The URL can be used to link to this page

Home My WebLink About91-1911 ST ATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 1911f) Date_if --5--7/ Permit N~ Type of Permit ~G E~ ~d-=:> ME~ prOperIYOWnerSN~me: !!.r~~~i;.--.fl 0~ Job Address: 70--5---0 _;<(~~ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: -~A- Fee: ;) 6, tT7J S(GNATURS~.(" - COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances, OCCUPATIONAL LICENSE II-<;;p('f+~ ~~ ~ Bl G SL Tub Set Water Sewer Final VNN.ll6t!ouNl) &=-c.fuJ 12,-1-1-1/ Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final ~i,lJ 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 will be issued to the person owning same. APPLICATION FOR PERt-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT /5/2/0 W IV ~""'.If. h c.. .sp,,-/-v k ICA-J ~c. ADDRESS ;:;?.t?/.:;J ;J, 3g~7_ r~,4 FC-;I.:r~PS , OWNER GAf-..s;-!- P/~..s C o',/1'1/;;o/ ) c ,-1 JOB LOCATION 70S-a (;.._/1 ~/cJ,-..,I_ PHONE B /:.s t.. z / Z- 0'7/ LOT SIZE_____~ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .1F WORK PROPOSED:~New Construction ____Addition ____Alteration _Repair ____Install _Sign/Temp. _Sign _rlove ____Demolish PROPOSED USE: _Single Family _M/F ____l~ of llni ts .____1'1/ H ~Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x_____ , Square Fee t, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOr 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 $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. *************************************~**** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registratic)n # ****************************************** BHILDER ELECTRTCTAN Company State Cert. or Regist. # City License Registration # Signature *************************************~**** pj,lJMBER <.// Signature ~~~ Company g/2.0.....- r-' ~ State Cert. or Regist. # ___ __ City License Registration ****************************************** ~ ""...Ie-, :z::.-, (' . ...5''7' g 9 rg 900<..") /5'0 :j 58 () MECHANICAl Company State Cert. or Regist. # City License Registration :; Signature ****************************************** QTRER Signa t\lre Company State Cert. or Regist. # City License Registration ~ APPLICATION APPROVED BY PER~ln OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject t~ "deed restrictions" which may be ~ore restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, they may be required t~ be licensed in accordance with state and local regulati~ns. If the contractor is not licensed as required by la~', both the owner and contractor ~ay be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to c~ntact the City of Zephyrhills Building Department, (8131 7B8-bbll. Furthermore, if the ~wner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'ContractDr Sections' of this application fDr 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 "or~. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled te. 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 - Ho~eowner's Protection Guide' prepared by the Florida Departient of Agriculture and Consumer Affairs. If the "pplicant is so~eone 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 'ollner' prior to commencement. E. CONTRACTOR'SIOWNER'S AFFIDAVIT I certify that all the infor~ation in this application is accurate and that all >>or~ will be done in c~~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has com~enced prior to issuance of a per.it and that all work will be performed te, meet standards ~f 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 may aDDlv to the intended work, and that it is flY responsibility to identify what actions I must take to be in ce,mpliance. Such agencies ir,clude bid "' r i1[,l li,~ited to: I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tij~ l~nds, Water/Wastewater