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Home My WebLink About91-1895 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 TypeOfPermil~ 56- cHJ ~ ~ P~~ANI3J Properly Owners Name: _ 9:-~~a Job Address: ,59 () f! ~_ __/~ Permit N~ 1895/1 Date it) -.3/ - 9 / Legal Description: Sub.Div. Zoning CI: /;). -db -'cJ./ - 0 Os () D us 0 CJ - Q 0/ 0 Description of Work ~ f.( ~J 1/ (". .A-f ~ ..: T Lot Blk. Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ :J ~~ 07J OCCUPATIONAL LICENSE # 7JY Fee' ~J~ SIG~ArURE~ R.~ COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City COdes and Ordinances. \ ;Pc 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 II. c.2- .~ 9/ /3"ffr 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 PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT .J3tlh(~ Propttt\e 60.5 +- klL, .1n0 ADDRESS ~441 Alltn Kd ,lephyrhIl15/ (1-. 33541 :Ja.mes 5+~fP JOB LOCATION 3q 0 18 .!;th kve PHONE 19~ - 50 f:3 OWNER LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.# 1~-~h-;;:U-0030 -00300-00I() WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair )( Install ____Sign/Temp. PROPOSED USE: ~Single Family ____Sign ____Move ____Demolish ____M/F Lt~ of Units _____M / H A(c..t wIre; ____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 FORMS."* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL ~ECHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ ~ ;J.:J-S: (]U Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature BUILDER # # PLUMBER Company State Cert. or Regist. # City License Registration # ****************************************** Signature MECHANICAL Company Bahr's Pro Fe ftM -I Ale, ]jG n" 0 11. J .. \ State Cert. or Regist. t~ CAco43 qtfb Signature X A'~ " . 'I;J1JVV City License Registration;F <# qg , ****************************************** OTHER Company State Cert. or Regist. # City License Registration # Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it aay be subject to "deed restrictions" which .ay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES , , If the owner has hired a contractor Dr 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 lay be cited for a lisdeleanor 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 Zephyrhills Building Department, (813) 788-(,(,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 you, 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 permitting 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 Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cOllencelent. 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 develop.ent. Application is hereby .ade to obtain a perlit to do work and installation 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 leet standards of all laws 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 lay apply to the intended work, and that it is IY responsibility to identify what actions I must take to be in compliance. Such agencies include ~It ale not lilited to: I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Ldnds, Water/Wastewater Treatment I Southwest Florida Water "ananelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environlental Protection Anency - Asbestos abate.ent I also certify that, if fill material is to be used in Flood Zone "A" Dr "A,etc.', it is understood thit a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a 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 vioi~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every p~riit iss\lud ;nall becole invalid unless the work authorized by such peTtit is cOlllenced within six flronths of issuance, (Ir if I'lClrk autllfll Ized by the perlit is suspended or abandoned fror a period of six .onths after the tile the w[lrk is co&menced. One 90 day e~tEnS)Oii of tile, flay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection iust b~ logged during each six lonth period, Dr the project will be considered dbal~Dned. 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". SIGNATUR.~~:q__ q~ -":_____ SIGNATURE_.~talA,--1{~-~----- ~~~NER OR A~ CONTRACTOR :::::~_::_~~fQ. f--3.1t.1~----------"--- . -- :::::~-:. :_~~_:~}~~L______----~-- .--- OWNER OR AGENT''''L!~~_ _~. U CONTRACTOR_~'--/~~_( ~ W ~/ , Notary ubhc. S t 01 C1U,._" p-{../!:. Notary PubliC. Stat! oe FlOrida MY COMMISSiON EXPIRE ~;-~~~~~:.~~;__..:_l~._~!~__ MY COMMISSION EXPI E~=:o~~.:.:x!:..~~~~~~~~_