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Home My WebLink About91-1931 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 19318 Date I) -/...!:>--9/ ~~M~ Property Owners Name: 2f.vl~ 20At R~ Job Address: 6/,5-:~ r ~-d-/1jl 4:1, Legal DescriPtion~ Sub.Div. (jJ aL..-k Ii If? Lot Zoning CI: - ;;2. b -.;11 - S - .---L~ Blk. 'JA~ ~ I;;) -t-- /'19/ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE # Fee: :2 () - chJ SIGNATURE~kb~/~ ~~. COMPANY ADDRESS TELEPHONE # Estimated Cost: '-./}--.(,"T7), d7--'; All work shal! be performed in accordance with the above and all City Codes and Ordinances. Cl)/dYl fl/1 - ~lDl~ Pre SLB Lintel FRM. Insul.CL WL E~ICAL Tp.Serv. ~ Rough In Meter Can Const. Pole Pool Pre-Meter Final ~ANICAL ~ P~G ----------- Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the folIowing reasons, a charge of ten ($10.00) dollars shalI 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 PERNIT CITY OF ZEPHYRHILLS I ~ILDING DEPARTMENT APPLICANT !1., wAtf f) 1/ /1 ~ 7) fit b 1~):3 J>E/!;RL ,-S / . , S h # E': ...- c.;~ 7 r-- JOB LOCATION L---' L./ ff~ c- I ' PHONE 7 g g - f' ~ 9 0 ADDRESS OWNER L--. LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK -::2../- 6--0 SUBDIVISION PARCEL I,D,# ;]-r:l6 WORK PROPOSED:____New Construction ----Addition ~/ ____Alteration ____Repair ____Install ____sign/Temp, ____Sign PROPOSED USE: ~ngle Family ____M/F ____Move ____Demolish ____# of Units .____M / H ____Commercial ____Indust, ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOr PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOID-lS.'~* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED V;UILDING $ ~5'OOt oCJ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _\'V.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. # City License Registration # ****************************************** BUILDER Signature SiQnature Company State Cert, or Regist. # City License Registration # ****************************************** ELECTRTCIAN Company State Cert, or Regist. # City License Registration # - ****************************************** PLUMBER Signature Company State Cprt. or Regist. ~ City License Registration # ****************************************** MECHANICAL Signature OTHER ~ Signatur~;/'~ Jdd d...4L ~,.;;;:;~..~~~~~...*....*******..** Company State Cert. or Regist. # City License Registration iF APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMlf AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assules responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES . . If the owner has hired a contractor. or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations, If the contractor is not licensed as required by law, both the 011ner and contractor ~ay be cited for a misde~eanor violation under state law. If the owner or intended contractor are uncertain as to what licensino requireients may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (B13l 788-6611. Furthermore, 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 you, as the owner sign as the c(,ntractor, you are indicating that you, rather thin the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that &ay 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 - Ho~eowner's Protection Guide" prepared by the Florida Departient of Agriculture and Consumer Affairs. If the applicant is so~eone other than the "owner", I certify that I have obtained a copy of the above de~cribed document and promiSE in good faith to deliver it tD the "owner" prior to cOimencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is a[[~rate and that all NDrk will be done in co~pliance with all applicable laws regulating construction, zoning, and land dev?lopment. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has com2enced prior to issuance of a permit and that all work will be performed to meet 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 regulatiDns of other governmental agencies may apply to the intended work, and that it is /ty responsibility to identify what acti(lns I must take to be in cclmpliance. Such agencies irlc]L\de bllt "' e il['~ li,lited to: 4 Department of Environmental ReouIation - Cypress Bayheads, Hetland Rre~s aim Environmentally Seilsi tIle Ld~js, Water/Wastewater Treatment * Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses 4 ArfiY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departient of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~En:. Septic Tanks f US Environmental Protection AQency - Asbestos abatement I also certify that, if fillll:atr.>rial is to be used in FlorId Zr.ne "A" (If "A,etc.', it is unders.toDd that. a diainage plan addressing a "coMpensating volu!e" will be submitted which is prepared by a professional engineer reqi5t~;~d in the State of Florida prior to permit issuance, A per~it issued shall be construed to be a license to proceed with the work and not as authority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uff\cial flom thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit iss!l~d ~haJl beCDIE invalid unless the w(lrk authr.rized by such perlllit is celill";cT:ced within six ilIonths e,f issuance, or if )j['l Yo autlir'l Iz,:d b)' the perlliit is susp~nded or abandoned for a period of six months dfter the time the "ork is commenced. One 90 day 0~tE~5JO!1 of ti~e, lIiay be allowed for the permit with fee charge of $15.00. The extensi0n shall be requested in )jriting to tho Building Official. An approved inspection must be logged during each six month period, or the project "ill be considered db6ildD~ed. WARNING TO OWNER: YOUR FAILURE TO ~ECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR I~F~OVEMENTS TO YOUR PROPERI-Y. IF YOU INTEND TO OBTAIN FiNANCj_!\~G, C>JI...SUL. ~JI1H YOU~ ~_ENDER (lr~ AN Ic,TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE~~ )/ ~~~ .J!~ -l/(~~~GENT SIGNATURE______________________________ CONTRACTOR DA TE____1L:-J5-=- _<1..L. __ __ _ ______________ DATE --------------------- -------- ------ ~~~~=y 0=5 A~~NTJluxjL .0J~l~_. _ ~~~~~~C~~R:~___________________________ J10TARY PUBLIC. STf:1 01 FLORIDA. MY COMMISSION ~~~~~~~~~~~~~-- MY COMMISSION EXPIRES__________________ 'I"~ -" ;t1~ liV:Li R D VA Iv lJ Y J( F to / 5 .3 P [ It R L ,S I ZE'r.H.YRh'/LLSJ FL 335LfO ~ y. I <:; T /I\J G. .5 LAB + R b 0 F [ -- r -LA C/J ~ ~ ~~ Q- ~ '\~ Q. ~~ ~- ~~ ~\( \ -'" (\, J \\ ~ "'. ~ ). ,~~~ \~ :( ~ h. -:I: . \- " <Z ~ ,-!()/f l.jtJlI J It; "POOr<. , " ~ FLOOR P L A 1'; J 6 II .00012. S 1./ E ;:1 b ~ h" X q' b II E'i 1ST/firs 5LflB +- RODF :l y. 1-/ S T U [) 5 1- f\ Lll .~1} N 111'<\ !; IDt ).,vAtL_::; 2 'i" OC DO >:::, \y. -1 '/..:~ 'A, /J I.J. D ALU A1 lL.JJ .' ) "^ en (/) (rn . \ I.!!~- \! . I :1 _I , I - ....--...-.----.--..! ~ I I r-;f i ! I ~ X ~ X. {)1{ '---'-, I ,',LUN Pas ;--.----1 ''-... I \~/ r=J r-------=r ~ Ii' IrL U M I i\ . III XICK. PLATE -----Ii ~J r'JlU : ~{'L~:o~~:;-: ~~.;;:F " r! --1 i\ (i';' ,....,i! \ Ii , ~"': 'C) -. I i .-1. '0 ~ \ 1 r--~--._.~ ~-~\-r~ J,:, --.\\ ~ : ~~ ~~. ~~j l ( -0 ~t ...... ----..;1: ~ ~ ~ '- ~~I z. ,'" ..." ,~,........, {!J-r:.. f1~..r. 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