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Home My WebLink About91-1923 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 192313 Type of Permit Fv EL~ ~ M~L Property Owners Name: 7t1 a;;:tl., ,JJ.L(M~ JL Job Address: 'l'R c;L[-- dO --/1-" Date-1'/ - J ;) - 7' I Legal Description: Sub.Div. Lot Blk. Zoning CI: r-u ' Description of Work J\ <0 A~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Fee: (}S~ SIGI'IATURE .'..', ~N1 L~ COMPANY ADDRESS TELEPHONE # Estimated Cost: ,Ii:, - CJ7J - cro ./ All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # (lJ-v'Yl O/L- C---~~~ Pre SLB Lintel FRM. Insul.CL WL ~G ------- ~ICAL ~ M~ICAL ~ Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 caned for (d) Work not ready for inspection when called. The payment of reinspection fees shan be made before any further permits will be issued to the person owning same. APPLICATION FOR PEm1IT CITY OF ZEPHYRHILLS BUILDING DEPARTl'1ENT \ APPLICANT 1b Lfi MA~" 1/ ia~^ ' ~ ADDRESS II _ClX' ~ ~t'? ..ti.;tzuj- PHONE --1!i'v <;665 \J OWNER /6H=:J/hIl~ , JOB LOCATION LOT SlZE_X AREA SQ. FT. . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. i~ WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install ____Sign/Temp, ____Sign _~love ____Demolish PROPOSED USE: ~Single Family ~M/F ____n of Units ,._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 FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS."* **COPY OF CONTRACT REQUIRED. $ 1600 cO ,~. pERMITS REOUESTED ~BUILDING 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, *********~******************************** ~ONTRACTOR SECTION Company State Cert. or Regist. n City License Registration n ****************************************** nUTT.DER Signature SiO'natnre Company State Cert. or Regist. 0 City License Registration 1 ****************************************** El.ECTRTCTAN Signature Company State Cert. or Regist. n City License Registration 0 ****************************************** PLUMRF.R Signature Company State Cert. or Regist. 0 City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. 0 City License Registration 0 DTHER APPLICATION APPROVED BY ~;~';:~~:8f~:;:~"*'~"*********** PER~llT OFFICER. CONDITIONS: OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The.undersigned understands that this per.it lay be subject to 'd~~d restricti~ns' which ~ay bfr ~~re restr.ictive than City r~gulations. The undersigned assules responsibilitf;for. cOlpliance with any applicablfr deed restriclions. '. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the own~r has hired a contractor .~r contractors to undertake work, .they may be rfrquired to bfr 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 misdemeanor violation under state law., If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611, 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 Hill be responsible. If yDU, as the owner sign as the contraclor, you are .indicating that you, rather than the contractor, are responsible for th~ work, If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licens~d and 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 - Ho~eowner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sote6n~ other than the 'owner', I certify that I have obtained a. copy of the above described document and pre,mise in good faith to deliver it to the 'oHner' prior to cOllencelent, ~ 1 '.. .., : I 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 coapliance with all applicable la~s regulating c~nstruction, zoning, and land developaent. Application is hereby lade to obtain a permit to. do work and install~tion as indicated. I certify that no work or installation has commenced prior to issuance of a pertit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, an~ land development regulations in the iurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply.tD the intended work, and that it is IY responsibility te. identify Hhat actions I IllUSt take to be in compliance. Such agencies include bid ~1 I' nc.t lillited to: 0#- f Departme~t ~f Envir~nmental ReQul;tion - Cypress Bayheads, Hetland Areas and EovirDnmentally Sensi tive LdOds, Water/Wastewater Treatment . Southwest Florida Hater ManaQe~ent District - Wells; Cypress Bayheads, Wetland Areas, Altering Haterc~urses . Ar.y Corps ~f EnQineers - SeaHalls, Docks, Navigable Waterways t Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - ~ells, Hastewater Treat~en~. Septic Tanks t US Envir~nDental Protection AQ~ncy - Asbestos abatement I also certify that, if fill material is to be used in Hc'od Zc,ne "A" (.r 'A,etc,', it is underste,e,d t1,~t a drainage plan addressing a 'collp~nsating volume' Hill be sublitted which is prepared by a professional engineer regi5l~red in the state of Florida prior to permit issuance, A per.it issued shall be construed to be a license to proceed with the Hork and not as authority to violite, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a c~rrection of errors in plans; construction, or violations of any code. Every per~it issu0d ~hall becole invalid unless the wC<rk authc.rized by such permit is !:C'lllllenced within six ~onths of issuance, e,r if Ij(,d; aut!.e'll,ed by the peflit is suspended or abandoned for a period of six lonths after the ti)e the uork is co~menced. One 90 day e=te~5ioll of tile, say be all~Hed for the per~it with fee charge of $15.00. The extension shall be requested in uriting lo the Building Official, An approved inspection oust be logged during each six month period, or the proiect uill be considered dbjl~oned. 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 $21500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". \) S~J ~~. . -------OWNER-~GE~T------------- DATE~~__.l~""..L~f'-(---------.__.------- ~~s A~~~_"'-_~ <__"_ MY COMM I S5 I ON EXP lRES~,:...:::':':.'.hl;;;....~I!.\lJ:;,.9I.f1(-liil;;U\..:-- ; ... ,."..,,;0N "X?il,CS: NOV. 27. 1992- l;;~ _,;..J i ,'11-,0 NQ-rAHY PUBLIC UNDERWRITERS. SIGNATURE ------------------------------ CONTRACTOR DATE ----------------------------------- NOTARY AS TO CONTRACTOR_____________________________ '\ MY COMMISSION EXPIRES__________________