Treatment * Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Hetland Areas, Altering Hatercou,ses I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Department of Health ~ Rehabilitative Services. Environmental Health Unit - W~I]s, Hastewater Treat~~~:. Septic Tanks I US Environmental Protection Aoency - Asbestos abatement I also certify that, if fill material is to be used in Floc,d ZCtne "A" or "A,etc.', it is unders,toe,d \h:d d d,ainage plan addressing a 'compensating volu~e" will be submitted which is prepared by a professional engineer reqist0f~d in the State of Florida prior to permit issuance. A per~it issu~d shall be construed to be a license to proceed with the work and not as authority to yioj~te, cancel alter, or set aside any provisic,ns of the technical codes, nor shall issuance [If a pl:rmit prevent the Building Llii',ci"l ilCoa, thereaftel requiring a celrrection elf errc<rs in plans, C[,nstructicln, e,r vie,latie'Tls of any code. Every per;lIit iSSlIl,J shall bece'ie invalid unless the work authCtri2ed by such perlllit is CClJflBlenced within six months Ctf issuance, (If if Hod; aut}"" j,ed by the perillit is suspended Clr abandoned felr a perield [If six 1I0nths after the tiille the Ilort; is CC<Kimenced. One 90 day ,:.,:\(,,51011 (,f time, may be allowed for the per0it with fee charge of $15.00. The extension shall be requested in writing to the Building Oificial. An apprclved inspecti[,n must be logged during each six lIlclnth period, or the prelject Iii II be considf?red dbailrj[,j,ed. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfV. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEV BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE____~E~~:---------- DATE__~~~~wL7-tL---------------------- NOTARY AS TO ~ _, ^.4r:-. OWNER OR AGENT__~~~- SIGNATURE~----------- CONTRACTOR DATE_~~~-~~!-?-C-~----------------- ~g~~:~C~~RT~~ ~~ ~--------------------- ';""_~,'.;,'~.:;";-' :~":-:I'~/-'ij'~ ..,":.,.....:.~: -". -,'::,~-; -, MY COf1MISSION EXPIREiS'o: ;.:;>:,>,:::,;:' i ,:;"~' "::,,/,,,,' :',;?::,~'MY COMMISSION ~IQ~C::DTTro,--=r""''''c.A''''''''''_'''''''''''.-- ,:.f..;:.:J:l'f=':\..'i'i:!Jt<l..'...!t....'M""'"*"""'-.f-;-O..........-..........~,'" Ity't'tJ.......,"""'."., c. v.' "L<V"U"" MY COMMISSION EXPIRES: August 1:5, 1995. 1l0NDIW TURU NOTARY PUBLIC UNDERWRITERS. 'J -,.' "-, , Ii . ...._...... ~ ~.... ': "",,,,-,,.,-,,.~.. - . ~.~""'r'-,-" ~."~" '..- -,'0 '~"~..I.......- ._':.'.........":"'...-~~....l""':""""-~.~.'~.,._-~ /"... /I:i' ;11'1 . ZEPHYRHILLS FIRE DEPARTMENT Zephyr hills, Florida 33540 38410 6th Avenue (813) 782-8184 I .........-1 i j FINAL BUILDING INSPECTION Fire Chief William T. Fenton Assistant Chief Robert Hartwig OCCUPANCY: C;:;/J//) L~ ADDRESS: "7 / .,-;~:; /;(//--/{I /:;~~/ DATE: -J-/,;z./:<-3'/o// BUSINESS PHONE: OWNER/MANAGER: "'-,...... " //~ .,/ This building has ht>t'.I) inspe<..:tedby the Zephyrhills Fire Department unde'i:'!J;~~((;odes and regulations of the NFPA Minimum St~#ds'~other local fire safety codes. /'// ....... ,// '. / /~ /' / ./ / .// " _ AFfROVED '..... NOT APPROVED "" .........., CO~l\IENTS: ;:)i(;C-f //!.-.?jl#,6;;;r;?I.... cf-: 7#/?N/ .z},e/<:;.e,j/I0I4/)( ;/ / - -- / ;" /" -'''' ~ 14"11/ Ih'//~ ~,A./ .;//~, ~e/.:,),,/?5 ,,/2/e;.-?V' 0 eo c I/c"/'-" b. // ....~ / 7 L /,j (.. p // ,,//'A~A?eed ' / ?J ____/: ~/ 1-:. TAtV lIS A .z 5c..:; G:>AC ~ l f' <S "," ( ic:, f\-'t. , 1 + I...-..:-'A (> I R.; L. c Po ~ t.... ~ -t:ll S A~ I;; /2...,- ~ ~-)C r,) S c; j.jO...l ( b f3 E.. I u lA, s[ tRAp P t~"'l ;< V_r~ c- fc:. s , ,) , .;/ / /' //~/l INSPECTOR: /~/// /; //;/ . '~'f DATE: /zA.lk/ TIME: /5-# SIGNED: TITLE: 06/17/86 als .;......."""'.~...~-~~~............~~..;..~~_..--.., . -....j, ,~......:- ,,-,~., - '~~__"'i~~~'~ ....'.......,~.,,~~....;...~