is so_eone other than the "owner", I certify that I have obtained a. copy of the above described document and pr~mis~ in good faith to deliver it to the 'oHner' prior to cOllencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a permit to'do work and install~tion as indicated. I certify that no work or installation has cOI.enced 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 may apply'to the intended work, and that it is IY responsibility tel identify what actions I lust take to be in compliance. Such agencies include bill ~le Iwlliflited to: .. J."'" I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland ~reas and Envirunmentally Sensitive Ldnds, Water/Wastewater Treatment I Southwest Florida Water ManaQe!ent District - Wells; Cypress Bayheads, Wetland ~reas, Altering Hatercourses I ArlY Ce,rpsof EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~ent. Septic Tanks I US Environaental Protectiun AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zune "A" or "A,etc,", it is understc,e,d thot a drainage plan addressing a 'co.pensating voluee" will be sub_itted which is prepared by a professional engineer fegist~ied in the State of Florida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority tu violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requirin~ a correction of errors in plans; construction, or violations uf any cDde, Every permit issll~d 5hall becole invalid unless the Nork authorized by such permit is com.enced within six months of issuance, Dr if work authDI lzed by the per.it is suspended or abandoned fur a period of six lonths after the ti,e the work is c~~menced. One 90 day e~\f~sioll of tile, say be allowed for the permit with fee charge of $15.00. The extensiun shall be requested in writing to the Building Official. An approved inspectie,n aust be le.gged during each six month period, or the pr~ject Hi 11 be cc,nsidered db6I1de.ned. 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 NE9) TD RECO:D AN~PO T; ~ "NOTlCS:G::Tu::M__M_E~~~~~-~~~~---------------- - y: ~ ~---- OWN~AGE T CONTRACTOR DATE______~'16---~9-~-L-'i-JJ.-----,------- ~~~~:y O~S A~~NT _~ ~ ~1L~~ .. ~~~~:~C~~R~~_uuu__u____u__________ ._J-j;o~b~ State of Flo~fcla~Liirge .. MY COMMISSION EXPIR@~ commission El(~i'es Dec. 14. 1991 MY COMMISSION EXPIRES Boncrea~ro~~~mmnr~~ge ------------------ DATE___________________________________